Prevalence and treatment of hip displacement in children with cerebral palsy in Finland
(2022) In Journal of Children's Orthopaedics 16(2). p.128-135- Abstract
Purpose: The aim was to study the prevalence of hip displacements, dislocations, and the hip surgeries performed in a Finnish cohort of children with cerebral palsy not followed up in a hip surveillance program and to compare these with previous studies performed in Northern European countries before and after the implementation of hip surveillance programs.
Methods: A cross-sectional study. A cohort including 480 children with cerebral palsy, born during the period 2000-2018, not enrolled in a hip surveillance program. Migration percentages were recorded from hip radiographs, age at first hip surgery and type of surgery was extracted from medical records. In a separate analysis, the inclusion criteria were adapted to fit two... (More)
Purpose: The aim was to study the prevalence of hip displacements, dislocations, and the hip surgeries performed in a Finnish cohort of children with cerebral palsy not followed up in a hip surveillance program and to compare these with previous studies performed in Northern European countries before and after the implementation of hip surveillance programs.
Methods: A cross-sectional study. A cohort including 480 children with cerebral palsy, born during the period 2000-2018, not enrolled in a hip surveillance program. Migration percentages were recorded from hip radiographs, age at first hip surgery and type of surgery was extracted from medical records. In a separate analysis, the inclusion criteria were adapted to fit two studies analyzing hip dislocation and hip surgery in Sweden, Norway, and Scotland before and after the implementation of a hip surveillance program. Chi-square tests were used to assess differences in proportions between the groups.
Results: In total, 286 children (60%) have had at least one hip radiograph. Of these, 10 (3.5%) developed hip dislocation, which is more than in children of countries with hip surveillance programs (Sweden 0.7%, Scotland 1.3%,
p < 0.001). Initial surgery to prevent hip dislocation was performed at an older age (
p < 0.001).
Conclusion: Children with cerebral palsy in Finland not participating in a surveillance hip program were more likely to undergo hip surgery at an older age and to develop hip displacements and dislocations. The results support the effectiveness of surveillance programs to prevent hip dislocation in children with cerebral palsy.
Level of evidence: III.
(Less)
- author
- Jeglinsky, Ira LU ; Alriksson-Schmidt, Ann I LU ; Hägglund, Gunnar LU and Ahonen, Matti
- organization
- publishing date
- 2022-04
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Children's Orthopaedics
- volume
- 16
- issue
- 2
- pages
- 128 - 135
- publisher
- Springer
- external identifiers
-
- pmid:35620122
- scopus:85131321686
- ISSN
- 1863-2521
- DOI
- 10.1177/18632521221089439
- language
- English
- LU publication?
- yes
- additional info
- © The Author(s) 2022.
- id
- b6a93ed5-9199-4695-bfa3-77f88344156b
- date added to LUP
- 2022-06-27 14:32:49
- date last changed
- 2024-06-13 15:36:10
@article{b6a93ed5-9199-4695-bfa3-77f88344156b,
abstract = {{<p>Purpose: The aim was to study the prevalence of hip displacements, dislocations, and the hip surgeries performed in a Finnish cohort of children with cerebral palsy not followed up in a hip surveillance program and to compare these with previous studies performed in Northern European countries before and after the implementation of hip surveillance programs.</p><p>Methods: A cross-sectional study. A cohort including 480 children with cerebral palsy, born during the period 2000-2018, not enrolled in a hip surveillance program. Migration percentages were recorded from hip radiographs, age at first hip surgery and type of surgery was extracted from medical records. In a separate analysis, the inclusion criteria were adapted to fit two studies analyzing hip dislocation and hip surgery in Sweden, Norway, and Scotland before and after the implementation of a hip surveillance program. Chi-square tests were used to assess differences in proportions between the groups.</p><p>Results: In total, 286 children (60%) have had at least one hip radiograph. Of these, 10 (3.5%) developed hip dislocation, which is more than in children of countries with hip surveillance programs (Sweden 0.7%, Scotland 1.3%, <br>
p < 0.001). Initial surgery to prevent hip dislocation was performed at an older age ( <br>
p < 0.001).<br>
</p><p>Conclusion: Children with cerebral palsy in Finland not participating in a surveillance hip program were more likely to undergo hip surgery at an older age and to develop hip displacements and dislocations. The results support the effectiveness of surveillance programs to prevent hip dislocation in children with cerebral palsy.</p><p>Level of evidence: III.</p>}},
author = {{Jeglinsky, Ira and Alriksson-Schmidt, Ann I and Hägglund, Gunnar and Ahonen, Matti}},
issn = {{1863-2521}},
language = {{eng}},
number = {{2}},
pages = {{128--135}},
publisher = {{Springer}},
series = {{Journal of Children's Orthopaedics}},
title = {{Prevalence and treatment of hip displacement in children with cerebral palsy in Finland}},
url = {{http://dx.doi.org/10.1177/18632521221089439}},
doi = {{10.1177/18632521221089439}},
volume = {{16}},
year = {{2022}},
}