title: Determinants of hip pain in adult patients with severe cerebral palsy.
abstract: 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.
authors.affiliation: Sophia Rehabilitation Center, Den Haag, The Netherlands. e.boldingh@sophiarevalidatie.nl
authors.forename: Eric J K
authors.initials: EJ
authors.lastname: Boldingh
authors.forename: Monique A M
authors.initials: MA
authors.lastname: Jacobs-van der Bruggen
authors.forename: Cees F A
authors.initials: CF
authors.lastname: Bos
authors.forename: Gustaaf J
authors.initials: GJ
authors.lastname: Lankhorst
authors.forename: Lex M
authors.initials: LM
authors.lastname: Bouter
mesh_terms: 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