Extension-abduction contracture of the spastic hip

E. A. Szalay, J. W. Roach, J. A. Houkom, D. R. Wenger, J. A. Herring

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Abstract

Patients with cerebral palsy and fixed hip extension are often unable to sit and therefore lose social and educational opportunities. At Texas Scottish Rite Hospital (Dallas, TX, U.S.A.), 29 patients had hip extension-abduction contractures. Eleven patients with mild involvement were managed with physical therapy. Six patients had moderate involvement and required wheelchair modification to maintain sitting. Twelve patients dem-onstrated severe contractures that required major soft tissue releases and often femoral shortening osteotomies to regain flexion. Patients with athetosis or rigidity were identified as those most likely to develop extension-abduction contractures either spontaneously or following adductor releases.

Original languageEnglish (US)
Pages (from-to)1-6
Number of pages6
JournalJournal of Pediatric Orthopaedics
Volume6
Issue number1
DOIs
StatePublished - Jan 1 1986

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Keywords

  • Cerebral palsy
  • Extension-abduction contractures
  • Hip

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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