We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byRoberto Duffy
Modified about 1 year ago
Skeletal System Malformation Center for Joint Surgery Southwest Hospital
Congenital Torticollis Osteal torticollis Muscular torticollis: common
Etiology Contraction and degeneration of one side of sternocleidomastoid musle Cause of degeneration? unknown Congenital disease? unknown
Diagnosis Node found at the lower part of sternocleidomastoid muscle within 1 week after delivery. Physical sign Without red skin, rising of temp., tenderness Node change into fibrous bundle, later.
Differentiation diagnosis Congenital cervical malformation Infectious diseases Torticollis caused by poor-sighted. Torticollis caused by poor-hearing. Benign paraxysmal torticollis
Treatment Physical therapy: heat, massage, manual, orthopaedic splint, etc. Traction Surgical therapy: – Infant 1-4 years – Amputation of sternocleidomastoid muscle – Plaster fixation after surgery.
Congenital dislocation of hip, CDH Female: male = 6:1 Etiology – 20% cases have inheritance character – Delivery station: breech delivery （臀位生产） – Local custom
Pathology Malformation of bone and soft tissue structures around hip joint. – Leaning of pelvis – False acetabular – Malformation of original cup – Compensative scoliolosis （脊柱侧弯）
Diagnosis -Physical Examination Pre-standing phase – Allis sign or Galeazzi sign – Barlow test – Ortolani sign – Abduction sign
Diagnosis -Physical Examination Dislocation phase – Physical sign – Limping – Nelaton line – Trendelenburg test
Fluorenscopy examination (X ray) Perkin quadrant Acetabular index CE angle (center edge angle) Shenton line Sharp angle
Treatment Infant phase (0-6 months) Pavlik splint
Treatment Child phase (1-3 years) Manual reduction, splint, plaster
Treatment Child phase (>3 years) Surgical reduction – Salter Pelvic Osteotomy, <6 years – Pemberton Acetabular Osteotomy >6 years Acetabular index > 46° – Chiari Osteotomy: Older patients Acetabular index > 46°
Congenital Talipes Equinovarus Morbidity: 1% Male : female: 2:1 Etiology: unknown
Pathology Adduction of intertarsal joint （跗骨间关节） Dorsal flexion of ankle joint Varus of foot Tibial inversion or contracture of posterior tibial muscle
X ray examination
Treatment-Non Surgical Manual rectification Infant < 1 year 2 times / day Continue for several weeks Fixation in bandage
Treatment-Non Surgical Splints Plaster fixation
> 10 years old Soft tissue surgery Triple ankle joint union Treatment-Surgical
Scoliosis Non-structural scoliosis Idiopathic scoliosis – Infant type ( <4 years) – Juvenile type ( 4 –10 years) – Adolescent type ( >10 years)
Pathology Change of vetebraea, lamina, spinal process Ribs Intervetebrea disk, muscle, ligament Visceral leision （内脏病变）
Diagnosis Physical signs Heart and lung diseases X ray examination – A-P, lateral – Traction – Stagnara – Contrast examination
Flatfoot Loss of foot arch Etiology: Congenital: vaguls of calcaneous, vertical talus, great navacular tubercle, paranavacular bone, soft tissue diseases. Secondary
Diagnosis Flat foot Pain during long time walking X ray :lateral shot
Treatment Non-surgical treatment: – Training of anterior and posterior tibial muscle – Orthopaedic shoes – Manual treatment – Plaster fixation Sugical treatment: triple ankle joint union.
Hallux Valgus Valgus malformation of first phalanx （趾骨） Pain of the head of the first phalanx Treatment: Physical therapy Surgical therapy: – soft tissue, bone, combination MC bride, Keller, etc.
The most common disorder affecting the hip in children Definition A progressive deformation of previously normally formed structures during the embryonic.
Pediatric Lower Extremity Orthopedic Concerns Esther Tompkins, DO Ped’s PM&R.
Congenital metatarsus varus Epidemiology 1/1000 live birth Common Male=female 1-5% together with CDH Single or with other deformity(club foot)
CDH Congenital Dislocation of the Hip Prof. Mamoun Kremli AlMaarefa College.
Common Pediatric Hip Problem Dr. Abdulmonem Alsiddiky, MD, SSCO Associate professor & consultant Pediatric Orthopedic & Spinal Deformities.
DEVELOPMENTAL DYSPLASIA OF THE HIP Melih Güven, M.D Assoc. Prof. Yeditepe University Hospital Department of Orthopaedics and Traumatology Istanbul.
Hip Joint Orthopedic Tests. Iliac Crest, ASIS, & AIIS.
Dr. ABDULMONEM ALSIDDIKY, MD, SSCO. Assistant Professor & Consultant pediatric Ortho.& Spinal Deformities KSU,KKUH Riyadh, Saudi Arabia.
Pediatric Orthopedic Diseases. Categories Congenital Developmental Neuromuscular Metabolic Acquired : inflammatory infection trauma tumor.
Developmental dysplasia of the hip (DDH) Developmental dysplasia (abnormal development) of the hip refers to a variety of conditions where the femoral.
Regional Orthopedic ankle and foot RegionalOrthopedic of ankle & foot By ASS.Prof. Dr. Z aid S hahwanii Deformities of ankle and foot: Most of those occur.
