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In 50 consecutive ambulating purely spastic diplegic children (100 limbs), with a mean age of 6.4 y having bilateral hamstring tightness with a popliteal angle ≥ 50° the Thomas test was done and the popliteal, modified popliteal angle and the hamstring shift were determined. Radiologically, the sacrofemoral angle (SFA) and the lumbar lordosis angel were measured. The correlations between the SFA and hamstring shift, lumbar lordosis angle and hamstring shift and between the SFA and the lumbar lordosis angle were analyzed and the effect of muscle imbalance on these angles was assessed.

journal of orthopedic surgery and techniques

Assessment of the Relationship between Hamstring Tightness and Pelvic Tilt in Cerebral Palsy: Are We Overdoing Hamstring Releases in Children with Spastic Bilateral CP, GMFCS Level I-III?