Metatropic dysplasia in four-year-old boy--physiotherapy and orthopaedic care problems--case report.

Metatropic dysplasia is a rare skeletal dysplasia caused by a mutation in the VDRL4 gene. Characteristic abnormalities include tubular bones with short diaphyses and wide metaphyses, delayed ossification of the ischio/pubic bone, and platyspondyly. The main problem is progressive kyphoscoliosis, which significantly limits the patient's motor development. Another complication is compression of the cervical spinal cord, which reverses any improvements in the child's motor performance. The paper presents a description of a 4-year-old boy with metatropic dysplasia treated by orthopaedic bracing and spinal cord decompression surgery at the C1-2 level. Particular attention is paid to physiotherapy, which allowed restoration of motor functions to match the needs of daily activity.

Correlation between temporomandibular dysfunction, disturbances of occlusion and gingival recession in a group of youth students.

UNLABELLED: The aim of this study was to investigate the relation between temporo-mandibular dysfunction (TMD), and disturbances of occlusion and gingival recession (GR) in a group of youth students. METHODS: The following measurements were performed: Anamnestic Index by Helkimo (AI), Diagnostic Index by Helkimo (DI), clinical evaluation of centric (CO) and excentric (EO) occlusion, clinical estimation of malocclusion and tooth malposition, anamnestic and clinical analysis of the occurrence of occlusal and non-occlusal parafunctions, anamnestic dysfunction of the vertebral column (ADVC), number of patients with GR > or = and/or < or = 2mm. RESULTS: Higher incidence of malposition teeth and ADVC were noted in a group of patients with CO disturbances. In the group of patients with disturbances of EO a significant higher number of patients with GR < or = 2 mm and a significant malposition of the teeth was observed. In the group of patients with clinical dysfunctions of TMD anamnestic dysfunction was more frequent. In the group of patients with GR a significant dependence on the age was proved. In this group there was also an increased occurrence of malposition of the teeth as well as malocclusions. The multifactor etiology of TMD and GR shows necessity of the more sharp diagnosis based on the movement system test.