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Medical Library

DOWN'S SYNDROME: ORTHOPAEDIC ABNORMALITIES IN ADULTS

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(From: Christopherson et al (1986) Orthopaedic abnormalities of adults with Down's syndrome. Dev. Med Child Neurol. P103)

Radiological changes in 129 adults age 20-59 years (USA). Severity of radiological changes not matched by clinical state. only 3% complained of pain. 5% required surgical intervention

  • Diffuse degenerative changes in cervical spine
 

33%

  • Cervical subluxations at every level - neurological sequelae rare
 

23%

  • Scoliosis
 

40%

  • Degenerative changes in thoracolumbarspine - probably secondary to scoliosis
 

21%

  • Degenerative arthritis:
    • hip
    • knee
    • foot
    • ankle
 


10%
12%
18%
5%

 
 
 
 


(From: Diamond et al (1981) Orthopaedic disorders in patients with Down's syndrome. Orthopaedic clinics of North America. 12 1 p57 -71)

265 adults: Clinical and radiological assessment: Management issues discussed.

Most critical problems:

  • Severe hallux valgus
  • Metatarsus primus varus
  • Subluxation and dislocation of the patella
  • Severe pes planus
  • Atlanto axial subluxation
  • Femoral head epiphysiolysis
  • Dislocation or subluxation of the hips.

Last updated 01.09.01

This page is also available as a PDF.