帕夫利克吊带中的假性麻痹：谨防化脓性关节炎。
Pseudoparalysis in the Pavlik Harness: beware of septic arthritis.
作者信息
Stevenson Andrew J, Shewalle Sandeep B, Clarke Nicholas M P
机构信息
Department of Orthopaedics, Southampton University Hospitals, Southampton, UK.
出版信息
J Child Orthop. 2007 Nov;1(5):287-9. doi: 10.1007/s11832-007-0052-2. Epub 2007 Oct 13.
PURPOSE
Pseudoparalysis of the leg occurring during use of the Pavlik Harness (PH) is a seldom-reported condition. Three cases of pseudoparalysis are reported here to illustrate the need for careful assessment of this condition.
METHODS
A series of patients using the PH and presenting with pseudoparalysis was compiled following a retrospective review of case notes.
RESULTS
In 3 cases, infants treated for developmental dysplasia of the hip using the PH were found to have developed a pseudoparalysis of the affected limb. All presented with similar signs, with the infant being systemically irritable and reluctant to move the limb. In 2 of the cases, this was related to the harness-its removal resulted in recovery of the affected limb. The third case was proven to be septic arthritis, unrelated to the harness, and treatment by means of arthrotomy, intravenous antibiotics and use of the PH for hip stabilisation was used successfully. In the first two cases, the pseudoparalysis was noticed at routine review clinic, and clinical assessment, ultrasound scan and blood tests were performed. The case of septic arthritis was similarly assessed, following referral by paediatric physicians.
CONCLUSION
Pseudoparalysis in the PH is a rare event and requires careful investigation.
目的
使用帕夫利克吊带（PH）期间出现的腿部假性麻痹是一种鲜有报道的情况。本文报告3例假性麻痹病例，以说明对此情况进行仔细评估的必要性。
方法
通过回顾病例记录，整理出一系列使用PH并出现假性麻痹的患者。
结果
3例使用PH治疗髋关节发育不良的婴儿出现了患侧肢体假性麻痹。所有病例表现出相似的体征，婴儿全身烦躁不安，不愿活动肢体。其中2例与吊带有关——去除吊带后患侧肢体恢复。第3例被证实为化脓性关节炎，与吊带无关，通过关节切开术、静脉注射抗生素以及使用PH稳定髋关节成功治愈。在前两例中，假性麻痹在常规复诊诊所被发现，并进行了临床评估、超声扫描和血液检查。化脓性关节炎病例经儿科医生转诊后也进行了类似评估。
结论
PH中的假性麻痹是罕见事件，需要仔细调查。
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