We just published a paper on the necessity of hip screening in children with CP. It reviews the most up to date literature on this topic. A copy of the article can be found by clicking on the link below https://authors.elsevier.com/a/1We166z8-CQmF ..read more

In the last post, we discussed the different surgical procedures that are typically performed for the treatment of hip disorders in children with cerebral palsy. Parents are always concerned  about the complications associated with these procedures. I will discuss the common complications of these procedures in this post 1- Bleeding requiring blood transfusion: Like any other surgery, hip surgery in children with cerebral palsy can result in blood loss requiring blood transfusion.The risk of this complication is highest in young children undergoing procedures involving reshaping of the p ..read more

In the previous two posts, I discussed the necessity of hip screening.  In this post, the various treatment options are discussed. Treatment of hip disorders in children with cerebral palsy varies on the age of the child and the degree of hip involvement at the time of treatment. If the hip problem is found in early stages, the treatment would be much easier. Treatment options are usually divided into the following three categories: 1- Preventive procedures: These procedures are suitable for mild degree of hip involvement found in younger children (typically younger than 8 years). This is ..read more

The frequency of hip screening in children with cerebral palsy varies depending on their level of involvement, age, and preexisting level of hip involvement. In general, children who can ambulate without assistive devices require less frequent screening than children who rely on wheelchairs for ambulation. The level of involvement in children with cerebral palsy is reported mostly by GMFCS level(Growth Motor Function Classification System). The level is measured by the physical ability of the child and higher GMFCS level indicates a higher the level of involvement. The GMFCS is usuallly stable ..read more

The Necessity of Hip Surveillance in Children with Cerebral Palsy At least every week, I see children with cerebral palsy with advanced hip diseases requiring major reconstructive surgery that may have been easily prevented by proper   screening and preventive procedures. This post describes the necessity of hip surveillance in all children with cerebral palsy. The hip is the second most common involved joint (after ankle)in children with cerebral palsy. The hip is a ball and socket joint and for its proper function and painless movement, the ball (femoral head ..read more