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1. |
Prenatal Sonographic Diagnosis of Musculoskeletal Disorders |
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Journal of Pediatric Orthopaedics,
Volume 19,
Issue 1,
1999,
Page 1-4
Shlomo Wientroub,
David Keret,
Moshe Bronshtein,
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ISSN:0271-6798
出版商:OVID
年代:1999
数据来源: OVID
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2. |
The Contribution of Prenatal Sonographic Diagnosis of Clubfoot to Preventive Medicine |
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Journal of Pediatric Orthopaedics,
Volume 19,
Issue 1,
1999,
Page 5-7
Kalman Katz,
Israel Meizner,
Reuven Mashiach,
Michael Soudry,
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摘要:
From 1995 through 1997, clubfoot was detected by transabdominal sonography in 13 fetuses of 12 women, in nine bilaterally and in four unilaterally (total, 22 clubfeet). The average menstrual age at diagnosis was 23.6 weeks (range, 17-36). Three fetuses had associated malformations: two were therapeutically aborted and one died 2 weeks after birth. Proper understanding of the significance of prenatal ultrasound findings of clubfoot will assist both the orthopaedist and the parents in reaching a decision concerning future management of their pregnancy.
ISSN:0271-6798
出版商:OVID
年代:1999
数据来源: OVID
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3. |
Prenatal Sonographic Diagnosis of Clubfoot: Implications for Patient Counseling |
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Journal of Pediatric Orthopaedics,
Volume 19,
Issue 1,
1999,
Page 8-10
Marjorie Treadwell,
Carl Stanitski,
Mary King,
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摘要:
This study was undertaken to determine the incidence of prenatally, sonographically diagnosed clubfoot; the incidence of associated anomalies; and the correlation with postnatal findings. Cases of prenatally diagnosed clubfeet were abstracted from a prospectively entered ultrasound database. Scans were reviewed for the presence of associated anomalies. Available neonatal charts were reviewed for correlation with prenatal findings. The incidence of prenatally diagnosed clubfoot was 0.43%. This was isolated in 33% of the cases and associated with other anomalies in 67%. All cases with associated anomalies were identified prenatally. There was a 40% false-positive rate for isolated clubfoot, all diagnosed in the third trimester of pregnancy. Prenatally diagnosed clubfoot was seen in 0.43% of this high-risk population. The correct identification of associated anomalies facilitates prenatal counseling, but limitations of prenatal ultrasound must be remembered. This information should be helpful to orthopaedic surgeons involved in the counseling of these patients.
ISSN:0271-6798
出版商:OVID
年代:1999
数据来源: OVID
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4. |
Prenatal Ultrasound Diagnosis of Clubfoot |
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Journal of Pediatric Orthopaedics,
Volume 19,
Issue 1,
1999,
Page 11-13
Helen Burgan,
Margaret Furness,
Bruce Foster,
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摘要:
Prenatal ultrasound diagnosis of clubfoot is increasing. Of 103 patients with clubfoot diagnosed at birth, 26 (25.2%) positive prenatal scans were identified with the earliest diagnosis being made at 15 weeks. A questionnaire assessment indicated that 17 (65.4%) deemed that the explanation of the baby's condition was clear. With an increasing incidence of antenatal detection, it is suggested that parents require adequate antenatal counseling by a specialist in the area of clubfoot to improve the understanding of the natural history and treatment of this condition.
ISSN:0271-6798
出版商:OVID
年代:1999
数据来源: OVID
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5. |
Radiographic Appearance of the Normal Distal Tibiofibular Syndesmosis in Children |
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Journal of Pediatric Orthopaedics,
Volume 19,
Issue 1,
1999,
Page 14-21
Kevin Bozic,
Diego Jaramillo,
James DiCanzio,
David Zurakowski,
James Kasser,
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摘要:
In adults, a tibiofibular clear space (i.e., distance from the incisura fibularis to the medial fibula) of ⩾6 mm or a loss of tibiofibular overlap has been reported to correlate with injury to the distal tibiofibular syndesmosis. We reviewed anteroposterior (AP), lateral, and mortise ankle radiographs from 106 children (50 boys, 56 girls) aged 1-15 years in an attempt to assess whether these criteria are applicable to children.The incisura was detectable at a mean age of 8.2 years for girls and 11.2 years for boys. The range of tibiofibular clear space among the 48 children with a detectable incisura was 2-8 mm; seven (23%) of these 48 children had a clear space of ⩾6 mm in one or more views. The mean age at which the tibiofibular overlap began to appear on the AP view was 5 years for both genders, whereas on the mortise view, it was 10 years for girls and 16 years for boys.The criteria used to evaluate the integrity of the distal tibiofibular syndesmosis in adults do not apply to children in this normal study population.
ISSN:0271-6798
出版商:OVID
年代:1999
数据来源: OVID
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6. |
Ossification of the Calcaneus in the Normal Fetal Foot and in Clubfoot |
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Journal of Pediatric Orthopaedics,
Volume 19,
Issue 1,
1999,
Page 22-26
H. Fritsch,
R. Eggers,
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摘要:
The ossification of the fetal calcaneus was studied in a series of plastinated sections of 44 normal feet and three clubfeet. The results documented a precise sequence of perichondral and endochondral ossification in the normal calcaneus characterized by ossification grooves and associated cartilage canals. Within the clubfoot calcaneus, the coordination of perichondral and endochondral ossification is disturbed, ossification grooves and associated cartilage canals are not found in regular positions, and the process of endochondral ossification obviously is disturbed. The findings in the clubfoot specimens point to grave irregularities of the extracellular matrix within or outside the calcaneus.
