1. Orthopaedic problems in children
West Bank, 2009

12. Torsional profile, knock knees and bandiness

13. Healthy
and
happy

18. The tip-toe walker
Habit
Tight calf
Neuromuscular
Other

23. Remember
the packaging disorders!

25. Vertical
talus
(50% neurological)

33. Scoliosis
Congenital
Child
Adolescent

37. Remember DDH!

41. Pits, dimples and creases may indicate missing bones!

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

50. Osteomyelitis

51. Specimens before antibiotics!

52. Classical rickets

53. Hypophosphataemic rickets

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

57. Juvenile osteoporosis & compression fractures

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

61. 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

62. Progressively
deforming
lower
limbs

63. Expanding
femoral
rod

64. Bone density improved with Pamidronate

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

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