Knowledge Hub

Hip displacement and dislocation can lead to pain, reduced function, and reduced quality of life. Children with cerebral palsy have an increased risk of hip displacement. Systematic hip surveillance allows for early detection of hip displacement. Early detection enables referral for assessment and/or management when all treatment options are available.

Care Pathway: Hip Surveillance in Cerebral Palsy

Knowledge Hub

Hip displacement and dislocation can lead to pain, reduced function, and reduced quality of life. Children with cerebral palsy have an increased risk of hip displacement. Systematic hip surveillance allows for early detection of hip displacement. Early detection enables referral for assessment and/or management when all treatment options are available.

Synopsis of resource

This Care Pathway describes the importance of hip surveillance in children cerebral palsy. It provides an algorithm for the steps required in the hip surveillance process including when to refer to an orthopaedic surgeon. It provides evidence-based practical tools such as radiology guidelines for hip surveillance and a hip health addendum. The Care Pathway addresses and provides evidence for the effectiveness, clinical examination, radiological examination, and frequency of hip surveillance.

Key learning outcome

  • Describe the importance of hip surveillance for early detection of hip displacement in children with CP
  • Describe the components of a hip surveillance program
  • Describe a systematic approach to complete hip surveillance
  • Provide practice resources for implementation of a hip surveillance program
Mauren O'Donnell

Author

Maureen O’Donnell is the executive vice president of Clinical Policy, Planning and Partnerships at the Provincial Health Services Authority (PHSA) in British Columbia, Canada. She is a subspecialist developmental paediatrician, an associate professor in the Department of Pediatrics at the University of British Columbia, and holds a MSc in clinical epidemiology from McMaster University.  Dr. O’Donnell has also served for a number of years as senior advisor to the deputy minister of health in B.C. on child health policies. She is the current chair of the board of directors for Children’s Healthcare Canada and a member of the Royal College Examination Board for Developmental Pediatrics. Previous appointments include board member for the Translating Emergency Knowledge for Kids (TREKK) Network of Centres of Excellence; past president of the American Academy for Cerebral Palsy and Developmental Medicine; chair of Canada’s Royal College of Physicians and Surgeons’ Specialty Committee on Developmental Pediatrics; and president of the Canadian Paediatric Society’s Developmental section.