The ability to walk is a major influence on hip dislocation. Generally speaking, a person who has the combination of a flexion contracture of the hip due to iliopsoas spasticity and femoral torsion will have hips that dislocate if the person is non-ambulatory and spends the majority of time sitting or lying down. On the other hand, a person who is partially weight bearing is likely to have subluxation of the hips and a person who is fully weight bearing will have normally located hips. If one hip dislocates, the child does not have an even foundation for sitting and it is impossible to align the trunk over the hips. If the child attempts to align the trunk over the hips, the spine must compensate for the uneven foundation and curvature results.
Pelvic symmetry seems to be important in preventing scoliosis.
In summary, the best way to prevent hip dislocation, pelvic asymmetry, scoliosis, and brittle bones is to provide the child with many opportunities to bear weight on the legs in an aligned position. If the student is experiencing any pain or discomfort, surgery may be the only alternative. Engineering for this site, provided by The Office of Larry E. Reider. For help with your Manila site, please refer to our Support Page .