NeuromuscularChildhood

Cerebral Palsy Hip Surveillance

Progressive hip displacement is common in children with cerebral palsy and correlates with motor function (GMFCS); surveillance prevents painful dislocation.

Presentation

Spasticity of hip adductors and flexors
Decreased abduction; risk rises with GMFCS level

Imaging & Workup

Serial AP pelvis with migration percentage (Reimers index)
Surveillance frequency based on GMFCS level and age

Treatment

Tone management

Botulinum toxin, baclofen, physiotherapy.

Soft tissue release

Adductor/psoas release for early migration.

Reconstruction

Femoral/pelvic osteotomy for established subluxation.

Clinical Pearls

Migration percentage > 30% warrants intervention consideration