Determinants of hip pain in adult patients with severe cerebral palsy.
The purpose of our investigation was to study the relationship between radiographic results of the femoral head and pain in people with severe cerebral palsy. We conducted a cross-sectional study on hip radiography results and pain in 160 patients with severe cerebral palsy. Eighteen percent of our patients had hip pain in hip-loading situations. Migration and deformity were closely related. There was a significant association with hip pain (odds ratio, 2.79; 95% confidence interval 1.01-7.70). There is a high prevalence of hip pain after unsuccessful femoral bone surgery. Migration and deformity of the femoral head are strongly interrelated, and are associated with pain.
Boldingh
Eric J K
EJ
Sophia Rehabilitation Center, Den Haag, The Netherlands. e.boldingh@sophiarevalidatie.nl
Jacobs-van der Bruggen
Monique A M
MA
Bos
Cees F A
CF
Lankhorst
Gustaaf J
GJ
Bouter
Lex M
LM
D000328:Adult; D018771:Arthralgia / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology; D002547:Cerebral Palsy / Q000150:complications* / Q000175:diagnosis; D003430:Cross-Sectional Studies; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging* / Q000503:physiopathology; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D006621:Hip Joint; D006801:Humans; D008297:Male; D009128:Muscle Spasticity / Q000209:etiology / Q000503:physiopathology; D016017:Odds Ratio; D010147:Pain Measurement; D015995:Prevalence; D011336:Probability; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D012307:Risk Factors; D012720:Severity of Illness Index