Seringe R, Cressaty J, Girard B, Francoual C
Chir Pediatr. 1981;22(6):365-87.
1 500 infants have been examined by two orthopaedic surgeons within forty eight hours. The examination of the feet has showed that the usual position in utero was the dorsiflexion. A new classification of deformities of the feet is proposed. The examination of the knees has permitted to discover a rotatory instability between the femur and the tibia in 2% of the infants. Some of them were actual dislocations. During the examination of the hips, it has been researched an instability; the passive abduction, the tension of the adductors and an abduction contracture have been analysed. Some instable hips are easy to detect because there is a jerk (ressaut) but others are very difficult because there is no snapping sign but only a telescoping displacement (piston). The rate of unstable hips was 1.7%. As the combination of an unstable hip and an adductor hypertonicity is usual it is very important to detect a pelvic obliquity and a bilateral adductor-hypertonicity. The various forms of normal birth postures and the relation to orthopaedic deformities of the inferior limbs are studied.
在48小时内,两位骨科医生对1500名婴儿进行了检查。足部检查显示,胎儿在子宫内的常见姿势是背屈。提出了一种新的足部畸形分类方法。对膝盖的检查发现,2%的婴儿存在股骨和胫骨之间的旋转不稳定。其中一些是实际脱位。在髋关节检查中,研究了其不稳定性;分析了被动外展、内收肌张力和外展挛缩情况。一些不稳定的髋关节很容易检测到,因为有弹跳,但其他的则非常困难,因为没有弹响体征,只有活塞样的伸缩移位。不稳定髋关节的发生率为1.7%。由于不稳定髋关节和内收肌张力亢进通常同时存在,因此检测骨盆倾斜和双侧内收肌张力亢进非常重要。研究了各种正常出生姿势及其与下肢骨科畸形的关系。