Chotigavanichaya Chatupon, Leurmsumran Pranut, Eamsobhana Perajit, Sanpakit Sanyapong, Kaewpornsawan Kamonporn
Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 2012 Sep;95 Suppl 9:S54-61.
The congenital orthopaedic anomalies in Thai population had a limited data and the previously studies are based on only hospital chart records.
To determine the incidence of common congenital orthopedic problems by physical examination in newborn at Siriraj Hospital.
A prospective study was conducted by physical examination of 3,396 newborns from June 2009 to September 2009. All orthopaedic abnormalities of newborns were recorded along with maternal age, obstetric history of mother, complications during pregnancy, complications in labour stage, mode of delivery and presentation. Sex of newborn, birth weight, body length and APGAR score were recorded.
Incidence of calcaneovalgus was found in 60:1,000 live births following by metatarsus adductus in 7.6:1,000, polydactyly or syndactyly in 2.6:1,000, talipes equninovarus in 2.4:1,000, brachial plexus injury in 1.5:1,000, developmental dysplasia of hip in 0.6:1,000, osteogenesis imperfecta in 0.6:1,000, skeketal dysplasia in 0.6:1,000, congenital vertical talus in 0.3: 1,000 and fracture clavicle at birth in 0.3: 1,000.
In the present study, the calcaneovalgus was the most common orthopaedic problem followed by metatasus adductus, polydactyly or syndactyly.
泰国人群中先天性骨科异常的数据有限，先前的研究仅基于医院病历记录。
通过对诗里拉吉医院新生儿进行体格检查来确定常见先天性骨科问题的发病率。
对2009年6月至2009年9月的3396例新生儿进行前瞻性体格检查研究。记录所有新生儿的骨科异常情况以及母亲年龄、母亲的产科病史、孕期并发症、分娩期并发症、分娩方式和胎位。记录新生儿性别、出生体重、身长和阿氏评分。
发现跟骨外翻的发病率为每1000例活产中有60例，其次是内收跖骨，发病率为每1000例中有7.6例，多指（趾）或并指（趾）发病率为每1000例中有2.6例，马蹄内翻足发病率为每1000例中有2.4例，臂丛神经损伤发病率为每1000例中有1.5例，发育性髋关节发育不良发病率为每1000例中有0.6例，成骨不全发病率为每1000例中有0.6例，骨骼发育不良发病率为每1000例中有0.6例，先天性垂直距骨发病率为每1000例中有0.3例，出生时锁骨骨折发病率为每1000例中有0.3例。
在本研究中，跟骨外翻是最常见的骨科问题，其次是内收跖骨、多指（趾）或并指（趾）。
