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  • Paediatric Orthopaedics (Leh)

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    Fera Mulidar
    21 vizualizări97 pagini
    The document provides an overview of common pediatric orthopedic conditions, including torticollis, scoliosis, developmental dysplasia of the hip, Perthes disease, slipped capital femoral epiphysis, clubfoot, flatfoot, cavus foot, and equinus foot. For each condition, it discusses epidemiology, clinical findings, etiology, classification, management approaches including nonsurgical and surgical options, and sometimes prognostic factors. The document serves as a guide for clinicians on evaluating and treating a range of musculoskeletal issues seen in pediatric patients.

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    The document provides an overview of common pediatric orthopedic conditions, including torticollis, scoliosis, developmental dysplasia of the hip, Perthes disease, slipped capital femoral epiphysis, clubfoot, flatfoot, cavus foot, and equinus foot. For each condition, it discusses epidemiology, clinical findings, etiology, classification, management approaches including nonsurgical and surgical options, and sometimes prognostic factors. The document serves as a guide for clinicians on evaluating and treating a range of musculoskeletal issues seen in pediatric patients.

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    © All Rights Reserved
    Descărcați ca PPT, PDF, TXT sau citiți online pe Scribd
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    21 vizualizări97 pagini

    Paediatric Orthopaedics (Leh)

    Încărcat de

    Fera Mulidar
    The document provides an overview of common pediatric orthopedic conditions, including torticollis, scoliosis, developmental dysplasia of the hip, Perthes disease, slipped capital femoral epiphysis, clubfoot, flatfoot, cavus foot, and equinus foot. For each condition, it discusses epidemiology, clinical findings, etiology, classification, management approaches including nonsurgical and surgical options, and sometimes prognostic factors. The document serves as a guide for clinicians on evaluating and treating a range of musculoskeletal issues seen in pediatric patients.

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    © All Rights Reserved
    Descărcați ca PPT, PDF, TXT sau citiți online pe Scribd
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    din 97

    Common Paediatric

    Orthopaedic
    Conditions
    E H Lee MD, FRCS(C)
    Professor of Orthopaedic Surgery
    National University of Singapore

    Paediatric Spine Disorders

    Torticollis

    Scoliosis

    Torticollis

    Muscular

    Bony

    Others

    Congenital Muscular Torticollis


    (Sternomastoid Tumour)

    Clinical Findings

    Plagiocephaly

    Facial asymmetry
    Decreased neck movement

    Etiology
    Birth trauma
    Vascular
    Compartment syndrome

    Management

    Physiotherapy

    Surgery

    Management in Older Child

    above 3 years
    up to 12 years
    12 to 18 years
    above 18 years

    Scoliosis

    Congenital
    Idiopathic
    Neuromuscular
    Others

    Congenital Scoliosis

    failure of formation
    failure of segmentation

    Idiopathic Scoliosis

    Infantile
    Juvenile
    Adolescent

    Adolescent Idiopathic Scoliosis

    Clinical

    Forward bending test


    Assessment of maturity
    Flexibility and Balance

    Management

    Observation
    Bracing
    Surgery

    Neuromuscular Scoliosis

    Paediatric Hip Disorders

    Developmental Dysplasia of the


    Hip (DDH)

    DDH
    Epidemiology

    Neonatal Examination

    Ortolani
    Barlow

    Investigations

    Ultrasound
    X-rays

    Types of DDH

    dislocated
    dislocatable
    subluxated
    dysplastic

    Management of Dislocation

    Newborn
    3 to 9 months
    9 to 18 months

    Management of dislocation

    18 months to 6 years
    After 6 years
    Unilateral or bilateral

    Management of DDH

    Dysplasia
    Subluxation

    Transient Synovitis of the Hip

    Differential Diagnosis

    inflammatory arthritis
    Perthes disease
    septic arthritis

    Management of TSH

    Admit for traction and


    investigations
    Follow-up for Perthes

    Perthes Disease

    Perthes Disease
    Epidemiology

    Prognostic Factors

    Age
    Stiffness
    Subluxation

    Management

    Containment
    Maintain ROM

    Containment

    Bracing/Casting
    Surgery

    Slipped Capital Femoral


    Epiphysis (SCFE)

    SCFE
    Epidemiology

    Classification of SCFE

    Degree of slip
    Chronicity of slip

    Management of SCFE

    In-situ pinning
    Single or two screws

    Paediatric Foot Disorders

    Nomenclature
    Varus/valgus
    Equinus/calcaneus
    Planus/cavus
    Pronation/supination

    Calcaneovalgus foot

    Clubfoot
    Congenital(CTEV)
    Neuromuscular
    Teratologic

    Congenital Club Foot (CTEV)

    CTEV

    Pathoanatomy

    CTEV - Management
    Serial manipulation/casting
    Surgery for resistant cases

    CTEV - Management

    Older child
    Neglected clubfoot

    Flatfeet (Pes Planus)

    Flatfeet
    Flexible vs rigid
    Painless vs painful

    Flexible Flatfeet

    Tests for ligamentous laxity


    Great toe extension test

    Planovalgus foot
    Idiopathic
    Neuromuscular

    Rigid Flatfoot

    Inflammatory arthritis
    Tarsal coalition

    Cavus foot

    Cavus foot
    Idiopathic
    Neuromuscular

    Cavus foot
    Charcot Marie Tooth Disease
    Friedrichs Ataxia
    Poliomyelitis
    Spina Bifida

    Equinus foot

    Equinus foot
    Habitual Toe walker
    Cerebral Palsy

    THE END

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