Naslov
Orthopaedic Management of Children and Adults with Down's Syndrome

Autori
Antičević, Darko ; Šakić, Šimun ; Barišić, Ingeborg ; Đapić, Tomislav

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Paediatrica Croatica / Barišić, Ingeborg - Zagreb : Hrvatsko pedijatrijsko društvo, 2007, 130-130

Skup
Četvrti hrvatski kongres iz humane genetike s medjunarodnim sudjelovanjem

Mjesto i datum
Malinska, Hrvatska, 18.10.2007. - 20.10.2007

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Domaća recenzija

Ključne riječi
Down's syndrome ; children ; adults ; orthopaedic management

Sažetak
The aim of this study is to emphasize the spectrum of the most common musculoskeletal problems in children and adults with Down's syndrome. Orthopaedic management should be focused on spine, hip and knee problems. A survey of 36 persons (males 24) ascertained as having Down's syndrome in three institutions in Zagreb were performed using special questionnaire for musculoskeletal problems. In addition, medical records since year 2000 in our institution were reviewed. Five individuals (all males) were surgically treated due to hip or knee problems. We found that out of 41 examined patients with Down’s syndrome nine (22 %) patients had 13 significant musculoskeletal problems (four patients had bilateral problems). Six patients (three bilateral) had patellofemoral instability ; two patients (one bilateral) had hip problems and one patient had 30 degrees lumbar scoliosis. Clinical and radiological results in surgically treated patients, with minimum one year follow up, has shown very good functional outcome for all patients. One patient was surgically treated twice on a same knee joint due to persistence of patellofemoral instability. We conclude that more than 20 per cent of Down’s syndrome population has significant musculoskeletal problems that with precise indications and individually tailored surgical interventions could be functionally improved without complications.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA