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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 Calvé disease (Legg-Calve-Perthes Disease)
Vertebral epiphysis Scheuermann disease and 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 (or Freiberg infarction)
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 (Sinding-Larsen disease, jumper’s knee)
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 (see Little League Elbow Syndrome)
Humeral head Hass disease
Clavicle Friedrich disease

Popularity: 1% [?]

Filed Under: Non Traumatic Disorders, Pediatric Disorders

What Is Iselin Disease or Traction Epiphysitis of Fifth Metatarsal Base

February 2, 2012 By Leave a Comment

Iselin disease is the osteochondrosis or epiphyisitis of base of fifth metatarsal. It is also known as traction aophysitis or epiphysitis of fifth metatarsal base.

It was described by Iselin in 1912 as occurring in young adolescents at the time of appearance of the proximal epiphysis [growth plate] of the fifth metatarsal.

The affected epiphysis is a small, shell-shaped fleck of bone is located on the lateral plantar aspect of the tuberosity of fifth metarsal. It is not visible on anteroposterior or lateral radiographs and can be seen in the oblique view.

Peroneus brevis muscle insertion is in vicinity of this epiphysis.

The epiphysis appears in girls at about age 10 years and in boys at about age 12 years and is fused about 2 years later. [Read more...]

Popularity: 1% [?]

Filed Under: Foot Disorders, Non Traumatic Disorders, Pediatric Disorders Tagged With: ,

Osteochondrosis or Epiphysitis

February 2, 2012 By Leave a Comment

Also termed as epiphysitis.

It denoted the disorders of actively growing epiphyses [growth plate of the bone]. It may be restricted to a single epiphysis or may involve more than one either simultaneously or successively.

The disease causes a degeneration or necrosis followed by regeneration or recalcification of the involved epiphysis.

The cause is unknown in most cases. Trauma, infection, or congenital malformation, rapid growth are the most commonly cited factors

Osteochondrosis or epiphysitis is known by region it involves or eponyms after the name of discoverer.

Popularity: 1% [?]

Filed Under: Non Traumatic Disorders, Pediatric Disorders Tagged With: ,

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...]

Popularity: 1% [?]

Filed Under: Musculoskeletal Infections, Pediatric Disorders Tagged With: , , , , , , ,

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 as viewed from below

CTEV Image Taken Just Before Surgery - Ventral Aspect

The picture above is from ventrl aspect of fee. [Read more...]

Popularity: 1% [?]

Filed Under: Orthopaedic Images, Pediatric Disorders Tagged With: , ,

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...]

Popularity: 2% [?]

Filed Under: Cervical Spine, Pediatric Disorders, Spine Tagged With: , ,

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...]

Popularity: 2% [?]

Filed Under: Cervical Spine, Pediatric Disorders, Spine Tagged With: , , ,

What Is Sacral Agenesis?

August 5, 2011 By Leave a Comment

Sacral agenesis is a rare condition where there is maldevelopment of the sacrum and surrounding structures. It is often is associated with maternal diabetes mellitus.

It is either thought to be a condition which is teratogenically induced or is a spontaneous genetic mutation. There is failure of embryonic induction of the caudal notochord sheath and ventral spinal cord but dorsal ganglia and the dorsal  portion of the spinal cord continue to develop normally. The vertebrae and motor nerves do not develop, and the sacral agenesis results. Sensation remains intact because the dorsal ganglia and the dorsal portion have developed normally. [Read more...]

Popularity: 1% [?]

Filed Under: Pediatric Disorders, Spine

Clinical Photograph Of Duplication Of Thumb or Preaxial Polydactyly

July 14, 2011 By Leave a Comment

Duplicated thumb is an example of preaxial polydactyly. I am presenting clinical photographs of a young girl with duplicated thumb.

Here is a view from palmar aspect

Duplication of thumb

Palmar View of Duplicated Thumb

Here is a view from dorsal side. [Read more...]

Popularity: 1% [?]

Filed Under: Musculoskeletal Radiology, Orthopaedic Images, Pediatric Disorders Tagged With: , , ,

Xrays of Fracture of Distal Tibia In A Child Following Spoke wheel Injury

July 10, 2011 By Leave a Comment

A five years old child had an open fracture of distal tibia followinga twisting injury after his foot got stuck in revolving cycle spokes.

The child was seen in casualty and there was no other injury except this one. tibi proximal end was found jutting out of the wound. The wound was cleaned and bone was repositioned inside the skin and after splinting with Cramer wire, following xrays were done.

Distal tibia fracture in child following spoke wheel injury

Spoke Wheel Injury Resulted In Fracture Distal Tibia

The child was taken for wound debridement and external fixation. Here is the postoperative xray with aligned bone and external fixator in position. [Read more...]

Popularity: 2% [?]

Filed Under: Musculoskeletal Radiology, Orthopaedic Images, Pediatric Ankle Foot Injuries, Pediatric Disorders Tagged With: , , , ,
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