دورية أكاديمية
Hip displacement and dislocation in a total population of children with cerebral palsy in Scotland.
| العنوان: | Hip displacement and dislocation in a total population of children with cerebral palsy in Scotland. |
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| المؤلفون: | Wordie SJ; Victoria Hospital, Kirkcaldy, UK., Robb JE; School of Medicine, University of St Andrews, St Andrews, UK., Hägglund G; Department of Clinical Sciences, Orthopaedics, Lund University, Lund, Sweden., Bugler KE; Royal Hospital for Sick Children, Edinburgh, UK., Gaston MS; Royal Hospital for Sick Children, Edinburgh, UK. |
| المصدر: | The bone & joint journal [Bone Joint J] 2020 Mar; Vol. 102-B (3), pp. 383-387. |
| نوع المنشور: | Comparative Study; Journal Article; Multicenter Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: British Editorial Society of Bone & Joint Surgery Country of Publication: England NLM ID: 101599229 Publication Model: Print Cited Medium: Internet ISSN: 2049-4408 (Electronic) Linking ISSN: 20494394 NLM ISO Abbreviation: Bone Joint J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : British Editorial Society of Bone & Joint Surgery |
| مواضيع طبية MeSH: | Population Surveillance* , Registries*, Cerebral Palsy/*complications , Hip Dislocation/*epidemiology , Hip Joint/*diagnostic imaging, Adolescent ; Child ; Child, Preschool ; Female ; Hip Dislocation/diagnosis ; Hip Dislocation/etiology ; Humans ; Male ; Prevalence ; Radiography ; Retrospective Studies ; Risk Factors ; Scotland/epidemiology |
| مستخلص: | Aims: The purpose of this study was to compare the prevalence of hip displacement and dislocation in a total population of children with cerebral palsy (CP) in Scotland before and after the initiation of a hip surveillance programme. Patients: A total of 2,155 children with CP are registered in the Cerebral Palsy Integrated Pathway Scotland (CPIPS) surveillance programme, which began in 2013. Physical examination and hip radiological data are collected according to nationally agreed protocols. Methods: Age, Gross Motor Function Classification System (GMFCS) level, subtype of CP, migration percentage (MP), and details of hip surgery were analyzed for all children aged between two and 16 years taken from a time of census in March 2019 and compared to the same data from the initial registration of children in the CPIPS. Displacement of the hip was defined as a MP of between 40% and 99%, and dislocation as a MP of 100%. Results: A total of 1,646 children were available for analysis at the time of the census and 1,171 at their first registration in CPIPS. The distribution of age, sex, and GMFCS levels were similar in the two groups. The prevalence of displacement and dislocation of the hip before surveillance began were 10% (117/1,171) and 2.5% (29/1,171) respectively, and at the time of the census were 4.5% (74/1,646) and 1.3% (21/1,646), respectively. Dislocation was only seen in GMFCS levels IV and V and displacement seen in 90.5% (67/74) of these levels and 9.5% (7/74) in levels I to III. In total, 138 children had undergone hip surgery during the study period. The hip redisplaced after the initial surgery in 15 children; seven of these had undergone a second procedure and at the time of the census the hips in all seven had a MP < 40. Conclusion: Hip surveillance appears to be effective and has reduced the prevalence of hip displacement by over half and dislocation almost by half in these children. Cite this article: Bone Joint J 2020;102-B(3):383-387. |
| فهرسة مساهمة: | Keywords: Cerebral palsy; Hip dislocation |
| تواريخ الأحداث: | Date Created: 20200303 Date Completed: 20200312 Latest Revision: 20200312 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1302/0301-620X.102B3.BJJ-2019-1203.R1 |
| PMID: | 32114804 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2049-4408 |
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| DOI: | 10.1302/0301-620X.102B3.BJJ-2019-1203.R1 |