The Incidence of Common Orthopaedic Problems in Newborn at Siriraj Hospital
Chatupon Chotigavanichaya MD*, Pranut Leurmsumran MD*, Perajit Eamsobhana MD*, Sanyapong Sanpakit MD*, Kamonporn Kaewpornsawan MD*
Affiliation : * Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Background : The congenital orthopaedic anomalies in Thai population had a limited data and the previously studies are
based on only hospital chart records.
Objective : To determine the incidence of common congenital orthopedic problems by physical examination in newborn at
Siriraj Hospital.
Material and Method: A prospective study was conducted by physical examination of 3,396 newborns from June 2009 to
September 2009. All orthopaedic abnormalities of newborns were recorded along with maternal age, obstetric history of
mother, complications during pregnancy, complications in labour stage, mode of delivery and presentation. Sex of newborn,
birth weight, body length and APGAR score were recorded.
Results : Incidence of calcaneovalgus was found in 60: 1,000 live births following by metatarsus adductus in 7.6: 1,000,
polydactyly or syndactyly in 2.6: 1,000, talipes equninovarus in 2.4: 1,000, brachial plexus injury in 1.5: 1,000, developmen-
tal dysplasia of hip in 0.6:1,000, osteogenesis imperfecta in 0.6:1,000, skeketal dysplasia in 0.6:1,000, congenital vertical
talus in 0.3: 1,000 and fracture clavicle at birth in 0.3: 1,000.
Conclusion : In the present study, the calcaneovalgus was the most common orthopaedic problem followed by metatasus
adductus, polydactyly or syndactyly.
Keywords : Congenital orthopaedic anomalies, Calcaneovalgus, Metatarsus adductus, Polysyndactyly, Clubfoot, Brachial plexopathy, Developmental dysplasia of the hip, Osteogenesis imperfecta, Skeketal dysplasia, Congenital vertical talus, Fracture clavicle at birth
