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Surveillance measures of the hips of children with bilateral cerebral palsy
a Neurosciences Unit, Institute of Child Health, London, b Newcomen Centre, Guy's Hospital, London
Correspondence to: David Scrutton, Newcomen Centre, Guy's Hospital, St Thomas' Street, London SE1 9RT.
| The first 150 words of the full text of this article appear below. |
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Bilateral cerebral palsy |
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Gradually developing deformity can be an insidious complication of bilateral cerebral palsy and it is one which can all too easily be overlooked by the paediatrician already coping with the many other developmental, social, and educational problems presented by these children and their families. Although the orthopaedic management of some deformity can be deferred, this is not so for all deformities. Hip and spinal deformities can benefit from early intervention.
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Gradually developing hip instability |
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In the past, gradual hip subluxation, often leading to
dislocation, has often been referred to as `developmental
dislocation', but this term has become associated with congenital
dislocation of the hip and it is confusing to continue its use in
cerebral palsy and similar situations where there is no primary
abnormality of the hip joint. The medium to long term consequences of
increasing hip deformity are subluxation/dislocation of the hip.
Subsequently, loss of hip flexion causes kyphotic sitting with an
increased
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