The natural history of hip deformity in myelomeningocele.

The natural history of hip deformity in myelomeningocele. Research Abstract Details 

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The natural history of hip deformity in myelomeningocele. Abstract Text:

N S Broughton,M B Menelaus,W G Cole,D B Shurtleff,

We studied 1061 children with myelomeningocele, reviewing 3184 pelvic radiographs from 802 patients. Hip dislocation had occurred by the age of 11 years in 28% of children with a thoracic neurosegmental level, 30% of those with an L1/2 level, 36% of L3, 22% of L4, 7% of L5 and only 1% of those with sacral levels. Hip dislocation was not inevitable even when there was maximal muscle imbalance about the hip. The average hip flexion contracture in children aged 9 to 11 years was significantly greater in those with thoracic (22 degrees) and L1/2 (33 degrees) levels than in those with L4 (9 degrees), L5 (5 degrees) or sacral (4 degrees) levels. Our findings indicate that muscle imbalance is not a significant factor in the production of flexion deformity or dislocation of the hip; both are commonly seen in the absence of imbalance. The restoration of muscle balance should no longer be considered to be the principal aim of the management of the hip in children with myelomeningocele.

The natural history of hip deformity in myelomeningocele. Publishing Authors By Initials

NS Broughton,MB Menelaus,WG Cole,DB Shurtleff,

For similar investigative techniques: epidemiologic methods: statistics as topic: survival analysis research abstracts see: investigative techniques: epidemiologic methods: statistics as topic: survival analysis research

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The natural history of hip deformity in myelomeningocele. Journal Published:

PUBLICATION TYPE: Multicenter Study

Journal: The Journal of bone and joint surgery. British vol

VOLUME: 75

Page Numbers: 760-3

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ISSN: 0301-620X

DAY: 14

MONTH: Sep

YEAR: 1993

The natural history of hip deformity in myelomeningocele. Information

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LANGUAGE: eng

NlmUniqueID: 375355

The natural history of hip deformity in myelomeningocele. Keywords Mesh Terms:

KEYWORDS: Survival Analysis

MESH TERMS: complications

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Grant and Affiliation Information for The natural history of hip deformity in myelomeningocele.

AFFILIATION: Department of Orthopaedics, Royal Children's Hospital, Victoria, Australia.

Country: ENGLAND

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MEDLINETA: J Bone Joint Surg Br

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