摘要:

Three cases of valgus slippage of the distal tibial and fibular epiphysis that masqueraded as severe idiopathic flatfoot are described. These occurred in patients with renal osteodystrophy and were treated by osteotomies of the reverse dome type without internal fixation. All the osteotomies healed well.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

This report reflects the evolution of the operative treatment of Osgood-Schlatter“s disease as practiced in Our Lady's Hospital for Sick Children. In the earlier portion of the series patients were treated by drilling of the tibial tubercle with or without removal of the prominence (Group A—22 operations). In the latter portion of the series loose pieces of cartilage or bone were excised without removal of the prominent tubercle or drilling (Group B—22 operations). The results showed a much higher incidence of excellent or good results in Group B. These patients had a short simple operation followed by rapid mobilization and return to full activity. We would, therefore, recommend this procedure for those who have significant symptoms from osteochondritis of the tibial tubercle.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Nonoperative treatment protocols in adolescent scoliosis require that growth is still occurring. The open iliac apophyses and vertebral ring apophyses are usually considered evidence that growth remains. Studies of adolescent skeletons are not consistent with this view, and one such example is presented. Of clinical importance is that determinant of immaturity should be based on the secondary sexual characteristics, not roentgenographic shadows.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

A teaching model for the early diagnosis of congenital dislocation of the hip was evaluated. The physical signs of the dislocated hip and of the dislocatable hip closely simulated the true signs. The model was an excellent teaching aid and it enabled the students to gain practical experience in examining abnormal hips. The ability of the students to carry out the standard tests was also evaluated and, as a result, several modifications were made to these tests. A modified method of gripping the legs enabled the students with small hands to elicit the physical signs more readily. The physical signs were also easier to detect when the dislocated femoral head was scooped into the acetabulum by supination of the examiner's forearm and when the femoral head was displaced from the dislocatable hip by pronation of the examiner's forearm. The model was also useful in teaching the principles and methods of treatment of congenital dislocation and instability of the hip in the neonatal period.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

The treatment of the uncommon symptomatic and neglected Monteggia fracture-dislocation of childhood can pose a significant clinical problem because of pain, decreased range of motion, unstable cubitus valgus, and possible nerve damage. This unusual injury is presented with a detailed description of a modified Bell Tawse annular ligament reconstruction. The modifications of the procedure simplify it and more closely duplicate the anatomy of the annular ligament. This procedure is indicated in the treatment of the symptomatic and neglected Monteggia fracture-dislocation of childhood.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

This case report of a 5-year-old girl describes a severely comminuted fracture of the cervical and trochanteric areas of the left proximal femur which required open reduction and internal fixation for stable realignment. At 7 months follow-up, angulational deformity was recognized due to partial growth arrest leading to valgus tilt of the proximal femoral epiphysis. After persisting 1 year, gradual spontaneous improvement occurred leading to total realignment with a normally wide growth plate at 36 months following injury. It is hypothesized that the valgus deviation of the femoral head, by causing a medial shift of the weight bearing axis, led to relative unloading of the lateral margin of the growth plate. It is suggested that this mechanical element contributed to the spontaneous release of the epiphyseal tether.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Tibia valga has been described as a consequence of nondisplaced fractures of the proximal metaphysis of the tibia in children. There has been considerable speculation about the cause of this deformity. The present case is that of a child who developed a valgus deformity of her tibia after the fracture had healed in a normal position. The presence of growth arrest lines in the proximal metaphysis of the tibia demonstrates that the valgus deformity in this patient was caused by overgrowth of the medial portion of the proximal tibial epiphyseal plate.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

A simple noninvasive device, “spinal pantograph.” has been developed in order to describe and document the sagittal curves of the spine. The device and the method of evaluating the kyphosis and lordosis are explained. The accuracy of the reproducibility and the comparison with X-ray film findings are discussed. Even the balance of the trunk can be estimated. The sagittal curves in different positions—relaxed standing, maximally erect, and forward bending—can be studied and compared, thus describing the flexibility of the spine. This technique is demonstrated in some cases with different shapes of the sagittal curves of the spine—normal posture and round back deformities, including juvenile kyphosis and structural scoliosis. The effect of flexion braces in juvenile kyphosis and structural scoliosis is discussed.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID