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Congenital Heart Disease in Adolescents With Gluteal Muscle Contracture
Gluteal muscle contracture (GMC), presented with hip abduction and external rotation when crouching, is common in several ethnicities, particularly in Chinese. It remains unclear that the reasons why these children are weak and have no choice to accept repeated intramuscular injection. Here, we foun...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602711/ https://www.ncbi.nlm.nih.gov/pubmed/25654394 http://dx.doi.org/10.1097/MD.0000000000000488 |
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author | You, Tian Zhang, Xin-tao Zha, Zhen-gang Zhang, Wen-tao |
author_facet | You, Tian Zhang, Xin-tao Zha, Zhen-gang Zhang, Wen-tao |
author_sort | You, Tian |
collection | PubMed |
description | Gluteal muscle contracture (GMC), presented with hip abduction and external rotation when crouching, is common in several ethnicities, particularly in Chinese. It remains unclear that the reasons why these children are weak and have no choice to accept repeated intramuscular injection. Here, we found some unique cases which may be useful to explain this question. We describe a series of special GMC patients, who are accompanied with congenital heart disease (CHD). These cases were first observed in preoperative examinations of a patient with atrial septal defect (ASD), which was proved by chest X-ray and cardiac ultrasound. From then on, we gradually identified additional 3 GMC patients with CHD. The original patient with ASD was sent to cardiosurgery department to repair atrial septal first and received arthroscopic surgery later. While the other 3 were cured postoperative of ventricular septal defect (VSD), tetralogy of fallot (TOF), patent ductus arteriosus (PDA), respectively, and had surgery directly. The study gives us 3 proposals: (1) as to CHD children, it is essential to decrease the use of intramuscular injection, (2) paying more attention to cardiac examination especially cardiac ultrasound in perioperative period, and (3) taking 3D-CT to reconstruct gluteal muscles for observing contracture bands clearly in preoperation. However, more larger series of patients are called for to confirm these findings. |
format | Online Article Text |
id | pubmed-4602711 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-46027112015-10-27 Congenital Heart Disease in Adolescents With Gluteal Muscle Contracture You, Tian Zhang, Xin-tao Zha, Zhen-gang Zhang, Wen-tao Medicine (Baltimore) 6200 Gluteal muscle contracture (GMC), presented with hip abduction and external rotation when crouching, is common in several ethnicities, particularly in Chinese. It remains unclear that the reasons why these children are weak and have no choice to accept repeated intramuscular injection. Here, we found some unique cases which may be useful to explain this question. We describe a series of special GMC patients, who are accompanied with congenital heart disease (CHD). These cases were first observed in preoperative examinations of a patient with atrial septal defect (ASD), which was proved by chest X-ray and cardiac ultrasound. From then on, we gradually identified additional 3 GMC patients with CHD. The original patient with ASD was sent to cardiosurgery department to repair atrial septal first and received arthroscopic surgery later. While the other 3 were cured postoperative of ventricular septal defect (VSD), tetralogy of fallot (TOF), patent ductus arteriosus (PDA), respectively, and had surgery directly. The study gives us 3 proposals: (1) as to CHD children, it is essential to decrease the use of intramuscular injection, (2) paying more attention to cardiac examination especially cardiac ultrasound in perioperative period, and (3) taking 3D-CT to reconstruct gluteal muscles for observing contracture bands clearly in preoperation. However, more larger series of patients are called for to confirm these findings. Wolters Kluwer Health 2015-02-06 /pmc/articles/PMC4602711/ /pubmed/25654394 http://dx.doi.org/10.1097/MD.0000000000000488 Text en Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | 6200 You, Tian Zhang, Xin-tao Zha, Zhen-gang Zhang, Wen-tao Congenital Heart Disease in Adolescents With Gluteal Muscle Contracture |
title | Congenital Heart Disease in Adolescents With Gluteal Muscle Contracture |
title_full | Congenital Heart Disease in Adolescents With Gluteal Muscle Contracture |
title_fullStr | Congenital Heart Disease in Adolescents With Gluteal Muscle Contracture |
title_full_unstemmed | Congenital Heart Disease in Adolescents With Gluteal Muscle Contracture |
title_short | Congenital Heart Disease in Adolescents With Gluteal Muscle Contracture |
title_sort | congenital heart disease in adolescents with gluteal muscle contracture |
topic | 6200 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602711/ https://www.ncbi.nlm.nih.gov/pubmed/25654394 http://dx.doi.org/10.1097/MD.0000000000000488 |
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