2012
DOI: 10.1111/j.1469-8749.2012.04385.x
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The natural history of hip development in cerebral palsy

Abstract: There is a pronounced trend towards hip displacement in nonambulant children. Close surveillance from age 1 to 2 years is needed to find the appropriate time for preventive surgery. Since 12% of the nonambulant children developed dislocation, our routines for hip surveillance need improvement.

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Cited by 162 publications
(190 citation statements)
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“…Prevention programmes such as that described by Hägglund [10] and the Australian Hip Surveillance Working Group [32,33] avoid painful hips, and hip surgery is not performed unless pain and femoral-head destruction has already developed. The MP according to Reimers appears to be a reliable tool for pre-and post-operative monitoring [23]. Operative treatment planning starts if X-rays show an MP >40 %, even if a clinical correlate is lacking.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Prevention programmes such as that described by Hägglund [10] and the Australian Hip Surveillance Working Group [32,33] avoid painful hips, and hip surgery is not performed unless pain and femoral-head destruction has already developed. The MP according to Reimers appears to be a reliable tool for pre-and post-operative monitoring [23]. Operative treatment planning starts if X-rays show an MP >40 %, even if a clinical correlate is lacking.…”
Section: Discussionmentioning
confidence: 99%
“…Hip decentration is a common problem in patients with CP [23]. There is consensus that progressive hip subluxation with loss of function and pain should be treated surgically [12,24].…”
Section: Discussionmentioning
confidence: 99%
“…These surveillance programs aim to prevent hip dislocation, scoliosis and severe contracture deformities and collect and store longitudinal data on children with CP in their databases. Examples include CP Uppföljnings Program (CPUP) in Sweden [28] and CP Oppfølgings Program (CPOP) in Norway [34,35]. …”
Section: Methodsmentioning
confidence: 99%
“…In time these subdislocations or dislocations can lead to deformity of the femoral head and acetabular dysplasia. Hip displacement occurs in 26% of all children with CP and in up to 80% of those classified with Gross Motor Function Classification System (GMFCS) levels IV or V [3,4]. It is reported that many children with CP with GMFCS level IV or V show abnormalities on radiographs of the hip [3].…”
Section: Introductionmentioning
confidence: 99%