Orthopedic management of spina bifida. Part I: Hip, knee, and rotational deformities

Vineeta T. Swaroop, Luciano Dias

Research output: Contribution to journalReview article

34 Scopus citations

Abstract

Children with spina bifida develop a wide variety of congenital and acquired orthopedic deformities. Among these are hip deformities such as contracture, subluxation, or dislocation. Patients may also have problems with the knee joint, such as knee flexion or extension contracture, knee valgus deformity, or late knee instability and pain. In addition, rotational deformities of the lower extremities, either internal or external torsion, are common as well. This paper will review both the overall orthopedic care of a patient with spina bifida and provide a focused review of the diagnosis and management of the above deformities. In addition, this paper will review the incidence, etiology, classification, and prognosis of spina bifida. The use of gait analysis and orthoses will be covered as well. The forthcoming Part II will cover foot and ankle deformities in spina bifida.

Original languageEnglish (US)
Pages (from-to)441-449
Number of pages9
JournalJournal of Children's Orthopaedics
Volume3
Issue number6
DOIs
StatePublished - Dec 2009

Keywords

  • Hip deformity
  • Knee valgus
  • Myelomeningocele
  • Rotational deformity
  • Spina bifida

ASJC Scopus subject areas

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

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