Milks Kathryn,  Whitaker Amanda,  Mesi Erin,  Ruess Lynne

Final Pr. ID: Paper #: 109

International data have shown that a hip surveillance program decreased and even prevented hip dislocations in children with cerebral palsy (CP). There are however, no published guidelines on reporting hip abnormalities in these children. Radiologic terminology and measurement technique varied widely in our department. The purpose of our quality improvement initiative was to standardize radiographic hip surveillance imaging and reporting as part of the newly implemented screening program at our institution. Read More

Authors:  Milks Kathryn , Whitaker Amanda , Mesi Erin , Ruess Lynne

Keywords:  cerebral palsy, hip surveillance, pelvis radiograph

Pham Huy,  Gardner Jeffrey,  Stewart Zachary,  Thompson Allison

Final Pr. ID: Poster #: EDU-083

Our educational poster will evaluate and present the complications of the Medtronic Intrathecal Baclofen Pump as seen by our institution. Intrathecal Baclofen pumps are indicated as the treatment for intractable spasticity secondary to cerebral palsy and spinal cord injuries. However, it is not without complications and thus, reserved only for those refractory to other medical interventions. After reviewing radiographs available at our institution, we seek to discuss the complications of baclofen pumps using a multi-case illustration. We present some interesting radiographs of complications seen during infusion pump aspiration studies. These complications include the inability to aspirate CSF, catheter disconnection, catheter fracture, and malposition of catheter tip. Other complications of baclofen pumps include CSF leakage, infections, and even death. It is important to understand these complications because rapid intervention decreases morbidity and mortality rates. Read More

Authors:  Pham Huy , Gardner Jeffrey , Stewart Zachary , Thompson Allison

Keywords:  baclofen pump, cerebral palsy, spasticity

Thapa Mahesh,  Maloney Ezekiel,  Menashe Sarah,  Otjen Jeffrey,  Ngo Anh-vu,  Iyer Ramesh

Final Pr. ID: Poster #: EDU-040

The purpose of this educational exhibit is to demonstrate the lower extermity manifestations of Cerebral Palsy (CP). The focus will be on plain radiographic findings, along with surgical approaches to the various abnormalities. Conditions presented will include the following: equinus, equinocavovarus, equinoplanovalgus, oblique talus, vertical talus, ankle valgus and hallux valgus. In addition, a thorough and systematic approach on how to evaluate pediatric foot abnormalities will also be discussed.

CP is caused by abnormalities of the developing fetal or infant brain that result in permanent central motor dysfunction. The prevalence of CP is about 2 in 1000 live births. Although this is higher in pre-term and low birthweight infants. The proposed underlying causes are many and include infection, hypoxia, structural changes, ischemia, and hemorrhage. The underying neural damage is nonprogressive, but the clinical manifestations can change and magnify. Gross Motor Function Classification System (GMFCS) is used to grade the severity of disease.

Affecting about 93% of patients with CP, foot and ankle deformities have a huge impact on patient ambulation and GMFCS score. Such lower extremity abnormalities are classified using three “levels” of severity which influnce treatment options. Level I is mild, flexible deformity; level II manifests as soft tissue contracture; and level III causes skeletal remodeling and bony deformity. Only by apprecaiting the clinical and radiological manifestations of CP can we attain a more thorough understanding of the condition and its multitude of presentations. Read More

Authors:  Thapa Mahesh , Maloney Ezekiel , Menashe Sarah , Otjen Jeffrey , Ngo Anh-vu , Iyer Ramesh

Keywords:  Cerebral Palsy, equinus, cavus

Amaral Jason,  Schultz Rebecca,  Rosenfeld Scott,  Kan J.

Final Pr. ID: Poster #: EDU-067

This technical innovation describes our institution’s standardized technique for palliative steroid injections in children with symptomatic neuromuscular hip dysplasia. Children with neuromuscular hip dysplasia are at risk for developing painful hip dislocation, which can dramatically affect their quality of life. Read More

Authors:  Amaral Jason , Schultz Rebecca , Rosenfeld Scott , Kan J.

Keywords:  Hip Dysplasia, Cerebral Palsy, Steroid Injection