Chitten Jojin Jose, James Boblee
Department of Orthopaedics, Sri Lakshmi Narayana Medical College, Puducherry, India.
J Orthop Case Rep. 2024 Mar;14(3):13-17. doi: 10.13107/jocr.2024.v14.i03.4270.
Bilateral Sprengel deformities, mirror movements synkinesis, and arthrogryposis are described in different combinations in various syndromes but never together.
We present a 12-year-old girl who presented with bilateral shoulder deformities and difficulty in coordination while writing. On examination, she was noted to have bilateral Sprengel deformities with flexion contractures of upper-limb joints and mirror movements of both upper and lower-limb joints.
In the light of relevant literature, we may speculate that these three have a causal relation and even a genetic basis but further studies are needed to prove the same.
双侧先天性高肩胛症、镜像运动联带运动和先天性多发性关节挛缩症在不同综合征中有不同组合的描述,但从未同时出现过。
我们报告一名12岁女孩,她出现双侧肩部畸形及书写时协调困难。检查发现,她患有双侧先天性高肩胛症,伴有上肢关节屈曲挛缩以及上下肢关节的镜像运动。
根据相关文献,我们推测这三者之间可能存在因果关系甚至遗传基础,但需要进一步研究加以证实。