[Unbalanced pelvic girdle in motor disability of cerebral origin. Success and limitations of adductor muscle tenotomy].
One hundred and fifty eight children with an unbalanced pelvis were reviewed. All suffered from cerebral palsy and were treated by tenotomy of the adductor muscles. The aims were: 1 - To improve the position of the femoral head. For this purpose, the best effects were obtained before the age of 4 so that acetabular dysplasia was prevented and the need for pelvic osteotomy, which is often hazardous in this type of patient, avoided. 2 - To achieve better balance of the pelvic girdle. Adductor tenotomy was often associated with tenotomy of the ilio-tibial tract or with division of the costo-iliac or ilio-lumbar muscles with posterior radiculotomies.
D002547:Cerebral Palsy / Q000150:complications / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D006617:Hip Dislocation / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009132:Muscles / Q000601:surgery*; D010388:Pelvis; D013710:Tendons / Q000601:surgery*
Déséquilibre de la ceinture pelvienne chez l'infirme moteur d'origine cérébrale (IMC). Succès et limites de la ténotomie des adducteurs.