Musculoskeletal anomalies in children with Mucopolysaccaridoses

Introduction The accumulation of glycosaminoglycan (GAGs) in the tissues in Mucopolysaccharidoses (MPS) can lead to skeletal anomalies (DYSOSTOSIS MULTIPLEX) and to soft tissue impairments (neural or medullar compression, joint stiffness, tenosynovitis). Here is a review of orthopedic issues freque...

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Main Authors: Florence Müller, Khaled Alomar, Pierre Journeau
Format: Article
Language:English
Published: Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics 2021-08-01
Series:Гений oртопедии
Subjects:
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author Florence Müller
Khaled Alomar
Pierre Journeau
author_facet Florence Müller
Khaled Alomar
Pierre Journeau
author_sort Florence Müller
collection DOAJ
description Introduction The accumulation of glycosaminoglycan (GAGs) in the tissues in Mucopolysaccharidoses (MPS) can lead to skeletal anomalies (DYSOSTOSIS MULTIPLEX) and to soft tissue impairments (neural or medullar compression, joint stiffness, tenosynovitis). Here is a review of orthopedic issues frequently encountered in patients with MPS. Material and methods Surgery may be justified at different age and according to the type of MPS. Different surgical approaches and their indications are exposed in the article. Results The article exposes indications and techniques for orthopedic issues in MPS children: cervical stenosis, cervical instability, kyphosis, hip dysplasia and hip dislocation, genu valgum. Conclusion Various musculoskeletal anomalies can be found in patients with mucopolysaccharidoses. Neurological impairments are frequently seen due to cervical stenosis or instability and should be early detected with regular MRI of the cervical spine. Well-codified management should lead to favorable functional results and maintain functional and walking abilities.
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spelling doaj.art-5066ea6f0692438a9cfb03aea7352d702022-12-21T21:47:17ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2021-08-0127444644910.18019/1028-4427-2021-27-4-446-449Musculoskeletal anomalies in children with MucopolysaccaridosesFlorence Müller0Khaled Alomar1Pierre Journeau2CHU de Nancy, Hôpital d’enfants de Brabois, Nancy, FranceCHU de Nancy, Hôpital d’enfants de Brabois, Nancy, FranceCHU de Nancy, Hôpital d’enfants de Brabois, Nancy, FranceIntroduction The accumulation of glycosaminoglycan (GAGs) in the tissues in Mucopolysaccharidoses (MPS) can lead to skeletal anomalies (DYSOSTOSIS MULTIPLEX) and to soft tissue impairments (neural or medullar compression, joint stiffness, tenosynovitis). Here is a review of orthopedic issues frequently encountered in patients with MPS. Material and methods Surgery may be justified at different age and according to the type of MPS. Different surgical approaches and their indications are exposed in the article. Results The article exposes indications and techniques for orthopedic issues in MPS children: cervical stenosis, cervical instability, kyphosis, hip dysplasia and hip dislocation, genu valgum. Conclusion Various musculoskeletal anomalies can be found in patients with mucopolysaccharidoses. Neurological impairments are frequently seen due to cervical stenosis or instability and should be early detected with regular MRI of the cervical spine. Well-codified management should lead to favorable functional results and maintain functional and walking abilities.mucopolysaccharidosesmusculoskeletal anomaliesorthopedic surgery
spellingShingle Florence Müller
Khaled Alomar
Pierre Journeau
Musculoskeletal anomalies in children with Mucopolysaccaridoses
Гений oртопедии
mucopolysaccharidoses
musculoskeletal anomalies
orthopedic surgery
title Musculoskeletal anomalies in children with Mucopolysaccaridoses
title_full Musculoskeletal anomalies in children with Mucopolysaccaridoses
title_fullStr Musculoskeletal anomalies in children with Mucopolysaccaridoses
title_full_unstemmed Musculoskeletal anomalies in children with Mucopolysaccaridoses
title_short Musculoskeletal anomalies in children with Mucopolysaccaridoses
title_sort musculoskeletal anomalies in children with mucopolysaccaridoses
topic mucopolysaccharidoses
musculoskeletal anomalies
orthopedic surgery
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AT khaledalomar musculoskeletalanomaliesinchildrenwithmucopolysaccaridoses
AT pierrejourneau musculoskeletalanomaliesinchildrenwithmucopolysaccaridoses