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Hip displacement in children with cerebral palsy in Scotland: a total population study

K E Bugler1, M S Gaston1, J E Robb2

  • 1Royal Hospital for Sick Children, Edinburgh, UK.

Journal of Children'S Orthopaedics
|January 5, 2019
PubMed

Insights

In Scotland, 2.5% of children with cerebral palsy (CP) had hip dislocation, primarily in severe motor function levels. Another 10% experienced hip displacement, linked to GMFCS level and bilateral involvement.

Area of Science:

  • Orthopedics
  • Pediatric Neurology
  • Rehabilitation Medicine

Background:

  • Cerebral palsy (CP) is a common childhood neurological disorder.
  • Hip displacement and dislocation are significant complications in children with CP.
  • Early identification and management are crucial for improving outcomes.

Purpose of the Study:

  • To determine the prevalence of hip displacement and dislocation in children with CP in Scotland.
  • To analyze associated risk factors, including Gross Motor Function Classification System (GMFCS) levels and CP subtypes.

Main Methods:

  • Analysis of data from a national CP surveillance program in Scotland.
  • Inclusion of 1171 children with available radiographs at first registration.
  • Calculation of migration percentage (MP) to define hip displacement (MP 40-99) and dislocation (MP >100).

Main Results:

  • 2.5% of children (29/1171) had hip dislocation, exclusively in GMFCS levels IV and V.
  • 10% of children (117/1171) had hip displacement (MP 40-99).
  • Higher GMFCS levels, bilateral involvement, and spastic/mixed CP types were associated with increased risk of hip displacement/dislocation.

Conclusions:

  • This study provides essential data on the incidence of hip displacement and dislocation in Scottish children with CP.
  • Findings highlight the need for surgical intervention in a significant subset of these children.
  • The data can inform surveillance and management strategies for hip complications in pediatric CP.
Abstract

Keywords:
cerebral palsychildrenhip dislocationhip displacementregistry

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