(see also: Pyknodyostosis) Discussion disease characterized by failure of maturation and organization of collagen fibers; defect in collagen (procollagen to type I collagen sequence and abnormal cross linking) leading to decreased collagen secretion, bone fragility; there may be an inability to form normal bone due to a defect in osteoblastic function; with the formation of … Read more
– See: Bone Tumor Menu – Discussion: – benign osseous tumor usually less than 1.5 cm in diameter, comprising 11% of all benign bone tumors; – no cases of malignant transformation has been reported; – occurs primarily in adolescents and less often in children; … Read more
– Discussion: – a developmental dysplasia of peripheral growth plate which forms a cartilage capped projection of bone found near metaphyses of long bones; – peripheral chondroblast grows outward from the metaphysis, acting as an ectopic growth plate, which ceases growth at skeletal maturation; … Read more
– Bone Tumor Menu – Discussion: – unusual benign osseous tumor; – it resembles osteoid osteoma in some respects buts is larger ( >2 cm); – unlike osteoid osteoma: – occurs in older adolescents and young adults; – osteoblastoma … Read more
– Discussion: – early dx by postnatal screening w/ Ortolani or Barlow’s Test is essential to detect hip instability or dislocation; – strictly interpreted, the Ortolani sign is the palpable sensation of the gliding of the femoral head in and out of the acetabulum; – femoral … Read more
– Discussion: – child abuse occurs most often under the age of 3 years; – when child abuse goes unrecognized, the mortality rate may be as high as 5%; – common patterns for abuse: – unwitnessed spiral fractures – fractures occuring prior to walking age; – common fractures: … Read more
Note: it is the responsibility of the physician to ensure that these codes are correct. Debridement Excision of Skin Lesions / Ulcers Excision of Foreign Body or Superficial Tumors Spinal Procedures (and rib) Shoulder, Clavicle, and Humerus Procedures Elbow, Wrist, and Hand Procedures Hip, Femur and Knee Procedures … Read more
– See: – Nail Placement and Depth – Cannulated Screws
– See: – Closed Reduction – X-rays for Femoral Neck Fractures – Indications: – w/ failure to obtain a closed reduction persists, esp in younger pt or older child, then open reduction is considered; – Posterior Approach: – in young pt requiring ORIF of a displaced femoral neck frx, consider … Read more