PMID: 9661242Jul 14, 1998Paper

Orthopedic management of neuromuscular disorders in children

Seminars in Pediatric Neurology
J G Birch

Abstract

In many cases, the orthopedic surgeon may be the first consultant requested to assess complaints of lower extremity weakness or deformity to result from such conditions and must remain alert to the primary diagnosis. In addition, the orthopedic surgeon should be prepared to guide appropriate physical therapy, prescribe orthotics, and perform surgery to improve function, prevent deformity, or provide comfort when necessary. Most deformities of the extremities result from a combination of muscle weakness and imbalance, and surgical procedures are aimed at correcting existing deformity and rebalancing existing musculature by release or transfer. Skeletally immature patients with neuromuscular disorders are also susceptible to the development of scoliosis, which may impair comfortable sitting or already compromised pulmonary function. This article reviews the clinical manifestation and orthopedic management of Duchenne's muscular dystrophy, spinal muscular atrophy, facioscapulohumeral dystrophy, and Charcot-Marie-Tooth disease.

References

Dec 1, 1991·American Journal of Physical Medicine & Rehabilitation·J R Bach, J McKeon
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Jan 1, 1994·Journal of Pediatric Orthopedics·J L WalkerK A VandenBrink
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Citations

Aug 10, 2004·Der Internist·J Schmiedel, H Reichmann
Feb 20, 2007·Journal of Neurology, Neurosurgery, and Psychiatry·Henry HouldenDishan Singh
Mar 1, 2012·Neurologic Clinics·Mark A Ferrante
Jul 1, 2004·Journal of Chiropractic Medicine·Mark W MorningstarGreg Gilmour
Feb 28, 2007·Neurologic Clinics·Asa J Wilbourn
Jul 28, 2011·The Laryngoscope·Nicola E StarrittMichael A Glasby
Aug 3, 2002·Neurologic Clinics·Mark A Ferrante, Asa J Wilbourn
Mar 17, 2005·The Journal of Emergency Medicine·Scott C Sherman, Marie O'connor
Nov 7, 2015·Journal of Foot and Ankle Research·Kristy J RoseJoshua Burns
May 7, 2016·Prosthetics and Orthotics International·Céline DelvertCarole Vuillerot
Jan 26, 2005·Hand Clinics·David G Kline, Robert L Tiel
May 21, 2013·Prosthetics and Orthotics International·İpek AlemdaroğluAyşe Karaduman
Sep 1, 2007·Journal of Child Neurology·Susan T Iannaccone
Dec 11, 1999·Current Opinion in Neurology·R B Fitzsimons
Jun 17, 2004·BJOG : an International Journal of Obstetrics and Gynaecology·Philippe DebeerBernard Spitz

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