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CP hip surveillance – schedule — RACP Paediatrics MCQ

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EasyNeurologyCP hip surveillance – scheduleRACP Paediatrics

A 2-year-old with CP (GMFCS III-IV) requires routine hip surveillance. What imaging and schedule is recommended per the Australian Hip Surveillance Guidelines for CP?

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Correct answer: D — Physiotherapy only

The Australian Hip Surveillance Guidelines recommend AP pelvic X-ray for all children with CP from 12-24 months of age, with frequency determined by GMFCS level: GMFCS I every 2 years, GMFCS II-III annually, GMFCS IV-V every 6 months. Migration percentage (Reimers index) is measured. Progressive displacement requires orthopaedic referral.

Reference: RCH Melbourne – 2023 – CP Hip Surveillance CPG; Ausacpdm – Australian Hip Surveillance Guidelines