Hip surveillance and management of the displaced hip in cerebral palsy |
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Authors: | J E Robb G Hägglund |
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Institution: | 1. School of Medicine, University of St Andrews, St Andrews, KY16 9TF, Scotland, UK 2. Department of Orthopaedics, University Hospital, SE-221 85, Lund, Sweden
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Abstract: | IntroductionThis 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.ConclusionHip 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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Keywords: | Cerebral palsy Child Hip displacement Surveillance programme Operative management |
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