Dr. Terebessy Tamás Anatomical problems in orthopaedic surgery Semmelweis University, Department of Orthopaedics

The subjects of pediatric orthopaedics Developmental disorders Bone dysplasias Infection Metabolic and endocrine diseases Deformities of the bones and joint Neuromuscular diseases Bone tumors and tumorlike lesions

Congenital and developmental disorders

Torticollis muscularis congenitus

Sprengel deformity

Congenital Dislocation of the Hip CDH Developmental Dysplasia of the Hip DDH

Coxa vara congenita

Congenital knee luxation

Neuromuscular diseases

Cerebral Palsy

Hemilplegia Ribera (1591-1652) : Le Pied Bot (Louvre)

Examination in CP

Surgical treatment in CP Achillotomy

Examination in CP Rectus femoris test (Ely test)

Diplegia Subluxation and luxation of the hip in CP

Subluxation of the hip in CP

Subluxation and luxation of the hip in CP Luxated hip Luxated hip

Subluxation and luxation of the hip in CP Preventive adductor release combined with iliopsoas release

Open reduction and varisation-derotation femur osteotomy (with femur shortening + iliopsoas release) Proximal femoral resection

Muscular Dystrophy Gowers sign Child has thoracolumbar lordosis Calf pseudohypertrophy Child has thoracolumbar lordosis Muscular Dystrophy Gowers sign

Epiphyseolysis capitis femoris

Anatómiai és élettani tulajdonságok Slipped Capital Femoral Epiphysis Anatómiai és élettani tulajdonságok A femur proximális physisének változóan hullámzó jellege Az antilop distalis femur physise.

The histologic zone of failure varies with the type of loading Slipped Capital Femoral Epiphysis The histologic zone of failure varies with the type of loading EPIHYSIS PHYSIS Germinal Columnation TENSION SHEAR Hypertrophic COMPRESSION Ossification METAPHYSIS

Deformities of the bone and joints

Scheuermann disease

Scoliosis

Bone dysplasias Achondroplasia

What is the danger of the deformities ?

Thank you for your attention!