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Australian hip surveillance guidelines for children with cerebral palsy: 5‐year review
Author(s) -
Wynter Meredith,
Gibson Noula,
Willoughby Kate L,
Love Sarah,
Kentish Megan,
Thomason Pam,
Graham H Kerr
Publication year - 2015
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.12754
Subject(s) - cerebral palsy , medicine , gross motor function classification system , displacement (psychology) , physical therapy , physical medicine and rehabilitation , psychology , psychotherapist
Aim To ensure hip surveillance guidelines reflect current evidence of factors influencing hip displacement in children with cerebral palsy ( CP ). Method A three‐step review process was undertaken: (1) systematic literature review, (2) analysis of hip surveillance databases, and (3) national survey of orthopaedic surgeons managing hip displacement in children with CP . Results Fifteen articles were included in the systematic review. Quantitative analysis was not possible. Qualitative review indicated hip surveillance programmes have decreased the incidence of hip dislocation in populations with CP . The G ross M otor F unction C lassification S ystem was confirmed as the best indicator of risk for displacement, and evidence was found of hip displacement occurring at younger ages and in young adulthood. Femoral geometry, pelvic obliquity, and scoliosis were linked to progression of hip displacement. A combined data pool of 3366 children from Australian hip surveillance databases supported the effectiveness of the 2008 C onsensus Statement to identify hip displacement early. The survey of orthopaedic surgeons supported findings of the systematic review and database analyses. Interpretation This review rationalized changes to the revised and renamed A ustralian H ip S urveillance G uidelines for C hildren with C erebral P alsy 2014, informing frequency of radiographic examination in lower risk groups and continuation of surveillance into adulthood for adolescents with identified risk factors.