特発性骨折を繰り返した重度障害児 : 1例報告

概要

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We reported a case of a ten-year-old boy who experienced multiple spontaneous fractures subsequent to hypoxic brain damage. In August 1996, he developed spastic tetraplegia due to asphyxia caused by near-drowning at the age of eight. In October 1997, with no obvious cause, he suffered a left femoral neck fracture. In November 1999, 6 days after he was brought to our clinic for consultation for the first time, he suffered a left femoral subtrochanteric fracture, followed by a suprachondylar fracture of the left femur, and 5 months later, a suprachondylar fracture of the right femur, all spontaneously. No traumatic episodes that might provoke these fractures were found. Although the causes of spontaneous fractures are usually multifactorial, such as osteoporosis, nutritional deficiency, adverse effects of anticonvulsants, and accelerated calcium excretion, it is suspected that the major causes for these fractures were severe spasticity and contractures on the lower extremities. To prevent spontaneous fractures and plan for early diagnosis and treatment, physiatrists should be aware of uncommon muscloskeletal complications in children with severe disability.
社団法人日本リハビリテーション医学会の論文
2001-08-18