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Evaluation and treatment of hip dysplasia in cerebral palsy
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SPIEGEL DA; FLYNN JM
ORTHOP CLIN N AM , 2006, vol. 37, n° 2, p. 185-196 Doc n°: 124881 Localisation : Documentation IRR Descripteurs : AJ23 - PARALYSIE CEREBRALE, DE33 - MALFORMATIONS CONGENITALES - HANCHE Url : http:// Hip problems, including progressive subluxation, dislocation, and pain, are common in patients with cerebral palsy, particularly those who are nonambulatory with a large degree of spasticity. Clinical and radiographic screening facilitates early detection, and surgery is indicated to prevent progressive dysplasia. Although an early soft tissue release may prevent progressive subluxation in a subset of cases, bony reconstructive surgery is indicated for patients with established bony deformity. Salvage procedures are recommended to treat chronic pain caused by established subluxation or dislocation. Langue : ANGLAIS |
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