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Prevention of dislocation of the hip in children with cerebral palsy. The first ten years of a population-based prevention programme.

Hägglund, Gunnar LU ; Andersson, Sofia LU ; Düppe, Henrik LU ; Lauge-Pedersen, Henrik LU ; Nordmark, Eva LU and Westbom, Lena LU (2005) In Journal of Bone and Joint Surgery 87(1). p.95-101
Abstract
In 1994, a register for cerebral palsy and a health-care programme were started in southern Sweden with the aim of preventing dislocation of the hip in children with cerebral palsy. It involved all children with cerebral palsy born in 1992 or later. None of the 206 affected children born between 1992 and 1997 has developed a dislocation following the introduction of the prevention programme. Another 48 children moved into the area and none developed any further dislocation. Of the 251 children with cerebral palsy, aged between five and 11 years, living in the area on January 1, 2003, only two had a dislocated hip. One boy had moved into the area at age of nine with a dislocation and a girl whose parents chose not to participate in the... (More)
In 1994, a register for cerebral palsy and a health-care programme were started in southern Sweden with the aim of preventing dislocation of the hip in children with cerebral palsy. It involved all children with cerebral palsy born in 1992 or later. None of the 206 affected children born between 1992 and 1997 has developed a dislocation following the introduction of the prevention programme. Another 48 children moved into the area and none developed any further dislocation. Of the 251 children with cerebral palsy, aged between five and 11 years, living in the area on January 1, 2003, only two had a dislocated hip. One boy had moved into the area at age of nine with a dislocation and a girl whose parents chose not to participate in the programme developed bilateral dislocation. One boy, whose condition was considered to be too poor for preventative surgery, developed a painful dislocation of the hip at the age of five years and died three years later. Eight of 103 children in a control group, consisting of all children with cerebral palsy living in the area between 1994 and 2002, and born between 1990 and 1991, developed a dislocation of the hip before the age of six years. The decreased incidence of dislocation after the introduction of the prevention programme was significant (p < 0.001). Dislocation of the hip in cerebral palsy remains a serious problem, and prevention is important. Our screening programme and early intervention when lateral displacement of the femoral head was detected appear to be successful. (Less)
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organization
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type
Contribution to journal
publication status
published
subject
keywords
Hip Joint: radiography, Severity of Illness Index, Non-U.S. Gov't, Child, Child Health Services, Cerebral Palsy: radiography, Cerebral Palsy: diagnosis, Cerebral Palsy: complications, Hip Dislocation: etiology, Follow-Up Studies, Female, Hip Dislocation: prevention & control, Preschool, Humans, Male, Mass Screening, Preventive Health Services, Program Evaluation, Registries, Research Support, Hip Dislocation: radiography
in
Journal of Bone and Joint Surgery
volume
87
issue
1
pages
95 - 101
publisher
British Editorial Society of Bone & Joint Surgery
external identifiers
  • pmid:15686244
  • wos:000226535500017
  • scopus:12444320403
ISSN
2044-5377
DOI
10.1302/0301-620X.87B1.15146
language
English
LU publication?
yes
id
04817c9e-5979-44ae-96dd-e03a798d83fd (old id 133939)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15686244&dopt=Abstract
date added to LUP
2007-07-24 09:26:49
date last changed
2017-11-19 03:29:55
@article{04817c9e-5979-44ae-96dd-e03a798d83fd,
  abstract     = {In 1994, a register for cerebral palsy and a health-care programme were started in southern Sweden with the aim of preventing dislocation of the hip in children with cerebral palsy. It involved all children with cerebral palsy born in 1992 or later. None of the 206 affected children born between 1992 and 1997 has developed a dislocation following the introduction of the prevention programme. Another 48 children moved into the area and none developed any further dislocation. Of the 251 children with cerebral palsy, aged between five and 11 years, living in the area on January 1, 2003, only two had a dislocated hip. One boy had moved into the area at age of nine with a dislocation and a girl whose parents chose not to participate in the programme developed bilateral dislocation. One boy, whose condition was considered to be too poor for preventative surgery, developed a painful dislocation of the hip at the age of five years and died three years later. Eight of 103 children in a control group, consisting of all children with cerebral palsy living in the area between 1994 and 2002, and born between 1990 and 1991, developed a dislocation of the hip before the age of six years. The decreased incidence of dislocation after the introduction of the prevention programme was significant (p &lt; 0.001). Dislocation of the hip in cerebral palsy remains a serious problem, and prevention is important. Our screening programme and early intervention when lateral displacement of the femoral head was detected appear to be successful.},
  author       = {Hägglund, Gunnar and Andersson, Sofia and Düppe, Henrik and Lauge-Pedersen, Henrik and Nordmark, Eva and Westbom, Lena},
  issn         = {2044-5377},
  keyword      = {Hip Joint: radiography,Severity of Illness Index,Non-U.S. Gov't,Child,Child Health Services,Cerebral Palsy: radiography,Cerebral Palsy: diagnosis,Cerebral Palsy: complications,Hip Dislocation: etiology,Follow-Up Studies,Female,Hip Dislocation: prevention & control,Preschool,Humans,Male,Mass Screening,Preventive Health Services,Program Evaluation,Registries,Research Support,Hip Dislocation: radiography},
  language     = {eng},
  number       = {1},
  pages        = {95--101},
  publisher    = {British Editorial Society of Bone & Joint Surgery},
  series       = {Journal of Bone and Joint Surgery},
  title        = {Prevention of dislocation of the hip in children with cerebral palsy. The first ten years of a population-based prevention programme.},
  url          = {http://dx.doi.org/10.1302/0301-620X.87B1.15146},
  volume       = {87},
  year         = {2005},
}