Hip Dislocation in Cerebral Palsy: Treatment Options

Abstract

Cerebral palsy is a non-progressive damage to the brain and can occurs before, during or after delivery, with musculoskeletal system affected by various degrees [1]. Hip instability and gait abnormalities are common hip problems in Cerebral palsy patients. Hip subluxation and dislocation develops in response to muscle imbalance and spasticity [2]. The patient's problems vary from abnormal gait to painful seating and difficulty in personal hygiene. The goal of treatment in those patients is to provide a painless hip that allows stable sitting and positioning. Incidence The incidence of cerebral palsy is increasing slightly with reports estimating the incidence to be between 2.4 and 2.7 per 1000 live births [3]. The reported incidence of hip displacement in children with cerebral palsy has ranged from 1% to 75% and has been linked with the severity of involvement and the ambulatory status. Incidence of hip displacement is low in patients with mild involvement and who can walk independently, whereas those with more severe involvement and who are unable to walk have the greatest risk of hip displacement [4]. The lowest incidence of hip displacement was found in the children