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Rehabilitation Practice and Science

Translated Title

腦性麻痺導致髖關節脫臼之臨床探討

Abstract

The study group comprised eighty-nine cerebral palsy patients, 46 males and 43 females. The average age was 6.0±3.4 years old. Pelvic frontal view radiographs were made in a total of 178 hips. The migration percentage and acetabular index were measured by pelvic X-ray in all patients. Either hip subluxation or dislocation was diagnosed according to the criteria of Reimers, who considered a migration percentage greater than 33% to denote subluxation and a percentage greater than 100% to be denoted as dislocation. An overall incidence of hip subluxation and dislocation of 48.3% was found. According to the Pearson correlation coefficients data, migration percentage, acetabular index and hip dislocation were correlated. A total of forty-three patients (48.3%) had hip subluxation or dislocation. Thirty-eight of these 43 patients received conservative treatment. The postoperative migration percentages and physical function improved in four out of five patients. We utilized the measurement of migration percentage and acetabular index for hip dislocation screening. Early diagnosis and early treatment appeared to be able to improve patients' function and life quality.

Language

Traditional Chinese

First Page

189

Last Page

195

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