Frequency of congenital malformations of the extremities in newborns

Authors

  • Ricardo Jorge da Silva Pereira Universidade Estadual de Ciências da Saúde de Alagoas; Faculda de de Medicina; Departamento de Cirurgia
  • Luiz Carlos de Abreu Prefeitura Municipal de São Bernardo do Campo; Centro de Especialidades Clínicas
  • Vitor Engracia Valenti Faculdade de Medicina do ABC; Departamento de Fisiologia
  • Waleska Duarte Melo Albuquerque Faculdade de Medicina do ABC; Departamento de Fisiologia
  • Sheila Cavalcante Pereira Universidade Federal de Alagoas
  • Ricardo Araújo Instituto de Traumatologia e Ortopedia do Rio Grande do Norte
  • Marcos Luiz Ferreira Neto Universidade Federal de Uberlândia
  • Saulo Monteiro dos Santos Universidade Federal de Pernambuco

DOI:

https://doi.org/10.7322/jhgd.19877

Keywords:

Abnormalities, Newborn, Morbidity, Malformations

Abstract

Congenital malformations are structural, functional or metabolic alterations present in birth that cause physical or cognitive anomalies; they may be simple or multiple and of major or minor clinical importance. We aimed to analyze the frequency of locomotor apparatus congenital anomalies (extremities) in maternities of the city of Maceió. A prospective cross-sectional cohort study was carried out with 2500 newborns between July 2002 and June 2003 in the maternities Casa Maternal Santa Mônica, Hospital Memorial Arthur Ramos and Santa Casa de Misericórdia de Maceió. Approximately 2.88% of the studied newborns presented some type of locomotor apparatus anomaly. The most frequent major anomaly was the equinovarus clubfoot and the most frequent minor anomaly was the valgus calcaneus foot. It is important to note that an early diagnosis improves the quality of life of this population.

References

Fembach SA. Common orthopedic problems of the newborn in Nurse. Clin North Am. 1998; 33:583-594.

Mason K.J. Congenital orthopedic a nomalies and their impact on the family in Nurse. Clin North Am. 1991; 26: 1-16.

Garcia MG, Ferreira EAP, Oliveira FPS. Análise da compreensão de pais acerca do Teste do Pezinho. Rev Bras Crescimento Desenvolv Hum.2007: 17(1); 1-12.

Abreu LC, Souza AMB, Oliveira AG. Incidência de hemorragia peri-intraventricular em recém-nascidos pré-termo e a relação com o peso ao nascer. Rev Bras Crescimento Desenvolv Hum. 2007: 17(2); 24-30.

Penaloza C, Orlanski S, Ye Y, Entezari-Zaher T, Javdan M, Zakeri Z. Cell death in mammalian development. Curr Pharm Des. 2008;14(2):184-96.

Chen CP. Chromosomal abnormalities associated with neural tube defects (II): partial aneuploidy. Taiwan J Obstet Gynecol. 2007;46(4):336-51.

Taillemite JL. Malformations congènitales desmembres: embryologie, étiologie in Encycl. Méd. Chir. Paris Appareil Locomoteur. 1975;15A:10-12.

Farias Filho OC. Malformações congênitas do aparelho locomotor na cidade de João Pessoa: prevalência e aspectos prognósticos.[dissertação]. Recife: Universidade Federal de Pernambuco; 1997.

Brandt C. Malformações Congênitas. Papel na morbimortalidade infantil. JBM. 1986; 50: 101-114.

Aguiar RCT, Figueredo Neto JA, Dahia PL, Cisneiros GLF, Nunesmaia HGS. Malformações congênitas em João Pessoa, Paraíba. C C S.1986; 8: 31-38.

Carvalho Júnior AE, Fernandes TD, Corsato MA, Masagão RA, Freitas MF, Barbosa AP, Salomão O. Indicações de técnicas cirúrgicas no tratamento da polidactilia do pé. Rev Bras Ortop. 1999; 33(7): 537-543.

Fiddian NJ, Gardiner JC. Screening for congenital dislocation of the hip by Physiotherapists. Result of ten-year study. J Bone Joint Surg. 1994; 76(B) (3): 458-459.

Engesaeter LB, Wilson DJ, Nag D, Benson MKD. Ultrasound and congenital dislocation of the hip. J Bone Joint Surg. 1990;72(B)(2):197-201.

Leite JCL. Anomalias do membro superior: uma perspectiva genético-clínica em Clinica Ortopédica. 2003; 4(1): 25-30.

Jones DA, Powell N. Ultrasound and neonatal hip screening. A prospective study of “highrisk” babies. J Bone Joint Surg. 1990; 72(B)(3):457-459.

Pereira RJS. O pé torto congênito. In: Jornada Norte-Nordeste de Cirurgia Pediátrica. Maceió,1987.

Riordan DC, Bayne LG. La extremidad superior. In: Ortopedia Pediátrica 2ª ed. 689-692 Panamericana Buenos Aires; 1988, p. 689-92.

Malik S, Grzeschik KH. Synpolydactyly: clinical and molecular advances. Clin Genet. 2008;73(2):113-20.

Attenborough CG. Severe congenital talipesequino varus. J Bone Joint Surg Br. 1966;48(1):31-9.

Shazly EM, Trainor B, Kernohan WG, Turner I, Haugh PE, Johnston AF et al. Reliability of the Barlow and Ortolani tests for neonatal hip instability. J Med Screen. 1994; 1: 165-168.

MacEwen GD, Bunnell WP, Ramsey PL. La Cadera. In: Lovell WW, Winter RB. Ortopedia Pediátrica 2ª ed. 705-713 Panamericana Buenos Aires, 1988, p. 705-13.

Terjesen BT, Berg V. Ultrasound for hip assessment in the newborn. J Bone Joint Surg.1989; 71(B) (5): 767-773.

Clarke NMP, Clegg J, Al-Chalabi AN. Ultrasound screening of hip at risk for CDH. J Bone Joint Surg. 1989; 71(B) (1): 9-12.

Roposch A, Moreau NM, Uleryk E, Doria AS. Developmental dysplasia of the hip: quality of reporting of diagnostic accuracy for US. Radiol2006;241(3):854-60.

Bar-On E, Meyer S, Harari G, Porat S. Ultrasonography of the hip in developmental hip dysplasia. J Bone Joint Surg. 1998; 80(B)(2): 321-324.

Milani C, Laredo Filho J, Ishida A, Ascêncio JB, Nakagawa JRM. A ultrassonografia do quadril do recém-nascido pelo método de Graf. Rev Bras Ortop. 1993; 28(1-2): 25-32.

Published

2008-08-01

Issue

Section

Original Research