ISSN:1040-8703    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1040-8703    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Congenital anomalies of the hand and forearm remain a continuing challenge for the patient and the patient's family. Health care professionals, including the pediatrician, the orthopedic surgeon, and the hand surgeon, all have roles to play in the treatment of these patients. This article reviews the literature for the past year with special emphasis on recent developments in the genetic transmission of some of these interesting congenital differences.

ISSN:1040-8703    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

A review of new developments in spina bifida shows that many cases are preventable by administration of periconceptual folic acid, reducing the relative risk by up to 86%. Currently, however, 50% of women of reproductive age have no folic acid in their usual diet. The Centers for Disease Control has recommended folic acid at 0.4 mg/d for all women anticipating pregnancy. The long-term outcomes of sacral level patients show a surprising decline in adult ambulatory status. Adult ambulatory status in spina bifida is significantly predictive (89% accurate) by two variables: motor level and sitting balance. Studies regarding hip dislocation, foot deformities in thoracic level children, the prevalence of spondylolisthesis, and surgical treatment of kyphosis are also reviewed.

ISSN:1040-8703    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Endocrine excesses or deficiencies frequently result in alterations of height as compared with age-matched children. Less clinically obvious are significant alterations in bone metabolism leading to osteoporosis, which can affect the child and may affect the patient as an adult. Slipped capital femoral epiphysis appears to be associated with a variety of endocrine disorders, particularly hypothyroidism. The hormonal treatment of various endocrine and nonendocrine disorders has been associated with alterations of bone metabolism, or of bone maturation, as well as with producing or aggravating orthopedic disorders.

ISSN:1040-8703    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The evaluation and treatment of primary bone malignancies in children have evolved considerably over the past decade, with a measurable improvement in prognosis. Disease-free survival has improved mainly due to intensive multiple-agent chemotherapy, refinement in radiotherapeutic techniques, better imaging, and wide surgical resection. Reconstruction techniques after “limb-sparing” surgery have used allograft, composite allograft-prosthesis, or “expandable” prostheses reconstruction after adequate removal of the tumor with wide margins. The diagnosis and understanding of these tumors has also improved with advances in molecular genetics. Both osteosarcoma and Ewing's sarcoma treatment have undergone this dramatic change; recent advances in molecular genetics, treatment, magnetic resonance imaging, and “limb-sparing” surgery are highlighted.

ISSN:1040-8703    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

This section focuses on issues in infectious disease that are commonly encountered in pediatric office practice. Paul McCarthy discusses recent literature regarding the evaluation and management of acute fevers without apparent source on clinical examination in infants and children and the evaluation of children with prolonged fevers of unknown origin. Jean Klig reviews recent literature about lower respiratory tract infection in children. Eugene Shapiro discusses recent developments in the literature concerning several infectious diseases commonly facing practitioners in the office. Michael Baron reviews recent literature about gastroenteritis and diarrhea of infancy and early childhood.

ISSN:1040-8703    

出版商:OVID    

年代:1996

数据来源: OVID