– Discussion: – frx of body of navicular may be associated w/ mid-tarsal joint injuries; – classification: 3 types: – coronal plane fracture w/ no angulation of the forefoot; – displaced frx require ORIF w/ lag screw fixation; … Read more
– Discussion: – NSAIA (member of the arylacetic acid group); – for symptomatic RA, bone pain; – primary dysmenorrhea, acute tendinitis and bursitis, mild to moderate pain: – Adult: – typical dose: 250 mg PO bid or 500 mg PO bid (500-1250 mg/24hr PO divided bid); … Read more
– See: DDH – Main Discussion – Discussion: – 95-98% of DDH cases are possibly reversible; – 2% of DDH cases may have teratologic dislocation which is generally not reversible; – less than 2% of infants will have a positive Barlow’s test (dislocatable hip); … Read more
– See: Partial ACL Deficiency: – Discussion: – left untreated, the torn ACL leads to anterior laxity, rotatory instabilities, and meniscal tears; – there is a definite increase in X-ray changes of DJD – 1/3 of pts w/ isolated ACL injuries will show minimal instability – 2/3 … Read more
– See: Bipartite Patellae: – Discussion: – multipartite patella may present diagnostic dilemma in child with anterior knee symptoms; – these often incidental radiographic findings have been classified into three types: – type I–at inferior pole (5 % of all lesions) – type II–at … Read more
– See: Bone Tumor Menu – Discussion: – an osteochondroma that results from a dysplasia of peripheral growth plate; – as its name implies, multiple hereditary exostosis is an inherited condition which produces multiple exostoses; – occurs in 1 out of 50,000 people; – … Read more
Discussion multiple epiphyseal dysplasia (a common type of osteochondrodysplasia) is characterized by disturbance of normal ossification w/ in epiphysis; pathologic abnormality is a disturbance in enchondral ossification of epiphyses and physes; is inherited as an autosomal dominant trait with variable expressivity; disorder is manifested as multiple areas of abnormal growth and ossification of the epiphysis; … Read more
– Discussion: – are characterized by a defect in metabolism of one or more mucopolysaccharides, w/ resulting excessive accumulation of these substances in the extracellular spaces of the connective tissues; – this group of disorders is characterized by a deficiency of specific lysosomal enzymes required for degradation of glycosaminoglycans; … Read more
– Mosaicplasty: – refers to the technique of harvesting small circular (4-8 mm) autogenous grafts from the knee from non wt bearing regions of the knee, and transplanting the grafts in a mosaic pattern until the osteochondral defect is filled; – typically the grafts are harvested from the periphery of the supero-lateral trochlea, but often, the … Read more
Discussion short trunk disproportionate dwarfism is established by age of 2 or 3 and progresses; inherited as autosomal recessive trait; children have normal intelligence and survive well into adulthood; pectus carinatum is also apparant; other problems include corneal opacity and abnormal dentition; type of mucopolysaccharidoses in which keratan sulfate accumulates in the tissues; measurement of … Read more