[Evaluation of systolic intervals in Duchenne progressive muscular dystrophy].
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The results of an analysis of a group of 250 patients with acute and mild forms of x-linked dystrophy and of 184 women from their families seem to suggest a similar genetic defect in both forms of the disease. The posibility of intrafamilial variability, similar type of muscular damage and indentical features of heterozygotes may support this hypothesis. This may suggest also a practical conclusion for genetic counselling, that it is difficult to predict reliably what wall be the form of the disease in the sons of a female carrier of dystrophy gene.
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The authors report a case of pseudohypertrophic muscular dystrophy of bening course. Histological examinations of muscle biopsy and electromyography were found to be of particular usefulness for establishing the diagnosis of this fairly rare type of myopathy isolated recently as Becker's type.
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Surgical technique of percutaneous lengthening of Achilles tendon has been presented. Thirty-seven feet in 26 children have been operated on. There was no intraoperative inadvertent tenotomy or excessive lengthening, no complications occurred in the postoperative course. An average follow-up was of 18 months. The procedure resulted in 7 degrees of dorsal flexion on an average. The authors recommend this method in the treatment of the spastic pes equinus.
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