Surveillance measures of the hips of children with bilateral cerebral palsy

Musculoskeletal Aspects of Cerebral Palsy

“…The goal of management of the hip should be early detection of abnormality by systematic screening and prevention of dislocation by simple soft-tissue surgery. 70,71 It is more effective to prevent dislocation by simple soft-tissue surgery than to subject a child to the risks of major reconstructive operations. When the latter are required, a one-stage open reduction, combined with a varus derotation and shortening osteotomy of the proximal femur and a pelvic osteotomy, offers the best prospect of longterm stability of the hip.…”

A series of case studies on the effect of a midfoot control ankle foot orthosis in the prevention of unresolved pressure areas in children with cerebral palsy

“…The purpose of the efforts described in this paper is to enable patients with CP to fulfil as many roles as other ambulatory children. Studies show the positive effects of ambulation (Motloch 1984;Abel et al, 1997;Binder and Eng, 1985;Scrutton and Baird, 1997) and successful strategies that encourage and support it can be seen as improving the quality of life for patients with CP. The aim of the orthosis described is to maintain mobility and thereby enhance the quality of life for certain children with CP.…”

Physical Management of Children with Cerebral Palsy

“…The subluxation or dislocation of hip joint may cause significant morbidity in terms of pain and difficulty with postural control, creating limitations in sitting, standing and walking, and personal care problems which include hygiene (Bobath, 1980, Pountney, 2007. Children who do not walk independently, approximately 60% of this group will have hip dislocation by age 5 years (Scrutton & Baird, 1997, Scrutton et al, 2001. It is recognized that dislocation continues to occur well into adolescence offered a protocol for the surveillance of hips in young children, which recommends a baseline X ray at 30 months to determine risk (Scrutton & Baird, 1997, Miller & Bagg, 1992.…”

“…Children who do not walk independently, approximately 60% of this group will have hip dislocation by age 5 years (Scrutton & Baird, 1997, Scrutton et al, 2001. It is recognized that dislocation continues to occur well into adolescence offered a protocol for the surveillance of hips in young children, which recommends a baseline X ray at 30 months to determine risk (Scrutton & Baird, 1997, Miller & Bagg, 1992. The association between hip dislocation and spinal curvature is well known and children with a windswept deformity of the hip are subluxated or present as a precursor to spinal curvature.…”