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Hip Dislocation in Cerebral Palsy
Mihran O. Tachdjian; William L. Minear
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Carrie Tingley Hospital for Crippled Children, Truth or Consequences, New Mexico, and the Department of Bone and Joint Surgery, Northwestern University Medical School, Chicago, Illinois
1956 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1956; 38:1358-1364 
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Abstract

1. In a series of 590 cerebral palsy patients, twenty-five (4.24 per cent) showed evidence of dislocation or subluxation of the hip. Twenty-three of these had spastic cerebral plasy.

2. The dynamic imbalance of the hip in these patients is shown by muscle study. The pathomechanics of coxa valga and of hip dislocation in cerebral palsy are discussed.

3. The treatment of our patients and the end results are presented, stressing the importance of prophylactic tenotomy of the spastic hip adductors and of strengthening the motor power of the cerebral-zero hip abductors by automatic reflex.

4. Dislocation of the hip in cerebral palsy is preventable. If we are aware of the probabilities and understand the pathomechanics, we will regard every child with spastic lower limbs as having potential subluxation or dislocation of the hip.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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