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. Number of times cited according to CrossRef: Braddom's Physical Medicine and Rehabilitation. The intra- and inter-rater reliability of the Goldsmith indices of body symmetry in non-ambulant adults with cerebral palsy. Developing a province-wide hip surveillance program for children with cerebral palsy. Natural History and Surveillance of Hip Dysplasia in Cerebral Palsy. Oxford Centre for Evidence‐Based Medicine, Methodological Index for Non‐Randomised Studies (MINORS): development and validation of a new instrument, Asymmetric hip deformity and subluxation in cerebral palsy: an analysis of surgical treatment, Characteristics of children with hip displacement in cerebral palsy, Hip deformities in walking patients with cerebral palsy, Age and migration percentage as risk factors for progression in spastic hip disease, Dislocation of the hips in children with bilateral spastic cerebral palsy, 1985–2000, Proximal femoral geometry in cerebral palsy: a population‐based cross‐sectional study, Hip dysplasia in bilateral cerebral palsy: incidence and natural history in children aged 18 months to 5 years, Development of the hip joints in unoperated children with cerebral palsy: a radiographic study of 76 patients, The anatomy of the dysplastic hip in cerebral palsy related to prognosis and treatment, Gait patterns in spastic hemiplegia in children and young adults, Classification of gait patterns in spastic hemiplegia and spastic diplegia: a basis for a management algorithm, Verification of the Robin and Graham classification system of hip disease in cerebral palsy using three‐dimensional computed tomography, Hip status in cerebral palsy after one year of continuous intrathecal baclofen infusion, A comparison of hip dislocation rates and hip containment procedures after selective dorsal rhizotomy versus intrathecal baclofen pump insertion in nonambulatory cerebral palsy patients, Changes in hip migration after selective dorsal rhizotomy for spastic quadriplegia in cerebral palsy, Hip joint subluxation after selective dorsal rhizotomy for spastic cerebral palsy, Effects of selective dorsal rhizotomy for spastic diplegia on hip migration in cerebral palsy. The Consensus Statement on Hip Surveillance for Children with Cerebral Palsy: Australian Standards of Care (Consensus Statement)9 was developed in 2008 in accordance with the National Health and Medical Research Council Guidelines for establishing clinical practice guidelines.10 The Consensus Statement recommends a frequency of routine radiographs relative to the child's GMFCS level and current hip status, enabling serial monitoring of hip displacement by measurement of migration percentage, and has been adopted in most states of Australia. Referral back to hip surveillance should occur: Recommendation that surveillance be continued after surgical intervention is given greater emphasis by including this statement in the body of 2014 Guidelines, rather than as an annotation as in the 2008 Consensus Statement, Hip surveillance after skeletal maturity and transition, This is a new recommendation. Orthopedic Hip Surgery for Patients with Cerebral Palsy. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Risk Factors for Hip Displacement in Children With Cerebral Palsy: Systematic Review. Of the cohort not involved in surveillance, 7.8% had dislocation.17 The incidence of dislocation in children under surveillance compares favourably in other studies, with reported dislocation rates of 1.3% (Terjesen5), 6.9% (Connelly et al.7), and 1.4% (Kentish et al.8). Any disagreement about eligibility was resolved by discussion, with inclusion requiring the agreement of at least two of the three reviewers. 1,2 Displacement is often silent, with no clinical symptoms. 2011;4(3):205-17. doi: 10.3233/PRM-2011-0176. Should we include recommendations for children with acquired brain injury? The majority of studies included children and adolescents under the age of 18 years, although two studies specifically included young adults aged over 18 years.24, 25 CP classification (movement disorder and topography) was not reported in all studies.  |  2020 Feb 1;14(1):24-29. doi: 10.1302/1863-2548.14.190099. All of these newly sourced articles were excluded after application of inclusion and exclusion criteria to the full text. There was a need for clarification of the frequency of surveillance for children with hemiplegia and WGH type IV gait. The updated guidelines now include a recommendation for the continuation of hip surveillance for those children in GMFCS level II who display additional risk factors. 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.