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Published in: Journal of Children's Orthopaedics 5/2012

01-10-2012 | Original Clinical Article

Assessment of the relationship between joint laxity and migration of the hip in children with Down syndrome

Authors: R. Eshuis, M. Boonzaaijer, H. van Wieringen, J. E. H. Pruijs, R. J. B. Sakkers

Published in: Journal of Children's Orthopaedics | Issue 5/2012

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Abstract

Purpose

The aim of this cross-sectional cohort study is to describe the incidence of joint laxity and the correlation between joint laxity and radiological migration of the hip in children with Down syndrome.

Methods

Sixty-five children (2–19 years) with Down’s syndrome were examined for joint laxity. For each subject, laxity scores for joints were carried out with the Bulbena method. Plane pelvic radiographs were used to determine the migration of the hip, according to Reimer’s migration index.

Results

In this study, 26 out of 65 children with Down’s syndrome (40 %) were diagnosed with general joint laxity. On the radiographs of the hips we found a mean Reimer’s Migration Index of 5.2 % for all the subjects. Children with general joint laxity showed a lower Reimer’s Migration Index (2.1 %). No significant correlation was found between general joint laxity and migration of the hip.

Conclusions

This study showed no relationship between joint laxity and migration of the hip in children with Down’s syndrome. This implicates that we were not able to prove that joint laxity is the major factor in developing hip migration in children with Down’s syndrome.
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Metadata
Title
Assessment of the relationship between joint laxity and migration of the hip in children with Down syndrome
Authors
R. Eshuis
M. Boonzaaijer
H. van Wieringen
J. E. H. Pruijs
R. J. B. Sakkers
Publication date
01-10-2012
Publisher
Springer Berlin Heidelberg
Published in
Journal of Children's Orthopaedics / Issue 5/2012
Print ISSN: 1863-2521
Electronic ISSN: 1863-2548
DOI
https://doi.org/10.1007/s11832-012-0427-x

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