Letters NICE on spasticity

Early radiographic surveillance is needed to prevent sequelae of neglected hip displacement in cerebral palsy

BMJ 2012; 345 doi: http://dx.doi.org/10.1136/bmj.e6675 (Published 09 October 2012) Cite this as: BMJ 2012;345:e6675
  1. Kate L Willoughby, physiotherapist1,
  2. H Kerr Graham, professor1
  1. 1Orthopaedic Department, Royal Children’s Hospital, Parkville, VIC 3052, Australia
  1. kate.willoughby{at}rch.org.au

We were surprised that box 1 in the summary of the guideline from the National Institute for Health and Clinical Excellence (NICE) repeated the myth that hip displacement in children and young people with non-progressive brain disorders should be diagnosed on the basis of symptoms or signs on physical examination.1 …

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