Prevalence and Pattern of Congenital Musculoskeletal Anomalies: A Single Centre Study
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 1
Abstract
ABSTRACT Introduction: Musculoskeletal defects are second most common birth defects after central nervous system anomalies. Only very few studies from India concentrates on the pattern of patients specifically dealing with congenital musculoskeletal anomalies. Aim: To determine the pattern and birth prevalence of musculoskeletal congenital malformations among the subset of neonates and infants born in a single tertiary care centre of north India and referred to Orthopaedic Department from Obstetrics and Gynaecology and Paediatric Department. Materials and Methods: A retrospective analysis of all the referrals made from Obstetrics as well as Paediatric Department to Orthopaedic Department from September 2014 to August 2016 for assessment of any visible congenital limb defect in a neonate was done. Only those infants were included in the study who were born in the same hospital during the study period. A record of all the deliveries conducted during the study period was also analysed. Pattern of anomalies in upper limb, lower limb and axial skeleton was noted. Birth prevalence of all the musculoskeletal anomalies was also determined. Results: During the study period a total of 10,126 births were recorded and 71 infants were found to have some form of musculoskeletal defect with prevalence of 7.01/1000 births. Out of 71 cases, 43 (60.56%) were males and 28 (39.44%) females. Ten (14%) children had the anomalies affecting the upper limb with a prevalence of 0.99/1000 births while in 49 (69%) the lower limb was affected with a prevalence of 4.84/1000 births. Twelve (16.9%) children had anomalies affecting the axial skeleton (birth prevalence 1.18/1000). The most common anomalies were Congenital Talipes Equinovarus (CTEV) (33 cases; 46.48%), Developmental Dysplasia of Hip (DDH) (10 cases; 14.08%) and spina bifida (seven cases; 9.86%) with a birth prevalence of 3.25/1000, 0.99/1000 and 0.69/1000 respectively. Conclusion: Congenital musculoskeletal anomalies has a prevalence of 7.01 per 1000 live births. CTEV and DDH are one of the commonest anomalies which are easy to treat if recognised early. Screening of every newborn by an Orthopaedic specialist is warranted.
Authors and Affiliations
Om Kumari, Vivek Singh
Keywords
Related Articles
- EP ID EP523875
- DOI 10.7860/JCDR/2018/31651.11111
- Views 42
- Downloads 0
Co-infection of Candida parapsilosis in a Patient of Pulmonary Actinomycosis-A Rare Case Report
The diagnosis of pulmonary actinomycosis is difficult and less than 10% of cases are diagnosed at the initial presentation. Actinomycosis is always poly-microbial flora infection in human. On the other hand, Candida para...
Growth Charts for Egyptian Children with Achondroplasia
Abstract Introduction: Achondroplasia (ACH) is a dominant autosomal genetic disorder. The patients present with disproportionate short stature with short limbs and normal size torso due to abnormal bone growth. Growth ch...
A Randomized Placebo- Controlled Double Blind Clinical Trial of Quercetin in the Prevention and Treatment of Chemotherapy-Induced Oral Mucositis
Introduction: Oral Mucositis (OM) is a serious complication of chemotherapy that results in painful debilitating inflammation that sometimes ends in interruption of treatment. Aim: The study evaluated the effect of querc...
Associations of Maternal Serum Zonulin and Elements Concentrations with Neonatal Birth Weight: A Case-Control Study
Introduction: Intake of micronutrients and zonulin levels (as a marker for intestinal permeability) during pregnancy can be effective on birth weight of infants. However, no studies have investigated the relationship bet...
Sciatic Nerve Schwannoma at Sciatic Foramen: Importance of Transvaginal Sonography Guided Biopsy and Magnetic Resonance Imaging in its Diagnosis
ABSTRACT Schwannomas are truly encapsulated benign tumours associated with the nerves arising from the schwann cells. Schwannomas arising from the sciatic nerve is of rare occurrence and is estimated to be less than one...