Case of the week - 01/03/98

from Univ. Clinic for Physical Medicine & Rehabiliation, Vienna General Hospital


17 year old child with diplegic idiopathic cerebral palsy. Physical examination...

Hip Abduction (knee flexed) left 20°, right 20° (knee extended) left 15°, right 15°

Tibial torsion left 20° external rotation, right 10° external rotation

Femoral anteversion left 60°, right 75°

Ankle clonus left +, right normal;

Extension deficit (hip at 90°) left 60°, right 45°

Rectus sign active left ++, right ++ passive left ++, right ++

Hamstring sign  passive left +, right +

Movies (PC users get the QuickTime plug-ins here for Windows 95/NT and 3.1)

The movies will open in new browser windows so you can view them simultaneously with analysis.

 

sagittal

frontal
movie format QuickTime QuickTime
  left side front view
  right side rear view

3D Kinematics ... Joint Kinetics (Motion Analysis Corp.)

Poly-Electromyography (Noraxon) ... Right-side..... Left-side

... points for discussion:

  • How do you explain the deformities at the hip in the tranverse and frontal planes?
  • Do you think electromyography of the hip adductors would contribute any further information?
  • Do you think the hip abductors are weak?
  • Is there a 'double bump' pattern?
  • Why are his arms held so high?
  • What treatment (physical/surgical) would you recommend?

    • What people said...

    Case supplied by Mag.Andreas Kranzl and Dr. Andreas Kopf
    from Univ. Clinic for Physical Medicine & Rehabiliation, Vienna General Hospital


    Email your comments to [n/a]

    Maintained by DDr. Chris Kirtley, Andreas Kranzl & Dr. Andreas Kopf
    Last modified on Wednesday, 27-Feb. 1998.

     

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