Hip Developmental Abnormalities According to the Characteristics of Children with Cerebral Palsy
Keywords:
cerebral palsy, hip dislocation, joint subluxations, developmental disabilities, motor activity , radiographyAbstract
Introduction: Hip abnormalities in cerebral palsy cause greater limitations in functional activities and affect quality of life.
Objective: To describe hip developmental abnormalities according to the characteristics of children with cerebral palsy.
Methods: A descriptive, cross-sectional, observational study was conducted using medical records from 2018-2019 from Psychomotor Development Department of Dr. Adriana Rebaza Flores National Rehabilitation Institute, Peru-Japan Friendship. Variables included hip developmental abnormality, side of hip abnormality, age, sex, type of cerebral palsy, gross motor function, and radiological report.
Results: During the study period, 417 children with cerebral palsy were admitted; 3.8% presented with hip subluxation and 6.7% with hip dislocation. The median age in those with hip developmental abnormalities was higher than in those without (five years vs. four years). The frequency of hip developmental abnormalities was higher in females than in males (12.4% vs. 9.3%). In spastic quadriplegic cerebral palsy, the frequency was 26.6%, followed by spastic diplegic (7.8%) and dyskinetic (7.8%), and in children with level IV motor function, it was 8.7% and level V, 20.8%.
Conclusions: Hip abnormalities are more prevalent in older children with cerebral palsy, females, in the types of spastic quadriplegic, diplegic, and dyskinetic cerebral palsy, and in levels IV and V of gross motor function.
Downloads
References
1. Rosenbaum P. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109:8-14. DOI: https://doi.org/10.1111/j.1469-8749.2007.00001.x
2. Van Naarden Braun K, Doernberg N, Schieve L, Christensen D, Goodman A, Yeargin-Allsopp M. Birth prevalence of cerebral palsy: a population-based study. Pediatrics. 2016;137(1):1-9. DOI: https://doi.org/10.1542/peds.2015-2872
3. Cans C. Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Dev Med Child Neurol. 2000;42(12):816-24. DOI: https://doi.org/10.1017/s0012162200001511
4. Gómez-López S, Jaimes V, Palencia C, Hernández M, Guerrero A. Parálisis cerebral infantil. Arch Venez Puer Ped. 2013 [acceso 14/01/2023];76(1):30-39. Disponible en: http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S0004-06492013000100008&lng=es
5. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39(4):214-23. DOI: https://doi.org/10.1111/j.1469-8749.1997.tb07414.x
6. Zhang S, Doudoulakis KJ, Khurwal A, Sarraf KM. Developmental dysplasia of the hip. Br J HospMed (Lond). 2020;81(7):1-8. DOI: https://doi.org/10.12968/hmed.2020.0223
7. Vaquero-Picado A, González-Morán G, Garay EG, Moraleda L. Developmental dysplasia of the hip: update of management. EFORT Open Rev. 2019;4(9):548-556. DOI: https://doi.org/10.1302/2058-5241.4.180019
8. Widnall J, Walton R. The hip in cerebral palsy. J Child Orthop. 2020;34(6):332-7. DOI: https://doi.org/10.1016/j.mporth.2020.09.002
9. Certanec Z, Icarte C. Dolor crónico en niños y jóvenes con parálisis cerebral. Rehabil. integral (Impr.) 2017 [acceso 15/02/2023];12(2):75-84. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-882778?lang=es
10. San Juan AM, Swaroop VT. Cerebral Palsy: Hip Surveillance. Pediatr Ann. 2022;51(9):e353-e356. DOI: https://doi.org/10.3928/19382359-20220706-06
11. Gibson N, Wynter M, Thomason P, Baker F, Burnett H, Graham HK, et al. Australian hip surveillance guidelines at 10 years: New evidence and implementation. J Pediatr Rehabil Med. 2022;15(1):31-37. DOI: https://doi.org/10.3233/PRM-220017
