Screening for musculoskeletal system malformations and birth injuries in newborns:Results of a screening program in two hospitals in Shenzen,China  

作　　者：Zhu Xiong Zhenhui Zhao Hansheng Deng Xin Qiu Weiqing Li Xiaodi Chen Yu Tang Shuai Han Jiaxin Zhao Ting Cai Xian Liu Shuaidan Zeng Shengping Tang 

机构地区：[1]Department of Pediatric Orthopedics,Shenzhen Children’s Hospital of China Medical University,Shenzhen,Guangdong,China [2]Guangxi Medical University,Nanning,Guangxi,China

出　　处：《Pediatric Investigation》2022年第3期156-162,共7页儿科学研究（英文）

基　　金：Sanming Project of Medicine in Shenzhen(Grant/Award Number:SZSM202011012);Shenzhen Fund for Guangdong Provincial High-level Clinical Key specialties(Grant/Award Number:No.SZXK035);Shenzhen Innovation Science and Technology Committee(Grant/Award Number:JCYJ20180228175358223)。

摘　　要：Importance:There are a variety of musculoskeletal malformations and injuries that can occur in newborns.These can be a significant cause of perinatal death or a reason for miscarriage and can lead to long-term functional issues if not managed appropriately.There is no systematic and well-established screening program for neonatal musculoskeletal malformations and injuries in China now.Objective:To report the incidence and types of congenital musculoskeletal malformations in two hospitals in Shenzhen City,to explore and discuss the details of the screening procedure and improve future prevention and treatment.Methods:From October 2013 to May 2014,2564 one-day-old newborns were screened by a pediatric orthopedic physical examination,in combination with ultrasonography when required,and the incidence and variety of diseases were recorded statistically.Results:Among 2564 screened newborns,the following musculoskeletal conditions were identified:congenital muscular torticollis(CMT)(seven cases,0.27%),hip subluxation(four cases,0.16%),hip dysplasia(47 cases,1.83%),congenital talipes equinovarus(CTEV)(two cases,0.08%),congenital talipes calcaneovalgus(15 cases,0.58%),polydactyly(nine cases,0.35%),syndactyly(one case,0.04%),and spinal hemivertebra(one case,0.04%).Additionally,there were five(0.19%)neonates with birth injuries.Interpretation:It is feasible to carry out neonatal screening and identification of musculoskeletal malformations and birth injuries in China.This is helpful as timely detection and early intervention for many of these conditions can avoid permanent functional impairment in these children.

关 键 词：Musculoskeletal system malformations NEWBORN SCREENING 

分 类 号：R722[医药卫生—儿科]