OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

-Paediatric Orthopaedics

MP chondrodesis and stiletto flap for Clasped thumb

Courtesy: Scott Kozin, Dan Zlotolow, Shirner’s hospital for Children, USA Children with distal arthrogryposis often are born with fixed clasped thumbs (Metacarpophalangeal joint flexion contractures). Children with the more common Amyoplasia-type of Arthrogryposis Multiplex Congenital (AMC) rarely have clasped thumbs. Instead, they get flexion deformities at the carpometacarpal (CMC) joint of the thumb. The results […]

Thumb Reorientation Osteotomy for thumb-in-palm deformity

Courtesy: Scott Kozin, Dan Zlotolow, Shirner’s hospital for Children, USA Children with Amyoplasia often suffer from limited hand use due to a thumb-in-palm deformity. The thumb is underpronated and flexed at the carpometacarpal (basal) joint. The thumb reorientation osteotomy corrects all aspects of the apposition of the thumb by pronating, extending, and abducting the thumb […]

Partial Pectoralis Major Flexorplasty for Amyoplasia

Courtesy: Scott Kozin, Dan Zlotolow, Shirner’s hospital for Children, USA The partial pectoralis major flexorplasty muscle transfer is the best option for providing elbow flexion to patients with Amyoplasia who lack a latissimus dorsi.

Rotational Osteotomy for Radioulnar Synostosis

Courtesy: Scott Kozin, Dan Zlotolow, Shirner’s hospital for Children, USA Congenital synostosis of the forearm is generally well tolerated, as most children are born with their forearms stuck in a neutral position. For children with a moderate to severe forearm pronation or supination contracture, a rotational osteotomy can set forearm rotation to a more useful […]

Current Trends in Hip Dysplasia

Courtesy: NY Lagone Medical Centre, NY, USA Topics: Clinical Diagnosis of Hip Dysplasia – Charles T. Price, MD Ultrasound Enhanced Physical Exam of the Hip – Pablo Castañeda, MD Why Aren’t We Screening Everyone? – Benard P. Dreyer, MD, FAAP Referral Pathways: The AAOS Appropriate Use Criteria for Hip Dysplasia – Rashel Y. Goldstein, MD, […]