Opmaak 1 5/10/11 12:33 Pagina 563
finsterer-_Opmaak 1 5/10/11 12:33 Pagina 563 Acta Orthop. Belg. , 2011, 77 , 563-582 REVIEW ARTICLE Orthopaedic abnormalities in primary myopathies Josef FiNStErEr , Walter StrOBl From Krankenanstalt Rudolfstiftung and Orthopaedic Hospital Speising, Vienna, Austria Orthopaedic abnormalities are frequently recognised Keywords : myopathy ; muscular dystrophy ; neuro - in patients with myopathy but are hardly systemati - muscular disorder ; orthopaedic disorders ; surgery. cally reviewed with regard to type of myopathy, type of orthopaedic problem, and orthopaedic manage - ment. this review aims to summarize recent findings and current knowledge about orthopaedic abnormal - List Of abbreviatiOns ities in these patients, their frequency, and possible therapeutic interventions. AMC Arthrogryposis multiplex congenita a MeDLine search for the combination of specific BMD Becker muscular dystrophy terms was carried out and appropriate articles CCD Central core disease were reviewed for the type of myopathy, types of CMD Congenital muscular dystrophy orthopaedic abnormalities, frequency of orthopaedic CMP Congenital myopathy abnormalities, and possible therapeutic interven - DHS Dropped head syndrome tions. DMD Duchenne muscular dystrophy Orthopaedic abnormalities in myopathies can be EDMD Emery-Dreifuss muscular dystrophy most simply classified according to the anatomical FHl1 Four-and-a-half Lin11, isl-1, Mec-3-domain 1 location into those of : the spine, including dropped gene head, camptocormia, scoliosis, hyperlordosis, hyper - FSH Facioscapulohumeral muscular dystrophy kyphosis, or rigid spine ; the thorax, including pectus lGMD limb girdle muscular dystrophy excavatum (cobbler’s chest), anterior/posterior flat - lMNA lamin A/C tening, or pectus carinatum (pigeon’s chest) ; the MD1 Myotonic dystrophy 1 limb girdles, including scapular winging and pelvic MD Muscular dystrophy deformities ; and the extremities, including con - MP Myopathy tractures, hyperlaxity of joints, and hand or foot MYH Myosin heavy chain deformities.
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