Tag: Pediatric
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Avascular necrosis
The Xray here shows – Avascular necrosis of the femoral head with segmental collapse. Osteonecrosis (avascular necrosis/aseptic necrosis) occurs within the bone following loss of osseous blood supply. All cells within the area of affected bone die away; initially the organic and inorganic matrix are unaffected. It commonly affects patients in the third, fourth, or fifth decades…
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Caffey’s Disease ( Infantile Cortical Hyperostosis )
Caffey’s Disease — – Self limiting disorder – Most commonly involves Mandible – Mainly seen in Infants – Hyperostosis + Diffuse Diaphyseal Periostitis ( Doubling of width of the bone ) + Soft Tissue Nodules – Triad –> Cortical Bone Thickening + Painful Soft Tissue Swelling + Systemic features ( Fever ) – Usually mimics…
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AIIMS Nov. 2017 De-Coded !
Ossification Centres of Carpal Bones : Capitate: 1-3 months Hamate: 2-4 months Triquetrum: 2-3 years Lunate: 2-4 years Scaphoid: 4-6 years Trapezium: 4-6 years Trapezoid: 4-6 years Pisiform: 8-12 years Capitate is the first one and Pisiform is the last one to ossify. Ball & Socket Joints : (Mnemonic –> THIS) T –> TaloCalcaneoNavicular Joint…
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Complex Syndactyly.
Teaching Points – It’s a classical deformity associated with Apert’s Syndrome, which commonly consists of Complex Syndactyly. #tusharmehta #orthopaedicsplus #MedEd
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Blount’s Disease
In blount’s disease, the knee is stable in full extension, but the medial femoral condyle may sublux posteromedially (into the depressed medial tibial plateau) at 10-20 degrees of flexion. This is called Siffert-katz sign. Blount’s disease is Infantile tibia vara
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Slipped Capital Femoral Epiphysis – Misnomer !
As we all know that there is a pediatric condition called SCFE which is seen in adoloscent boys. In reality , the capital epiphysis doesn’t slip but it stays seated inside the acetabulum with physeal disruption , the neck rotates anteriorly and gets externally rotated. Technically the Capital Femoral Epiphysis becomes posterior.