Aims. The Uppföljningsprogram för cerebral pares (CPUP) Hip Score distinguishes between children with
Aims. The purpose of this study was to compare the prevalence of hip displacement and dislocation in a total population of children with
Aims. Reimers migration percentage (MP) is a key measure to inform decision-making around the management of hip displacement in
Aims. Hip disease is common in children with
Botulinum toxin A (BoNT-A) is a substance that requires repeated application due to its effectiveness being lost 12–16 weeks post application. Performing these intra-muscular injections under anesthesia reduces pain and distress during applications, ensuring effective and successful functional results. This study evaluates motor development of patients undergoing 3 or more repeated BoNT-A application in a tertiary pediatric hospital and the safety as well as effect of 3 different types of anesthesia. 75 children with
Aims. Hip displacement, common in patients with
Aims. To compare changes in gait kinematics and walking speed 24 months after conventional (C-MLS) and minimally invasive (MI-MLS) multilevel surgery for children with diplegic
Aims. A flexed knee gait is common in patients with bilateral spastic
cerebral palsy and occurs with increased age. There is a risk for
the recurrence of a flexed knee gait when treated in childhood,
and the aim of this study was to investigate whether multilevel
procedures might also be undertaken in adulthood. Patients and Methods. At a mean of 22.9 months (standard deviation 12.9), after single
event multi level surgery, 3D gait analysis was undertaken pre-
and post-operatively for 37 adult patients with bilateral cerebral
palsy and a fixed knee gait. Results. There was a significant improvement of indices and clinical and
kinematic parameters including extension of the hip and knee, reduction
of knee flexion at initial contact, reduction of minimum and mean
knee flexion in the stance phase of gait, improved range of movement
of the knee and a reduction of mean flexion of the hip in the stance phase.
Genu recurvatum occurred in two patients (n = 3 legs, 4%) and an
increase of pelvic tilt (>
5°) was found in 12 patients (n = 23
legs, 31%). Conclusion. Adult patients with bilateral
In 1994 a
Aims. The purpose of this study was to assess the reliability and responsiveness to hip surgery of a four-point modified Care and Comfort Hypertonicity Questionnaire (mCCHQ) scoring tool in children with
Aims. Guided growth has been used to treat coxa valga for
Aims. To systematically review the efficacy of split tendon transfer surgery on gait-related outcomes for children and adolescents with
We reviewed the long-term radiological outcome,
complications and revision operations in 19 children with quadriplegic
cerebral palsy and hip dysplasia who underwent combined peri-iliac
osteotomy and femoral varus derotation osteotomy. They had a mean
age of 7.5 years (1.6 to 10.9) and comprised 22 hip dislocations
and subluxations. We also studied the outcome for the contralateral
hip. At a mean follow-up of 11.7 years (10 to 15.1) the Melbourne
cerebral palsy (CP) hip classification was grade 2 in 16 hips, grade
3 in five, and grade 5 in one. There were five complications seen
in four hips (21%, four patients), including one dislocation, one
subluxation, one coxa vara with adduction deformity, one subtrochanteric
fracture and one infection. A recurrent soft-tissue contracture occurred
in five hips and ten required revision surgery. In pre-adolescent children with quadriplegic
Purpose. The incidence of hip displacement in children with
We describe 13 patients with
Although equinus gait is the most common abnormality
in children with spastic
Aims. The migration percentage (MP) is one criterion used for surgery in dislocated or displaced hips in children with
There is much debate about the nature and extent of deformities in the proximal femur in children with
In 1994, a register for
We have tested the reliability of a recently reported classification system of hip morphology in adolescents with