BGDD

0

female

dhaka

and hop joint and osteoarthritis. face of the baby was dysmorphic with depressed nasal bridge, hairy scalp and forehead. Her respiratory rate was 76/min. Heart rate was 154/min. Length was 45 cm and birth weight was 2800 gram. Air entry was good, heart sound was normal with no murmur on auscultation. Umbilicus was healthy and no organomegally was found. Both knee joints were hyper mobile and extension was possible up to 90 degree (Fig-2). Muscle tone was diminished but tendon reflexes were normal. There was spatulated thumb and other fingers (Fig-3). So on the basis of clinical features she was diagnosed as early onset neonatal sepsis with Larsen syndrome. On investigation, haematological reports were normal but radiological survey of whole body showed posterior dislocation in both hip joints including dislocations in all other big and smaller joints of lower limbs

- empirical treatment of neonatal sepsis - manual treatment exercise was implemented - surgical join replacement was advised for the future.