0
Article |

Congenital Deformities of the Museuloskeletal System Noted in the Newborn FREE

EDGAR M. BICK, M.D.
[+] Author Affiliations

Submitted for publication March 2, 1960.

30 East 60th St. (22).

This project was completed with the aid of a generous grant from the Susan Greenwall Foundation.


Am J Dis Child. 1960;100(6):861-868. doi:10.1001/archpedi.1960.04020040863009.
Text Size: A A A
Published online

Between October, 1954, and December, 1958, five thousand newly born babies were examined by the writer of this report. These were unselected consecutive Obstetrical Service cases made available through the courtesy of its Director, Dr. Alan Guttmacher, and Dr. Horace Hodes, Director of the Pediatric Service. Each examination was made within a few days of birth, and most of them within 36 hours.

The objectives of the investigation were chiefly twofold: (1) to form a numerical base of reference for the occurrence of certain relatively common congenital deformities of the musculoskeletal system which could be applied to continuing studies by the Orthopaedic Service of this Hospital (or others) on the natural history of these lesions, and (2) to determine the relationship, if any, of certain maternal factors, especially those connected with the circumstances of the mother's pregnancy.

While 5,000 newborn are a fair enough collection for study, the relatively small

REFERENCES

Proceedings of Conference on Prematurity, Congenital Malformations and Birth Injury, 1953, 2. Second Scientific Conference: Mechanisms of Congenital Malformations, 1954.
Bagg, H. J.:  Hereditary Abnormalities of the Limbs, Their Origin and Transmission , Am. J. Anat. 43:167, 1929;.
Bick, E. M.: Source Book of Orthopaedics , Ed. 2, Baltimore, The Williams & Wilkins Company, 1948;,  Chap. VII .
 The Osteohistology of the Normal Human Vertebra , J. Mt. Sinai Hosp. New York 19: 490, 1952;.
Caffey, J.; Ames, R.; Silverman, W. A.; Ryder, C. T., and Haugh, G.:  Contraindication of the Congenital Dysplasia-Predislocation Hypothesis of Congenital Dislocation of the Hip, Through Study of Normal Variations in Acetabular Angles at Successive Periods in Infancy , Pediatrics 17:632, 1956;.
Coleman, S. S.:  Diagnosis of Congenital Dysplasia of the Hip in the Newborn Infant , J.A.M.A. 162:548, 1956;.
Colonna, P. C.:  Care of the Infant with Congenital Subluxation of the Hip , J.A.M.A. 166:715, 1958;.
Duraiswami, P. K.:  Experimental Causation of Congenital Defects and Its Significance in Orthopaedic Surgery , J. Bone & Joint Surg. 34-B:646, 1952;.
Ehrenhaft, J. L.:  Development of the Vertebral Column as Related to Certain Congenital and Pathological Changes , Surg. Gynec. & Obst. 76:282, 1943;.
Gregg, N. M.:  Rubella During Pregnancy of the Mother with Its Sequelae of Congenital Defects in the Child , M.J. Australia 1:313, 1945;.
Gruenwald, P.:  Developmental Pathology: A New Field of Medicine , Am. J. Obst. & Gynec. 58:1, 1949;.
Hass, J.: Congenital Dislocation of the Hip , Springfield, Ill., Charles C Thomas, Publisher, 1951;.
Hart, V. L.: Congenital Dysplasia of the Hip Joint and Sequelae , Springfield, Ill., Charles C Thomas, Publisher, 1952;.
Ingalls, T. H.; Curley, F. J., and Prindle, R. A.:  Experimental Production of Congenital Anomalies: Timing and Degree of Anoxia as a Factor Causing Fetal Deaths and Congenital Anomalies in the Mouse , New England J. Med. 247:758, 1952;.
Jacobziner, H.; Pakter, J.; Gold, E. M., and Rich, H.:  A Correlative Study of Congenital Malformations , New York, J. Med. 57:3453, 1957;.
Kazukuni, U.:  Roentgenological Study of Congenital Dislocation of the Hip, Especially Concerning Its Early Diagnosis and Pathogenesis , J. Jap. S. Soc. 30:41, 1956;.
Kite, J. H.:  Congenital Metatarsus Varus: Instructional Course Lectures , Am. Acad. Orthop. Surg. 7:126, 1950;.
McIntosh, R.; Merritt, K. K.; Richards, M. R.; Samuels, M. H., and Bellows, M. T.:  The Incidence of Congenital Malformations: A Study of 5,964 Pregnancies , Pediatrics 14:505, 1954;.
Muller, H. J.:  The Production of Mutation by X-Ray , Proc. Nat. Acad. Sc. 14:714, 1928;.
