Symptomatic hallux valgus and dorsal bunion in adolescents with cerebral palsy: clinical and biomechanical factors.

Abstract:

AIM:The prevalence of severely symptomatic deformities of the first metatarsophalangeal (MTP) joint in adolescents with cerebral palsy (CP) requiring arthrodesis is unknown. Recent literature regarding these deformities is limited. We studied the presentation of severe, symptomatic deformities of the first ray in a large population of children and adolescents with CP and their association with gross motor function, CP subtype, and other musculoskeletal deformities. METHOD:We identified 41 patients with CP and a symptomatic deformity of the first MTP joint, managed by arthrodesis, from a large population based database over a 21-year period. Information recorded included demographics, CP subtype, Gross Motor Function Classification System (GMFCS), clinical presentation, and radiological features. RESULTS:Adolescents with spastic diplegia, at GMFCS levels II and III, were the most common group to develop symptomatic hallux valgus. In contrast, non-ambulant adolescents, at GMFCS levels IV and V, with dystonia or mixed tone, more commonly had dorsal bunions. INTERPRETATION:The type of first MTP joint deformity in patients with CP may be predicted by the type and distribution of movement disorder, and by GMFCS level. Specific patterns of associated musculoskeletal deformities may contribute to the development of these disorders and may provide a guide to surgical management. WHAT THIS PAPER ADDS:The prevalence of severe bunions requiring fusion surgery was 2%. The two types of bunion were hallux valgus and dorsal bunion. The type of bunion can be identified on both clinical and radiological grounds. The cerebral palsy subtype is predictive of the type of bunion.

journal_name

Dev Med Child Neurol

authors

van de Velde SK,Cashin M,Johari R,Blackshaw R,Khot A,Graham HK

doi

10.1111/dmcn.13724

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

624-628

issue

6

eissn

0012-1622

issn

1469-8749

journal_volume

60

pub_type

杂志文章
  • Pons tumour behind a phenotypic Rett syndrome presentation.

    abstract::We describe a girl with a brain-stem tumour and symptoms very similar to those of Rett syndrome (RS). Her early history was uneventful and development was normal (except for hypotonia). At the age of 6 months her development slowed. Subsequently, deterioration occurred and the features characteristic of RS were seen: ...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1998.tb12361.x

    authors: Vanhala R,Gaily E,Paetau A,Riikonen R

    更新日期:1998-12-01 00:00:00

  • Relationship between lead exposure indicators and neuropsychological performance in children.

    abstract::This study surveyed 237 schoolchildren in a lead-polluted industrial area in northern Italy to assess the relationship between various biological indicators (lead in blood, hair and teeth, and delta-aminolevulinic dehydratase [ALA-D] activity) and some neuropsychological functions, assessed by a battery of five psycho...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1989.tb03977.x

    authors: Bergomi M,Borella P,Fantuzzi G,Vivoli G,Sturloni N,Cavazzuti G,Tampieri A,Tartoni PL

    更新日期:1989-04-01 00:00:00

  • Neonatal critical illness and development: white matter and hippocampus alterations in school-age neonatal extracorporeal membrane oxygenation survivors.

    abstract:AIM:To examine the neurobiology of long-term neuropsychological deficits after neonatal extracorporeal membrane oxygenation (ECMO). METHOD:This cross-sectional study assessed white matter integrity and hippocampal volume of ECMO survivors (8-15y) and healthy children (8-17y) using diffusion tensor imaging (DTI) and st...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/dmcn.13309

    authors: Schiller RM,van den Bosch GE,Muetzel RL,Smits M,Dudink J,Tibboel D,Ijsselstijn H,White T

    更新日期:2017-03-01 00:00:00

  • Physical impairment, disability and handicap in rural Nepal.

    abstract::Observations were made of people with physical impairments, disabilities and handicaps during a two-month journey in remote, mountainous areas of Nepal where traditional forms of village life have been maintained. Descriptions are given of the types and frequency of visible physical impairments and their distribution ...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1983.tb13839.x

    authors: Richardson SA

    更新日期:1983-12-01 00:00:00

  • Predictors for early diagnosis of cerebral palsy from national registry data.

    abstract:AIM:As early intervention is important in cerebral palsy (CP), an early diagnosis is desirable. The aim of this study was to establish the median diagnostic age of CP and to identify predictors of an early diagnosis in a population-based cohort. METHOD:Using the Danish National Cerebral Palsy Registry (NCPR), we ident...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/dmcn.12760

    authors: Granild-Jensen JB,Rackauskaite G,Flachs EM,Uldall P

    更新日期:2015-10-01 00:00:00

  • Ataxia-telangiectasia: recommendations for multidisciplinary treatment.

    abstract::Ataxia-telangiectasia is a rare, neurodegenerative, and multisystem disease, characterized by cerebellar ataxia, oculocutaneous telangiectasia, immunodeficiency, progressive respiratory failure, and an increased risk of malignancies. It demands specialized care tailored to the individual patient's needs. Besides the c...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章,实务指引,评审

    doi:10.1111/dmcn.13424

    authors: van Os NJH,Haaxma CA,van der Flier M,Merkus PJFM,van Deuren M,de Groot IJM,Loeffen J,van de Warrenburg BPC,Willemsen MAAP,A-T Study Group.

