Hip Displacement in Cerebral Palsy: Difference between revisions
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== | == Introduction<br> == | ||
Hip displacement is very common in children with cerebral palsy (CP) and the incidence has been reported to be 35%<ref name="Soo">Soo B, Howard J, Boyd R, et al. Hip displacement in cerebral palsy. J Bone Joint Surg Am. 2006;88(1):121-129</ref><ref name="Novak">Novak I, Hines M, Goldsmith S, Barclay R. Clinical prognostic messages from a systematic review on cerebral palsy. Pediatrics. 2012;130(5):e1285-e1312.</ref>. It is directly related to the child’s Gross Motor Function Classification Scale (GMFCS) level with a reported incidence of between 68-90% for children in GMFCS Level IV and V<ref name="Soo" /><ref name="Terjesen">Terjesen T. The natural history of hip development in cerebral palsy. Dev Med Child Neurol. 2012;54(10):951-957.</ref>. Progressive hip displacement can cause severe pain. In a recent study examining hip health at skeletal maturity in 98 young adults with CP, hip pain was reported in 72% of participants and pain frequency and severity increased with worsening hip morphology<ref name="Wawrzuta">Wawrzuta J, Willoughby K, Molesworth C, et al. Hip health at skeletal maturity: A population-based study of young adults with cerebral palsy. Dev Med Child Neurol. 2016.</ref>. It can also lead to difficulties with positioning, sitting, standing and walking and negatively impact quality of life<ref name="Hägglund">Hägglund G, Andersson S, Düppe H, Lauge Pedersen H, Nordmark E, Westbom L. Prevention of dislocation of the hip in children with cerebral palsy. the first ten years of a population-based prevention programme. J Bone Joint Surg Br. 2005;87(1):95-101.</ref><ref name="Robb">Robb JE, Hägglund G. Hip surveillance and management of the displaced hip in cerebral palsy. J Child Orthop. 2013;7(5):407-413.</ref><ref name="Shore">Shore B, Spence D, Graham H. The role for hip surveillance in children with cerebral palsy. Curr Rev Musculoskelet Med. 2012;5(2):126-134.</ref><br> | |||
== Mechanism of Injury / Pathological Process<br> == | == Mechanism of Injury / Pathological Process<br> == |
Revision as of 13:52, 17 May 2017
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Introduction
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Hip displacement is very common in children with cerebral palsy (CP) and the incidence has been reported to be 35%[1][2]. It is directly related to the child’s Gross Motor Function Classification Scale (GMFCS) level with a reported incidence of between 68-90% for children in GMFCS Level IV and V[1][3]. Progressive hip displacement can cause severe pain. In a recent study examining hip health at skeletal maturity in 98 young adults with CP, hip pain was reported in 72% of participants and pain frequency and severity increased with worsening hip morphology[4]. It can also lead to difficulties with positioning, sitting, standing and walking and negatively impact quality of life[5][6][7]
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- ↑ 1.0 1.1 Soo B, Howard J, Boyd R, et al. Hip displacement in cerebral palsy. J Bone Joint Surg Am. 2006;88(1):121-129
- ↑ Novak I, Hines M, Goldsmith S, Barclay R. Clinical prognostic messages from a systematic review on cerebral palsy. Pediatrics. 2012;130(5):e1285-e1312.
- ↑ Terjesen T. The natural history of hip development in cerebral palsy. Dev Med Child Neurol. 2012;54(10):951-957.
- ↑ Wawrzuta J, Willoughby K, Molesworth C, et al. Hip health at skeletal maturity: A population-based study of young adults with cerebral palsy. Dev Med Child Neurol. 2016.
- ↑ Hägglund G, Andersson S, Düppe H, Lauge Pedersen H, Nordmark E, Westbom L. Prevention of dislocation of the hip in children with cerebral palsy. the first ten years of a population-based prevention programme. J Bone Joint Surg Br. 2005;87(1):95-101.
- ↑ Robb JE, Hägglund G. Hip surveillance and management of the displaced hip in cerebral palsy. J Child Orthop. 2013;7(5):407-413.
- ↑ Shore B, Spence D, Graham H. The role for hip surveillance in children with cerebral palsy. Curr Rev Musculoskelet Med. 2012;5(2):126-134.