Hip Displacement in Cerebral Palsy

Abstract

Hip displacement is common in children with cerebral palsy, with an overall incidence of 35% found in this study. The risk of hip displacement is directly related to gross motor function as graded with the Gross Motor Function Classification System. This information may be important when assessing the risk of hip displacement for an individual child who has cerebral palsy, for counseling parents, and in the design of screening programs and resource allocation.

Musculoskeletal Complications of Neuromuscular Disease in Children

“…The prevalence of hip dysplasia in cerebral palsy varies from 2% to 60%, with higher prevalence among children who are quadriplegic or nonambulatory, or have severe spasticity [110][111][112]. In cerebral palsy, the risk for subluxation or [113]. In children who have with spinal cord injury, the incidence of hip subluxation or dislocation is inversely related to age (ie, the older the child at injury, the lower the incidence of hip subluxation or dislocation) [21,22].…”

Hip-joint congruity after Dega osteotomy in patients with cerebral palsy: long-term results

“…The lateral capsule of the hip joint and the caput reflexum of the rectus femoris muscle causes deformity of the femoral head. Hip pain is closely associated with migration and deformity, and once the femur is deformed, the hip joint is usually painful [1].This situation deteriorates if left untreated and leads to further subluxation or dislocation, pain, loss of function and, consequently, loss of quality of life [2][3][4] . The risk increases with the loss of mobility and ability to walk, which is classified in the Gross Motor Function Classification Scale (GMFCS) [5,6].…”

Salvage Options in the Cerebral Palsy Hip: A Systematic Review

“…It has been estimated that GMFCS V patients have a 90% risk of developing a migration percentage of >33%. 1 Progressive neuromuscular hip displacement is often treated by soft tissue or bony reconstructive surgery, with the goal of achieving and maintaining mobile, painless, reduced hips.…”