Article

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 Gross Motor Function
Classification System 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 Consensus 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 Australian Hip Surveillance Guidelines for Children with Cerebral Palsy
2014, informing frequency of radiographic examination in lower risk groups and
continuation of surveillance into adulthood for adolescents with identified risk
factors.
CI - (c) 2015 Mac Keith Press.

Langue : ANGLAIS