HPI - Child was born with one leg congenitally amputaed below knee and on other leg fixed knee at 60 degree flextion.
How to treat?
HPI - 10 year old girl fall on ground 3 weeks ago. She was treated with closed reduction and long arm case in full pronation. She is now 3 weeks out and presents with the radiographs shown.
How would you treat this fracture now that it is 3 weeks out from the fracture.
HPI - 2 yo child with PFFD right leg and no femoral head and dysplastic acetabulum.
How would you classify this problem?
HPI - valgus hyperextension injury while wrestling. tender at medial epicondyle. good rom. pain with valgus of elbow.
what is the diagnosis on the right elbow
HPI - Fall from 2-3 meters from a tree, trauma to the elbow and wrist
How would you treat this fracture
HPI - Parents notice limping ,after fatty boy fall on child rt hip .
What is the diagnosis?
HPI - painless limp in left hip started 1 yr back,which was insidious in onset without any history of trauma.he had difficulty in sitting cross legged now.
What is the most likely diagnosis?
HPI - patient comes to the consult at 10 years of age mother refers surgical procedure at the age of 5 months, unspecified surgery at 2005 (elsewhere), also did not specify why follow up was lost until now.
At this age, what treatment would you offer to this patient and parents?
HPI - Onset Oct 2014 - Mild pain left hip anteriorly after end of activities (evening pain after playing).
No history of trauma, fever, constitutional symptoms, obviuos limp, wt loss.
Has been treated suspecting infection at another center with antibiotics... Although no clinical history suggestive of any infection.
Clinical condition has remained static, no worsening of pain.
How would you treat this patient at this stage?
HPI - 25 yr female presented with rt lateral pelvic tilt,thigh adduction,internal rotation and tight rt hamtrings since childhood underwent adductor release plus hamstring release and derotation osteotomy 6 months ago,pelvic tilt improved(3cm on standing,5cm supine), patient now wear 1.8cm shoe lift and still have limping
What is the best treatment method to correct limp length inequality?
HPI - 6 yr female Rt handed, had closed Lt elbow supracondylar fracture type 3 reduced in ER, 4 days ago,treated second day by open reduction using campell approach due to 2 failed attempts of closed reduction,post reduction xray showed malreduction
Is this reduction accepted or she need revision surgery snd how?
HPI - struck by car
no soft tissues problem, no other injuries,
What is the best treatment option?
HPI - history of fall on outstretched hand 4 weeks back and took bandages from a bone setter. Now complains of stiffness of elbow
Best line of treatment for this patinet....
HPI - non treated vertical talus
What is the best treatment?
HPI - fall on out stretched hand, distal radius and ulna fracture
How would you treat this fracture?
HPI - 2years ago fell on out stretched hand, supracondylar left humeral fracture ,treated by above elbow cast for one month
How would you treat this malunion?
HPI - fall at home pain and deformity left wrist.child is comfortable (parents not)
How would you treat?
HPI - Mother noticed limp at age two years, no h/o infection, trauma, weakness, fever, pain, etc systemic enquiry ok,
Some clues about H/o birth asphyxia and difficult labour, child was restless for next 5 months after delivery
What is the possible cause of ankylosis?
HPI - 7 weeks imobillisation (primary long arm cast then short arm cast)
5 days after removing cast new accident, refracture
reduction , imobillisation- diastasis on radius ,sclerotic bone
What is your suggestion for treatment?
HPI - Sustained distal radius physeal fracture 3 weeks ago. Treated with closed reduction and application of splint. Presented 3 weeks later with dorsal displacement of the physes.
How would you treat this patient at this time?
HPI - -2 years ago proximal femoral shaft fracture, -Conservatively treated
-Minimal but progressive limping after the fracture
-For the last 3 months she has worsening pain and extreme difficulty while walking
The main pathologic abnormality is due to the deformity in the
HPI - Patient fell from height 3 months ago. Underwent ORIF at an outside institution. K-wires removed at 4 weeks
How would you treat this condition?
