Xray of 13 years old male showing slipped upper femoral epiphysis.
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Xray of Neglected Congenital Dislocation of Hip
May 6, 2012 By Leave a Comment
Xray of 11 year old male child who came with complaint of limp
Xray of Neglected Congenital Hip Dislocation
Note the proximal migration of hip, shallow or hypoplastic acetabulum and a false acetabulum suggesting a case of congenital hip dislocation.
Xray Of Radial Club Hand Showing Absent Radius, Absent Carpal Bones and Hypoplastic First Ray
May 5, 2012 By Leave a Comment
Radial club hand is a term given to the condition which presents as presents with differing degrees of shortening (or absence) of radius, carpal bones, and radial rays including thumb.
Followign xray of a patient of radial club hand shows absent radius, absence of radial ccarpal bones and a hypoplastic first ray.
Radial Club Hand
Also note the hypertrophic and bowed ulna,
A List of Eponyms of Osteochondrosis
February 5, 2012 By Leave a Comment
|
Location |
Eponym |
| Carpal scaphoid | Preiser disease |
| Lunate | Kienböck disease |
| Medial cuneiform | Buschke disease |
| Patella | Köhler disease |
| Talus | Mouchet disease |
| Tarsal scaphoid | Köhler disease |
| Vertebral body | Legg-Calve-Perthes Disease |
| Vertebral epiphysis | Scheuermann kyphosis |
| Iliac crest | Buchman disease |
| Symphysis pubis | Pierson disease |
| Ischiopubic junction | Van Neck disease or phenomenon |
| Ischial tuberosity | Valtancoli disease |
| Calcaneal apophysis | Sever disease or phenomenon |
| Accessory tarsal navicular or os tibiale externum | Haglund disease |
| Second metatarsal | Freiberg disease |
| Fifth metatarsal base | Iselin disease |
| Talus | Diaz disease |
| Distal tibial epiphysis | Lewin disease |
| Proximal tibial epiphysis | Blount disease |
| Tuberosity of the tibia | Osgood-Schlatter disease |
| Secondary patellar center | Sinding-Larsen-Johansson syndrome |
| Lesser trochanter of the femur | Monde-Felix disease |
| Greater trochanter of the femur | Mandl or Buchman disease |
| Capital epiphysis of the femur | Legg-Calve-Perthes disease |
| Phalanges | Thiemann syndrome |
| Metacarpal heads | Mauclaire disease |
| Proximal epiphysis of the radius | Schaefer disease |
| Distal epiphysis of the ulna | Burns disease |
| Medial humeral condyle | Froelich disease |
| Lateral humeral condyle | Froelich disease |
| Capitellum of the humerus | Panner disease |
| Humeral head | Hass disease |
| Clavicle | Friedrich disease |
Overview of Osteochondrosis or Epiphysitis
February 2, 2012 By Leave a Comment
Osteochondrosis is a self-limiting developmental derangement of normal bone growth that primarily involves the centers of ossification in the epiphysis.
It is a kind of an aseptic ischemic necrosis in a previously normal epiphysis though the role of ischemia is not clearly proved yet.
As the research on osteochondrosis is gathering more data, few of the osteochosndroses are being labeled as phenomenon rather than disease or syndrome.
Classification
Modren classification system was proposed by Siffer.
It divides the osteochondroses into articular, nonarticular, and physeal types. [Read more...]
Bacterial Infections of Spine In Children
October 7, 2011 By Leave a Comment
Aan estimated 0.15% to 3.9% of all osteomyelitic infections is vertebral osteomyelitis. Vertebral osteomyelitis affects males more than females and is more common in adults than children with peak ages between 45 and 65 years. S aureus is The most common organism reported and in drug abusers Pseudomonas aeruginosa infection is commmon.
Presentation in Children
The child generally presents with fever. In older children, abdominal pain may be a presenting symptom
There would be difficulty in walking, malaise, irritability, and sudden inability to stand or walk comfortably.
The average age of onset is 6 to 7 years.
The symptoms could be of long duration before presentation to hospital.
Trauma has been implicated as the cause but most common cause is a bacterial infection in other part of the body the body. [Read more...]
Congenital Talipes Equino Varus or CTEV – Clinical Photographs
October 3, 2011 By Leave a Comment
Clinical photographs of a child with bilateral congenital talipes equinovarus [ctev] as taken just before operation.
CTEV Image Taken Just Before Surgery - Ventral Aspect
The picture above is from ventrl aspect of fee. [Read more...]
Familial Cervical Dysplasia
September 17, 2011 By Leave a Comment
In 1991 Saltzman et al. described a familial cervical dysplasia that affects the first cervical vertebra. It is an inherited form of cervical vertebral dysplasia which is transmitted as is autosomal dominant.
Presentation
Most of the patients with this condition are aymptomatic. The symptoms may vary from an incidental finding on radiographic examination to a passively correctable head tilt.
There may be suboccipital headaches or limitation of cervical motion may occur. [Read more...]
Congenital Abnormalities of Odontoid
August 20, 2011 By Leave a Comment
Congenital anomalies of the odontoid can be divided into three groups
- Aplasia – Complete absence of odontoid.
- Hypoplasia – Partial development of odontoid
- Os odontoideum – In os odontoideum, the odontoid is an oval or round separated from the axis vertebra by a transverse gap. The lesion is mostly discovered as an incidental finding,
Odontoid anomalies are more common in patients of
- Down syndrome
- Klippel-Feil syndrome
- Morquio syndrome
- spondyloepiphyseal dysplasia.
Diagnosis
A number of patients may be asymptomatic. Others may have neck pain, torticollis, or headaches along with neurological symptoms may accompany. Proprioceptive and sphincter disturbances are common findings. Vertebral artery compression may cause cervical and brainstem ischemia of brainstem andcervical spine resulting in seizures, syncope, vertigo, and visual disturbances. [Read more...]
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