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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1990-8-1
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pubmed:abstractText |
The spectrum of orthopaedic problems in eight congenitally insensate patients was reviewed. The conditions included congenital insensitivity to pain, Riley-Day syndrome, and Lesch-Nyhan syndrome. In each of these conditions, the patient has an abnormality of interpretation of painful stimuli or lacks normal pain avoidance, leading to self-inflicted damage. The orthopaedic problems and complications included fracture, self-mutilation, autoamputation, osteomyelitis, septic arthritis, Charcot joints, scoliosis, and dislocation. Effective management consists of early diagnosis and patient/parent education to prevent as many complications as possible. Fractures may be treated conservatively, while progressive scoliosis requires operative intervention. Osteomyelitis, septic arthritis, and Charcot joints require appropriate operative treatment.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0271-6798
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
10
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
514-21
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:1694184-Adolescent,
pubmed-meshheading:1694184-Adult,
pubmed-meshheading:1694184-Bone Diseases,
pubmed-meshheading:1694184-Child,
pubmed-meshheading:1694184-Child, Preschool,
pubmed-meshheading:1694184-Dysautonomia, Familial,
pubmed-meshheading:1694184-Female,
pubmed-meshheading:1694184-Humans,
pubmed-meshheading:1694184-Infant,
pubmed-meshheading:1694184-Lesch-Nyhan Syndrome,
pubmed-meshheading:1694184-Male,
pubmed-meshheading:1694184-Pain Insensitivity, Congenital,
pubmed-meshheading:1694184-Patient Education as Topic
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pubmed:articleTitle |
Orthopaedic manifestations in congenitally insensate patients.
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pubmed:affiliation |
Shriners Hospital for Crippled Children, Tampa Unit, FL 33612-9499.
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pubmed:publicationType |
Journal Article
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