Physically disabled for correction of qinsihe by the Director of the center of Beijing survey found that in the 1980 of the 20th century, the sudden increase in the incidence of gluteal muscle CONTRACTURE. Some place in Guangdong, such as a hospital, within the 5 years that received nearly 2000 cases of gluteal muscle Contracture in children. Up to 5.6%~20% and if the incidence of this disease among students in a certain place, schools that have more than one of the more than 400 people.
80 children with this. Hip repeat intramuscular injection is the main reason for the cause of this. Mechanical injury brought about by repeated injection needles and chemical stimulation, can cause local hemorrhage, edema and inflammatory muscle fiber, culminate in fibrosis and scarring and contracture of gluteal muscles.
4 years of child care due to the gluteal muscle development poor absorption and resistance to stimulate capacity-weak, so the gluteal muscle injection of more, more gluteal muscle necrosis, Contracture is heavier. In the process of growth and bone growth in children with normal, and contracture of muscle tissue is relatively slower growth or no growth, would lead to outreach, external rotation deformity of the hip. With age, States are increasing in children with malformations, or even bone joint and lumbar spinal lesions. Effect light, run, jump, stand, walk, squat obstacles, cannot participate in sports activities. Due to the growth and development of gluteal muscle Contracture in children over time in the process, no symptoms of pain and other discomfort, and parents of children with early so easily be ignored, delayed treatment.
Gluteal muscle Contracture occurs mainly in rural areas and economic and cultural development slow. Still many doctors to the gluteal muscle Contracture is strange, don\'t even know, that part of misdiagnosis and mistreatment of children was. In fact, do not need expensive CT, MIR checks, only depends on clinical manifestations, is able to diagnosis of gluteal muscle Contracture: light, not crossing legs, body bent at hips when snapping; cannot and knee squat, two separate knee frog squat; very heavy body bent at hips severely restricted, change double hip serious deformity, standing only to obey.
Will not be reversed once the gluteal muscle Contracture occurs, will only increase. Currently the only method of treatment is surgery. Younger, smaller surgical trauma, the effect is better, gait and function in some patients after treatment can even return fully to normal. Patients with more than 16 years of age, postoperative symptoms and functions can also be a marked improvement, but secondary deformity can hardly disappeared.
According to reports, mostly because of the continuing incidence of the disease in some localities, some nonstandard drugs used in rural doctors, individual doctors to practise medicine. Infant cold, fever, diarrhea and other diseases will be taken of gluteal muscle injection and dissolved benzyl penicillin. Thus, Qin reminded, Director, local health administration departments to effectively deal with practicing medicine without a license, and improve the doctor and village doctors in particular, an individual doctor\'s level of business. At the same time, parents of children with should also be changed with the child to see a doctor must have an injection of ideas, to prevent and reduce the occurrence of gluteal muscle CONTRACTURE.
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