Australian Hip Surveillance Guidelines
Children with cerebral palsy are at risk of developing progressive hip displacement. Every child should be referred for hip surveillance at the time cerebral palsy is identified.
Early detection is an essential part of the strategy for prevention of further hip displacement, hip dislocation and its sequelae of pain, reduced function and decreased quality of life. ‘Hip surveillance’ is the process of identifying and monitoring the critical early indicators of hip displacement.
The Australian Hip Surveillance Guidelines for children with Cerebral Palsy (2014) document the recommended process for screening, monitoring and triaging to orthopaedic services as part of the overall prevention of hip dislocation.
Download the guidelines
Two documents are available to guide health professional in implementing hip surveillance:
Guideline review and endorsement
The Australian Hip Surveillance Guidelines for children with Cerebral Palsy (2014) are endorsed by the AusACPDM and are the product of an on-going, comprehensive review process undertaken by a national working group.
The initial ‘Consensus Statement on Hip Surveillance for Children with Cerebral Palsy: Australian Standards of Care’1 was reviewed in 2013. The review process included literature review, evaluation of data from a pool of 3366 children from state-based hip surveillance databases, and consensus regarding surveillance pathways for children with hemiplegia with Winter Gage and Hicks Type IV gait.
The 2013 review indicated that hip surveillance programs have decreased the incidence of hip dislocation in populations with cerebral palsy, and the Gross Motor Function Classification System remained the best indicator of risk for displacement. It provided rationale for revised 2014 guidelines including decreased frequency of radiographic examination in lower risk groups and continuation of surveillance into adulthood for adolescents with identified risk factors.2
The Australian Hip Surveillance Guidelines for children with Cerebral Palsy (2014) are due for review in 2019.
- Wynter M; Gibson N; Kentish M; Love S; Thomason P; Graham HK. The Consensus Statement on Hip Surveillance for Children with Cerebral Palsy: Australian Standards of Care. J Pediatr Rehab Medicine. 2011; 4(3):183-95
- Wynter M, Gibson, N, Willoughby KL, Love S, Kentish M, Thomason P, Graham HK. Australian hip surveillance guidelines for children with cerebral palsy: five year review. Dev Med Child Neurol 2015; 57:808-820.