Hip Surveillance in Children with Cerebral Palsy

Orthop Clin North Am. 2018 Apr;49(2):181-190. doi: 10.1016/j.ocl.2017.11.006. Epub 2018 Feb 3.

Abstract

The hip is the second most common involved joint in cerebral palsy. Hip displacement occurs in more than 33% of children with cerebral palsy, with a higher prevalence in nonambulatory children. Hip displacement in this population is typically progressive. Hip dislocation can result in pain and difficulty with sitting and perineal care. Since early stage of hip displacement can be silent, and hip surveillance programs are recommended. Most programs use the degree of hip dysplasia and Growth Motor Function Classification System level for screening recommendations. Treatment depends on the degree of dysplasia, functional status of the patient, and patient's age.

Keywords: Cerebral palsy; Children; Hip displacement; Hip surveillance.

Publication types

  • Review

MeSH terms

  • Cerebral Palsy / complications*
  • Cerebral Palsy / diagnostic imaging
  • Child
  • Child, Preschool
  • Disease Progression
  • Female
  • Follow-Up Studies
  • Hip Dislocation / diagnostic imaging
  • Hip Dislocation / etiology*
  • Hip Dislocation / surgery*
  • Humans
  • Male
  • Monitoring, Physiologic / methods
  • Orthopedic Procedures / methods*
  • Orthopedic Procedures / rehabilitation
  • Physical Examination / methods
  • Plastic Surgery Procedures / methods
  • Plastic Surgery Procedures / rehabilitation
  • Postoperative Care / methods
  • Radiography / methods
  • Risk Assessment
  • Severity of Illness Index