Department of Orthopaedic Surgery, Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Hunnewell 221, Boston, MA, 02115, USA,
Curr Rev Musculoskelet Med. 2012 Jun;5(2):126-34. doi: 10.1007/s12178-012-9120-4.
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.
痉挛性髋关节脱位是脑瘫（CP）儿童中第二常见的畸形，其长期影响可能是致残性的。进行性髋关节外移导致脱位可导致严重疼痛以及功能和生活质量受损。最近的基于人群的研究表明，儿童的粗大运动功能分类系统（GMFCS）水平是识别“有进展性外侧移位风险”髋关节的最具预测性指标。因此，在许多发达国家，髋关节监测现已作为痉挛性髋关节脱位儿童综合管理拼图的重要组成部分。本文综述了可用于进行性髋关节外移的各种治疗方法，研究了髋关节监测成功率的现有文献，并举例说明了按 GMFCS 水平分层的当前髋关节监测计划。
