diplegia

CP Hip

Aims

 

Prevent contractures

Prevent dislocations

Improve walking 

Provide stable and painless sitting

Allow perineal care

 

Issues

 

Hip Dislocation

Adductor contractures

Flexion contractures

In-toeing

Windswept hips

 

Hip Dislocation

 

Natural History

 

Accepted that a dislocated hip in CP is painful

Background

Definition

 

CP is a permanent disorder of movement and posture 

- non-progressive 

- brain injury before the age of two years

 

Strict definition excludes familial & progressive congenital problems & those acquired in childhood as a result of head injuries

 

Incidence

 

2-3 per 1000 live births

 

Higher in 

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