Dislocation of the hip in cerebral palsy. Natural history and predictability. Export

@article{citeulike:2066968, abstract = {To determine the natural history of dislocation of the hip in cerebral palsy, and to evolve methods to predict dislocation, the notes and radiographs of 462 patients with cerebral palsy were reviewed. Dislocation occurred in 10\% of patients by progressive migration and subluxation of the proximal femur in the presence of acetabular dysplasia. Statistical analysis identified the radiographic features that helped to predict dislocation. Measurement of acetabular index, by a method that allows for rotation of the acetabulum, was the most powerful single predictor. Measurement of this index at two and four years of age could identify patients who would dislocate unless effective treatment was undertaken, those at risk of dislocation only if scoliosis developed, and those who would not dislocate. On the basis of this method of screening for dislocation, a logical system of surgical prophylaxis is proposed.}, address = {Royal Children's Hospital, Melbourne, Victoria, Australia.}, author = {Cooke, P. H. and Cole, W. G. and Carey, R. P.}, citeulike-article-id = {2066968}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/2722938}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=2722938}, issn = {0301-620X}, journal = {J Bone Joint Surg Br}, keywords = {cp-hip, natural-history}, month = {May}, number = {3}, pages = {441--446}, posted-at = {2007-12-06 13:51:04}, priority = {2}, title = {Dislocation of the hip in cerebral palsy. Natural history and predictability.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/2722938}, volume = {71}, year = {1989} }

TY - JOUR ID - citeulike:2066968 L3 - citeulike-article-id:2066968 N2 - To determine the natural history of dislocation of the hip in cerebral palsy, and to evolve methods to predict dislocation, the notes and radiographs of 462 patients with cerebral palsy were reviewed. Dislocation occurred in 10% of patients by progressive migration and subluxation of the proximal femur in the presence of acetabular dysplasia. Statistical analysis identified the radiographic features that helped to predict dislocation. Measurement of acetabular index, by a method that allows for rotation of the acetabulum, was the most powerful single predictor. Measurement of this index at two and four years of age could identify patients who would dislocate unless effective treatment was undertaken, those at risk of dislocation only if scoliosis developed, and those who would not dislocate. On the basis of this method of screening for dislocation, a logical system of surgical prophylaxis is proposed. IS - 3 JF - J Bone Joint Surg Br SN - 0301-620X AD - Royal Children's Hospital, Melbourne, Victoria, Australia. EP - 446 TI - Dislocation of the hip in cerebral palsy. Natural history and predictability. VL - 71 SP - 441 KW - cp-hip KW - natural-history AU - Cooke, PH AU - Cole, WG AU - Carey, RP PY - 1989/05// UR - http://view.ncbi.nlm.nih.gov/pubmed/2722938 ER -