The prognostic value of the head-shaft angle on hip displacement in children with cerebral palsy

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The prognostic value of the head-shaft angle on hip displacement in children with cerebral palsy

BACKGROUND Hip displacement is the second most common deformity in cerebral palsy (CP). The risk for hip displacement is related to the Gross Motor Function Classification System (GMFCS). Recently, the head-shaft angle (HSA) has been identified as a predictor for hip displacement and the aim of this study is to assess the predictive value of the HSA for hip displacement in CP. METHODS In this...

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Head-shaft angle is a risk factor for hip displacement in children with cerebral palsy

BACKGROUND AND PURPOSE Hip dislocation in children with cerebral palsy (CP) is a common and severe problem. The Swedish follow-up program for CP (CPUP) includes standardized monitoring of the hips. Migration percentage (MP) is a widely accepted measure of hip displacement. Coxa valga and valgus of the femoral head in relation to the femoral neck can be measured as the head-shaft angle (HSA). We...

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Inter- and intra-rater reliability of the head-shaft angle in children with cerebral palsy

PURPOSE Children with cerebral palsy (CP) are at increased risk for hip dislocation. This can be prevented in most cases using surveillance programmes that include radiographic examinations. Known risk factors for hip dislocation include young age, high Gross Motor Function Classification System (GMFCS) level and high migration percentage (MP). The head-shaft angle (HSA) has recently been descr...

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Characteristics of children with hip displacement in cerebral palsy

BACKGROUND Hip dislocation in children with cerebral palsy (CP) is a common and severe problem. The dislocation can be avoided, by screening and preventive treatment of children with hips at risk. The aim of this study was to analyse the characteristics of children with CP who develop hip displacement, in order to optimise a hip surveillance programme. METHODS In a total population of childre...

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Is head–shaft angle a valuable continuous risk factor for hip migration in cerebral palsy?

BACKGROUND Reimer's migration percentage (MP) is the most established radiographic risk factor for hip migration in cerebral palsy (CP), and it assists surgical decision-making. The head-shaft angle (HSA) measures the valgus of the head and neck in relation to the shaft and may also be a useful predictor of hip migration at a young age. This study first defined normal values and investigated wh...

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ژورنال

عنوان ژورنال: Journal of Children's Orthopaedics

سال: 2015

ISSN: 1863-2521,1863-2548

DOI: 10.1007/s11832-015-0654-z