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Prevention of dislocation of the hip in children with cerebral palsy: 20-year results of a population-based prevention programme.

https://arctichealth.org/en/permalink/ahliterature259448
Source
Bone Joint J. 2014 Nov;96-B(11):1546-52
Publication Type
Article
Date
Nov-2014
Author
G. Hägglund
A. Alriksson-Schmidt
H. Lauge-Pedersen
E. Rodby-Bousquet
P. Wagner
L. Westbom
Source
Bone Joint J. 2014 Nov;96-B(11):1546-52
Date
Nov-2014
Language
English
Publication Type
Article
Keywords
Adolescent
Cerebral Palsy - complications - diagnosis - epidemiology
Child
Female
Forecasting
Hip Dislocation - epidemiology - etiology - prevention & control
Humans
Incidence
Male
Orthopedic Procedures - methods
Population Surveillance
Prognosis
Registries
Retrospective Studies
Severity of Illness Index
Sweden - epidemiology
Young Adult
Abstract
In 1994 a cerebral palsy (CP) register and healthcare programme was established in southern Sweden with the primary aim of preventing dislocation of the hip in these children. The results from the first ten years were published in 2005 and showed a decrease in the incidence of dislocation of the hip, from 8% in a historical control group of 103 children born between 1990 and 1991 to 0.5% in a group of 258 children born between 1992 and 1997. These two cohorts have now been re-evaluated and an additional group of 431 children born between 1998 and 2007 has been added. By 1 January 2014, nine children in the control group, two in the first study group and none in the second study group had developed a dislocated hip (p
PubMed ID
25371472 View in PubMed
Less detail

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

https://arctichealth.org/en/permalink/ahliterature29925
Source
J Bone Joint Surg Br. 2005 Jan;87(1):95-101
Publication Type
Article
Date
Jan-2005
Author
G. Hägglund
S. Andersson
H. Düppe
H. Lauge-Pedersen
E. Nordmark
L. Westbom
Author Affiliation
Department of Orthopaedics, University Hospital of Lund, Sweden.
Source
J Bone Joint Surg Br. 2005 Jan;87(1):95-101
Date
Jan-2005
Language
English
Publication Type
Article
Keywords
Cerebral Palsy - complications - diagnosis - radiography
Child
Child Health Services
Child, Preschool
Female
Follow-Up Studies
Hip Dislocation - etiology - prevention & control - radiography
Hip Joint - radiography
Humans
Male
Mass Screening
Preventive Health Services
Program Evaluation
Registries
Research Support, Non-U.S. Gov't
Severity of Illness Index
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
PubMed ID
15686244 View in PubMed
Less detail