Abstract：
Optimum management of hip displacement in children with cerebral palsy (CP) is facilitated by an approach that focuses on anticipatory and preventive measures. Hip surveillance programs for children with CP were developed at the beginning of the new millennium, with the purpose of identifying hip displacement sufficiently early to permit a choice of effective management options. In the early years, hip surveillance was guided by epidemiological analysis of population-based studies of prevalence. In Australia, a National Hip Surveillance in CP Working Group was first convened in 2005. This resulted in a 2008 Consensus Statement of recommendations published and endorsed by Australasian Academy of Cerebral Palsy and Developmental Medicine (AusACPDM). The group undertook that the recommendations should be reviewed every 5 years to ensure currency and congruency with the emerging evidence base. As new evidence became available, hip surveillance guidelines developed, with the most recent 2020 Australian Hip Surveillance Guidelines endorsed by the AusACPDM. Implementing comprehensive hip surveillance programs has now been shown to improve the natural history of hip dislocations and improve quality of life. Standardised hip surveillance programs can also facilitate planning for multicentre research through harmonisation of data collection. This, in turn, can help with the identification of robust new evidence that is based on large cohort or population studies. Here a review of evidence informing the updated 2020 Hip Surveillance Guidelines is presented.
摘要：
通过着重于预期和预防措施的方法，可以促进脑瘫（CP）儿童髋关节移位的最佳管理。针对CP儿童的髋关节监测计划是在新千年开始时制定的，目的是及早发现髋关节移位，以便选择有效的管理方案。早年,以人群为基础的患病率研究的流行病学分析为指导进行髋关节监测.在澳大利亚,a国家髋关节监测工作组于2005年首次召开会议。这导致了2008年由澳大利亚脑瘫和发育医学研究院（AusACPDM）发表和认可的共识建议声明。该小组承诺，建议应每5年审查一次，以确保货币和与新出现的证据基础保持一致。随着新证据的出现，制定了髋关节监测指南，与AusACPDM认可的最新2020年澳大利亚髋关节监测指南。现在，实施全面的髋关节监测计划已被证明可以改善髋关节脱位的自然史并改善生活质量。标准化的髋关节监测计划还可以通过协调数据收集来促进多中心研究的计划。这个,反过来,可以帮助识别基于大型队列或人群研究的可靠新证据。这里介绍了更新的2020年髋关节监测指南的证据。
