Kidner's procedure for accessory navicular with flexible flat foot - Dr Karan Choudhry
Kidner's procedure for accessory navicular with flexible flat foot - Dr Karan Choudhry.This video has been uploaded by Dr Karan Choudhry ,who works in 'ASUTOSH' (Advanced Surat Traumatology & Orthopedic Hospital ) ,Gujarat ,India as a full time trauma surgeon .This video also has an academic perspective and helps provinding deeper understanding of the topic.PLEASE USE THE STAR RATING SYSTEM BELOW TO RATE THE VIDEO. IT WILL HELP US OPTIMIZE THE QUALITY OF OUR VIDEOS
Nice job,Thx,specially when there is good results.
Multiple Epiphyseal Dysplasia (MED)
Would there be any special technical or postoperative considerations for osteosynthesis of a dislocated fracture of the two layers of a double-layered patella?Do MED fractures heal at the same speed as fractures in normal bone?
positive Gower sign either Duchene muscle atrophy or SMA
Sequestrum is defined as which of the following?
reactive bone in acute osteomyelitis
reactive bone in chronic osteomyelitis
necrotic bone providing a nidus for infection in chronic osteomyelitis
healthy bone adjacent to chronic osteomyelitis
healthy bone adjacent to acute osteomyelitis
Dr. Zailer-This has been corrected. Thanks for your comment.
Please correct illustration B explanation to sequestrum, not involucrum.
Cerebral Palsy - Foot Conditions
In EquinoPlanoValgusyou said under Pathophysiologyequinus deformity of the hindfoot coupled with pronation deformities of the midfoot and forefootand under inspection you said compensatory midfoot supination often seenwhich one ?? supiation or pronation
J Bone Joint Surg Am. 2017 Mar 15;99(6):e27.
A 6-year-old patient sustains an injury to his shoulder after falling from his bicycle. A radiograph is shown in Figure A. What is the preferred treatment in this patient?
Closed reduction and pinning of the fracture
Open reduction and plating
Coracoclavicular ligament reconstruction
Open reduction and suture fixation
medial fragment displaced superiorly?
Fibular Deficiency (anteromedial bowing)
Thanks for checking out the page. Typically, LLD of <2cm are not treated. Once the discrepancy is above 2cm or if the patient is a toe walker, then treatment is initiated beginning with a shoe lift.
Below is a link to a review article discussing management of leg length inequalities in general.
I hope this helps
Chris SouderLimb-length inequality: assessment and treatment options.Stanitski DFJ Am Acad Orthop Surg. 1999 May-Jun. 7. (3). :143-53PMID: 10346823 (Link to Abstract)
A 6-year-old boy presents to your office with foot pain that is increasing in severity. His parents state he has recently been limping. There is no history of trauma and he is otherwise healthy. Radiographs are shown in Figures A and B. Which of the following is the most appropriate treatment for this child?
Open biopsy and curettage
Long leg non-walking cast
Short leg walking cast
From Miller 7th edition: pg 289: "resolves spontaneously with decreased activity, with or without immobilization"Why not activity modification and observation instead of casting?
A 9-year-old male is brought in for initial evaluation of persistent painless limping favoring the left leg. His symptoms began 6 months ago, and have been progressively worsening. He has nearly full abduction. Radiographs and an MRI are shown in Figures A, B, and C. What is the next most appropriate step in treatment?
Left hip aspiration and culture under fluoroscopic guidance
Continued activity limitation and bracing
Femoral or pelvic osteotomy
Core decompression of the femoral head
Work-up for underlying metabolic bone disease
Dr. Anonymous - this question is pediatric in nature, and links to the Legg-Calve-Perthes Disease topic page.
Paediatric proximal humerus shaft fracture (C2807)
2 / M - 2 year old boy, fell off a two wheeler, was brought in by parents with complaints of not moving the right upper limb. No other significant injuries
How would you manage this fracture?
Growth In Children - Everything You Need To Know - Dr. Nabil Ebraheim
Educational video describing growth distribution in children's long bones.
Nice short informative video,Thank u.
Bone. 2002 Jul;31(1):12-8.
Dr. Purohit,Thank you for your comment, the text above has been edited. Ward et al reported four children and four adults with OI type VII. This type is characterized by autosomal recessive inheritance, fractures at birth, early deformity of the lower extremities and coxa vara. The defect is on chromosome 3 and thus is not a type I collagen gene.Osteogenesis imperfecta type VII: an autosomal recessive form of brittle bone disease.Ward LM, Rauch F, Travers R, Chabot G, Azouz EM, Lalic L, Roughley PJ, Glorieux FHBone. 2002 Jul. pii: S8756328202007901. 31. (1). :12-8PMID: 12110406 (Link to Abstract)
Dr. Essa,Good question. In skeletally immature patients, joint disarticulation procedures are recommended to prevent bony overgrowth or spike formation at thru-bone amputation sites. Ankle disarticulation covers the stump with end-bearing heel pad skin. The prosthetic socket can address motion at the pseudarthrosis site. In a series of 8 patients treated with Syme amputation for congenital pseudarthrosis of the tibia, none of the pseudarthroses healed but the prosthesis allowed participation in normal activities.The Syme amputation in patients with congenital pseudarthrosis of the tibia.Jacobsen ST, Crawford AH, Millar EA, Steel HHJ Bone Joint Surg Am. 1983 Apr. 65. (4). :533-7PMID: 6403548 (Link to Abstract)
Genu Valgum (knocked knees)
Dr. Yasin,Thank you for the post with a link to a paper from a former POSNA president. For a look at surgical techniques for genu valgum, see this description of a medial closing wedge osteotomy from JBJS. The lateral femoral cortex is preserved.Distal femoral varus osteotomy for osteoarthritis of the knee. Surgical technique.Wang JW, Hsu CCJ Bone Joint Surg Am. 2006 Mar. pii: 88/1_suppl_1/100. doi: 10.2106/JBJS.E.00827. 88 Suppl 1 Pt 1. :100-8PMID: 16510804 (Link to Abstract)
AJR Am J Roentgenol. 1982 Jun;138(6):1186-8.
Radial Head and Neck Fractures - Pediatric
Dr. Gladin,Thank you for your comment. The shoulder is abducted when positioning for the x-ray which makes the description of forearm neutral vs supination more confusing.From the original paper on the Greenspan view, "the patient is seated at the side of the table with the elbow flexed 90 degrees and the thumb pointing upward. The forearm is positioned for a lateral view with the longitudinal axis in the same plane as the arm."The text above will be edited.The radial head, capitellum view: useful technique in elbow trauma.Greenspan A, Norman AAJR Am J Roentgenol. 1982 Jun. doi: 10.2214/ajr.138.6.1186. 138. (6). :1186-8PMID: 6979227 (Link to Abstract)
Proximal Humerus Fracture - Pediatric
Dr. Scheschuk,Thank you for the reference to a paper from a giant in orthopaedics. In a 2016 JPO Supplement, King and Ihnow note the absence of high quality studies for proximal humerus fractures in skeletally immature patients. There has been a recent trend toward surgical treatment of severely displaced and severely angulated fractures in older patients and adolescents. Evidenced based recommendations for surgical indications in different ages remain to be established.Which Proximal Humerus Fractures Should Be Pinned? Treatment in Skeletally Immature Patients.King EC, Ihnow SBJ Pediatr Orthop. 2016 Jun. doi: 10.1097/BPO.0000000000000768. 36 Suppl 1. :S44-8PMID: 27100038 (Link to Abstract)