Kirkos John M, Papavasiliou Kyriakos A, Kyrkos Margaritis J, Kapetanos George A
Third Orthopaedic Department of the Aristotle University of Thessaloniki, Papageorgiou General Hospital, 138 Al. Papanastasiou Str., 54249 Thessaloniki, Greece.
Clin Orthop Relat Res. 2005 Jun(435):263-6. doi: 10.1097/01.blo.0000160682.02663.f6.
A multidirectional (anterior and posterior) bilateral habitual nontraumatic dislocation of the hip in a 3-year-old girl with Down syndrome is reported. The treatment was conservative with application of a spica cast for 12 weeks to shrink the capsule. During the first 6 weeks of treatment, the hips were immobilized in abduction and full external rotation. During the last 6 weeks, the hips were in abduction and slight internal rotation. After cast removal, the hips seemed to have been stabilized, and the child has remained asymptomatic for the last 12 months.
报道了一名3岁唐氏综合征女童双侧习惯性非创伤性多方向(前后)髋关节脱位的病例。治疗采用保守方法,应用髋人字石膏固定12周以收缩关节囊。在治疗的前6周,髋关节保持外展和完全外旋位固定。在最后的6周,髋关节处于外展和轻度内旋位。去除石膏后,髋关节似乎已稳定,该患儿在过去12个月一直无症状。