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Hip surveillance and management of the displaced hip in cerebral palsy

  • Current Concept Review
  • Published:
Journal of Children's Orthopaedics

Abstract

Introduction

This article provides an overview of the management of a displaced hip in children with cerebral palsy and considers surveillance programmes, principles of surgical reconstruction and options for the salvage of an unreconstructable hip in these children.

Conclusion

Hip dislocation in CP is potentially preventable if children are included from an early age in a surveillance programme that includes repeat radiographic and clinical examinations, and preventive treatment for hips that are displacing. A surveillance programme should be based on the child’s age, GMFCS level and migration percentage (MP), and surgical prevention may be considered in children with a MP exceeding 33 %.

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Authors and Affiliations

  1. School of Medicine, University of St Andrews, St Andrews, KY16 9TF, Scotland, UK

    J. E. Robb

  2. Department of Orthopaedics, University Hospital, SE-221 85, Lund, Sweden

    G. Hägglund

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  1. J. E. Robb
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  2. G. Hägglund
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Correspondence to J. E. Robb.

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Robb, J.E., Hägglund, G. Hip surveillance and management of the displaced hip in cerebral palsy. J Child Orthop 7, 407–413 (2013). https://doi.org/10.1007/s11832-013-0515-6

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  • DOI: https://doi.org/10.1007/s11832-013-0515-6

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