Cerebral Palsy and Hip Dysplasia

Cerebral palsy is the most common physical disability in children and can result in long-term musculoskeletal complications due to asymmetrical muscular forces across joints. One of the most significant orthopedic sequelae is hip dysplasia, which can severely impair mobility and quality of life for both patients and caregivers. Routine screening with anteroposterior pelvic radiographs should begin at age 2 in children with a Gross Motor Function Classification System level of II or higher, with additional surveillance guided by functional level and rate of progression. Preventive strategies for hip displacement include physical therapy, antispasticity medications, and postural support. Surgical intervention is typically indicated when the migration percentage reaches 40-60%, with the best outcomes achieved when performed prior to complete dislocation.