Masquelet Alain C, Fabre Alain, Levadoux Michel, Rigal Sylvain
Bull Acad Natl Med. 2013 Feb;197(2):425-39; discussion 439-41.
Dysfunctional posture is an enigmatic pathological entity now attributed to a conversion reaction (formerly to hysteria). When localized to the limbs, the main clinical feature is a contracture of one or several articular segments inflexion or extension. Most of the time, the contracture is released by anesthesia. Patients should be managed with a psychopathological approach. However, some patients continue to be managed in a surgical department because the contracture became apparent after a trauma or surgical procedure. The orthopedic surgeon must be aware of this phenomenon in order to avoid unnecessary operations.
功能失调性姿势是一种神秘的病理实体，现在归因于一种转换反应（以前归因于癔症）。当局限于四肢时，主要临床特征是一个或几个关节节段的挛缩，表现为屈曲或伸展。大多数情况下，麻醉可解除挛缩。患者应以精神病理学方法进行处理。然而，一些患者仍在外科接受治疗，因为挛缩是在创伤或外科手术后才变得明显的。骨科医生必须了解这种现象，以避免不必要的手术。
