The role for hip surveillance in children with cerebral palsy

Pediatrics (M Glotzbecker, Section Editor)

Abstract

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.

Keywords

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

Notes

Disclosures

B. Shore: none; D. Spence: none; HK Graham: consultant for Merz Pharmaceuticals.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryChildren’s Hospital Boston, Harvard Medical SchoolBostonUSA
  2. 2.Department of Orthopaedic SurgeryThe Royal Children’s HospitalParkvilleAustralia

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