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Windswept hip deformity in children with cerebral palsy: a population-based prospective follow-up

Gunnar Hägglund1, Henrik Lauge-Pedersen2, Måns Persson Bunke2

  • 1Department of Clinical Sciences, Lund, Orthopaedics, Lund University, 22185, Lund, Sweden. gunnar.hagglund@med.lu.se.

Journal of Children'S Orthopaedics
|June 20, 2016
PubMed

Insights

Early hip surveillance in children with cerebral palsy (CP) may reduce the incidence of windswept hip deformity (WS) originating in the lower extremities. This proactive approach appears to lower the risk of developing WS, a condition associated with hip dislocation and scoliosis.

Area of Science:

  • Pediatric Orthopedics
  • Cerebral Palsy Research
  • Hip Surveillance

Background:

  • Windswept hip deformity (WS) is a complex condition affecting children with cerebral palsy (CP).
  • Understanding the development and risk factors for WS is crucial for effective management.
  • The impact of early intervention programs on WS incidence requires further investigation.

Purpose of the Study:

  • To analyze the development of WS in children with CP up to age 20.
  • To investigate the association between WS, hip dislocation, femoral varus osteotomy, and scoliosis.
  • To evaluate the effect of a hip surveillance program on the incidence of WS.

Main Methods:

  • Prospective study of children with CP in southern Sweden (CPUP registry).
  • Comparison of a historic control group (born 1990-1991, later surveillance) with a study group (born 1992-1995, early surveillance from age 2).
  • Analysis of WS development, hip dislocation, scoliosis, and treatment outcomes.

Main Results:

  • WS developed in 18% of the control group versus 9% in the early surveillance group (p=0.071).
  • Of 25 children with WS, 21 had scoliosis and 5 had hip dislocation.
  • Early surveillance significantly reduced WS originating in the lower extremities (p=0.028).

Conclusions:

  • Early inclusion in a hip surveillance program can potentially decrease the frequency of WS originating in the lower extremities.
  • Timely treatment of contractures alongside surveillance may further mitigate WS development.
  • Hip surveillance programs show promise in managing skeletal deformities in children with CP.
Abstract

Keywords:
Cerebral palsyHip dislocationScoliosisWindswept hip deformity

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