Tag Archive for: Radiography

Hip Displacement in Children with Cerebral Palsy- A Clinico- Radiological Evaluation

Volume 10 | Issue 3 | September-December 2024 | Page: 6-11 | Deepa Metgud, Shruti Desai, Shreya Bavi, Vinuta Deshpande, Naveenkumar Patil, Santosh Patil

DOI- https://doi.org/10.13107/ijpo.2024.v10.i03.200

Open Access License: CC BY-NC 4.0

Copyright Statement: Copyright © 2024; The Author(s).

Submitted: 20/11/2024; Reviewed: 26/11/2024; Accepted: 08/12/2024; Published: 10/12/2024

Authors: Deepa Metgud PhD, MPT [1], Shruti Desai MPT [1], Shreya Bavi MPT [1], Vinuta Deshpande MPT [1], Naveenkumar Patil MS Ortho [2], Santosh Patil MD Rad [3]

[1] Department of Paediatric Physiotherapy, KAHER Institute of Physiotherapy, Belagavi, Karnataka, India.
[2] Department of Orthopaedics, KAHER’S JGMM Medical College Gabbur, Kotagondhunshi, Hubbali, Karnataka, India.
[3] Department of Radiology, JN Medical College, Belagavi, Karnataka, India.

Address of Correspondence

Dr. Deepa Metgud
Department of Paediatric Physiotherapy, KAHER Institute of Physiotherapy, Belagavi, Karnataka, India.
Email Id: deepametgud@klekipt.edu.in

Abstract

Background: Children with cerebral palsy (CP) are at risk for hip subluxation due to the spasticity and contractures of the hip adductors, medial hamstrings, and hip flexors. Hip displacement is often asymptomatic in these children until the hip is particularly or fully dislocated resulting in pain, gait disturbances and impaired sitting balance. Hip surveillance is a process of actively monitoring a child for early identification of hip displacement. In India, the National Hip Surveillance Program was established to support surveillance in preventing dislocations and reducing the need for surgery. In light of this, the present study aims to determine the prevalence of hip displacement in children with cerebral palsy in Belagavi.
Method: This descriptive, cross-sectional observational study was conducted at a tertiary care hospital and inclusive education schools. Children aged 2–18 years with cerebral palsy, underwent clinical examinations followed by radiographic evaluation and the Migration Percentage (MP) was calculated to categorize hip displacement, the primary outcome measure of the study. Prevalence of subluxation and its association with gender, age, GMFCS E&R levels and CP subtypes were assessed.
Results: Out of 128 children with CP assessed, 104 had subluxation, with the majority (73.44%) showing bilateral involvement, while 7.81% had right-sided subluxation. The prevalence of subluxation varied by CP subtypes, with spastic type accounting for the higher prevalence. A statistically significant association between CP subtype and subluxation was found on the right side (p = 0.003).
Conclusion: The study identifies an 81.3% occurrence of hip subluxation in children with CP, with bilateral involvement being the most prevalent (73.44%). The likelihood of subluxation was notably impacted by CP subtype, especially in spastic CP. Timely detection through clinical assessment and radiographic monitoring is vital to prevent advancement to dislocation. Future investigations should prioritize extended follow-ups and therapeutic approaches to optimize outcomes.
Keywords: Hip subluxation, Cerebral palsy, Radiography, Migration percentage

References

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How to Cite this Article:  Metgud D, Desai S, Bavi S, Deshpande V, Patil N, Patil S | Hip Displacement in Children with Cerebral Palsy – A Clinico- Radiological Evaluation | International Journal of Paediatric Orthopaedics | September-December 2024; 10(3): 6-11.

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Radiological Assessment and Planning of Deformities

Volume 10 | Issue 2 | May-August 2024 | Page: 12-17 | Sudhanshu Bansal, Gaurav Gupta, Deepak Khurana 

DOI- https://doi.org/10.13107/ijpo.2024.v10.i02.184

Submitted: 05/03/2024; Reviewed: 02/04/2024; Accepted: 15/05/2024; Published: 10/08/2024

Authors: Sudhanshu Bansal MS Ortho [1], Gaurav Gupta MS Ortho [2], Deepak Khurana MS Ortho [3]

[1] Department of Paediatric Orthopaedic Surgery, CODS Clinic, Ludhiana, Amandeep Hospital, Amritsar, Punjab, India.
[2] Department of Paediatric Orthopaedic Surgery, Child Ortho Clinic, Delhi-NCR, India.
[3] Department of Paediatric Orthopaedic Surgery, JCPODS, Jeevan Rekha hospital, Jaipur, Rajasthan, India.

Address of Correspondence

Dr. Sudhanshu Bansal,
Consultant, Paediatric Orthopaedic Surgeon, CODS Clinic, Ludhiana, Amandeep Hospital, Amritsar, Punjab, India.
E-mail: drbansalsudhanshu@gmail.com

Abstract

Deformity correction is a fundamental aspect of orthopedic surgery, requiring a precise radiological assessment and systematic planning. This article provides an indepth overview of the radiological modalities available for deformity assessment, including X-rays, scannograms, computed tomography (CT), and magnetic resonance imaging (MRI). Proper radiographic techniques, such as standing fulllength X-rays and scannograms, are critical for accurate limb alignment assessment. Advanced imaging modalities, including CT and MRI, are necessary in cases of complex deformities or rotational abnormalities. Furthermore, various software applications are available for preoperative deformity planning, enabling precise correction strategies. This article also addresses approaches for managing deformities in limited-resource settings, emphasizing cost-effective and accessible imaging techniques. The objective is to enhance clinical decisionmaking and optimize surgical outcomes in deformity management.
Keywords: Alignment, Anatomic tibiofemoral angle, Deformity, Knee, Lower limb alignment, Mechanical axis angle, Radiography

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How to Cite this Article:  Bansal S, Gupta G, Khurana D | Radiological Assessment and Planning of Deformities | International Journal of Paediatric Orthopaedics | May-August 2024; 10(2): 12-17. https://doi.org/10.13107/ijpo.2024.v10.i02.184

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