Cerebral palsy - beyond hip deformities
Jeffrey P Otjen1, Ted C Sousa2, Jennifer M Bauer2
1Department of Radiology, Seattle Children's Hospital, University of Washington, Mail Stop MA.7.220, 4800 Sand Point Way NE, Seattle, WA, 98105, USA.
Insights
Cerebral palsy (CP) presents with diverse musculoskeletal issues, particularly in the spine, knee, and foot/ankle. This review highlights common imaging features and clinical insights for these CP-related conditions.
Area of Science:
- Neurology
- Orthopedics
- Radiology
Background:
- Cerebral palsy (CP) is a complex neurologic condition with varied musculoskeletal and articular symptoms.
- Understanding common patterns in CP aids in managing other neurodevelopmental disorders.
Purpose of the Study:
- To review common musculoskeletal and articular manifestations of cerebral palsy.
- To emphasize imaging features and provide clinical/radiologic insights for the spine, knee, and foot/ankle.
Main Methods:
- Literature review focusing on common cerebral palsy manifestations.
- Collection and description of relevant imaging features.
- Identification of clinical and radiologic pearls and pitfalls.
Main Results:
- Detailed description of common imaging findings in the spine, knee, foot, and ankle in cerebral palsy patients.
- Identification of characteristic patterns and variations in presentation.
- Highlighting potential diagnostic challenges and best practices.
Conclusions:
- Cerebral palsy involves predictable patterns of musculoskeletal and articular involvement.
- Imaging plays a crucial role in diagnosing and managing these manifestations.
- Clinical and radiologic pearls enhance patient care for individuals with cerebral palsy.
Abstract:
Cerebral palsy is a neurologic condition with myriad musculoskeletal and articular manifestations. While every patient is unique with innumerable variations in presentation, symptoms and treatments, there are broad themes and recognizable patterns of development. Many of these findings spill over to other neurodevelopmental disorders, and lessons learned from children with cerebral palsy translate well to multiple neurologic conditions. This review focuses on the more common manifestations involving the spine, knee, foot and ankle, with an emphasis on collecting and describing imaging features, along with clinical and radiologic pearls and pitfalls.
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