Đặc điểm lâm sàng, X-quang và yếu tố nguy cơ của di lệch khớp háng trên trẻ bại não

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Tác giả: Thị Hương Giang Nguyễn, Khánh Linh Tống

Ngôn ngữ: Vie

Ký hiệu phân loại: 616.7 *Diseases of musculoskeletal system

Thông tin xuất bản: Sinh lý học Việt Nam 2022

Mô tả vật lý: 33-37

Bộ sưu tập: Metadata

ID: 410139

Thêm vào giỏ Liên kết toàn văn

Di lệch khớp háng là tình trạng thường gặp trên trẻ bại não và gây ra nhiều hậu quả nghiêm trọng. Tuy nhiên nó thường bị bỏ qua do triệu chứng lâm sàng không đặc hiệu. Mục tiêu:Mô tả đặc điểm lâm sàng, X-quang và tìm hiểu yếu tố nguy cơ của di lệch khớp háng trên trẻ bại não. Phương pháp: Nghiên cứu mô tả cắt ngang trên 76 bệnh nhân được chẩn đoán bại não, đạt tiêu chuẩn lựa chọn, không có tiêu chuẩn loại trừ, điều trị tại Bệnh viện Phục hồi chức năng Hà Nội. Kết quả: Trong tổng số 76 bệnh nhân thu được có 48 bệnh nhân có di lệch khớp háng (MP≥10%) ít nhất ở một bên, tương đương 63,2%. Trong đó, 32 bệnh nhân có di lệch khớp háng cả hai bên tương đương 42,1%, 26 bệnh nhân có trật hoặc bán trật khớp háng (MP≥33%) tương đương 34,2%. Di lệch khớp háng có liên quan đến sự hạn chế tầm vận động thụ động của khớp háng và mức độ nặng của GMFCS, với mức GMFCS càng cao tỷ lệ trật và bán trật khớp háng càng cao (p<
0,05). Kết luận: Tỷ lệ di lệch khớp háng là 63,2%, tỷ lệ di lệch cả hai bên là 42,1%, tỷ lệ trật và bán trật là 34,2%. Hạn chế tầm vận động thụ động khớp háng và mức độ nặng của GMFCS có liên quan đến di lệch khớp háng trên trẻ bại não., Tóm tắt tiếng anh, Hip displacement is a common condition in children with cerebral palsy and causes many serious consequences. However, it is often overlooked because of its nonspecific clinical presentation. Objectives: To describe the clinical and x-ray characteristics and to find out the risk factors of hip displacement in children with cerebral palsy. Methods: Cross-sectional descriptive study on 76 patients diagnosed with cerebral palsy, meeting inclusion criteria, no exclusion criteria, treated at Hanoi Rehabilitation Hospital. Results: Out of a total of 76 patients, 48 patients have hip displacement (MP≥10%), equivalent to 63.2%. In which, 32 patients have hip displacement on both hips, equivalent to 42.1%, 26 patients have hip dislocation or subluxation (MP≥33%), equivalent to 34.2%. Hip displacement is related to the limitation of passive range of motion and the severity of GMFCS, with the higher the GMFCS level, the higher the rate of hip dislocation and subluxation (p<
0.05). Conclusion: The rate of hip displacement is 63.2%, the rate of displacement on both hips is 42.1%, the rate of dislocation or subluxation is 34.2%. Limited range of passive hip range of motion and severity of GMFCS are associated with hip displacement in children with cerebral palsy.

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