Read L, Galasko C S
J Bone Joint Surg Br. 1986 May;68(3):481-2. doi: 10.1302/0301-620X.68B3.3733820.
For clinical, psychological and social reasons the diagnosis of Duchenne muscular dystrophy should be established as early as possible. In a survey of 83 families with 93 affected boys, the diagnosis was missed in every case referred to an orthopaedic surgeon (37 patients). In the whole group there was a mean delay of 2.0 years (0 to 6 years) during which time inappropriate treatment, difficulties in communication with parents, much parental anxiety and further pregnancies occurred. A serum creatine kinase estimation is a simple outpatient test which should be carried out on any boy with clumsy or abnormal gait, with flat feet or with an unexplained equinus deformity.
出于临床、心理和社会原因，杜氏肌营养不良症的诊断应尽早确立。在一项对83个家庭中93名患病男孩的调查中，转诊至骨科医生处的每一例患者（37例）均被漏诊。在整个群体中，平均延误时间为2.0年（0至6年），在此期间出现了不恰当的治疗、与家长沟通困难、家长焦虑以及再次怀孕等情况。血清肌酸激酶测定是一项简单的门诊检查，应对任何步态笨拙或异常、扁平足或有不明原因马蹄足畸形的男孩进行此项检查。
