What is hip displacement in cerebral palsy?
Hip displacement in cerebral palsy is a common problem. The muscle imbalance and spasticity can lead to abnormal deforming forces which act on the hip joint resulting in acetabular dysplasia and femoral head migration. The patients suffer painful seating, abnormal gait and difficulty in personal hygiene.
What is femoral neck osteotomy?
Femoral osteotomy is a surgical procedure that is performed to correct specific deformities of the femur – the long bone in the upper leg – and the hip joint.
What is proximal femoral varus osteotomy?
What is Proximal Femoral Osteotomy? Proximal femoral osteotomy is a surgical procedure that involves cutting and alignment of the upper (proximal) part of the thigh bone, also called the femur. The proximal femur is part of the femur that articulates with the socket of the hip bone, called the acetabulum.
What is valgus osteotomy?
A valgus intertrochanteric osteotomy corrects varus collapse and reorients a vertical fracture with a high Pauwel’s angle experiencing high shear forces into a horizontal fracture experiencing more compressive forces. 1. Good outcomes have been reported in the literature with this procedure.
Does cerebral palsy cause hip dysplasia?
Hip dysplasia, also called hip dislocation, is a common problem in children with cerebral palsy.
Does CP cause hip dysplasia?
Causes. The majority of children with cerebral palsy develop spasticity, in which their muscles tighten involuntarily, causing stiffness. Spasticity in the muscles around the hip places abnormal forces on the hip joint, eventually causing the hip to dislocate from the socket.
How long does femoral osteotomy surgery take?
The surgery typically takes 1 – 2 hours and patients remain in the hospital for 2 – 3 days. Patients are allowed to put 50% weight on the operative leg immediately following surgery and gradually progress each week. Bony healing takes 6 – 12 weeks.
What causes spastic cerebral palsy?
Spastic cerebral palsy is a developmental disorder caused by damage to the brain before birth, during delivery, or within the first few years of life. This condition prevents the normal development of motor function. Spastic CP is characterized by jerky movements, muscle tightness and joint stiffness.
What is femoral head subluxation?
The head of the femur (top of the thigh bone) is the ball and the part of the pelvis that meets the upper end of the thigh bone is the socket. When this joint works correctly, the ball moves freely in the socket and the leg moves without pain. When the ball is not fully in the socket it is called hip subluxation.
Can CP cause hip pain?
Hip pain is prevalent in children with cerebral palsy (CP). Hip displacement is a known risk factor for hip pain. However, many children do not have displaced hips but still have hip pain and the aetiologies are poorly understood.
Is femoral osteotomy painful?
Patients will complain of either an acute or chronic onset of pain at the outside of their knee. The pain is made worse with weight bearing activities.
How long does a femoral osteotomy take?
What are the 4 types of cerebral palsy?
There are four main types of CP:
- Spastic Cerebral Palsy.
- Dyskinetic Cerebral Palsy (also includes athetoid, choreoathetoid, and dystonic cerebral palsies)
- Ataxic Cerebral Palsy.
- Mixed Cerebral Palsy.
- In a Baby Younger Than 6 Months of Age.
- In a Baby Older Than 6 Months of Age.
- In a Baby Older Than 10 Months of Age.