? Courtesy: Amr Abdelgawad, Maimonaides Medical Centre, Brooklyn, New York, USA LEGG-CALVÉ-PERTHES DISEASE Introduction • Idiopathic avascular necrosis of the proximal femoral epiphysis • Approx 1 in 1000 children • m/c between 4 and 8 years of age • Increased incidence in Northern Europe • Caucasians and Chinese are significantly more affected • Boys : […]
-Paediatric Orthopaedics
Baker’s cyst in Children
Courtesy: Amr Abdelgawad, Maimonaides Medical Centre, Brooklyn, NY, USA
Cavus foot
Courtesy: Amr Abdelgawad, Maimonaides Medical Centre, Brooklyn, NY, USA
Gait Analysis in Children and Paediatric Ortho Updates
Courtesy: NewYorkOrtho
Overuse Injuries in Children
Courtesy: Dr Nirav Pandya, Associate Professor, Chief of Paedaitric Orthopaedics, UCSF, San Francisco, USA
Congenital Trigger Thumb
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Osgood Schlatter Disease
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Perthe’s Disease for the FRCSOrth
Courtesy: Sally Hobson, Hull Royal Infirmary, Hull, UK Perthes Disease Definition: Idiopathic osteonecrosis of capital femoral epiphysis in a growing child. Epidemiology: – Males 4x females. 80% 4-9 (2-12 reported). Social class 4-5. Bilateral 10%: Usually asymmetric. Presentation – history Limp. +/- hip/knee pain. Usually insidious/chronic onset. Presentation – examination Reduced ROM – ABDUCTION. Ataxic/trendelenberg […]
Ponseti technique for Clubfoot
Courtesy: Hitesh Shah, Paediatric Orthopaedic Surgeon, Manipal, India Ponseti Method of Clubfoot Management Introduction Manipulation and casting provide superior, simpler, and faster outcomes compared to surgical intervention in the management of clubfoot. The Ponseti method is: Easy to learn Cost-effective Minimally invasive Highly effective when performed correctly It is currently considered the gold standard […]
DDH Closed reduction, Arthrogram and Spica Application
Courtesy: Taral Nagda, Paediatric Orthopaedic Surgeon, Mumbai Ramsey’s safe zone: described as the arc of motion through which the hip remains reduced without forced abduction 1. Minimal Abduction: Zone of Redislocation 2. Safe Zone 3. Maximum Abduction: Zone of Ischemia Ramsey PL, Lasser S, MacEwen GD. Congenital dislocation of the hip. Use of the Pavlik […]
Introduction to Arthrogryposis
Courtesy: Dan Zlotolow, Shirner’s hospital for Children, USA ARTHROGRYPOSIS MULTIPLEX CONGENITA Spectrum of disorders (symptom complex) • Diminished fetal movements • Congenital joint stiffness • Varying degrees of muscle weakness INTRODUCTION • Greek word means “bent joint“ • Condition first described in 1841 • The term ‘Arthrogryposis Multiplex Congenita’ coined by WG Stern in 1923 […]
Flexor Pronator Slide for Spasticity
Courtesy: Scott Kozin, Dan Zlotolow, Shirner’s hospital for Children, USA This video demonstrates the surgical technique for a Flexor Pronator Slide for a young girl with Spasticity. Spasticity can result from cerebral palsy, brain tumors, traumatic brain injury, and stroke. All of the flexor muscles are released from their origin, requiring a transposition of the […]
Cleft Hand Reconstruction using the Snow-Littler Technique
Courtesy: Scott Kozin, Dan Zlotolow, Shirner’s hospital for Children, USA
The Embryology Behind Congenital Hand Differences
Courtesy: Dan Zlotolow, Shirner’s hospital for Children, USA
The Turco Procedure for Late Presenting Clubfoot
Courtesy: Premal Naik, Paed Ortho Surgeon, Ahmedabad, Gujarat, India Surgery for CTEV is decreasing in current times and many students have never seen this surgery during their training. PMR for CTEV is a gold standard surgery and still performed globally in patients who do not respond to Ponseti method of casting or have clubfoot along […]