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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2003, Number 4

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Acta Ortop Mex 2003; 17 (4)

Factors presage of the surgical procedures of the foot of patient with Charcot-Marie-Tooth

Vergara FHJ, Leyva GN, León HSR, García AA
Full text How to cite this article

Language: Spanish
References: 9
Page: 196-200
PDF size: 72.95 Kb.


Key words:

Charcot-Marie-Tooth disease, electromyography.

ABSTRACT

The atrophy muscular peronea or illness of CMT is the most common outlying neuropathy, with a prevalence of 1:2500. Main objective. Establish factors presage of the surgical procedures of the foot of patient with CMT. Material and methods. Thirty one patients were revised with the clinical diagnosis, electromyograph, and genetic making a total of 62 feet evaluating the march pre and postsurgically, analyzing the data with χ2. Results. Of the 31 revised patients 17 (54%) they are type-I; and 9 (29%) type-II; and 5 (16%) not classified; according to the sex 15 they are male (48%) and 16 female (52%). The most frequent deformity the foot was I dig varo (100%); the patients with but tendency to be operated the CMT-I was in 80%, the men presented a greater tendency to the surgery in 78% in the women’s comparison in 67%. Among the 19-27 years the patient with CMT does have tendency to be operated in 81%. Did The age beginning of the symptomatology go to the 7.3 years; if the symptomatology appears among 1 to 4 years tendency it exists to be operated in 83%; if in the family some sick person meets with CMT it spreads to be operated in 79% and those that don’t have sick relatives in 69%. Discussion and conclusion. according to this study they have bigger tendency to be operated the masculine patients with CMT-I, with beginning of their symptomatology early with family antecedents of CMT. Has worse presage the surgery in women with CMT-type II, with beginning of their symptomatology belatedly and without family antecedents of CMT.


REFERENCES

  1. Alexander IJ, Johnson KA: Assessment and management of pes cavus in Charcot-Marie-Tooth disease. Clin Orthop 1989; (246): 273-81.

  2. Birch JG: Orthopedic management of neuromuscular disorders in children. Semin Pediatr Neurol 1998; 5(2): 78-91.

  3. Chance PF, Fischbeck KH: Molecular genetics of Charcot-Marie-Tooth disease and related neuropathies. Hum Mol Genet 1994; 3 Spec No: 1503-7.

  4. Chance PF, Lupski JR: Inherited neuropathies: Charcot-Marie-Tooth disease and related disorders. Baillieres Clin Neurol 1994; 3(2): 373-85.

  5. Holmes JR, Hansen ST Jr: Foot and ankle manifestations of Charcot-Marie-Tooth disease. Foot Ankle 1993; 14(8): 476-86.

  6. Levitt RL, Canale ST, Cooke AJ, Gartlantd JJ: The role of foot surgery in progressive neuromuscular disorders in children. J Bone Joint Surg (Am) 1973; 55(7): 1396-1410.

  7. Njegovan IO, Leonard EI, Joseph FB: El acercamiento de medicina de Rehabilitación a la enfermedad de Charcot-Marie-Tooth: Clin Pediatr Med Surg 1997; 14(1): 99-116.

  8. Schoenberg BS: Epidemiology of the inherited ataxia. Adv Neurol, 1978; 21: 15-32.

  9. Sturtz F, Gonnaud PM, Besse JL, Chazot G, Vandenberghe A: Hereditary motor and sensory neuropathy of Charcot-Marie-Tooth disease. Arch Pediatr 1995; 2(1): 70-8.




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Acta Ortop Mex. 2003 Jul-Ago;17