Lever Arm dysfunction of Hips in Cerebral Palsy
Volume 10 | Issue 1 | January-April 2024 | Page: 14-19 | Jitendra Kumar Jain
DOI- https://doi.org/10.13107/ijpo.2024.v10i01.173
Submitted: 14/01/2024; Reviewed: 10/02/2024; Accepted: 06/03/2024; Published: 10/04/2024
Authors: Jitendra Kumar Jain MS Ortho [1]
[1] Trishla Foundation, Tagore Town, Prayagraj, Uttar Pradesh, India.
Address of Correspondence
Dr. Jitendra Kumar Jain,
Chairman, Trishla Foundation, Tagore Town, Prayagraj, Uttar Pradesh, India.
E-mail: jjain999@gmail.com
Abstract
In cerebral palsy, hip dysfunction is the second most common problem after equines deformity. Abnormal skeletal development of the proximal femur due to abnormal forces in cerebral palsy leads to lever arm function by reducing the length of the lever arm contributing to one of very important causes of gait abnormality. High hip anteversion, high neck shaft angle, subluxation, and dislocation are the most common lever arm dysfunctions at the hip joint. This lever arm dysfunction increases progressively with age and correspondence to GMFCS level. If not identified at a very early stage then it may progress to completely deform the femoral head & hip joint. Early identification and preventive surgery help in preventing progression in GMFCS I to III but can progress despite of preventive surgery in non-walker children FMFCS IV & V. Recurrence of the problem is also very common in non-walker children. So we need detailed information about the lever arm problem in the hip and how to deal with this problem in cerebral palsy children. In this article, we have discussed etiology, and how to identify and management protocols for different lever arm dysfunctions of the hip in cerebral palsy.
Keywords: Cerebral palsy, Lever arm dysfunction of hip, Hip subluxation, Anteversion
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| How to Cite this Article: Jain J | Lever Arm dysfunction of Hips in Cerebral Palsy | International Journal of Paediatric Orthopaedics | January-April 2024; 10(1): 14-19 . https://doi.org/10.13107/ijpo.2024.v10i01.173 |
