Affordable Access

Late hip subluxation in spastic diplegia associated with unrecognized hydrocephalus.

Authors
  • Little, D G
  • Aiona, M
  • Sussman, M
Type
Published Article
Journal
Journal of pediatric orthopedics
Publication Date
Jan 01, 1995
Volume
15
Issue
3
Pages
368–371
Identifiers
PMID: 7790497
Source
Medline
License
Unknown

Abstract

Problematic hip subluxation is uncommon in spastic diplegia. We have identified three cases of late hip subluxation in teenage children with spastic diplegia associated with unrecognized hydrocephalus or ventriculoperitoneal shunt dysfunction. Each was a community ambulator with radiologically stable hips in childhood, but in adolescence underwent a deterioration in ambulatory status associated with rapid hip subluxation. Subsequent investigation revealed undiagnosed hydrocephalus in one patient and shunt dysfunction requiring revision in the other two. Surgery was performed in all three cases to control the hip subluxation. The atypical presentation of a progressively unstable hip in an ambulatory spastic diplegic patient may indicate the presence of previously unrecognized raised intraventricular pressure.

Report this publication

Statistics

Seen <100 times