12. Vallejo-Torres L, Rivero-Santana A, Martin-Saborido C, Epstein D, Perestelo-Pérez L, Castellano-Fuentes CL, et al. Cost-effectiveness analysis of a surveillance program to prevent hip dislocation in children with cerebral palsy. GacSanit. 2020;34(4):377-84. DOI: https://doi.org/10.1016/j.gaceta.2019.05.005
13. Resolución Directoral Nº 211-2022-SA-DG-INR. Plan Operativo Institucional (POI) Anual 2023 Instituto Nacional de Rehabilitación “Dra. Adriana Rebaza Flores” AMISTAD PERU-JAPÓN. Oficina Ejecutiva de Planeamiento Estratégico; 2022 [acceso 02/03/2023]. Disponible en: https://www.inr.gob.pe/transparencia/transparencia%20inr/resoluciones/2022/RD%20211-2022-SA-DG-INR.pdf
14. Bugler KE, Gaston MS, Robb JE. Hip displacement in children with cerebral palsy in Scotland: a total population study. J Child Orthop. 2018;12(6):635-9. DOI: https://doi.org/10.1302/1863-2548.12.180106
15. Karim T, Al Imam MH, Golland P, Khan AI, Hossain I, Smithers-Sheedy H, et al. Hip dysplasia among children with spastic cerebral palsy in rural Bangladesh. BMC Musculoskelet Disord. 2019;20(1):494. DOI: https://doi.org/10.1186/s12891-019-2805-8
16. Resolución Ministerial N° 546-2011-MINSA. NTS N o 021-MINSA/DGSP-V.03 Norma Técnica de Salud «Categorías de Establecimientos del Sector Salud». Ministerio de Salud; 2011 [acceso02/03/2023]. Disponible en: https://www.gob.pe/institucion/minsa/normas-legales/243402-546-2011-minsa
17. Yu L, Liehe K, Guanghui Z, Rongguo H. Pathogenesis and clinical evaluations of hip disease in children with cerebral palsy. J Clin Ped Sur. 2021;20(10):980-4. DOI: https://doi.org/10.12260/lcxewkzz.2021.10.016
18. Harsanyi S, Zamborsky R, Krajciova L, Kokavec M, Danisovic L. Developmental dysplasia of the hip: a review of etiopathogenesis, risk factors, and genetic aspects. Medicina (Kaunas). 2020;56(4):153. DOI: https://doi.org/10.3390/medicina56040153
19. Loder RT, Skopelja EN. The epidemiology and demographics of hip dysplasia. ISRN Orthop. 2011;2011:238607. DOI: https://doi.org/10.5402/2011/238607
20. Terjesen T, Horn J. Risk factors for hip displacement in cerebral palsy: A population-based study of 121 nonambulatory children. J Child Orthop. 2022;16(4):306-12. DOI: https://doi.org/10.1177/18632521221113424
21. Faccioli S, Sassi S, Ferrari A, Corradini E, Toni F, Kaleci S, et al. Hip subluxation in Italian cerebral palsychildren and its determinants: a retrospective cohort study. Int J Rehabil Res. 2022;45(4):319-328. DOI: https://doi.org/10.1097/MRR.0000000000000545
22. Okuno K, Kitai Y, Shibata T, Arai H. Risk factors for hip dislocation in dyskinetic cerebral palsy. J OrthopSurg (Hong Kong). 2021;29(1):23094990211001196. DOI: https://doi.org/10.1177/23094990211001196
23. Shrader MW, Wimberly L, Thompson R. Hip surveillance in children with cerebral palsy. J Am Acad Orthop Surg. 2019;27(20):760-8. DOI: https://doi.org/10.5435/JAAOS-D-18-00184
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Herminio Teófilo Camacho-Conchucos , Roxana Leonor Ruiz-Pingo, Fanny Olenka Matheus-Berrocal
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Avisos de derechos de autor propuestos por Creative Commons
1. Política propuesta para revistas que ofrecen acceso abierto
Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:
- Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
- Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) antes y durante el proceso de envío, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).
