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KMID : 1020120040020010009
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Journal of the Korean Academy of Clinical Electrophysiology
2004 Volume.2 No. 1 p.9 ~ p.17
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Radiological Evaluation on Dislocation of the Hip with Spastic Cerebral Palsy
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Kim Jeong-Hwan
Kim Yong-Nam
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Abstract
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The purpose of this study are to determine the proper radiographic measurements for hip deformity in spastic cerebral palsy patients, and the correlation of hip deformity with neurological involvement, ability of ambulation. Thirty children with cerebral palsy(22 males, 8 females) were evaluated by measurement of the migration index, acetabular index, center edge angle from bilateral hip APs(anterior posterior view). The result are as follows; 1. The incidence of hip dislocation, among the thirty children fifteen children were found to be dislocated, and more significantly high in non-walking group than in walking group(p<0.05) and in quadriplegia than in diplegia(p<0.05). 2. When compared to normal hip and dislocation hip, the migration index was significantly higher(p<0.01) and the center edge angle was lower in the dislocation hip than in the normal hip. 3. Correlation of radiological findings in right and left hip, the migration index and the center edge angle were highly correlated(p<0.01). We recommand regular intervals X-ray study for early diagnosis and management of hip dislocation in spastic cerebral palsy.
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KEYWORD
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Cerebral palsy, Dislocation, Radiological finding
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