Article

We studied 'hip health' in a population-based cohort of adolescents and
young adults with cerebral palsy to investigate associations between hip
morphology, pain, and gross motor function. METHOD:
Ninety-eight young adults (65
males, 33 females) from the birth cohort were identified as having developed hip
displacement (migration percentage >30) and were reviewed at a mean age of 18
years 10 months (range 15-24y). Hip morphology was classified using the Melbourne
Cerebral Palsy Hip Classification Scale (MCPHCS). Severity and frequency of pain
were recorded using Likert scales. Gross motor function was classified by the
Gross Motor Function Classification System (GMFCS). RESULTS: Hip pain was
reported in 72% of participants. Associations were found between pain scores and
both hip morphology and GMFCS. Median pain severity score for MCPHCS grades 1 to
4 was 2 (interquartile range [IQR] 1.0-3.0) compared to 7 (IQR 6.0-8.0) for
grades 5 and 6 (severe subluxation or dislocation). Hip surveillance and access
to surgery were associated with improved hip morphology and less pain.
INTERPRETATION: Poor hip morphology at skeletal maturity was associated with high
levels of pain. Limited hip surveillance and access to surgery, rather than
GMFCS, was associated with poor hip morphology. The majority of young adults who
had access to hip surveillance, and preventive and reconstructive surgery, had
satisfactory hip morphology at skeletal maturity and less pain.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS