Navigating hip displacement in dystonic cerebral palsy: A comprehensive narrative review of therapeutic strategies and interventional modalities

This review aims to synthesize current evidence on the prevalence, etiology, and progression of hip displacement specifically within the context of dystonic cerebral palsy, distinguishing it from other forms of cerebral palsy. It will further explore both non-operative and surgical interventions, evaluating their efficacy in preventing and managing hip displacement, while also considering the long-term functional outcomes and quality of life for affected children. Ultimately, this narrative review seeks to identify critical gaps in current research and propose avenues for future investigation to optimize therapeutic approaches for this challenging condition. This review will additionally address the importance of early detection and surveillance protocols in mitigating the severity of hip displacement, given its significant impact on mobility and pain management in paediatric patients. It will delve into the diagnostic criteria for hip subluxation and dislocation in this population, including the application of clinical prediction rules.