    更新日期:2017-07-01 00:00:00

  • Does parent report measure performance? A study of the construct validity of the Functional Mobility Scale.

    abstract:AIM:Parental report is often relied on to measure performance of activities in children with cerebral palsy (CP). This study examined whether the Functional Mobility Scale (FMS) accurately reflects performance of mobility in children with CP. METHOD:Eighteen children with spastic CP (11 males, seven females; mean age ...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.2009.03354.x

    authors: Harvey A,Baker R,Morris ME,Hough J,Hughes M,Graham HK

    更新日期:2010-02-01 00:00:00

  • Tuberous sclerosis and infantile spasms.

    abstract::The short- and long-term outcome and special problems of 24 children with infantile spasms and tuberous sclerosis (TS) was studied. The diagnosis of TS is frequently missed: white spots on the skin have to be carefully looked for. In the present study, these spots were always found, and calcifications or hypodense are...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1990.tb16926.x

    authors: Riikonen R,Simell O

    更新日期:1990-03-01 00:00:00

  • Psychosocial and cultural factors associated with the management of spina bifida cystica in Nigeria.

    abstract::A prospective study of the psychosocial and cultural factors influencing the management of spina bifida cystica was carried out on Nigerian children (48 males, 28 females) seen at the University College Hospital, Ibadan, between January 1982 and December 1983. The parents of 74 of the 76 children had never heard of th...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1985.tb04574.x

    authors: Oyewole A,Adeloye A,Adeyokunnu AA

    更新日期:1985-08-01 00:00:00

  • The medical examination of children on entry to school. The results and use of neurodevelopmental assessment.

    abstract::In the North Paddington Primary School Study 350 children were identified at five and studied over a five-year period. The children were given a comprehensive examination on entry to school, the findings from which are briefly described. Here the results of the neurodevelopmental assessment are reviewed. Children with...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1987.tb02106.x

    authors: Bax M,Whitmore K

    更新日期:1987-02-01 00:00:00

  • Mechanisms of disease and clinical features of mutations of the gene for mitofusin 2: an important cause of hereditary peripheral neuropathy with striking clinical variability in children and adults.

    abstract::Mitofusin 2, a large transmembrane GTPase located in the outer mitochondrial membrane, promotes membrane fusion and is involved in the maintenance of the morphology of axonal mitochondria. Mutations of the gene encoding mitofusin 2 (MFN2) have recently been identified as the cause of approximately one-third of dominan...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1469-8749.2010.03613.x

    authors: Ouvrier R,Grew S

    更新日期:2010-04-01 00:00:00

  • Cerebral arteriovenous fistula in the Klippel-Trenaunay-Weber syndrome.

    abstract::A 12-week-old girl presented with cutaneous haemangiomata and hemihypertrophy of the chest and right upper extremity--stigmata of the Klippel-Trenaunay-Weber syndrome. Screening cranial CT-scan followed by cerebral angiogram revealed what is believed to be the first reported occurrence of a cerebral arteriovenous fist...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1988.tb04757.x

    authors: Oyesiku NM,Gahm NH,Goldman RL

    更新日期:1988-04-01 00:00:00

  • Rud syndrome revisited: ichthyosis, mental retardation, epilepsy and hypogonadism.

    abstract::Rud syndrome is a rare disorder of childhood characterized by ichthyosis, mental retardation, epilepsy and hypogonadism. The authors report a family with this autosomal recessive disorder, review the clinical and dermatopathological findings, and contrast Rud syndrome with the other major neuro-ichthyosiform dermatose...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1985.tb04545.x

    authors: Marxmiller J,Trenkle I,Ashwal S

    更新日期:1985-06-01 00:00:00

  • Prevalence and selected characteristics of childhood vision impairment.

