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Review
. 2013 Nov;7(5):401-6.
doi: 10.1007/s11832-013-0514-7. Epub 2013 Sep 15.

Importance of hip problems in daily activities for cerebral palsy patients

Elke Viehweger  1
Affiliations
Review

Importance of hip problems in daily activities for cerebral palsy patients

Elke Viehweger. J Child Orthop. 2013 Nov.
No abstract available

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Figures

Fig. 1
Fig. 1
3D CT reconstruction: posterolateral dysplasia in a nonwalking GMFCS 5 CP patient due to an underlying muscle imbalance, bony dysplasia, and persistent sitting
Fig. 2
Fig. 2
Twenty-eight-year-old adult with a history of left femoral head neck resection with major pain, inability to sit, and skin problems. In this GMFCS 5 CP patient, the decision to perform this type of surgery was made based on no patient walking potential. There was no evaluation and integration of long-term general health, sitting potential, and comfort during daily life during the initial surgical decision-making process
Fig. 3
Fig. 3
Twenty-six-year-old GMFCS 5 CP patient with major dystonia, athetosis, and a painful dislocated left hip who was initially installed in a rigid seating system in a hip-abduction/external-rotation position. The pain subsided when the patient was later installed in an elastic carbon-fiber seating system with free internal hip rotation
Fig. 4
Fig. 4
a Twelve-year-old non-communicating CP patient with major pain in the bilateral hips, scoliosis, loss of seating, and major general health problems who was contraindicated for surgery. b The patient underwent 7 years of focal objective-based tone treatment with repeated adductor and hamstring botulinum toxin injections and general health therapy. c The 19-year-old patient, who did not suffer any pain and showed improved general health, seating, and personal care with the aid of one care-giver
Fig. 5
Fig. 5
a Loss of ability to sit due to a painful right hip in a 39-year-old CP patient before surgery. b The patient received a total hip prosthesis with a custom-made femoral stem and a dual mobility cup for the acetabulum
See this image and copyright information in PMC

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References

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