ANKLE JOINT Bony arrangement = stability Ligaments play major role in stability flexion = dorsiflexion extension = plantar flexion FIG 6.13 page.
A Thesis Presented to the Graduate School Faculty of Medicine, University of Alexandria In partial fulfilment of the requirements of the Master Degree.
Congenital deformations. Developmental dysplasia of the hip. Congenital muscular torticolis. Clubfoot.
EXAMINATION OF THE FOOT AND ANKLE Dr. Mohammed Zaheer Dalati Senior Registrar Department of Orthopaedics College of Medicine King Khalid University Hospital.
Congenital Talipes Equino-Varus (Congenital Clubfoot) Dr. Mazloumi MD Associate Professor Pediatric Orthopedic Surgeon.
Common Orthopaedic Conditions Associated with Complex Neurodisability Lindsey Hopkinson and Victoria Healey Heads of Paediatric Physiotherapy Physiocomestoyou.
Foot& ankle deformity Most of those occur due to: Congenital defects. Muscle imbalance. Ligament laxity. Joint instability.
TRIPLE PELVIC OSTEOTOMY FOR THE TREATMENT OF HIP DYSPLASIA.
Orthopedics Disorders Pediatrics Part II Jan Bazner-Chandler RN, MSN, CNS, CPNP.
2/11/2016 Jenelle Beadle Developmental Dysplasia of the Hip.
Foot and Ankle Rance L. McClain, D.O., FACOFP Associate Professor – FM Dept. KCUMB-COM.
Injuries of the Ankle. Achilles tendon injury the tendon that connects the calf muscle (gastrocnemius) to the heel bone (calcaneus). the tendon that is.
Selina Silva, MD UNM Carrie Tingley Hospital. Intoeing/ Outoeing Bowlegged/ knock-kneed Flexible Flatfeet Growing Pains Septic Joints Legg-Calve-Perthes.
Paediatric Orthopaedics E.E.Fogarty F.R.C.S.I, F.R.A.C.S.
Clubfoot deformation of the shape of the foot and impairment of function.
Congenital Talipes Equino-Varus (Congenital Clubfoot) Dr. Mohamed M. Zamzam Associate Professor & Consultant Pediatric Orthopedic Surgeon.
S.Sattari,MD Pelvis, Hip, and Thigh examination. pelvic ring protects vital internal structures.
Hip Evaluation Advanced Sports Medicine. Evaluating the Hip/Pelvis Major Complaint(s) (History) Needs to be carefully conducted The athlete should.
Muscular System. KEY TERMS Abduction Adduction Cardiac muscle Circumduction Contract Contractibility Contracture Elasticity Excitability Extensibility.
Chapter 18 Injuries to the Pelvis and Lower Extremities.
Congenital Musculoskeletal Health Problems BY DR: Gehan Mohamed.
Chapter 4 The Foot and Toes continued. Range of Motion Testing Focus on MTP joints (flexion & extension) Bilateral comparison Box 4-4 Foot Goniometry,
Angular deformities of LL: –Bow legs. –Knock knees. Rotational deformities of LL: –In-toeing. –Ex-toeing. Leg aches. CDH. Feet problems. Irritable hip.
MUSCULOSKELETAL DISORDERS Revised, summer Talipes Equinovarus (Clubfoot) Adduction and supination of forefoot with an inversion (varis) of the heel.
Arches of the foot 1- Medial Longitudinal arch. 2- Lateral longitudinal arch. 3- Transverse arch.
Knee Injuries University of Debrecen Medical and Health Science Centre Department of Traumatology and Hand Surgery University of Debrecen Medical and Health.
Extracapsular Fractures. Intertrochanteric Fractures Common in elderly, osteoporotic women. They unite easily, rarely cause Osteonecroses. Mechanism.
Legg- Calve – Perthes disease. Anatomy Acetabular retroversion.
Evaluation of the Child with a Limp DD Aronsson University of Vermont.
Common Hip Disorders In Children Dr.Kholoud Al-Zain Assistant Prof. Ped. Orthopedic Consultant April 2012 (Acknowledgment to 5 th cycle students 2010)
Foot and Ankle Examination Dr. Abdulrahman Algarni, MD, SSC (Ortho), ABOS Assist. Professor, King Saud University Consultant Orthopedic and Arthroplasty.
Developmental dysplasia of the hip (DDH). Definition Dysplasia of the hip that develop during fetal life or in infancy. It ranges from dysplasia of the.
Common Pediatric Lower Limb Disorders Mohamed M. Zamzam Professor & Consultant Pediatric Orthopedic Surgeon.
Common Pediatric Foot Deformities Affiliated Foot & Ankle Center, LLP Dr. Varun (Ben) Gujral 2163 Oak Tree Road, Suite 108 Edison, NJ (732)
Lateral Soft-Tissue Release with Medial Transarticular or Dorsal First Web-Space Approach Combined with Distal Chevron Osteotomy for Moderate-to-Severe.
Developmental (Congenital) Dysplasia of the Hip. Natural History and Prevention Levels. Nicolas Padilla Professor of Pediatrics School of Nursing and Obstetrics.
Lower Limb Problems Orthopaedic Medicine Scope Painful hips. Painful thighs. Pain in the knee. Shin problems. Ankle problems. Foot problems.
Chapter 15 Injuries to the Pelvis and Lower Extremities.
© 2017 SlidePlayer.com Inc. All rights reserved.