Bruck syndrome: a case report

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Abstract


The article describes the clinical case of an infant with Bruck syndrome. The clinical and radiological analyses showed the presence of systemic osteoporosis with pathological fractures; contractures of the elbow, knee, and ankle joints; delay of physical and motor development; and signs of hypoplasia in some of the muscle groups. There was also a right-sided congenital muscular torticollis. X-ray analysis revealed a moderate antecurvation deformity of the lower legs and femurs, with cortical thinning. Laboratory data detected an abnormal beta-cross lap increase.Treatment of osteoporosis by inhibitors of osteoclastic resorption (pamidronate) had a positive effect, and the elimination of flexion contractures at the elbow using plaster bandages with the distraction device also resulted in a positive effect.

Dmitry Stepanovich Buklaev

The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

Email: dsbukl@mail.ru
MD, PhD, chief of the department of arthrogryposis. The Turner Scientific and Research Institute for Children’s Orthopedics

Mikhail Mikhailovich Kostik

The Ministry of Health of Russia, St. Petersburg Saint-Petersburg State Pediatric Medical University

MD, PhD, associate professor of the chair pediatrics hospital Saint-Petersburg State Pediatric Medical University

Olga Evgenievna Agranovich

The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

Email: olga_agranovich@yahoo.com
MD, PhD, professor, head of the department of arthrogryposis. The Turner Scientific and Research Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

Svetlana Ivanovna Trofimova

The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

Email: trofimova_sv2012@mail.ru
MD, Ph.D, research associate of the department of arthrogryposis. The Turner Scientific and Research Institute for Children’s Orthopedics

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Copyright (c) 2015 Buklaev D.S., Kostik M.M., Agranovich O.E., Trofimova S.I.

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