Dados do Trabalho

Título

HIP DISLOCATION IN CHILDREN WITH CONGENITAL ZIKA VIRUS SYNDROME

Introdução

Hip displacement is defined as a percentage of migration of the femoral head over 33% and affects children with cerebral palsy.
The risk of dislocation is higher in children classified as IV and V levels in the gross motor function classification system.
In November 2015, there was an increase in congenital microcephaly that was associated with Zika virus infection during pregnancy, and it was considered a public health problem in Brazil.

Objetivo

This retrospective cohort study aimed to analyze the hip dislocation in children with cerebral palsy due to congenital Zika virus syndrome at one Rehabilitation Hospital, from June 2015 to September 2017.

Métodos

The study included 46 children with cerebral palsy, GMFCS IV and V and congenital Zika virus syndrome. Children with laboratory tests positive for STORCH or suspected genetic syndrome were excluded from the study.
The children included underwent serial anteroposterior radiographs of the pelvis as part of the hip surveillance protocol. 110 exams were studied and these parameters analyzed. The following symptoms were analyzed from the medical records: pain and complaints during daily care.

Resultados

In the group, 57% of the cases were male, 98% GMFCS level V, with a current average age of 3.6 years.
According to Reimers' Percentage of Lateral Migration, 50% had a subluxated hip at an average age of 1.10 years and 20% dislocated at 2 years.
In 20% of cases the acetabular index was ≥30º with an average age of 1.6 years.
The Shenton Line was broken in 83% of cases with an average age of 1.9 years. 39% of caregivers reported hip pain.
Complaints related to difficulties in positioning, hygiene and clothing were mostly due to spasticity.
35% of cases underwent soft tissue surgery with an average age of 3.2 years.

Conclusões

It is important to include children with cerebral palsy affected by congenital Zika virus syndrome as early as possible in hip surveillance programs because hip dislocation occurs at an early age in this group compared to children with cerebral palsy due to other etiologies.

Palavras chave

cerebral palsy, hip, Zika virus syndrome

Declaração de conflito de interesses de TODOS os autores

We don´t have any conflict of interest.