Hip muscle releases are surgical operations that prevent hip dislocation in people with cerebral palsy. Throughout this page, our Detroit, Michigan cerebral palsy and birth injury attorneys will explain everything you need to know about hip muscle releases for individuals with cerebral palsy.
Why Do Some People with Cerebral Palsy Require Hip Muscle Releases?
Adductor muscles are located in the hip and inner thigh. The adductors are responsible for pulling on the bones and bringing them closer to the middle of the body. When adductors are too tight, they make the legs scissor. This scissoring of the legs can pull the ball of the hips out of its socket. People with cerebral palsy often have extremely tight adductors, which gives them the “scissor gait.” Individuals with scissor gait tend to crouch when they walk and/or walk with crossed legs and feet because hip, leg, and pelvic tightness keeps these areas flexed. Muscle releases are an attempt to prevent the hips of a person with cerebral palsy from dislocating. In a child who is able to walk, this might be done because the feet cross while walking, which often occurs when a child has spastic cerebral palsy.
What Happens During Hip Muscle Release Surgery?
In hip muscle release surgery, selected muscles of the groin are cut and allowed to retract. The muscles chosen depend on the exact problems the child is having, the extent of the spasticity, and if the child can walk or not. Some surgeons transfer the heads of some muscle groups more toward the rear of the body to help extend the hip. This is a more extensive form of the surgery and has not been shown to be more effective than a simple release.
The illiopsoas is a tendon that contributes significantly to spastic hip dislocation. This tendon is often cut and allowed to retract. In children who can walk, only the psoas is cut while the iliacus muscle is not touched. The illiopsoas can also be transferred and sutured to the pelvis or hip joint capsule.
The hamstrings (the large muscle groups on the backside of the thigh) can be lengthened or cut at the same time as other muscles are cut. Two groups of muscles (one on the inside and one on the outside of the thigh) can become tight and contracted. Children who sit in a wheelchair all of the time are at risk for developing this contracture. When this contracture occurs, the child’s legs may be so tight she will not be able to lie down flat. These tight muscles can contribute to hip subluxation, hunched posture, and poor positioning. Contractures can also lead to serious spinal problems.
More Reading on Cerebral Palsy and Treatments for Cerebral Palsy
- Treatments and Therapies for Spastic Cerebral Palsy
- Selective Dorsal Rhizotomy (Surgery) for Cerebral Palsy
- Cerebral Palsy Overview
Detroit, Michigan Cerebral Palsy Attorneys
Cerebral palsy is, unfortunately, often caused by dangerous complications, injuries, and scenarios that occur before, during, or just after the labor and delivery process. Every year, thousands of children will be diagnosed with cerebral palsy as the result of preventable birth injuries. At Reiter & Walsh ABC Law Centers, our legal team works tirelessly to help secure important funds for the children diagnosed with cerebral palsy from medical malpractice.
Contact our Detroit, Michigan cerebral palsy lawyers today for a free case review. We exclusively take cases involving birth injuries, so our attorneys have the specific skills and knowledge necessary to help you obtain money for your family’s care, lifestyle, and medical adjustments. You can reach out in any of the following ways to begin your free legal consultation:
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