新生児整形外科的検診の意義

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書誌事項

タイトル別名
  • Significance of Orthopedic Examinations in Newborns
  • シンセイジ セイケイ ゲカテキ ケンシン ノ イギ

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抄録

The author conceived that an early discovery has great significance not only in congenital dislocation of hip but also in other orthopedic diseases involving congenital torticollis and congenital club foot, and examined all the newborns and immature babies within one week after birth. These babies had been hospitalized to the obstetric and pediatric departments of Matsumoto National Hospital. In the present study, mobility and relaxation of joints, presence of muscular hardening, contracture and click signs were examined at the newborns' room; but an x-ray examination was limited to the cases in which any of the conditions could be clinically suspected of. Besides, in order to prevent a possible oversight during these examinations, all the newborns were instructed to undergo radiography and a check-up at age of 3 months old. Since 1962, 1, 463 cases have been examined up to now. Among them we found 46 cases of congenital torticollis, 16 cases of congenital dislocation of hip and its suspected type, 1 case of birth palsy, 1 case of infantile cerebral paralysis, 1 case of constitutional disease of bone and 22 cases of other anomalies of the face, fingers, feet and toes. All the babies who had not shown any abnormality at the newborns' examinations are now under our investigation. Congenital dislocation of hip has been discovered only 1 case by a radiograph taken at 3 months after the birth. However, congenital displasia of acetabulum was seen in 9 cases, and congenital torticollis in 5 cases, tine case of the constitutional disease of bone was found by the present examinations and still he is under observation up to present at the age of 3 years.<br>This will provide some precious data in future. From the results of these examinations, the author fully realized the necessity of combining Barlow's test, Ortolani's test and other various methods in the orthopedic examinations of a newborn, and the importance of a sufficient mastery of the technique in these examinations through repeated experiences with an increasing number of cases, for it will certainly enhance the rate of discovery and accomplish the aims of early treatment.

収録刊行物

  • 医療

    医療 21 (3), 259-267, 1967

    一般社団法人 国立医療学会

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