Orthopaedic problems in children

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Presentation transcript:

Orthopaedic problems in children West Bank, 2009

Torsional profile, knock knees and bandiness

Healthy and happy

The tip-toe walker Habit Tight calf Neuromuscular Other

Remember the packaging disorders!

Vertical talus (50% neurological)

Scoliosis Congenital Child Adolescent

Remember DDH!

Pits, dimples and creases may indicate missing bones!

It is negligent not to examine hips in a child with knee pain!

Osteomyelitis

Specimens before antibiotics!

Classical rickets

Hypophosphataemic rickets

Differential diagnosis: IDIOPATHIC JUVENILE OSTEOPOROSIS Differential diagnosis: Osteogenesis imperfecta Leukaemias Thyrotoxicosis Cushing’s

Juvenile osteoporosis & compression fractures

OSTEOPETROSIS Tarda: autosomal dominant. Mild. (Albers Schonberg) Congenita : autosomal recessive. Severe. Small, anaemic, bruised & fractured, nerve compressions

Osteogenesis imperfecta Sillence classification I. Dom. Blue sclerae Birth fract 0 II. Rec. Blue sclerae Lethal III. Rec. White sclerae Birth fract + IV. Dom. White sclerae Birth fract 0

Progressively deforming lower limbs

Expanding femoral rod

Bone density improved with Pamidronate

Most things are straight forward ......but keep your wits about you!

Oxford Most things are straight forward ......but keep your wits about you!