Open AccessHip Displacement in Cerebral Palsy: The Role of Surveillance
Author(s) -
Alaric Aroojis,
Nihit Mantri,
Ashok Johari
Publication year - 2020
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.1007/s43465-020-00162-y
Subject(s) - medicine , cerebral palsy , context (archaeology) , physical medicine and rehabilitation , gross motor function classification system , physical therapy , displacement (psychology) , gait , weakness , hip dysplasia , range of motion , radiography , surgery , psychology , paleontology , psychotherapist , biology
Hip displacement is common in cerebral palsy (CP) and is related to the severity of neurological and functional impairment. It is a silent, but progressive disease, and can result in significant morbidity and decreased quality of life, if left untreated. The pathophysiology of hip displacement in CP is a combination of hip flexor-adductor muscle spasticity, abductor muscle weakness, and delayed weight-bearing, resulting in proximal femoral deformities and progressive acetabular dysplasia. Due to a lack of symptoms in the early stages of hip displacement, the diagnosis is easily missed. Awareness of this condition and regular surveillance by clinical examination and serial radiographs of the hips are the key to early diagnosis and treatment.