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Topics in pediatric orthopedics oftentimes floor often pediatrics and first care, even if on board checks or in medical perform. From start accidents to musculoskeletal infections, there are lots of stipulations and providing proceedings that has to be addressed by means of the first care medical professional or pediatrician. This concise and designated guide comprises simply the necessity to understand stipulations, accidents, and illnesses useful for citizens or even pro clinicians to comb up on pediatric orthopedic themes comfortably. details is contained inside of themed chapters (like neuromuscular ailments or musculoskeletal infections) and likewise by means of anatomical sector (hip, knee foot, backbone, etc.). This booklet offers readers the elemental wisdom for you to establish universal orthopedic stipulations, symptoms to both deal with those stipulations or refer sufferer to an orthopedist, and covers the complete required curriculum had to solution musculoskeletal questions about the pediatrics board exam.
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Additional resources for Pediatric Orthopedics: A Handbook for Primary Care Physicians
Severe osteopenia. Thin fibula (gracilis fibula). Bony deformity. Excessive callus formation (type V). Genetic testing: j Direct sequencing of COL1A1 or COL1A2 genes. CHAPTER 3: METABOLIC CONDITIONS 39 Skin biopsy j Collagen can be isolated from cultured fibroblasts and assessed for defects, with an accuracy of about 85 %. Management: j Medical treatment: • Bisphosphonate has been used in children with osteogenesis imerfecta. h h Indications include multiple fractures or marked demineralization of the bone.
REFERENCES Stahli L. Fundamentals of Pediatric Orthopedics. In: Stahli L, editor. Fundamentals of Pediatric Orthopedics. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2007. Herring JA. Tachdjian’s Pediatric Orthopedics In: Herring JA, editor. Tachdjian’s Pediatric Orthopedics. 3rd edition. B Saunders; 2002. asp. POSNA Core curriculum. Dimeglio A. Lovell and Winter’s Pediatric Orthopaedics. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2005. Chapter 3 Metabolic Conditions Amr Abdelgawad and Osama Naga RICKETS Definition: j Deficient mineralization of the bone leading to increase in the amount of uncalcified osteoid matrix.
Genu valgum: osteotomy or guided growth (hemiepiphysiodesis). • Carpal tunnel syndrome: Carpal tunnel release. • Joint contracture: soft tissues release. 36 PEDIATRIC ORTHOPEDICS • Scoliosis: spinal fusion. • Atlantoaxial instability: C1–C2 fusion. OSTEOGENESIS IMERFECTA Definition: j j j It is a defect in collagen type 1 which is an important constituents of bone, ligaments, dentin, and sclera. The defect can be qualitative or quantitative reduction in type 1 collagen. Mutations in genes encoding type 1 collagen (COL1A1 or COL1A2 genes) accounting for, approximately, 80 % of Osteogenesis imerfecta cases.