[Lavage as an effective and careful method of treating children].
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Biomedical subjects
Publications and source records attributed to G Theander.
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In a prospective Swedish study started in 1977 and still in progress 10 328 newborn infants in an urban district were investigated for cytomegalovirus (CMV) excretion in the urine by the virus isolation test. Congenital infection was found in 50 cases (0.5%). Of 47 infected infants with known clinical status at birth 9 (19%) had hepatomegaly, splenomegaly, jaundice and/or petechiae. The symptoms were moderate or mild. Of the infants followed up, 2 (25%) of 8 neonatally symptomatic ones and 3 (9%) of 35 asymptomatic ones developed neurologic sequelae. Altogether 5 (12%) of 43 had permanent neurologic symptoms corresponding to 0.06% in the general population. The children ranged in age from 6 months to 4 yr at the last examination. 21 mothers of the 47 infants with known status at birth had a confirmed or presumed primary infection, 15 a confirmed or presumed secondary infection and 11 an undetermined type of infection. Of the 5 infants with neurologic sequelae, 1 with a grave psychomotor retardation and deafness was born to a mother with a primary infection in the 1st trimester; 1 infant with a moderate retardation and 3 deaf infants were all exposed to confirmed or presumed secondary maternal infections. Prospective serological studies of maternal sera in early pregnancy would have suspected only the gravely retarded infant to be at risk.
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The findings made in cases of supernumerary soleus muscles are reviewed, and the first radiologic observations on this malformation are reported. The value of CT is emphasized.
The child of a woman with osteodysplasty was found at radiologic examination in utero to have a unique complex of abnormalities, which were further analysed after birth. The complex included malformations of the abdominal wall, the bowel and the eyes as well as calcification of soft tissues and previously unknown varieties of osseous abnormalities.
A female delivered in a breech presentation after manipulation of the arms was found 2 days later to have sustained anterior dislocation of the left radial head. Surgical correction proved successful, and when re-examined 5 years later the elbow had remained normal. It is probable that in many cases of unilateral displacement of the radial head, detected later in life but reported as congenital, the malposition has been a sequela after unrecognized birth injury.
The radiologic appearance of avulsion fracture of the proximal tibial metaphysis is described, and the conditions under which this rare type of injury may occur are analysed.
The clinical and radiologic findings in a child with habitual voluntary dislocation of the hip are reported. Observations made in this case and in 6 others on record suggest that this rare condition is a specific pediatric entity with a good prognosis.
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Observations made in 455 Malmö infants with assumedly normal ossification of the femoral heads were used for establishing reference standards for the age at onset of the ossification and for the size of the ossification centers according to sex and age.
A review of the films obtained in 124 infants conservatively treated for congenital dislocation of the hip revealed deviations from ordinary development of the femoral head before as well as after the treatment. Analysis of these deviations suggested initial acceleration of ossification, modified by retardation ipsilateral to dislocation and followed by bilateral deceleration of growth after treatment.
In 10 children with altogether 17 malformed thumbs radiography revealed true triphalangism in 13 of the thumbs and pseudotriphalangism in the remaining 4. Two varieties of triphalangism were distinguished, and clinically significant morphologic variation was recognized also in pseudotriphalangism.
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