Limb girdle dystrophy

Published on 02/04/2015 by admin

Filed under Internal Medicine

Last modified 02/04/2015

Print this page

rate 1 star rate 2 star rate 3 star rate 4 star rate 5 star
Your rating: none, Average: 0 (0 votes)

This article have been viewed 944 times

65 Limb girdle dystrophy

Instruction

Perform a neurological examination of this patient’s upper and lower limbs.

Salient features

History

• Age of onset (between 10 and 30 years of age)

• Onset may either be in the pelvic or shoulder girdle

• It may remain confined to the pelvic or shoulder girdle and may be static for years before peripheral weakness and wasting occur.

Examination

Upper limbs (Fig. 65.1):

• Biceps and brachioradialis are involved late; wrist extensors are first involved when it extends to the wrist.

• Deltoids may show pseudohypertrophy and are spared until late.

image

Fig. 65.1 Pattern of weakness in limb-girdle dystrophy.

Lower limbs (Fig. 65.1):

• In the early stages of the disease, hip flexors and glutei are weak.

• There is early wasting of medial quadriceps and tibialis anterior.

Buy Membership for Internal Medicine Category to continue reading. Learn more here

Related posts:

Default ThumbnailSixth cranial nerve palsy Osteoarthrosis Cataracts Ebstein’s anomaly Paget’s disease Erythema nodosum