Li Yu,Kang Liehe,Zhu Guanghui,et al.Pathogenesis and clinical evaluations of hip disease in children with cerebral palsy[J].Journal of Clinical Pediatric Surgery,2021,20(10):980-984.[doi:10.12260/lcxewkzz.2021.10.016]
儿童脑瘫性髋关节疾病的发病机制与临床评价
- Title:
- Pathogenesis and clinical evaluations of hip disease in children with cerebral palsy
- Keywords:
- Cerebral Palsy/CO; Hip Joint/PA; Hip Joint/PP; Symptom Assessment; Diagnosis
- 分类号:
- R681.8;R726.847.5
- 摘要:
- 髋关节不稳定、髋关节半脱位和髋关节完全脱位，是脑性瘫痪儿童最多见的肢体畸形之一，其发病率高达35%。本文以系统复习新近的相关文献为基础，着重描述脑性瘫痪儿童股骨近端和髋臼发育异常的发生机制、自然病史演变过程以及引发髋关节移位的危险因素，详尽介绍髋关节移位的X线测量方法及诊断标准，目的是为矫形外科医师提供最新的理论知识和实用的评价技术。
- Abstract:
- Hip displacement is one of most common deformities in children with cerebral palsy (CP), with an incidence rate of approximately 35%.This review described the pathophysiology, natural history of development hip dysplasia, and risk factors of hip subluxation and dislocation in children with CP through recent literature reviews.Meanwhile, radiographic measurement and diagnosis standard of hip displacement were also elaborated to provide latest theories and practical evaluation techniques of hip displacement for orthopedist.
参考文献/References:
1 Oskoui M,Coutinho F,Dykeman J,et al.An update on the prevalence of cerebral palsy:a systematic review and meta-analysis[J].Dev Med Child Neurol,2013,55(6):509-519.DOI:10.1111/dmcn.12080.
2 Lins LAB,Watkins CJ,Shore BJ.Natural history of spastic hip disease[J].J Pediatr Orthop,2019,39(6):33-37.DOI:10.1097/BPO.0000000000001347.
3 洪柳,梅海波.儿童脑瘫性扁平外翻足的外科治疗进展[J].临床小儿外科杂志,2016,15(6):607-609.DOI:103969/jissn1671-6353201606022. Hong L,Mei HB.Progress in surgical treatment of cerebral palsy flat valgus in children[J].J Clin Ped Sur,2016,15(6):607-609.DOI:103969/jissn1671-6353201606022.
4 刘建军,汝洁玉,张雁,等.痉挛型脑瘫患者髋关节半脱位的相关因素分析[J].中国康复,2020,35(4):191-193.DOI:10.3870/zgkf.2020.04.006. Liu JJ,Ru JY,Zhang Y,et al.Analysis of relevant factors of hip subluxation in children with spastic cerebral palsy[J].Chin Jour of Rehab,2020,35(4):191-193.DOI:10.3870/zgkf.2020.04.006.
5 Shrader MW,Wimberly L,Thompson R.Hip surveillance in children with cerebral palsy[J].J Am Acad Orthop Surg,2019,27(20):760-768.DOI:10.5435/JAAOS-D-18-00184.
6 Spiegel DA,Flynn JM.Evaluation and treatment of hip dysplasia in cerebral palsy[J].Orthop Clin N Am,2006,37(2):185-196.DOI:10.1016/j.ocl.2005.11.001.
7 Shefelbine SJ,Carter DR.Mechanobiological predictions of femoral anteversion in cerebral palsy[J].Ann Biomed Eng,2004,32(2):297-305.DOI:10.1023/b:abme.0000012750.73170.ba.
8 Robin J,Graham HK,Selber P,et al.Proximal femoral geometry in cerebral palsy:a population-based cross-sectional study[J].J Bone Joint Surg Br,2008,90(10):1372-1379.DOI:10.1302/0301-620X.90B10.20733.
9 Parrott J,Boyd RN,Dobson F,et al.Hip displacement in spastic cerebral palsy:repeatability of radiologic measurement[J].J Pediatr Orthop,2002,22(5):660-667.
10 Pruszczynski B,Sees J,Miller F.Risk factors for hip displacement in children with cerebral palsy:systematic review[J].J Pediatr Orthop,2016,36(8):829-833.DOI:10.1097/BPO.0000000000000577.
11 Hagglund G,Andersson S,Duppe H,et al.Prevention of dislocation of the hip in children with cerebral palsy:the first ten years of a population based prevention programme[J].J Bone Joint Surg Br,2005,87(1):95-101.
12 Huser A,Mo M,Hosseinzadeh P.Hip Surveillance in children with cerebral palsy[J].Orthop Clin N Am,2018,49(2):181-190.DOI:10.1016/j.ocl.2017.11.006.
13 Heimkesa B,Martignonia K,Utzschneidera S,et al.Soft tissue release of the spastic hip by psoas-rectus transfer and adductor tenotomy for long-term functional improvement and prevention of hip dislocation[J].J Pediatr Orthop B,2011,20(4):212-221.DOI:10.1097/BPB.0b013e328344c529.
14 Terjesen T.The natural history of hip development in cerebral palsy[J].Dev Med Child Neurol,2012,54(10):951-957.DOI:10.1111/j.1469-8749.2012.04385.
15 Lee KM,Kang JY,Chung CY,et al.Clinical relevance of valgus deformity of proximal femur in cerebral palsy[J].J Pediatr Orthop,2010,30(7):720-725.DOI:10.1097/BPO.0b013e3181edba2a.
16 Damaceno FL,Santili C,Longui CA.Normal reference values of Southwick’s anteroposterior angle in prepubertal and pubertal normal adolescents[J].J Pediatr Orthop B,2007,16(6):389-392.DOI:10.1097/BPB.0b013e3282e8bd1e.
17 Hermanson M,H?gglund G,Riad J,et al.Head-shaft angle is a risk factor for hip displacement in children with cerebral palsy[J].Acta Orthop,2015,86(2):229-232.DOI:10.3109/17453674.2014.991628.
18 Van der List JP,Witbreuk MM,Buizer AI,et al.The prognostic value of the head-shaft angle on hip displacement in children with cerebral palsy[J].J Child Orthop,2015,9(2):129-135.DOI:10.1007/s11832-015-0654-z.
19 Gose S,Sakai T,Shibata T,et al.Morphometric analysis of the femur in cerebral palsy:3-dimensional CT study[J].J Pediatr Orthop,2010,30(6):568-574.DOI:10.1097/BPO.0b013e3181e4f38d.
20 Robin J,Graham HK,Baker R,et al.A classification system for hip disease in cerebral palsy[J].Dev Med Child Neurol,2009,51(3):183-192.DOI:10.1111/j.1469-8749.2008.03129.
21 Shrader MW,Koenig AL,Falk M,et al.An independent assessment of reliability of the Melbourne Cerebral Palsy Hip Classification System[J].J Child Orthop,2017,11(5):334-338.DOI:10.1302/1863-2548.11.170077.
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备注/Memo
收稿日期:2020-04-20。
基金项目:2020年湖南儿科医联体项目基金"青少年痉挛型脑瘫肢体畸形的普查和治疗研究"；2021年湖南省卫生健康委资助性课题"脑瘫足肌腱转位后足底生物力学评价"（编号：202104071292）
通讯作者:朱光辉,Email:zgh5650@163.com