    abstract::The objective of this study was to examine the descriptive epidemiology of vision impairment among 6- to 10-year-old children in metropolitan Atlanta, Georgia, USA. Children with vision impairment (n=310; 42% black, 56% white; 57% male, 43% female), defined as a best corrected visual acuity in the better eye of 20/70 ...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1017/s0012162201002523

    authors: Mervis CA,Boyle CA,Yeargin-Allsopp M

    更新日期:2002-08-01 00:00:00

  • Development of postural adjustments during reaching in infants at risk for cerebral palsy from 4 to 18 months.

    abstract:AIM:To investigate postural adjustments during reaching in infants at high risk for cerebral palsy (CP). METHOD:Observational cohort study in which 25 infants at high risk (11 males, 14 females) and 11 infants with typical development (six males, five females) were assessed at 4, 6, and 18 months corrected age. Reachi...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/dmcn.12699

    authors: Van Balen LC,Dijkstra LJ,Bos AF,Van Den Heuvel ER,Hadders-Algra M

    更新日期:2015-07-01 00:00:00

  • Consensus research priorities for cerebral palsy: a Delphi survey of consumers, researchers, and clinicians.

    abstract:AIM:Research funds for cerebral palsy are scarce and competition for them is strong. This study aimed to identify questions for future research that were agreed to be a high priority. METHOD:An expert panel of consumers, researchers, and clinicians was assembled (n=127) and surveyed using a Delphi survey comprising th...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.2009.03358.x

    authors: McIntyre S,Novak I,Cusick A

    更新日期:2010-03-01 00:00:00

  • Hereditary sensory neuropathy type II without trophic changes.

    abstract::Three cases with sensory peripheral neuropathies are reported. Case 1 presented with scoliosis, and cases 2 and 3 presented with abnormal gait. None had trophic limb changes, evidence of weakness, or a tendency to self-mutilation and each had normal motor studies on neurophysiological testing. Sural nerve biopsies sho...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1990.tb16915.x

    authors: Bye AM,Baker WD,Pollard J,Wise G

    更新日期:1990-02-01 00:00:00

  • Anencephalus in the Oxford Record Linkage Study area.

    abstract::The incidence of anencephalus in the largely rural areas of Oxfordshire and west Berkshire from 1965 to 1972 was ascertained from the files of the Oxford Record Linkage Study as 1-49 per 1000 total births. There was little variation within the area, but there was a marked increase in incidence over the eight years of ...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1976.tb04210.x

    authors: Fedrick J

    更新日期:1976-10-01 00:00:00

  • The effects of cisapride on gastro-oesophageal reflux in children with and without neurological disorders.

    abstract::Cisapride was used to treat gastro-oesophageal reflux in seven children with neurodevelopmental disorders and in 15 children who were neurologically normal. 24-hour lower-oesophageal pH monitoring was carried out before and after treatment. The neurologically normal group had a statistically significant decrease after...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1990.tb08547.x

    authors: Brueton MJ,Clarke GS,Sandhu BK

    更新日期:1990-07-01 00:00:00

  • White matter abnormalities and dystonic motor disorder associated with mutations in the SLC16A2 gene.

    abstract:AIM:Mutations in the SLC16A2 gene have been implicated in Allan-Herndon-Dudley syndrome (AHDS), an X-linked learning disability* syndrome associated with thyroid function test (TFT) abnormalities. Delayed myelination is a non-specific finding in individuals with learning disability whose genetic basis is often uncertai...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.2009.03471.x

    authors: Gika AD,Siddiqui A,Hulse AJ,Edward S,Fallon P,McEntagart ME,Jan W,Josifova D,Lerman-Sagie T,Drummond J,Thompson E,Refetoff S,Bönnemann CG,Jungbluth H

    更新日期:2010-05-01 00:00:00

  • A novel neurological disorder with progressive CNS calcification, deafness, renal tubular acidosis, and microcytic anemia.

    abstract::Progressive calcification of the brain and the spinal cord at early infantile onset was observed in two siblings. They showed growth failure, psychomotor deterioration, deafness, vestibular dysfunction, microcytic hypochromic anemia, abnormal ratios of lymphocyte subpopulations, and slightly decreased bicarbonate on b...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1997.tb07410.x

    authors: Yoshimura M,Hara T,Maegaki Y,Koeda T,Okubo K,Hamasaki N,Sly WS,Takeshita K

    更新日期:1997-03-01 00:00:00

  • Reduced accommodative function in dyskinetic cerebral palsy: a novel management strategy.

    abstract::A 9-year-old boy with dyskinetic cerebral palsy secondary to neonatal encephalopathy is described. He presented with blurring of near vision which had begun to impact on his school work. Objective assessment of accommodation showed that very little was present, although convergence was almost normal. The near-vision s...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1017/s0012162200001298

    authors: Ross LM,Heron G,Mackie R,McWilliam R,Dutton GN

    更新日期:2000-10-01 00:00:00

  • Factors associated with microcephaly at school age in a very-low-birthweight population.

