Clinical and Radiographic Dependences of Functional Status, Indices of the Hip Joint, and Femur Migration in Children with Cerebral Palsy
DOI:
https://doi.org/10.6000/1929-4247.2022.11.02.4Keywords:
Cerebral palsy, hip joint, radiogrammetrical indices, Reimers’ index, Wiberg angleAbstract
Relevance: Significant incidence of hip pathology in different groups of children with cerebral palsy and factors that may affect its formation are relevant objects of the study.
The Goal of the Study: To establish the features of the hip joint’s formation, examining the clinical and radiographic dependences of the functional status and indices of the hip joint in patients with cerebral palsy.
Materials and Methods: We conducted a clinical and radiographic examination of the hip joints using our own methods and standard anterior-posterior radiography, and statistical analysis of hip parameters and factors that may have influenced their formation. The total number of patients was 47 persons (86 joints).
Results: Correlation relationships have been established between hip parameters and factors that may affect them: Gross Motor Function Classification System (GMFCS), gait function, level of lesion, developmental dysplasia of the hip, and adductor myotomy in medical history.
Conclusions: The Reimers’ index showed greater reliability compared to the Wiberg angle. Positioning the patient's body using our own method can be used to screen the hip joints in cerebral palsy based upon the Reimers index while obtaining the true parameters of the femoral neck-shaft angle and torsion of the femur.
References
Bailly R, Lempereur M, Thepaut M, Pons C, Houx L, Brochard S. Relationship between 3D lower limb bone morphology and 3D gait variables in children with uni and bilateral Cerebral Palsy. Gait Post 2021; 92: 51-59. https://doi.org/10.1016/j.gaitpost.2021.11.011
Wong J, Kuong E, So N, Ali A, To M, Chow W. Quality of surgery and patient selection are keys to success in hip stabilization surgery in cerebral palsy. J Pediatr Orthop 2021; 42(1): e72-e77. https://doi.org/10.1097/BPO.0000000000001961
Hoshko V, Naumenko N, Cheverda A, Yatsuliak M, Nemesh M. The method of determining the clinical and radiographic parameters of the hip joint in patients with pathology of the hip joint. Ukrainian patent №137567. Kyiv: Institute of Traumatology and Orthopedics of NAMS of Ukraine, 2019.
Upadhyay S, Burwell R, Moulton A, Small P, Wallace W. Femoral anteversion in healthy children. Application of a new method using ultrasound. J Anat 1990; 169: 49-61.
Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol 1997; 39(4): 214-223. https://doi.org/10.1111/j.1469-8749.1997.tb07414.x
Kutsenok Ya. Developmental dysplasia of hip. Congenital subluxation and dislocation of the thigh, Kyiv: Zdorovya, 1992.
Ruwe P, Gage J, Ozonoff M, DeLuca P. Clinical determination of femoral anteversion. A comparison with established techniques. J Bone Joint Surg Am 1992; 74(6): 820-30. https://doi.org/10.2106/00004623-199274060-00003
Hoshko V, Naumenko N, Yatsuliak M, Cheverda A, Nemesh M, Martsyniak S. Substantiation of the method for determining the clinical and radiographic parameters of the hip joint in patients with cerebral palsy. Trauma 2021; 22(1): 61-65. https://doi.org/10.22141/1608-1706.1.22.2021.226411
Yatsulіak M, Nemesh M, Martsyniak S, Kabatsii M, Filipchuk V. Original positioning method to determine the clinical and radiographic parameters of the hip joint in patients with cerebral palsy. MOJ Ort Rheumatol 2021; 13(4): 90-93. https://doi.org/10.15406/mojor.2021.13.00555
Hoshko V, Naumenko N, Yatsuliak M. Orthopedic attachment for laying the patient during radiography of the hip joints. Ukrainian patent №122629. Kyiv: Institute of Traumatology and Orthopedics of NAMS of Ukraine, 2020.
Hoshko V, Naumenko N, Yatsuliak M. Orthopedic attachment for laying the patient during radiography of the hip joints. Ukrainian patent №140346. Kyiv: Institute of Traumatology and Orthopedics of NAMS of Ukraine, 2020.
Skuratovskii RV. A method for fast timer coding of texts. Cybern Syst Anal 2013; 49: 133-138. https://doi.org/10.1007/s10559-013-9493-4
Yatsuliak M, Nemesh M, Martsyniak S, Kabatsii M, Filipchuk V. Clinical and radiological morphometric dependences during the formation of the acetabulum among patients with cerebral palsy. MOJ Orthop Rheumatol 2021; 13(5): 106-109. [cited 2021 December 20]; Available from: https://medcraveonline.com/MOJOR/MOJOR-13-00558.pdf
Tonnis D. Congenital Dysplasia and Dislocation of the Hip in Children and Adults. Heidelberg: Springer-Verlag, 1984.
Shore B, Martinkevich P, Riazi M, Baird E, Encisa C, Willoughby K, Narayanan U. Reliability of Radiographic Assessments of the Hip in Cerebral Palsy. J Pediatr Orthop 2019; 39(7): 536-541. https://doi.org/10.1097/BPO.0000000000001318
Reimers J. The stability of the hip in children: a radiological study of the results of muscle surgery in cerebral palsy. Acta Orthop Scand Suppl 1980; 184: 10-100. https://doi.org/10.3109/ort.1980.51.suppl-184.01
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