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The role for hip surveillance in children with cerebral palsy.
MedLine Citation:
PMID:  22430862     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Spastic hip displacement is the second most common deformity seen in children with cerebral palsy (CP), and the long-term effects can be debilitating. Progressive hip displacement leading to dislocation can result in severe pain as well as impaired function and quality of life. Recent population-based studies have demonstrated that a child's Gross Motor Functional Classification System (GMFCS) level is most predictive for identifying hips "at-risk" for progressive lateral displacement. As a result, in many developed countries, hip surveillance has now been adopted as an integral piece of the comprehensive care puzzle for the management of children with spastic hip displacement. This paper reviews the spectrum of treatments available for progressive hip displacement, examines the current literature on the success of hip surveillance, and illustrates an example of a current hip surveillance program stratified by the GMFCS level.
Authors:
Benjamin Shore; David Spence; Hk Graham
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current reviews in musculoskeletal medicine     Volume:  5     ISSN:  1935-9748     ISO Abbreviation:  Curr Rev Musculoskelet Med     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-05-03     Completed Date:  2012-10-02     Revised Date:  2013-02-20    
Medline Journal Info:
Nlm Unique ID:  101317803     Medline TA:  Curr Rev Musculoskelet Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  126-34     Citation Subset:  -    
Affiliation:
Department of Orthopaedic Surgery, Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Hunnewell 221, Boston, MA, 02115, USA, Benjamin.Shore@childrens.harvard.edu.
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