Wheeless' Textbook of Orthopaedics
Radius and Ulna
Tibia and Fibula
Down's Syndrome: Orthopaedic Considerations
- Associated Conditions:
- ligament laxity
- mental impairment
- heart disease (50%)
- endocrine disorders (hypothyroidism and diabetes)
- premature aging
atlantoaxial rotatory subluxation in Down's syndrome
- evaluated with
flexion and extension views
- C1/C2 fusion has a high complication rate in these patients and is usually reserved for patients w/ neurological comprimise (often w/ > 7 mm
of instability demonstrated on flexion/extension views);
: may develop in upto 50% of patients;
Complications of posterior arthrodesis of the cervical spine in patients who have Down syndrome
Atlantoaxial dislocation in Down's syndrome: Report of 2 cases requiring surgical correction
Chronic atlanto-axial instability in Down syndrome.
Atlantoaxial instability in individuals with Down's syndrome: A fresh look at the evidence
Surgical treatment of symptomatic atlantoaxial subluxation in Down's syndrome
Hip disease in adults with Down syndrome
The hip joint in Down's syndrome. A study of its structure and associated disease
Management of dislocation of the hip in Down Syndrome
Dislocation of the hip in trisomy 21
Total hip replacement in Down's Syndrome
The hip joint in Down's syndrome. A study of its structure and associated disease.
Total hip arthroplasty in patients with Down's syndrome
Treatment of patellofemoral instability in Down's syndrome
- severe planovalgus deformities may lead to midfoot breakdown during childhood, which may at first glance seem to resemble the hindfoot
valgus deformities often seen in cerebral palsy;
- unlike CP, there is probably few indications for surgical reconstruction
Orthopedic disorders in patients with Down's syndrome.
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Wednesday, May 30, 2012 3:54 pm
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