/
 Childhood Orthopaedic conditions:  Childhood Orthopaedic conditions:

Childhood Orthopaedic conditions: - PowerPoint Presentation

debby-jeon
debby-jeon . @debby-jeon
Follow
351 views
Uploaded On 2020-04-10

Childhood Orthopaedic conditions: - PPT Presentation

D ilemmas BOTA 2015 Robin W Paton FRCSOrthopaedic PhD Visiting Professor UCLAN Honorary Senior Lecturer University of Manchester Congenital Talipes Equinovarus CTEV CTEV 1 to 2 per 1000 births ID: 776612

case year ctev deformity case year ctev deformity pes epiphysis female cerebral cavus types years congenital involvement hip progressive

Share:

Link:

Embed:

Download Presentation from below link

Download Presentation The PPT/PDF document " Childhood Orthopaedic conditions:" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.


Presentation Transcript

Slide1

Childhood Orthopaedic conditions:Dilemmas BOTA 2015

Robin W Paton FRCS(Orthopaedic) PhD

Visiting Professor, UCLAN

Honorary Senior Lecturer, University of Manchester

Slide2

Congenital Talipes Equinovarus (CTEV)

CTEV

1 to 2 per 1000 birthsMore common in malesUnilateral > bilateralExclude spinal & syndromic causesC: cavusA: adductusV: VarusE: equinus

Bilateral CTEV

Slide3

Congenital talipes Calcaneo-valgus (CTCV)

CTCV

Rarer than CTEVAssociations: pathological DDH fibular hemi-melia spinal disorders vertical talus

Deformity: foot towards shin

Slide4

Pes cavus (including plantaris deformity)

Secondary causes

brain: CP/ Friedrich ataxia spine: cord tether diastematomylia polio spina bifida Peripheral: HSMN muscular dystrophiesTrauma: compartment syndrome burnsOther: CTEV (iatrogenic) Duchenne’s MD

Pes cavus: deformity

Slide5

Pes cavus

HMSN (Charcot Marie Tooth)

Pathology: autosomal dominant & recessive inheritanceautosomal dominant form - Chr-17myelination protein 22 abnormalIncidence: 1:2500HSMN I : presents earlierHSMN 2: axonal formProblem: progressive deformity PB/ TA/ weak Intrinsic ms. Hands/feet wasted

Slide6

Pes Planus

Secondary Types

Flexible types: Hyper laxity Marfans syndrome Ehlos Danlos syndromeRigid types: tarsal coalition vertical talus JCA osteochondrosis

Tarsal coalition: Calcaneo-navicular bar

Slide7

Cerebral palsy

Non progressive, brain origin, impaired motor function, presenting < 2 years of age.Incidence: 1:400Pre-natal: maternal infection alcohol/ drugs congenital malformation brainPerinatal: birth trauma/ asphyxia (10%) Low birth weight/ <36 gestation Neonatal jaundicePostnatal: cerebral haemorrhage NAI meningitis

Classification

Anatomical:

hemiplegia

diplegia

four limb involvement

total body involvement

Physiological:

spastic (UMN) 60%

athetoid

(basal ganglia) 20%

ataxic (cerebellar)

Slide8

Cerebral Palsy

Walking prognosis:If can sit independently by 2 years100% hemiplegia66% spastic four limb involvement0% TBI

Slide9

Slipped Upper Femoral Epiphysis (SUFE/SCFE)

Epidemiology1:50,000, > male, black > white11 to 15 years of ageVulnerable epiphysis: hormonal: hypothyroidism (<25 percentile) growth hormone renal radiationMechanical: trauma obesity (> 80th. Percentile)

Slide10

Slipped Upper Femoral Epiphysis (SUFE)

Clinical presentation:Symptoms:LimpOften no hip painPain radiating to kneeSigns:Limited internal rotation of the hipLimited abduction / flexion of the hipFoot in external rotationUnable to weight bear (Loder positive)

Slide11

Case 1

18 month old female

Slide12

Case 1

Age 6 years

Slide13

Case 28 year old female

Slide14

Case 2

Slide15

Case 2:20 months post operatively

Slide16

Case 3

13 year old male

Slide17

Case 5

1.5 year old female

Slide18

Case 5

Post operative 3.5 year old

Slide19

Thank you

Slide20

Case 1

15 year old malePrevious surgery aged 18 months right hip