Conceptual approaches to diagnosis and preventive treatment of hip subluxation and dislocation in children with infantile cerebral palsy

Authors

  • Oleksandr Korolkov
  • Mykola Liutkevich
  • Andrey Khashchuk

DOI:

https://doi.org/10.15674/0030-59872013320-27

Keywords:

cerebral palsy, hip pathology, treatment

Abstract

A conceptual model of diagnosis and preventive treatment for hip subluxation and dislocation in children suffering from infantile cerebral palsy (ICP) is presented and recommendations for its application are given. The authors used a syndromic approach for developing this model, created a classification of medical measures in cases of hip subluxation and dislocation in children with ICP and suggested their typical combinations. Owing to the conducted study it became possible to systematize a complex set of symptoms of different changes, revealed in children with ICP, as well as to substantiate and create conceptual approaches to diagnosis, treatment and prognostication of hip joint pathology depending upon the neurological status, anatomic-functional and age-related peculiarities of the child’s organism. The developed concept makes it possible to specify and detail a diagnosis, thereby giving grounds for using an individual set of medical (conservative and surgical) measures aimed at improvement of the anatomic-functional state of a patient with ICP. The authors plan to carry out clinical verification of the suggested concept in further reports.

References

  1. Regulation of posture and walk with cerebral palsy and some methods for correcting / J. S. Perhunova, V. M. Luzinovich, E. G. Sologubov et al. — M., 1996. — 244 p.
  2. Bozinovski Z. Soft tissue surgical procedures in the prevention of hip dislocation in patients with cerebral palsy / Z. Bozinovs¬ki, G. Zafiroski // Georgian. Med. News. — 2008. — Vol. 157. — P. 7–10.
  3. Vidal J. The anatomy of the dysplastic hip in cerebral palsy related to prognosis and treatment / J. Vidal, P. Deguillaume, M. Vidal // International Orthopaedics (SICOT). — 1985. — Vol. 9. — P. 105–110.
  4. Computer Modeling of the Pathomechanics of Spastic Hip Dis¬location in Children / F. Miller, M. Slomczykowski, R. Cope, G. Lipton // Journal of Pediatric Orthopaedics. — 1999. — Vol. 19 (4). — P. 486–492.
  5. Surgical prevention of paralytic dislocation of the hip in cerebral palsy / G. Cobeljic, Z. Vukasinovic, I. Djoric // International Orthopaedics (SICOT). — 1994. — Vol. 18. — P. 313–316.
  6. Hip surveillance in children with cerebral palsy / F. Dobson, R. N. Boyd, J. Parrott et al. // J. Bone Joint Surg. — 2002. — Vol. 84-B. — P. 720–726.
  7. Mezhenina E. P. Cerebral spastic paralysis and treatment / E. P. Mezhenina. — K.: Health, 1966. — 224.
  8. Korolkov O. I. Current issues orthopedic treatment of children with cerebral palsy / O. I. Korolkov, S. D. Shevchenko, M. I. Lyutkevich // Annals of Traumatology and Orthopedics. — 2009. — № 1–2. — Р. 54–58.
  9. Kozyavkin V. I. Сerebral palsy. Medical and psychological problems / V. I. Kozjavkin, L. F. Shestopalova, V. S. Podkorytov. — Lviv: IAF "Ukrainian tehnologії", 1999. — 143 p.
  10. Intensive Neurophysiological Rehabilitation System (method of prof. Kozyavkin V. I.). Research and development. — Lviv, Truskavets, 2001. — 112 p.
  11. Hagglund G. Radiographic threshold values for hip screening in cerebral palsy / G. Hagglund, H. Lauge-Pedersen, M. Persson // J. Child. Orthop. — 2007. — Vol. 1. — P. 43–47.
  12. Novacheck T. F. Orthopedic management of spasticity in cerebral palsy / T. F. Novacheck, J. R. Gage // Childs Nerv. Syst. — 2007. — Vol. 23. — P. 1015–1031.
  13. Soft-tissue release for spastic hip subluxation in cerebral palsy / F. Miller, R. C. Dias, K. Dabney et al. // J. Pediatr Orthop. — 1997. — Vol. 17. — P. 571.
  14. Korzh O. O. Integration - basic methodology infrastrucround of scientific activity (on the model of orthopedic science) / O. O. Korzh, B. I. Simenach. — Science and science. — 2003. — № 4. — P. 51-59.
  15. Simenach B. I. Osteoarthritis as a theoretical and methodological problems / B. I. Simenach, P. I. Snisarenko, O. P. Baburkina. — Kharkiv: Crocus, 2004. — 126 p.
  16. Korolkov O. I. Hip joint pathology in children: a look at the problem from the standpoint of the concept of joint disease caused by an inherited predisposition / O. I. Korolkov, S. D. Shevchenko // Ukrainian Journal of Rheumatology. — 2009. — № 2 (36). — P. 52–55.
  17. Bleck E. E. Orthopedic management cerebral palsy / E. E. Bleck. — Oxford, Philadelrhia: Mac Keith Press, 1987. — 499 p.

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How to Cite

Korolkov, O., Liutkevich, M., & Khashchuk, A. (2013). Conceptual approaches to diagnosis and preventive treatment of hip subluxation and dislocation in children with infantile cerebral palsy. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (3), 20–27. https://doi.org/10.15674/0030-59872013320-27

Issue

No. 3 (2013)

Section

ORIGINAL ARTICLES

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Copyright (c) 2014 Oleksandr Korolkov, Mykola Liutkevich, Andrey Khashchuk

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