PDF(Pubmed)
Abstract：
UNASSIGNED: Acute flaccid myelitis (AFM) is a recently described diagnosis that primarily impacts the pediatric population. It is characterized by profound proximal muscle weakness with resultant orthopedic manifestations similar to well-known neuromuscular conditions. While the incidence of AFM has been rising, management outcomes are understudied. Here, we describe the first known case of hip reconstruction in AFM.
UNASSIGNED: A 5-year-old female presented with painful bilateral hip subluxations 2 years after being diagnosed with AFM. Imaging confirmed substantial uncovering of the femoral heads, right greater than left, with reduction on abduction views. Given the extent of her hip pathology and symptoms, she underwent bilateral Dega and varus derotational osteotomies with adductor lengthening, achieving a 35° correction in femoral neck angle and 30° reduction in femoral anteversion bilaterally. At 2 years postoperatively, she was asymptomatic without recurrence of hip displacement.
UNASSIGNED: Reconstructive femoral osteotomies can be effective for achieving painless, reduced hips in patients with AFM. Thus, surgeons may reasonably extrapolate current concepts utilized for other low-tone neuromuscular conditions to inform approach to AFM.
UNASSIGNED: A 5-year-old female presented with painful bilateral hip subluxations 2 years after being diagnosed with AFM. Imaging confirmed substantial uncovering of the femoral heads, right greater than left, with reduction on abduction views. Given the extent of her hip pathology and symptoms, she underwent bilateral Dega and varus derotational osteotomies with adductor lengthening, achieving a 35° correction in femoral neck angle and 30° reduction in femoral anteversion bilaterally. At 2 years postoperatively, she was asymptomatic without recurrence of hip displacement.
UNASSIGNED: Reconstructive femoral osteotomies can be effective for achieving painless, reduced hips in patients with AFM. Thus, surgeons may reasonably extrapolate current concepts utilized for other low-tone neuromuscular conditions to inform approach to AFM.
摘要：
急性弛缓性脊髓炎（AFM）是最近描述的诊断，主要影响儿科人群。它的特征是严重的近端肌肉无力，由此产生的骨科表现类似于众所周知的神经肌肉疾病。虽然AFM的发病率一直在上升，管理成果研究不足。这里,我们描述了AFM中第一个已知的髋关节重建病例。
■一名5岁女性在被诊断为AFM2年后出现双侧髋关节半脱位疼痛。影像学证实股骨头有实质性发现，右大于左，减少绑架的观点。鉴于她的髋关节病理和症状，她接受了双侧Dega和内收肌外翻截骨术，股骨颈角矫正35°，股骨前倾减少30°。术后2年，患者无症状,无髋关节移位复发.
■重建股骨截骨术可以有效地实现无痛，AFM患者的髋部减少。因此，外科医生可以合理地推断当前用于其他低张力神经肌肉疾病的概念，以告知AFM的方法。
■一名5岁女性在被诊断为AFM2年后出现双侧髋关节半脱位疼痛。影像学证实股骨头有实质性发现，右大于左，减少绑架的观点。鉴于她的髋关节病理和症状，她接受了双侧Dega和内收肌外翻截骨术，股骨颈角矫正35°，股骨前倾减少30°。术后2年，患者无症状,无髋关节移位复发.
■重建股骨截骨术可以有效地实现无痛，AFM患者的髋部减少。因此，外科医生可以合理地推断当前用于其他低张力神经肌肉疾病的概念，以告知AFM的方法。
