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http://www.cincinnaichildrens.org GlobalCastMD: Cerebral Palsy & The Hip James McCarthy, MD, Director, Division of Pediatric Orthopaedics Children with cerebral palsy can have hip problems and you may not even know it. The hip of a child with cerebral palsy might slowly dislocate out of the socket. We monitor dislocation through a hip surveillance program. On that X-ray, there is a very specific measurement. It is called the migration index. The migration index measures how much the hip is dislocated. If that measurement increases over time, action is taken. What we try to do is avoid what happened to the Titanic and turn the ship before it hits the iceberg. At Cincinnati Children's, your child will receive multidisciplinary care. If your child has hip issues, we start with non-surgical techniques: - Injections to decrease tone Bracing Physical Therapy There are also surgical options: Guided growth, which can keep your hips in their socket and reshape them through a very small procedure. Hip Reconstruction where we use your child's bones to reconstruct their hips so the hips return to their normal position. Salvage Procedures are used to decrease pain in your child when other options don't work. The key component is Early Detection and also being seen at a multidisciplinary environment like Cincinnati Children's. The Division of Orthopaedics at Cincinnati Children's 513-636-4785 [email protected]