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Nguyen V, Bollens B, Moyaux Z, Deltombe T. Spontaneous non-traumatic hip dislocation in patients with stroke. BMJ Case Rep 2022; 15:e249549. [PMID: 35817485 PMCID: PMC9274528 DOI: 10.1136/bcr-2022-249549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/22/2022] [Indexed: 11/03/2022] Open
Abstract
This is a unique clinical case of a spontaneous non-traumatic hip dislocation in a patient with stroke with a hip and knee flexion pattern. This case highlights the role of spasticity as a cause of hip dislocation and the need to combine focal spasticity treatment and surgery to restore ambulation.
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Affiliation(s)
- Virginie Nguyen
- Physical and Rehabilitation Medicine Department, CHU UCL Namur, Yvoir, Wallonie, Belgium
| | - Benjamin Bollens
- Physical and Rehabilitation Medicine Department, CHU Ambroise Paré, Mons, Wallonie, Belgium
| | - Zoe Moyaux
- Physical and Rehabilitation Medicine Department, CHU UCL Namur, Yvoir, Wallonie, Belgium
| | - Thierry Deltombe
- Physical and Rehabilitation Medicine Department, CHU UCL Namur, Yvoir, Wallonie, Belgium
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Mu X, Deng B, Zeng J, Zhang H, Zhao Y, Sun Q, Xu J, Wang L, Xu L. Orthopedic treatment of the lower limbs in spastic paralysis. BRAIN SCIENCE ADVANCES 2020. [DOI: 10.26599/bsa.2020.9050001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Spastic paralysis of the limb mainly results from the central lesion, in which spastic cerebral palsy is the common cause. Due to durative muscle spasm in spastic cerebral palsy, it is often accompanied by the formation of secondary musculoskeletal deformities, resulting in limb motor disability. Based on its pathogenesis, surgical treatment is currently applied: selective posterior rhizotomy (SPR) or orthopedic surgery. The primary purpose of early orthopedic surgery was simply to correct limb deformities, which usually led to the recurrence of deformity as a result of the presence of spasticity. With the application of SPR, high muscle tone was successfully relieved, but limb deformity was still present postoperatively. Therefore, this study aimed to elaborate on the management of orthopedic surgery, common deformities of the lower limb, and orthopedic operative methods; discuss the relationship between SPR and orthopedic procedure for limb deformity; and focus on the indications, timing of intervention, and postoperative outcome of different surgical methods.
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Affiliation(s)
- Xiaohong Mu
- Department of Orthopedics, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Bowen Deng
- Department of Orthopedics, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Jie Zeng
- Department of Orthopedics, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Houjun Zhang
- Department of Orthopedics, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Yi Zhao
- Department of Orthopedics, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Qi Sun
- Department of Orthopedics, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Jie Xu
- Department of Orthopedics, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Le Wang
- Department of Orthopedics, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
| | - Lin Xu
- Department of Orthopedics, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China
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Vanderhave K, Cho RH, Liu R. What's New in Pediatric Orthopaedic Surgery. J Bone Joint Surg Am 2020; 102:275-282. [PMID: 31804237 DOI: 10.2106/jbjs.19.01143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
| | - Robert H Cho
- Shriners for Children Medical Center, Los Angeles, California
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