Education And Debate

Lesson of the week: Spontaneous fractures in children and adolescents with cerebral palsy

BMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6949.265 (Published 23 July 1994) Cite this as: BMJ 1994;309:265
  1. S Lingam,
  2. J Joestera
  1. Ward M2, St Ann's Hospital, St Ann's Road, London N15 3TH
  2. a St Ann's Hospital, London N15 3TH Meldreth Manor School, Meldreth, Hertfordshire SG8 6LG
  1. Correspondence to: Dr

    Children and adolescents with cerebral palsy, in addition to the motor disability, have other, associated disabilities: hearing and visual impairment, learning disabilities, failure to thrive in infancy and poor growth in childhood, and scoliosis. They are prone to dislocations, particularly dislocation of the hips. They also develop other contractures and deformities, which may need surgery.

    * Children and adolescents with cerebral palsy have a tendency to sustain spontaneous fractures

    We report on five children and adolescents who developed spontaneous fractures of long bones, an association which, as far as we are aware, is not recognised.

    Subjects

    The five subjects, aged 10 to 19 years (four male and one female) with various types of cerebral palsy, were resident pupils at Meldreth Manor School, …

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