Orthopedic and Surgical Management of the Patient With Duchenne Muscular Dystrophy.
Published
Journal Article (Review)
Orthopedic care is an important aspect of the overall management of patients with Duchenne muscular dystrophy (DMD). In addition to progressive muscle weakness and loss of function, patients may develop joint contractures, scoliosis, and osteoporosis, causing fractures; all of these necessitate intervention by a multidisciplinary team including an orthopedic surgeon as well as rehabilitation specialists such as physio- and occupational therapists. The causes of these musculoskeletal complications are multifactorial and are related to primary effects on the muscles from the disease itself, secondary effects from weak muscles, and the related side effects of treatments, such as glucocorticoid use that affect bone strength. The musculoskeletal manifestations of DMD change over time as the disease progresses, and therefore, musculoskeletal management needs change throughout the life span of an individual with DMD. In this review, we target pediatricians, neurologists, orthopedic surgeons, rehabilitation physicians, anesthesiologists, and other individuals involved in the management of patients with DMD by providing specific recommendations to guide clinical practice related to orthopedic issues and surgical management in this setting.
Full Text
Duke Authors
Cited Authors
- Apkon, SD; Alman, B; Birnkrant, DJ; Fitch, R; Lark, R; Mackenzie, W; Weidner, N; Sussman, M
Published Date
- October 2018
Published In
Volume / Issue
- 142 / Suppl 2
Start / End Page
- S82 - S89
PubMed ID
- 30275252
Pubmed Central ID
- 30275252
Electronic International Standard Serial Number (EISSN)
- 1098-4275
Digital Object Identifier (DOI)
- 10.1542/peds.2018-0333J
Language
- eng
Conference Location
- United States