Arthrogryposis |概述
关节炎是一种用来描述以僵局和异常发育肌肉为特征的多种罕见疾病的术语。它也称为关节炎多重先天性或淀粉质。
Arthrogryposis is not thought to be a genetic or hereditary condition. The exact cause of arthrogryposis is unknown, but a number of different theories have been proposed:
- Some believe that arthrogryposis is caused by obstructions to intrauterine movement during pregnancy.
- 其他人则认为这可能是婴儿发育过程中早期病毒感染的结果。
- Others believe that arthrogryposis is the result of failure of the central nervous system and/or muscular system to develop appropriately.
How common is arthrogryposis?
Arthrogryposis is a rare condition, though the exact frequency with which it occurs is unknown. Previous studies estimate that it affects one to three of every 10,000 babies.
What symptoms might my child have?
Each child experience symptoms differently, but here is a list of some common ones:
- The range of motion of the joints in your child’s arms and legs may be limited or fixed.
- 您的孩子的肩膀可能会向内旋转。
- 她的肘部可能异常延伸。
- She may be able to flex her wrists and fingers abnormally.
- She could havedislocated hips.
- She may haveclubfoot.
Boston Children’s Hospital's approach to arthrogryposis
Boston Children’s Hospital's approach to arthrogryposisYou can have peace of mind knowing that theskilled expertsin our骨科中心'sHand and Orthopedic Upper Extremity Programhave treated thousands of babies and children with many hand conditions. We provide expert diagnosis, treatment, and care, and we benefit from our advanced clinical and scientific research.
Your child will undergo a course of occupational therapy, which will help improve her flexibility and strength in the joints and muscles.Specialistsin theOccupational Therapy Program在波士顿，儿童将与您和您的孩子的医生合作，为您的孩子提供最好的护理。
Treatment programs对于关节炎，基于彻底的评估，并且总是个性化的，以满足您的孩子的需求。
Arthrogryposis |诊断和治疗
How is arthrogryposis diagnosed?
Your child’s doctor can make a diagnosis after a thorough medical history and careful physical examination.
X-raysoften confirm the diagnosis and are helpful when your child’s doctor is evaluating stiff or dislocated joints.
其他测试，包括血液检查，肌肉活检和其他测试成像研究, help doctors confirm the diagnosis.
What sort of treatment will my child receive?
您孩子的医生可能会开处方身体和职业治疗to increase your child's muscle strength and improve flexibility.
Splints can also increase your child's range of motion. A removable splint works so that the joints can be moved and muscles exercised periodically. In some cases, merely wearing a splint at night may be sufficient.
Surgical options for arthrogryposis
Your child's doctor may recommend surgery to improve how she can position and move her limbs.
These procedures may include muscle releases, tendon transfers, or bone fusions to improve flexibility and correct deformities.
What's my child's long-term outlook?
Your child will most likely have persistent muscular and/or joint limitations due to her underlying condition. Unlike many other conditions, arthrogryposis is non-progressive and does not worsen as your child ages.
和physical therapy和其他治疗方法，您的孩子的功能可能会有所改善。大多数孩子继续领导成年人的生产性独立生活。