LATE KNEE PROBLEMS IN MYELOMENINGOCELE

被引：53

作者：

WILLIAMS, JJ ^{[1
]}

GRAHAM, GP ^{[1
]}

DUNNE, KB ^{[1
]}

MENELAUS, MB ^{[1
]}

机构：

[1] ROYAL CHILDRENS HOSP,DEPT ORTHOPAED,FLEMINGTON RD,PARKVILLE,VIC 3052,AUSTRALIA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1993年 / 13卷 / 06期

关键词：

ADULT; DEGENERATION; INSTABILITY; KNEE; MYELOMENINGOCELE; OSTEOARTHRITIS;

D O I：

10.1097/01241398-199311000-00001

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This study was undertaken to assess the incidence and etiology of knee problems in a long-term follow-up of myelomeningocele patients. Of the 72 community ambulators reviewed, 17 (24%) had significant knee symptoms. A specific gait pattern was identified in symptomatic patients with low lumbar lesions, which may be explained on the basis of hip abductor and calf muscle weakness. These patients have a characteristic gait, which places abnormal stress on the knee, leading to medial and anteromedial rotary instability and eventual degenerative change. It is likely that disability resulting from knee symptoms will be the factor precluding independent ambulation in the patients reviewed in this study.

引用

页码：701 / 703

页数：3

共 9 条

[1]

Abraham E., Verinder D., Sharrard W., Treatment of flexion contracture of the knee in myelomeningocele, J Bone Joint Surg [Br], 59, pp. 433-438, (1977)

[2]

Carroll N., Assessment and management of the lower extremity in myelodysplasia, Orthop Clin North Am, 18, pp. 709-724, (1987)

[3]

De Souza L.J., Carroll N., Ambulation of the braced myelomeningocele patient, J Bone Joint Surg [Am], 58, pp. 1112-1118, (1976)

[4]

Dupre P.H., Walker G., Knee problems associated with spina bifida, Dev Med Child Neurol (Suppl), 27, pp. 152-153, (1972)

[5]

Hayes J.T., Gross H.P., Dow S., Surgery for paralytic defects secondary to myelomeningocele and myelodysplasia, J Bone Joint Surg [Am], 46, pp. 1577-1597, (1964)

[6]

Hoffer M.M., Feiwell E., Perry R., Perry J., Bonnett C., Functional ambulation in patients with myelomeningocele, J Bone Joint Surg [Am], 55, pp. 137-148, (1973)

[7]

Menelaus M.B., The Orthopaedic Management in Spina Bifida Cystica, (1980)

[8]

Stillwell A., Menelaus M.B., Walking ability in mature patients with spina bifida, J Pediatr Orthop, 3, pp. 184-190, (1983)

[9]

Yngve D.A., Lindseth R.E., Effectiveness of muscle transfers in myelomeningocele hips measured by radiographic indices, J Pediatr Orthop, 2, pp. 121-125, (1982)

← 1 →