Legg-Calvé-Perthes’ Disease

Sep 18, 2016 by in ORTHOPEDIC Comments Off on Legg-Calvé-Perthes’ Disease

  Initial stage Resorption stage Reparative stage Articular cartilage Necrosis in deep layer Cessation of endochondral ossification Separation from underlying subchondral bone Vascular invasion New accessory ossification Irregularly hypertrophied articular…

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Paediatric Spine

Sep 18, 2016 by in ORTHOPEDIC Comments Off on Paediatric Spine

Figure 5.1 Lateral radiographs of a high grade spondylolisthesis, both pre and post-op Spondylolysis – A defect in the pars interarticularis (the area of bone between the superior and inferior…

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Skeletal Dysplasia

Sep 18, 2016 by in ORTHOPEDIC Comments Off on Skeletal Dysplasia

Site Effect Epiphyseal Joint pathologies Short stature Metaphyseal, diaphyseal Short, deformed long bones Spondylodysplasis Cervical instability Kyphoscoliosis Descriptions can be based on the specific site of limb shortening (see Fig….

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Neuromuscular Conditions of Childhood

Sep 18, 2016 by in ORTHOPEDIC Comments Off on Neuromuscular Conditions of Childhood

(1) Paediatric and Young Adult Orthopaedic Unit, The Royal London and Barts and The London Children’s Hospitals, Barts Health, London, UK   Introduction This chapter covers those conditions in which…

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Musculoskeletal Infections

Sep 18, 2016 by in ORTHOPEDIC Comments Off on Musculoskeletal Infections

Figure 15.1 Open ended hair-pin arrangement of metaphyseal blood vessels adjacent to the physis with transphyseal vessels crossing across into the epiphysis. This arrangement predisposes infants to septic arthritis and…

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Congenital Talipes Equinovarus (Clubfoot)

Sep 18, 2016 by in ORTHOPEDIC Comments Off on Congenital Talipes Equinovarus (Clubfoot)

Figure 12.1 Example of an idiopathic clubfoot deformity – this is the same child as Fig. 12.2 Figure 12.2 An antenatal ultrasound scan demonstrating a clubfoot Radiographic analysis can be…

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Congenital Coxa Vara

Sep 18, 2016 by in ORTHOPEDIC Comments Off on Congenital Coxa Vara

Figure 9.1 A diagram demonstrating the parameters for measuring the extent of the deformity in the proximal femur: (a) The neck shaft angle, i.e. the angle between the shaft and…

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The Limping Child

Sep 18, 2016 by in ORTHOPEDIC Comments Off on The Limping Child

Age Common conditions 0–5 Transient synovitis Septic arthritis Osteomyelitis Discitis DDH Toddler’s fracture Non-accidental injury 5–10 Transient synovitis Septic arthritis Osteomyelitis Discitis Perthes’ disease 10–15 SCFE Septic arthritis Osteomyelitis Spondylolysis…

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