Hall J G
University of British Columbia, Vancouver.
Am Fam Physician. 1989 Jan;39(1):113-9.
Arthrogryposis (multiple congenital contractures) has various causes and appears as many different syndromes. The basic classification for therapeutic and prognostic purposes divides affected children into those who have only limb involvement, those with limb and trunk, craniofacial or visceral involvement, and those with severe central nervous system dysfunction. Decreased fetal movement is an important etiologic factor. A multidisciplinary approach is required to evaluate these children, and early physical therapy is essential.
先天性多发性关节挛缩症有多种病因,表现为许多不同的综合征。出于治疗和预后目的的基本分类将受影响的儿童分为仅累及肢体的儿童、累及肢体和躯干、颅面或内脏的儿童,以及伴有严重中枢神经系统功能障碍的儿童。胎儿活动减少是一个重要的病因因素。评估这些儿童需要多学科方法,早期物理治疗至关重要。