Cerebral Palsy Clinical Trial
Official title:
Prediction of Hip Displacement in Children With Cerebral Palsy Among Patients Participating in the Danish Cerebral Palsy Follow-up Program
Children with cerebral palsy have an increased risk of hip dislocation, which is a painful
and severe complication of cerebral palsy. The 20-years evaluation of the Swedish
surveillance programme shows that hip dislocation in children with cerebral palsy can be
prevented with regular clinical and radiographic examination and early intervention.
We would like to determine the individual risk for hip displacement for Danish children with
CP in The Danish Cerebral Palsy Follow-up Program. This could be a valuable clinical tool in
deciding on further follow-up and treatment.
Migration percentage (MP) which is measured from the pelvis radiograph is commonly used to
assess lateral displacement of the femoral head and is being used in the Swedish and in the
Danish surveillance programme. Most children with an MP > 40 % need surgery to prevent
further displacement and prevent dislocation of the hip. In the Swedish surveillance
programme they have developed the Cerebral Palsy Follow-Up Programme (CPUP) hip score as a
risk score to determine which children are at high or low risk for hip displacement (MP > 40
%) within five years after first radiographic examination.
The aim of this study is to predict the likelihood that a child with cerebral palsy will
develop hip displacement (MI> 40) within three years. The design is a prediction study.
Data will be obtained from the national clinical quality database the Danish Cerebral Palsy
Follow-up Program and the Danish National Patient Register.
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