Sawalkar Rutuja G, Patil Deepali S, Gandhi Richa S
Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jan 31;16(1):e53350. doi: 10.7759/cureus.53350. eCollection 2024 Jan.
Primary hyperparathyroidism (PHPT) can lead to a rare condition in children and adolescents known as windswept deformity. This deformity involves one knee exhibiting an abnormal outward angulation (valgus deformity), while the other knee shows an abnormal inward angulation (varus deformity). This asymmetrical syndrome, resembling the effect of strong winds, gives the impression that the knees are being swept in opposite directions. Various factors, such as structural bone or joint defects, accidents, or underlying disorders, can contribute to the development of windswept deformity. PHPT, a common endocrine condition characterized by elevated levels of parathyroid hormone and blood calcium, is unusual in the pediatric and adolescent populations. It can result in complications like osteoporosis and bone abnormalities, with genu valgus (outward knee angulation) being an exceptionally rare symptom. This case discusses a 19-year-old male who underwent corrective surgery for genu valgus and presented with windswept deformity due to teenage hyperparathyroidism. The case study outlines the physiotherapeutic rehabilitation strategy, emphasizing treatments such as cryotherapy, patellar mobilization, and gait training. Tailored physical therapy rehabilitation plays a crucial role in the postoperative care of patients undergoing corrective osteotomies. The results indicated a significant improvement in muscle strength, an expansion of the range of motion (ROM), and a noticeable enhancement in the individual's functional autonomy following adherence to the postoperative physiotherapy (PT) plan.
原发性甲状旁腺功能亢进症（PHPT）可导致儿童和青少年出现一种罕见病症，即风扫畸形。这种畸形表现为一侧膝关节呈现异常向外成角（外翻畸形），而另一侧膝关节则显示异常向内成角（内翻畸形）。这种不对称综合征类似于强风的影响，给人一种膝关节被向相反方向吹拂的印象。多种因素，如骨骼或关节结构缺陷、事故或潜在疾病，都可能导致风扫畸形的发生。PHPT是一种常见的内分泌疾病，其特征是甲状旁腺激素和血钙水平升高，在儿童和青少年人群中并不常见。它可导致骨质疏松和骨骼异常等并发症，膝外翻（膝关节向外成角）是一种极为罕见的症状。本病例讨论了一名19岁男性，他因膝外翻接受了矫正手术，并因青少年甲状旁腺功能亢进症出现了风扫畸形。该病例研究概述了物理治疗康复策略，重点介绍了冷冻疗法、髌骨松动术和步态训练等治疗方法。量身定制的物理治疗康复在接受截骨矫正手术患者的术后护理中起着至关重要的作用。结果表明，在遵循术后物理治疗（PT）计划后，肌肉力量有显著改善，关节活动范围（ROM）扩大，个体的功能自主性有明显增强。
