Rehabilitation management of congenital muscular torticollis coexisted with developmental dysplasia of the hip in children
10.3760/cma.j.issn.1671-7368.2010.10.013
- VernacularTitle:先天性肌性斜颈伴发育性髋关节异常儿童的康复治疗
- Author:
Qing DU
;
Li ZHAO
;
Huifang WANG
;
Xuan ZHOU
;
Hai LI
;
Pinquan SHEN
;
Ting CHEN
;
Nan CHEN
;
Shuxin ZHANG
- Publication Type:Journal Article
- Keywords:
Plagiocephaly,nonsynostotic;
Hip;
Joint diseases;
Rehabilitation
- From:
Chinese Journal of General Practitioners
2010;09(10):700-703
- CountryChina
- Language:Chinese
-
Abstract:
Objective Congenital muscular torticollis (CMT) and developmental dysplasia of the hip (DDH) are common congenital problems in infants. Association between CMT and DDH has been reported in literatures. The aim of this study was to assess coexistence of DDH in infants with CMT and curative effects of its rehabilitative therapy. Methods In total, 187 infants less than two months old with CMT were recruited in the study. DDH was diagnosed and graded by Graf's bilateral hip type B ultrasonography and pelvic X-ray films. Massage manipulation, magnetic strapping, postural orthosis at home and heat compress were instituted for CMT and frog spica device and hip-flexion abduction plaster immobilization were instituted for DDH. Their early rehabilitative effects were evaluated. Results DDH was coexisted in 24 of 187 infants with CMT, with incidence of 12. 8%. The hips of 22 infants were graded as type Ⅱ b (91.7%) and two as type Ⅲ a (8.3%), and eight at the left side and seven at the right side.Comorbid hips completely recovered normal with early frog spica device and hip-flexion abduction therapy in 24 infants. Conclusions Coexistence of CMT and DDH are relatively common in infants. Type B ultrasonography can be used as a measure for screening DDH in neonates with CMT. Early rehabilitative therapy is effective for those coexisted with DDH and CMT at the same time.
