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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.
List of contents
Details of Authors. Foreword by Dr. Catterall. Foreword by Professor Graham. Foreword by Professor Wilkins. Preface. DEFORMITIES. Equinus Deformity. Equinovarus. Calcaneus Deformity. Cavovarus Deformity. Congenital Vertical Talus. Planovalgus Deformity. Valgus Deformity of the Hindfoot. Congenital Pseudarthrosis of the Tibia. Congenital Posteromedial Bowing of the Tibia. Tibial Torsion. Flexion Deformity of the Knee. Genu Recurvatum. Genu Varum. Genu Valgum. Coxa Vara. Femoral Anteversion. Valgus Deformity of the Wrist. Scoliosis. Kyphotic Deformity of the Spine. Torticollis. DISLOCATIONS. Developmental Dysplasia of the Hip. Paralytic Hip Dislocation: Cerebral Palsy. Paralytic Dislocation of the Hip: Poliomyelitis. Teratologic Dislocation of the Hip: Multiple Congenital Contractures. Post-Infective Hip Dysplasia. Congenital Dislocation of the Knee. Congenital Dislocation of the Patella. Radial Head Dislocation. DIAPHYSEAL BONE LOSS. Diaphyseal Bone Loss of the Radius. DEFICIENCIES. Fibular Hemimelia. Tibial Hemimelia. Congenital Short Femur and Proximal Focal Femoral Deficiency. Distal Focal Femoral Deficiency. Radial Club Hand. Ulnar Club Hand. DISCREPANCIES OF LIMB LENGTH. Discrepancy in Length of the Femur. Length Discrepancy of the Tibia. Discrepancy of the Length of the Fibula. Length Discrepancy of the Metatarsals. Discrepancies of Length in the Forearm. DECREASED JOINT MOBILITY. Congenital Radio-Ulnar Synostosis. Tarsal Coalition. Contracture of Muscles of the Lower Limb: Quadriceps Contracture Secondary to Osteomyelitis of the Femur. Contracture of Muscles of the Upper Limb: Severe Volkmann’s Ischaemic Contracture of the Forearm. LOWER MOTOR NEURON PARALYSES. The Paralysed Knee. The Paralysed Foot. The Paralysed Shoulder in the Child. The Paralysed Elbow: Management of Extensor Paralysis. The Paralysed Upper Limb: Traumatic Total Brachial Plexus Injury with Partial Recovery. The Paralysed Hand: Ulnar and Median Nerve Palsy. UPPER MOTOR NEURON PARALYSIS. The Spastic Foot and Ankle: Spastic Equinovarus Foot. The Spastic Knee: Knee Flexion in Spastic Cerebral Palsy. The Spastic Hip: Hip Flexion in Spastic Cerebral Palsy. The Spastic Forearm and Hand. EPIPHYSEAL AND PHYSEAL PROBLEMS. Infantile Tibia Vara (Blount’s Disease). Perthes Disease. Slipped Capital Femoral Epiphysis (SCFE). Physeal Bar. INFECTIONS. Acute Osteomyelitis. Acute Septic Arthritis. Index.
About the author
Benjamin Joseph, MS (Orth), MCh Orth, FRCS Ed, adjunct professor of paediatric orthopaedics, Christian Medical College, Vellore, India; and consultant paediatric orthopaedic surgeon Aster Medcity, Kochi, India
Selvadurai Nayagam, BSc, MCh(Orth), FRCS Ed (Trauma and Orth), consultant orthopaedic surgeon, Royal Liverpool Children's Hospital; and honorary reader, University of Liverpool, UK
Randall T. Loder, MD, garceau professor of orthopaedic surgery, Indiana University School of Medicine, Indianapolis; and chief of orthopaedics, James Whitcomb Riley Children’s Hospital, Indianapolis, USA
Summary
A practical, useful and unique text for trainees in Paediatric Orthopaedics. Especially useful for Registrars & Residents those undertaking Fellowship training. Sixty challenging clinical scenarios are presented, from malunion of a tibial fracture to pseudarthrosis of the tibia, after failed primary surgery.
