Pediatr Ann. 2022 Sep;51(9):e353-e356. doi: 10.3928/19382359-20220706-06. Epub 2022 Sep 1.
Patients with cerebral palsy are known to be at risk for hip displacement and dislocation. Progressive hip displacement is known to cause a variety of problems including pain, impaired sitting balance, difficulty with perineal care, and decreased quality of life. To avoid these problems, hip reconstruction may be recommended and has been shown to lead to significant improvements in pain and health-related quality of life. To properly identify patients in need of intervention for hip displacement, hip surveillance is an active program consisting of clinical and radiographic monitoring in patients with cerebral palsy that allows for early detection of hip displacement in those at risk. As such, all children with cerebral palsy should be referred for hip surveillance at age 2 years. A growing body of literature has shown that hip surveillance along with appropriate orthopedic management decreases or prevents the incidence of hip dislocations, with direct implications on overall quality of life, in children with cerebral palsy. .
已知脑瘫患者存在髋关节移位和脱位的风险。髋关节进行性移位会导致各种问题，包括疼痛、坐立平衡受损、会阴部护理困难和生活质量下降。为了避免这些问题，可能会建议进行髋关节重建，并且已经证明这可以显著改善疼痛和与健康相关的生活质量。为了正确识别需要进行髋关节移位干预的患者，髋关节监测是一项积极的计划，包括对脑瘫患者进行临床和影像学监测，以便及早发现有风险的髋关节移位。因此，所有脑瘫患儿都应在 2 岁时接受髋关节监测。越来越多的文献表明，髋关节监测结合适当的矫形管理可以降低或预防脑瘫儿童髋关节脱位的发生率，这对整体生活质量有直接影响。
