The Hip - book

Paronychia

– See:      – Hand Infections      – Phalangeal Injury – Menu      – Nail Bed Injuries: – Discussion:     – when infections extend under nail & chronic inflammatory process develops, often a pyogenic granuloma develops;     – in some cases, these patients will have weakened immune system (elderly, diabetes, ect); … Read more

Paralytic Scoliosis

    – Discussion:  – preadolescents w/ spinal cord injury have > 95% prevalence of scoliosis & 50% of pts have a pelvic obliquity;  – progressive kyphoscoliosis results from effects of gravity & loss of spinal musculature;  – up to 2/3 of these patients will requre arthrodesis to prevent severe curve progression;  – Non Operative … Read more

Pagets Disease

– Discussion: – a chronic progressive disease osteoblasts and osteoclasts which results in abnormal bone remodeling; – etiology, staging, and pathogenesis – prevalence: – uncommon in pts under age of 55 yrs but relatively common in later life, occurring in 3-4% of persons over 55 yrs & occurs in 10% in pts over age 80; – reference: – … Read more

Osteosarcoma of Spine

Osteosarcoma of the spine Anterior decompression of vertebral osteosarcomas to relieve paraparesis. Report of two cases .

Osteopetrosis

– Discussion: – osteopetrosis is failure of osteoclastic and chondroclastic resorption; – bones become exceedingly dense; – marrow space is filled w/ unresorbed dense bone; – disease results from lack of osteoclastic resorption, leading to thickened bones & exclusion of marrow cavity; – there is absence of marrow elements & these patients are susceptible to … Read more

Osteoporosis

– Discussion:                                                                                                               – most common metabolic bone dz;      – definition:            – what appears to be a characteristic of osteoporosis is an uncoupling of the osteoblastic and osteoclastic processes;            – WHO definition: a bone mineral density that is 2.5 SD below the mean peak value … Read more

Osteomalacia – Rickets: Gastrointestinal and Bilary Causes

– See: Vitamin D Defiency Rickets; – Discussion:     – following a Polya or Billroth II gastrectomy, osteomalacia develops that was quite subtle and only revealed itself by increasing muscle             weakness or a pathological fracture;     – abnormal fat metabolism, usually associated w/ failure of emulsifying action of bile salts or presence of free fat … Read more

Osteomalacia

Discussion is a type of metabolic bone disease in which the essential problem is a lack of available calcium or phosphorus (or both) for mineralization of newly formed osteoid; children w/ rickets & adults w/ osteomalacia present w/ similar findings; etiology of rickets and osteomalacia hyperthyroid induced osteopenia: chronic use of anticonvulsant medication: deficiency states: … Read more