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. 1994 Jun;70(6):515–519. doi: 10.1136/adc.70.6.515

Turned head--adducted hip--truncal curvature syndrome.

C Hamanishi 1, S Tanaka 1
PMCID: PMC1029873  PMID: 8048823

Abstract

One hundred and eight neonates and infants who showed the clinical triad of a head turned to one side, adduction contracture of the hip joint on the occipital side of the turned head, and truncal curvature, which we named TAC syndrome, were studied. These cases included seven with congenital and five with late infantile dislocations of the hip joint and 14 who developed muscular torticollis. Forty one were among 7103 neonates examined by one of the authors. An epidemiological analysis confirmed the aetiology of the syndrome to be environmental. The side to which the head was turned and that of the adducted hip contracture showed a high correlation with the side of the maternal spine on which the fetus had been lying. TAC syndrome is an important asymmetrical deformity that should be kept in mind during neonatal examination, and may be aetiologically related to the unilateral dislocation of the hip joint, torticollis, and infantile scoliosis which develop after a vertex presentation.

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Selected References

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  1. Browne D. Congenital Deformities of Mechanical Origin: (Section for the Study of Disease in Children). Proc R Soc Med. 1936 Sep;29(11):1409–1431. [PMC free article] [PubMed] [Google Scholar]
  2. Clarren S. K., Smith D. W. Congenital deformities. Pediatr Clin North Am. 1977 Nov;24(4):665–677. doi: 10.1016/s0031-3955(16)33488-5. [DOI] [PubMed] [Google Scholar]
  3. Dunn P. M. Perinatal observations on the etiology of congenital dislocation of the hip. Clin Orthop Relat Res. 1976 Sep;(119):11–22. [PubMed] [Google Scholar]
  4. Good C., Walker G. The hip in the moulded baby syndrome. J Bone Joint Surg Br. 1984 Aug;66(4):491–492. doi: 10.1302/0301-620X.66B4.6746679. [DOI] [PubMed] [Google Scholar]
  5. Green N. E., Griffin P. P. Hip dysplasia associated with abduction contracture of the contralateral hip. J Bone Joint Surg Am. 1982 Dec;64(9):1273–1281. [PubMed] [Google Scholar]
  6. Hummer C. D., MacEwen G. D. The coexistence of torticollis and congenital dysplasia of the hip. J Bone Joint Surg Am. 1972 Sep;54(6):1255–1256. [PubMed] [Google Scholar]
  7. Ishida K. Prevention of the development of the typical dislocation of the hip. Clin Orthop Relat Res. 1977 Jul-Aug;(126):167–169. [PubMed] [Google Scholar]
  8. LLOYD-ROBERTS G. C., PILCHER M. F. STRUCTURAL IDIOPATHIC SCOLIOSIS IN INFANCY: A STUDY OF THE NATURAL HISTORY OF 100 PATIENTS. J Bone Joint Surg Br. 1965 Aug;47:520–523. [PubMed] [Google Scholar]
  9. Suzuki S., Yamamuro T. Correlation of fetal posture and congenital dislocation of the hip. Acta Orthop Scand. 1986 Feb;57(1):81–84. doi: 10.3109/17453678608993223. [DOI] [PubMed] [Google Scholar]
  10. Watson G. H. Relation between side of plagiocephaly, dislocation of hip, scoliosis, bat ears, and sternomastoid tumours. Arch Dis Child. 1971 Apr;46(246):203–210. doi: 10.1136/adc.46.246.203. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Weiner D. S. Congenital dislocation of the hip associated with congenital muscular torticollis. Clin Orthop Relat Res. 1976 Nov-Dec;(121):163–165. [PubMed] [Google Scholar]
  12. Wilkinson J. A. A post-natal survey for congenital displacement of the hip. J Bone Joint Surg Br. 1972 Feb;54(1):40–49. [PubMed] [Google Scholar]

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