    abstract::The neonatal predictors of microcephaly, defined as a head circumference <5th centile in children born preterm, has not been systematically assessed. Children were drawn from the Developmental Epidemiology Network (DEN) cohort of very low-birthweight children (VLBW: 500-1500g) born from 1991 to 1993 at three sites in ...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1017/s0012162203001488

    authors: Chiriboga CA,Kuban KC,Durkin M,Hinton V,Kuhn L,Sanocka U,Bellinger D

    更新日期:2003-12-01 00:00:00

  • Serial neuropsychological follow-up of a child following craniospinal irradiation.

    abstract::Serial neuropsychological examinations were made of an eight-year-old girl following diagnosis and treatment of a pineocytoma. The tumor was resected and she received intensive radiation therapy to the entire neuraxis, with a boost to the pineal region. A battery of neuropsychological tests was administered every six ...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:

    authors: Bendersky M,Lewis M,Mandelbaum DE,Stanger C

    更新日期:1988-12-01 00:00:00

  • Longitudinal physical activity and sedentary behaviour in preschool-aged children with cerebral palsy across all functional levels.

    abstract:AIM:To investigate longitudinal changes of habitual physical activity (HPA) and sedentary time in children with cerebral palsy (CP) aged 1 year 6 months to 5 years across all functional abilities. METHOD:At study entry, 95 children (62 males, 33 females) were classified using the Gross Motor Function Classification Sy...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/dmcn.13439

    authors: Keawutan P,Bell KL,Oftedal S,Ware RS,Stevenson RD,Davies PSW,Boyd RN

    更新日期:2017-08-01 00:00:00

  • Aspects of carbohydrate metabolism in developing brain.

    abstract::This review considers carbohydrate metabolism in the developing brain, in particular the proportion of glucose metabolized via the pentose phosphate pathway. Although small in amount, this fraction serves a vital rôle in some aspects of brain function. Evidence is presented that the pentose phosphate pathway subserves...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.1977.tb08027.x

    authors: Baquer NZ,Hothersall JS,McLean P,Greenbaum AL

    更新日期:1977-02-01 00:00:00

  • Helicobacter pylori in an institution for disabled children in Hong Kong.

    abstract::Anti-Helicobacter pylori antibodies were determined in 157 institutionalised Cantonese children, mean age 9.5 +/- 3.9 (SD) years, with profound neurodevelopmental disabilities. Eighty-seven (55.4%) were H. pylori seropositive compared with four of 50 (8%, P > 0.0002) of an age-matched control group, mean age 7.2 +/- 4...

    journal_title:Developmental medicine and child neurology

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1469-8749.1997.tb07363.x

    authors: Lewindon PJ,Lau D,Chan A,Tse P,Sullivan PB

    更新日期:1997-10-01 00:00:00

  • Botulinum toxin and cerebral palsy: time for reflection?

    abstract::Botulinum toxin A (BTX-A) is increasingly being used in early management of spasticity in ambulant children with cerebral palsy (CP), with the aim of improving function, promoting muscle growth, and delaying the need for surgical intervention. However, there is a lack of evidence about the long-term outcome of BTX-A i...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章,评审

    doi:10.1017/S0012162205001453

    authors: Gough M,Fairhurst C,Shortland AP

    更新日期:2005-10-01 00:00:00

  • Hemimegalencephaly in an adult with normal intellectual function and mild epilepsy.

    abstract::Hemimegalencephaly is a rare congenital brain malformation, usually associated with mental retardation, * refractory epilepsy, and progressive neurological deficits. We report the case of a 19-year-old female with de novo diagnosis of right hemimegalencephaly, normal intellectual function, and history of non-refractor...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1111/j.1469-8749.2011.04136.x

    authors: Beaulieu-Boire I,Lortie A,Bissonnette J,Prevost S,Bergeron D,Bocti C

    更新日期:2012-03-01 00:00:00

  • Bone age and linear skeletal growth of children with cerebral palsy.

    abstract::The aim of this study was to compare the linear growth of children with cerebral palsy (CP) with that of children without CP. The segmental lengths (humerus, ulna, femur, tibia, and spine), recumbent length, body weight, and bone age of 62 children with CP (age range 2.25 to 14 years, mean 7.13 years) were measured an...

    journal_title:Developmental medicine and child neurology

    pub_type: 杂志文章

    doi:10.1017/s0012162299001528

    authors: Kong CK,Tse PW,Lee WY

    更新日期:1999-11-01 00:00:00