ISSN:0271-6798
出版商:OVID
年代:1999
数据来源: OVID
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7. |
The Effects of Ankle-Foot Orthoses on the Ankle and Knee in Persons with Myelomeningocele: An Evaluation Using Three-Dimensional Gait Analysis |
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Journal of Pediatric Orthopaedics,
Volume 19,
Issue 1,
1999,
Page 27-33
J. Thomson,
S. Ounpuu,
R. Davis,
P. DeLuca,
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摘要:
The purpose of this study was to determine the effects of the ankle-foot orthosis (AFO) on gait patterns in patients with low-level myelomeningocele and to identify any abnormal gait patterns that may lead to future knee instability and pain. A total of 28 children (26 L4-level sides, 18 L5-level sides, and 10 S1-2-level sides) underwent a three-dimensional gait analysis when ambulating barefoot and with AFOs. Results show significant improvements in sagittal plane function with reductions in excessive ankle dorsiflexion, increases in peak plantar flexor moment, and reductions in crouch and knee extensor moment in the L4 and L5 groups. The only improvement in the S1-2 group was a reduction in excessive dorsiflexion, but there was a reduction in power generation at the ankle. The S1-2 group had normal transverse plane knee motion in stance during barefoot walking that increased significantly (p< 0.01) with the AFO. Both the L5 and L4 groups showed greater-than-normal transverse plane knee motion in stance during barefoot walking that also increased significantly (p< 0.01) with the AFO. The results suggest that excessive knee transverse plane rotation may contribute to knee instability more than coronal plane abnormalities. The AFO in S1-2-level patients may be more detrimental for the knee than barefoot walking.
ISSN:0271-6798
出版商:OVID
年代:1999
数据来源: OVID
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8. |
Subtalar Staple Arthroereisis for Planovalgus Foot Deformity in Children with Neuromuscular Disease |
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Journal of Pediatric Orthopaedics,
Volume 19,
Issue 1,
1999,
Page 34-38
Anthony Sanchez,
Karl Rathjen,
Scott Mubarak,
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摘要:
Twenty-two patients (34 feet) with severe, flexible, planovalgus feet due to neuromuscular conditions were treated with subtalar staple arthroereisis. Patients were followed up for an average of 5 years (range, 2.5-9 years). Of the 34 feet, 18 did not require revision surgery; however, the remaining 16 feet required revision at an average of 39 months after surgery (range, 9-63 months). Revision procedures consisted of hardware removal in four cases, repeated subtalar stapling in one, triple arthrodesis in two, and calcaneal with or without cuboid and cuneiform osteotomy in nine feet. The long-term results of subtalar staple arthroereisis were unpredictable, and although it was effective in approximately half of our patients, we no longer recommend this procedure for the correction of the neuromuscular planovalgus foot deformity.
ISSN:0271-6798
出版商:OVID
年代:1999
数据来源: OVID
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9. |
Posttraumatic Cavovarus Deformity of the Foot |
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Journal of Pediatric Orthopaedics,
Volume 19,
Issue 1,
1999,
Page 39-41
Kristen Carroll,
Kevin Shea,
Peter Stevens,
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摘要:
The peroneus longus has long been known as a plantar flexor of the first ray, which, with muscle imbalance as seen in neurovascular disease, can lead to cavovarus of the foot. This article describes a traumatic laceration of the peroneus brevis that went on to cause cavovarus presumably by its inactivity as an everter of the foot. This substantiates the need for primary repair of this major tendon as well as raises interesting biomechanical issues in foot mechanics.
ISSN:0271-6798
出版商:OVID
年代:1999
数据来源: OVID
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10. |
Single-Stage Surgical Correction of Congenital Vertical Talus |
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Journal of Pediatric Orthopaedics,
Volume 19,
Issue 1,
1999,
Page 42-48
Steven Kodros,
Luciano Dias,
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摘要:
Forty-one patients (55 feet) with congenital vertical talus (CVT) were reviewed. Thirty of the feet were associated with neural tube defects, 10 with neuromuscular disorders, five with congenital malformation syndromes, and none with chromosomal aberrations. Ten of the feet were idiopathic. All were treated with a single-stage surgical correction as described, by using the Cincinnati incision, and performed by the same surgeon. Thirty-two patients (42 feet) were available for clinical and radiographic follow-up averaging 7 years (range, 2-12) from the time of surgery. There were no wound complications or avascular necrosis of the talus. In 10 feet, subsequent reoperation was necessary. At final follow-up, results were based on the clinical and radiographic outcomes and included 31 good and 11 fair. All patients and families were satisfied with the results and appearance of the feet. There were no bony prominences or skin problems. The presence of mild pain was noted in only three feet. Radiographically, there was a significant improvement in the anteroposterior (AP) and lateral talocalcaneal and talo-first metatarsal angles, and at follow-up, the group averages for each of these angles were within the normal range. In treating CVT, good clinical and radiographic results can be obtained with a low incidence of complications using this single-stage surgical correction of the hindfoot and midfoot deformities.
ISSN:0271-6798
出版商:OVID
年代:1999
数据来源: OVID
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