Murphy, D. P.: Congenital Malformations , Ed. 2, Philadelphia, J. B. Lippincott Company, 1947;.
Shapiro, R. N.; Eddy, W.; Fitzgibbon, J., and O'Brien, G.:  The Incidence of Congenital Anomalies Discovered in the Neo-Natal Period , Am. J. Surg. 96:396, 1958;.
Stevenson, S. S.; Worcester, J., and Rice, R. G.:  Six Hundred Seventy-Seven Congenitally Malformed Infants and Associated Gestational Characteristics , Pediatrics 6:37, 208, 1950;.
Warkany, J.:  Congenital Malformations Induced by Maternal Nutritional Deficiency , J. Pediat. 25:276, 1944;.
Weber, F. P.:  Congenital Developmental Familial Disease , Brit. J. Child. Dis. 28:34, 1931;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Proceedings of Conference on Prematurity, Congenital Malformations and Birth Injury, 1953, 2. Second Scientific Conference: Mechanisms of Congenital Malformations, 1954.
Bagg, H. J.:  Hereditary Abnormalities of the Limbs, Their Origin and Transmission , Am. J. Anat. 43:167, 1929;.
Bick, E. M.: Source Book of Orthopaedics , Ed. 2, Baltimore, The Williams & Wilkins Company, 1948;,  Chap. VII .
 The Osteohistology of the Normal Human Vertebra , J. Mt. Sinai Hosp. New York 19: 490, 1952;.
Caffey, J.; Ames, R.; Silverman, W. A.; Ryder, C. T., and Haugh, G.:  Contraindication of the Congenital Dysplasia-Predislocation Hypothesis of Congenital Dislocation of the Hip, Through Study of Normal Variations in Acetabular Angles at Successive Periods in Infancy , Pediatrics 17:632, 1956;.
Coleman, S. S.:  Diagnosis of Congenital Dysplasia of the Hip in the Newborn Infant , J.A.M.A. 162:548, 1956;.
Colonna, P. C.:  Care of the Infant with Congenital Subluxation of the Hip , J.A.M.A. 166:715, 1958;.
Duraiswami, P. K.:  Experimental Causation of Congenital Defects and Its Significance in Orthopaedic Surgery , J. Bone & Joint Surg. 34-B:646, 1952;.
Ehrenhaft, J. L.:  Development of the Vertebral Column as Related to Certain Congenital and Pathological Changes , Surg. Gynec. & Obst. 76:282, 1943;.
Gregg, N. M.:  Rubella During Pregnancy of the Mother with Its Sequelae of Congenital Defects in the Child , M.J. Australia 1:313, 1945;.
Gruenwald, P.:  Developmental Pathology: A New Field of Medicine , Am. J. Obst. & Gynec. 58:1, 1949;.
Hass, J.: Congenital Dislocation of the Hip , Springfield, Ill., Charles C Thomas, Publisher, 1951;.
Hart, V. L.: Congenital Dysplasia of the Hip Joint and Sequelae , Springfield, Ill., Charles C Thomas, Publisher, 1952;.
Ingalls, T. H.; Curley, F. J., and Prindle, R. A.:  Experimental Production of Congenital Anomalies: Timing and Degree of Anoxia as a Factor Causing Fetal Deaths and Congenital Anomalies in the Mouse , New England J. Med. 247:758, 1952;.
Jacobziner, H.; Pakter, J.; Gold, E. M., and Rich, H.:  A Correlative Study of Congenital Malformations , New York, J. Med. 57:3453, 1957;.
Kazukuni, U.:  Roentgenological Study of Congenital Dislocation of the Hip, Especially Concerning Its Early Diagnosis and Pathogenesis , J. Jap. S. Soc. 30:41, 1956;.
Kite, J. H.:  Congenital Metatarsus Varus: Instructional Course Lectures , Am. Acad. Orthop. Surg. 7:126, 1950;.
McIntosh, R.; Merritt, K. K.; Richards, M. R.; Samuels, M. H., and Bellows, M. T.:  The Incidence of Congenital Malformations: A Study of 5,964 Pregnancies , Pediatrics 14:505, 1954;.
Muller, H. J.:  The Production of Mutation by X-Ray , Proc. Nat. Acad. Sc. 14:714, 1928;.
Murphy, D. P.: Congenital Malformations , Ed. 2, Philadelphia, J. B. Lippincott Company, 1947;.
Shapiro, R. N.; Eddy, W.; Fitzgibbon, J., and O'Brien, G.:  The Incidence of Congenital Anomalies Discovered in the Neo-Natal Period , Am. J. Surg. 96:396, 1958;.
Stevenson, S. S.; Worcester, J., and Rice, R. G.:  Six Hundred Seventy-Seven Congenitally Malformed Infants and Associated Gestational Characteristics , Pediatrics 6:37, 208, 1950;.
Warkany, J.:  Congenital Malformations Induced by Maternal Nutritional Deficiency , J. Pediat. 25:276, 1944;.
Weber, F. P.:  Congenital Developmental Familial Disease , Brit. J. Child. Dis. 28:34, 1931;.

Correspondence

CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.