Essential Paediatric Orthopaedic Decision Making: A Case-Based Approach

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This collection of practical Case reports provides a concise guide to managing a wide spectrum of orthopaedic conditions in children. Strategies for determining an optimum management approach to follow in any given situation are provided, and are supported with clinical illustrations and guidelines. Sixty challenging clinical scenarios are presented, from malunion of a tibial fracture to pseudarthrosis of the tibia, after failed primary surgery. Each case is approached in a systematic manner with a background history, key features of physical examination and a series of questions.The questions lead to the goals of surgery, followed by a list of options for the management of each case. The option chosen by the surgeon is then presented, usually with intraoperative, clinical and radiographic illustrations. The majority of cases have substantial follow-up to illustrate the wisdom of the surgical decision-making, the surgical skill employed and the diligent post-operative care and follow-up. Trainees in pediatric orthopaedics and those sitting their final specialty examination will find this Case-based approach helps to anchor both their understanding and retention of key concepts.

Author(s): Benjamin Joseph, Selvadurai Nayagam, Randall T. Loder
Publisher: CRC Press
Year: 2022

Language: English
Pages: 481
City: Boca Raton

Cover
Half Title
Title
Copyright
Dedication
Contents
Details of Authors
Foreword
Foreword
Foreword
Preface
Deformities
1 Equinus Deformity
2 Equinovarus
3 Calcaneus Deformity
4 Cavovarus Deformity
5 Congenital Vertical Talus
6 Planovalgus Deformity
7 Valgus Deformity of the Hindfoot
8 Congenital Pseudarthrosis of the Tibia
9 Congenital Posteromedial Bowing of the Tibia
10 Tibial Torsion
11 Flexion Deformity of the Knee
12 Genu Recurvatum
13 Genu Varum
14 Genu Valgum
15 Coxa Vara
16 Femoral Anteversion
17 Valgus Deformity of the Wrist
18 Scoliosis
19 Kyphotic Deformity of the Spine
20 Torticollis
Dislocations
21 Developmental Dysplasia of the Hip
22 Paralytic Hip Dislocation: Cerebral Palsy
23 Paralytic Dislocation of the Hip: Poliomyelitis
24 Teratologic Dislocation of the Hip: Multiple Congenital Contractures
25 Post-Infective Hip Dysplasia
26 Congenital Dislocation of the Knee
27 Congenital Dislocation of the Patella
28 Radial Head Dislocation
Diaphyseal Bone Loss
29 Diaphyseal Bone Loss of the Radius
Deficiencies
30 Fibular Hemimelia
31 Tibial Hemimelia
32 Congenital Short Femur and Proximal Focal Femoral Deficiency
33 Distal Focal Femoral Deficiency
34 Radial Club Hand
35 Ulnar Club Hand
Discrepancies of Limb Length
36 Discrepancy in Length of the Femur
37 Length Discrepancy of the Tibia
38 Discrepancy of the Length of the Fibula
39 Length Discrepancy of the Metatarsals
40 Discrepancies of Length in the Forearm
Decreased Joint Mobility
41 Congenital Radio-Ulnar Synostosis
42 Tarsal Coalition
43 Contracture of Muscles of the Lower Limb: Quadriceps Contracture Secondary to Osteomyelitis of the Femur
44 Contracture of Muscles of the Upper Limb: Severe Volkmann’s Ischaemic Contracture of the Forearm
Lower Motor Neuron Paralyses
45 The Paralysed Knee
46 The Paralysed Foot
47 The Paralysed Shoulder in the Child
48 The Paralysed Elbow: Management of Extensor Paralysis
49 The Paralysed Upper Limb: Traumatic Total Brachial Plexus Injury with Partial Recovery
50 The Paralysed Hand: Ulnar and Median Nerve Palsy
Upper Motor Neuron Paralysis
51 The Spastic Foot and Ankle: Spastic Equinovarus Foot
52 The Spastic Knee: Knee Flexion in Spastic Cerebral Palsy
53 The Spastic Hip: Hip Flexion in Spastic Cerebral Palsy
54 The Spastic Forearm and Hand
Epiphyseal and Physeal Problems
55 Infantile Tibia Vara (Blount’s Disease)
56 Perthes Disease
57 Slipped Capital Femoral Epiphysis (SCFE)
58 Physeal Bar
Infections
59 Acute Osteomyelitis
60 Acute Septic Arthritis
Index