HPI - h/o fall down while playing
sustained injury to right forearm
How will you treat this injury?
HPI - She has bilateral knock knees since 9 yrs of age. Frequent falls due to crossed legs. She has no complains in the hips.
How would you treat this patient?
HPI - 12 yo with low lumbar spina bifida (L4-S1), who ambulates without any supports. Parents report a progressive cavus deformtiy more on the right than the left. They feel it is progressing rapidly. She has sensation to most of her foot, somewhat decreased on the lateral part of the dorsum of the foot, but normal in all toes and plantar surface. Complains of frequent ankle sprains. She has had de-tethering procedure 9 months ago, but parents feel it is still progressing. MRI scans and neurosurgical consult completed recently suggest no evidence of residual tethering.
Normal motor function on EMG of peroneals and tib ant and gastrocsoleus. Normal peroneal nerve and sural nerve conduction.
HPI - Was injured in a car accident two years ago and sustained left hip fracture-dislocation. Was immediately treated with reduction and ASNIS screw fixation. Screws were already removed at the time the patient seeked our opinion.
HPI - Patient was treated in a private setup for septic hip 1 year back. He now presents with a painful hip and limp. He reports current intermittent fever.
What would be your next step in treatment, considering his ESR and CRP are still abnormal?
HPI - 16-mos old female, normal developmental milestone and now walking normally, presents with border images and possible developmental hip dysplasia.
How would you treat this 16-mos female with borderline DDH?
HPI - child had a fall 4 weeks ago was treated after initial xray in a slab with advise weekly check xray.patient however followed up 2 weeks later xray was done another surgeon saw her and continued slab after taking xray.
child seenagain after another 2 weeks (total 4 weeks in slab) . now she has restricted motion 20 degrees to 90 degrees flexion passively.
How would you treat this patient now that 4 weeks have passed since the injury?
HPI - Gradual onset pain while standing for longer time, gait abnormality
Plan of management
HPI - No childhood trauma, no infection, no inflammatory diseases
What is the plan of management ?
HPI - He had septic arthritis of hip joint in early childhood. Now infection has resolved.
Is there any procedure to reconstruct his hip joint
HPI - No H/O trauma, fall or fever.
How would you treat this injury?
HPI - Child presented with hallux valgus deformity which is painful and is difficult for him to wear shoes
what pocedure should be performed
HPI - 8 month old male presents with 4 day history of decreased movement of left hip, intermittent fever measured up to 101.5 F, and general fussiness.
How would you next proceed?
HPI - septic arthritis ankle 2 years ago, since then bulking intermittent pain for 6 months.
Would you obtain any additional imaging studies prior to deciding treatment?
HPI - 12 yr old female c/o limping gait and mild to moderate pain in left hip.no fever or weight loss
What is the most likely diagnosis
HPI - He is pain free. With cubitus valgus and full range of motion.
How would you treat this pathology?
HPI - This 15 year old Afgani boy walked into our clinic complaining about significant hip pain.
Is a proximal femoral corrective osteotomy likely to be successful in this case?
What is the best approach to the abductors?
HPI - no h/o fever, trauma, joint swelling
what is most likely diagnosis and treatment option
HPI - this 4 yrs F is a known case of DDH diagnosed at age of walking ( 14 months old) & was treated 3 times by open reduction only & failed
what are the lines of management?
HPI - Fall on the ground
HPI - falling down
how to manage?
HPI - Progresive varus deformity noticed since 2 months
HPI - A 2.5 years old male presents with this gait abnormality. He has flexion deformity walking gait in both knees which was first noticed when he started to walk about year ago.
HPI - 22 yrs male with 1 months old fracture, right hand dominance
HPI - Five years ago she began pain foot in sport activities.
Now icreasing pain in normal life
What is your treatment ?
HPI - pai and limitation of elbow since 2 years
How would you treat this patient
HPI - Fall from the chair 1 day back
What is the management Of this child?
HPI - Fixed Flexion deformity bilateral knee joints since birth
What should be the treatment plan