Pediatrics (M Glotzbecker, Section Editor)

Current Reviews in Musculoskeletal Medicine

, Volume 5, Issue 2, pp 126-134

First online:

The role for hip surveillance in children with cerebral palsy

  • Benjamin ShoreAffiliated withDepartment of Orthopaedic Surgery, Children’s Hospital Boston, Harvard Medical School Email author 
  • , David SpenceAffiliated withDepartment of Orthopaedic Surgery, Children’s Hospital Boston, Harvard Medical School
  • , HK GrahamAffiliated withDepartment of Orthopaedic Surgery, The Royal Children’s Hospital

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Spastic hip displacement is the second most common deformity seen in children with cerebral palsy (CP), and the long-term effects can be debilitating. Progressive hip displacement leading to dislocation can result in severe pain as well as impaired function and quality of life. Recent population-based studies have demonstrated that a child’s Gross Motor Functional Classification System (GMFCS) level is most predictive for identifying hips “at-risk” for progressive lateral displacement. As a result, in many developed countries, hip surveillance has now been adopted as an integral piece of the comprehensive care puzzle for the management of children with spastic hip displacement. This paper reviews the spectrum of treatments available for progressive hip displacement, examines the current literature on the success of hip surveillance, and illustrates an example of a current hip surveillance program stratified by the GMFCS level.


Pediatric Cerebral palsy Hip surveillance Gross motor functional classification system Proximal femoral varus osteotomy Adductor surgery Botulinum toxin Hip salvage surgery