ĐẶC ĐIỂM LÂM SÀNG, X-QUANG VÀ YẾU TỐ NGUY CƠ CỦA DI LỆCH KHỚP HÁNG TRÊN TRẺ BẠI NÃO

Abstract

Hip displacement is a common condition in children with cerebral palsy and causes many serious consequences. However, it is often overlooked because of its nonspecific clinical presentation. Objectives: To describe the clinical and x-ray characteristics and to find out the risk factors of hip displacement in children with cerebral palsy. Methods: Cross-sectional descriptive study on 76 patients diagnosed with cerebral palsy, meeting inclusion criteria, no exclusion criteria, treated at Hanoi Rehabilitation Hospital. Results: Out of a total of 76 patients, 48 ​​patients have hip displacement (MP≥10%), equivalent to 63.2%. In which, 32 patients have hip displacement on both hips, equivalent to 42.1%, 26 patients have hip dislocation or subluxation (MP≥33%), equivalent to 34.2%. Hip displacement is related to the limitation of passive range of motion and the severity of GMFCS, with the higher the GMFCS level, the higher the rate of hip dislocation and subluxation (p<0.05). Conclusion: The rate of hip displacement is 63.2%, the rate of displacement on both hips is 42.1%, the rate of dislocation or subluxation is 34.2%. Limited range of passive hip range of motion and severity of GMFCS are associated with hip displacement in children with cerebral palsy.