Hip function and gait in patients treated for bladder exstrophy

D. Sutherland, L. Pike, Kenton R Kaufman, C. Mowery, G. Kaplan, B. Romanus

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Patients with bladder exstrophy demonstrate pubic diastasis with external rotation of the ilia and posterolateral orientation of the acetabula. Iliac osteotomy is performed to approximate the pubis and thus facilitate the genitourinary repair. The role of iliac osteotomy in the correction of gait abnormalities is controversial. Our goals in this study were to define the presence of hip pathology and gait abnormalities in patients treated for bladder exstrophy and to evaluate the effect of iliac osteotomy. We reviewed pelvic radiographs and gait studies in 15 children. The treatment included bilateral iliac osteotomy in nine of 15 of these patients. We found minor hip dysplasia in two patients, but we saw no evidence of subluxation or dislocation. Pubic diastasis increased with age and was not related to osteotomy. Patients had slightly less passive hip internal rotation than age- matched controls. There was no correlation between the restriction of hip internal rotation and the amount of pubic diastasis. Two thirds (10 of 15) of the patients exhibited increased lower extremity external rotation during gait. None of the subjects demonstrated a waddling gait (gluteus medius lurch) described in the literature. Based on our results, iliac osteotomy does not affect gait patterns in children with bladder exstrophy. However, we believe that it is indicated to improve the results of genitourinary repair.

Original languageEnglish (US)
Pages (from-to)709-714
Number of pages6
JournalJournal of Pediatric Orthopaedics
Volume14
Issue number6
StatePublished - 1994
Externally publishedYes

Fingerprint

Bladder Exstrophy
Osteotomy
Gait
Hip
Pubic Bone
Ilium
Acetabulum
Hip Dislocation
Lower Extremity
Pathology

Keywords

  • Bladder exstrophy
  • Gait
  • Hip function
  • Radiographs

ASJC Scopus subject areas

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

Cite this

Sutherland, D., Pike, L., Kaufman, K. R., Mowery, C., Kaplan, G., & Romanus, B. (1994). Hip function and gait in patients treated for bladder exstrophy. Journal of Pediatric Orthopaedics, 14(6), 709-714.

Hip function and gait in patients treated for bladder exstrophy. / Sutherland, D.; Pike, L.; Kaufman, Kenton R; Mowery, C.; Kaplan, G.; Romanus, B.

In: Journal of Pediatric Orthopaedics, Vol. 14, No. 6, 1994, p. 709-714.

Research output: Contribution to journalArticle

Sutherland, D, Pike, L, Kaufman, KR, Mowery, C, Kaplan, G & Romanus, B 1994, 'Hip function and gait in patients treated for bladder exstrophy', Journal of Pediatric Orthopaedics, vol. 14, no. 6, pp. 709-714.
Sutherland D, Pike L, Kaufman KR, Mowery C, Kaplan G, Romanus B. Hip function and gait in patients treated for bladder exstrophy. Journal of Pediatric Orthopaedics. 1994;14(6):709-714.
Sutherland, D. ; Pike, L. ; Kaufman, Kenton R ; Mowery, C. ; Kaplan, G. ; Romanus, B. / Hip function and gait in patients treated for bladder exstrophy. In: Journal of Pediatric Orthopaedics. 1994 ; Vol. 14, No. 6. pp. 709-714.
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