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婴儿期脊柱侧弯、髋关节发育不良及斜颈的病因学(作者译)

[Aetiopathogenesis of scoliosis, hip dysplasia and torticollis in infancy (author's transl)].

作者信息

Mau H

出版信息

Z Orthop Ihre Grenzgeb. 1979 Oct;117(5):784-9.

PMID:549336
Abstract

The special risk of the newborn to acquire, skeletal deformities is based on the increased plasticity, intensity of growth and extrapyramidal activity of reflexes which influence each other. These 3 factors may lead to structural growth- and weight bearing deformities in the presence of shrinking contractures and a unilateral oblique habitual position of the trunk. Considering the "Seventh Syndrome" the dual pathogenesis of scoliosis in infancy is discussed from our present point of view (including scoliosis due to oblique body position - moulded baby syndrome - and its deterioration as against true idiopathic infantile or advanced juvenile scoliosis respectively. Similarly is discussed the relation of hip dysplasia due to oblique habitual trunk position in regard to hip dysplasia in connection with CDH as well as the habitual oblique position of the head as against true muscular torticollis.

摘要

新生儿获得骨骼畸形的特殊风险基于可塑性增加、生长强度以及相互影响的反射锥体外活动。在存在挛缩和躯干单侧斜习惯性姿势的情况下,这三个因素可能导致结构性生长和负重畸形。考虑到“第七综合征”,从我们目前的观点讨论婴儿期脊柱侧弯的双重发病机制(包括因身体斜位导致的脊柱侧弯——塑形婴儿综合征——以及分别与真正的特发性婴儿或晚期青少年脊柱侧弯相比的病情恶化。同样讨论了因躯干习惯性斜位导致的髋关节发育不良与先天性髋关节脱位相关的髋关节发育不良的关系,以及头部习惯性斜位与真正的肌性斜颈的关系。

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