[Osteogenesis imperfecta--upper limb in osteogenesis imperfecta].
The authors of this paper discuss upper extremity in children with osteogenesis imperfecta: fractures frequency, presence of the deformity, radiological data as well as ability to use the limb. Fractures of the upper extremity and shoulder ring occurred in 93 (66%) among 141 children with oi that were treated in the ward in years 1988-2002. Most of the fractures occurred in children with type III oi in Sillence classification, this was a group were deformities appeared most frequently. Generally, deformities were found in 33% of the children with oi. Typical arm deformity was posterior bending, in forearm dorsal bending. Varus elbow occurred often (11%). We found in the x-rays capitis radius dislocation (3.5%), interosseus membrane ossification (2.1%), pseudoarthrosis of the forearm bones (2.1%). The causes of the deformities and opportunities to prevent them were discussed.
Sułko
Jerzy
J
Oddział Ortopedyczno-Urazowy, Katedra i Klinika Chirurgii Pediatrycznej, Uniwersytecki Szpital Dzieciecy, Wydział Lekarski Uniwersytetu Jagiellońskiego.
D001134:Arm Injuries / Q000209:etiology / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000601:surgery; D008297:Male; D010013:Osteogenesis Imperfecta / Q000150:complications* / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D011044:Poland / Q000453:epidemiology; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D034941:Upper Extremity / Q000503:physiopathology / Q000601:surgery