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Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2022, Number 1-3

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Rev Mex Ortop Ped 2022; 24 (1-3)

Evaluation of kinematic study of the gait in pelvis and hip of patients diagnosed with Legg-Calvé-Perthes disease at the Hospital Shriners para Niños México

Moreno-Ramírez JA, Gómez-Chavarría J

Language: Spanish
References: 17
Page: 30-36
PDF size: 346.44 Kb.


ABSTRACT

Introduction: Legg-Calvé-Perthes disease usually appears spontaneously as pain in the hip radiating to the thigh or knee, with a self-limited course accompanied by antalgic claudication, counteracted by the activity of the hip abductors, identified as the predominant factor for moments of loading or unloading joint. Gait analysis helps to assess gait abnormalities, it also influences treatment planning of patients. Objective: To describe the alterations of pelvic and hip kinematic parameters in patients with Legg-Calvé-Perthes. Material and methods: Observational, descriptive, cross-sectional study, non-probabilistic sampling by quotas, in 25 hips of children with Legg-Calvé-Perthes, and gait analysis between 2018 and 2021; descriptive statistical analysis. Results: Twenty-two patients were analyzed, 19 with unilateral disease (86%) and three with bilateral involvement (14%), which, for the purposes of the study, were considered with each affected hip as a case; 25 affected hips in total, five female patient hips (20%) and 20 male hips (80%). Mean age 12.8 ± 3.3 years (range 5-17). Predominant left side in 15 hips (60%); 21 cases in the fragmentation phase (84%) and 4 in remodeling (16%). Kinematic analysis of gait in the pelvic sagittal plane, 15 cases with average anterior inclination of 13.18 ± 7.2; pelvic coronal plane 17 cases with average lower pelvic obliquity of 4.8 ± 2.7; pelvic axial plane 17 cases with average internal rotation of 11.2 ± 3.6; hip sagittal plane 13 cases documenting flexion and extension, mean 32.3 ± 11.9o and 7.6 ± 6.3o, respectively; coronal plane 12 cases documenting adduction and abduction, average of 4 ± 3.1 and 4.9 ± 3.2, respectively and axial plane with isolated internal rotation in 17 cases, average of 11.2 ± 3.6. Conclusions: There are changes described by gait analysis for kinematic parameters in the pelvis and hip in patients with Legg-Calvé-Perthes.


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