Hip surveillance in children with cerebral palsy - Impact on the surgical management of spastic hip disease

Dobson, F., Boyd, R. N., Parrott, J., Nattrass, G. R. and Graham, H. K. (2002) Hip surveillance in children with cerebral palsy - Impact on the surgical management of spastic hip disease. Journal of Bone and Joint Surgery - Series B, 84B 5: 720-726. doi:10.1302/0301-620X.84B5.12398


Author Dobson, F.
Boyd, R. N.
Parrott, J.
Nattrass, G. R.
Graham, H. K.
Title Hip surveillance in children with cerebral palsy - Impact on the surgical management of spastic hip disease
Journal name Journal of Bone and Joint Surgery - Series B   Check publisher's open access policy
ISSN 0301-620X
Publication date 2002-07-01
Sub-type Article (original research)
DOI 10.1302/0301-620X.84B5.12398
Volume 84B
Issue 5
Start page 720
End page 726
Total pages 7
Language eng
Abstract We studied prospectively the impact of a hip surveillance clinic on the management of spastic hip disease in children with cerebral palsy in a tertiary referral centre. Using a combination of primary clinical and secondary radiological screening we were able to detect spastic hip disease at an early stage in most children and to offer early surgical intervention. The principal effect on surgical practice was that more preventive surgery was carried out at a younger age and at a more appropriate stage of the disease. The need for reconstructive surgery has decreased and that for salvage surgery has been eliminated. Displacement of the hip in children with cerebral palsy meets specific criteria for a screening programme. We recommend that hip surveillance should become part of the routine management of children with cerebral palsy. The hips should be examined radiologically at 18 months of age in all children with bilateral cerebral palsy and at six- to 12-monthly intervals thereafter. A co-ordinated approach by orthopaedic surgeons and physiotherapists may be the key to successful implementation of this screening programme.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Thu, 10 Mar 2011, 20:16:29 EST