Deformity

17
Acqulred deformitie
ongenta deormte
Developmental dlsorders of bone
ioenar synostosis
Osteogeness Imperfecta (syn: ragile ossium)
edeung delomly
Fibrous dysplasia
Roolia chub hand
Pagef's disease (osteitis deformans)
Cenrocted inges
Congental multiple exostosis (diuphysea
oher finger deformiies (syndactyly. aclasis)
pobvcochyty and ectrodactyy)
Congental pseudoarthrosis of tibia Cerebral palsy
KXlppel-Fei syndrome (shorl neck Muscular dystrophy
Congenital dislocation of the hip (CDH)

NTRODUCTION 2. Acquired Deformity

The acquired deformity sometimes develops after birth.
Detormity It canbe produced as a resuit of the
Araiteration in the shape of the basic normal structure
following causes:
af
Bone disease: Diseases like tuberculosis, carcinoma,
a body from head to toe. It has a great association rickets may produce bony
sih orthopaedic scierce. In facc, the title Orthopaedics deformity by
the composition of the bone. Chronic affecting
tsef is derived from rwo Greek words infections
"Orthos" means like osteomyelitis can also cause
deformity.
tstraighten and "pedios" means a child.
Therefore,
orthopacdic specialty has begun with the correction of
(ii) Joint diseases: Like a. "hritis, gout, etc.
deformities in the children. Besides Cii) Muscular causes are lis;ed below:
cosmetic disfigure- (a) Imbalance di:. o muscular imbalance
ment.
deformiry may lead to impairment or even a loss
due
of
function Deformity therefore, may occur
toparalysis. Continuation of this muscular
any and every orthopaedic disorder following imbalance which may eventually
produce
basic irrespective
pathology, posing a major challenge to the of its articular changes which further increase the
paedic as well as ortho- deformity
physiotherapy. (b) Muscle spasticity leading to
ommonly deformity may be: in the direction of malpositioning
Congcnital spastic muscle groups may
become organizel into
2. Acquired deformity (a classical
example s equinus deformity at the ank
i. Congenital Deformity and foot due to
spastic gastroc-soleus).
Muscular disease like muscular dystrophy
dncorrect position in does produce
deformity in due course.
normally,or abnormalthe uterus, failure to develop (d) Shortening of musculotendinous copiex.
usculoskelétal tissues duedevelopment
and/or environmental to
of the neuro- Shortening or contracture of the muscle may
factors arecombination
a
of Occur due to various causes and result mn a
ongenital deformity. The genetic
the main causes
anay not be oI deformity.
hereditary. congenital deformity may or (10) Trauma: Malunited fractures can result
deformity. Epiphysealinjuries in childrenmay leaa
to premature closure ofthe growth plates resulting