This research explores the role of hijab as a tool for empowering woman in Abdel-Fattah’s (2007) novel Does My Head Look Big This? study examines how protagonist, Amal, navigates challenges self-expression, cultural identity and faith Muslim teenager who chooses to wear hijab. Through textual analysis Amal’s journey by applying Theory ofIntersectional Feminism Crenshaw (1989), highlights is not merely symbol religious obligation but also an act personal empowerment, allowing women reclaim...

Study Design. Retrospective controlled cohort. Objective. To evaluate the effect of intraoperative liposomal bupivacaine (LB) infiltration on postsurgical pain management in adolescent idiopathic scoliosis (AIS) patients by analyzing postoperative opioid consumption, ambulation, and length stay (LOS). Summary Background Data. Optimal control for AIS undergoing posterior spinal fusion (PSF) is challenging. Multimodal protocols provide adequate analgesia while decreasing consumption. LB was...

The aim of this article was to compare longitudinal changes in hip morphology cerebral palsy (hypertonic) and spinal muscular atrophy (hypotonic) examine the influence muscle tone on development displacement.Children with (Types I II) (Gross Motor Function Classification System IV V) displacement (migration percentage >30%) were included. Head shaft angle, migration percentage, acetabular index measured at T1 (1-2.5 years), T2 (3-5 T3 (6-8 years). Analysis variance testing linear regression...

Maintaining femoral head shape (FHS) and acetabular sphericity are important goals in preventing long-term osteoarthritis hips children with cerebral palsy (CP). As morphology has been widely studied, our objective was to determine FHS CP after triradiate cartilage (TRC) closure, a proxy for skeletal maturity, the risk factors associated residual deformity osteoarthritis.In this retrospective cohort study, patients [Gross Motor Function Classification System (GMFCS) IV V], minimum 4 yearly...

Abstract Aim To evaluate the effects of intrathecal baclofen pump (ITBP) therapy on hip dysplasia in young patients with cerebral palsy (CP). Method This was a retrospective cohort series prospectively collected data. Inclusion criteria were all CP Gross Motor Function Classification System (GMFCS) levels IV or V who underwent ITBP placement under 8 years old at least 5 follow‐up. Thirty‐four matched to control group 71 based GMFCS level, motor type, medical comorbidities, worst migration...

Purpose: Hip displacement (HD) is common in spinal muscular atrophy (SMA), but neither genetic severity nor gross motor function level have been investigated as risk factors. Although disease-modifying agents (DMA) improved and overall health, their effects on the prevention of HD are unknown. The purpose this study was to determine factors for development SMA. Methods: Retrospective cohort. Children with SMA presenting between January 2005 August 2021, at least 1 hip radiograph, a minimum...

Background: Hip surveillance in cerebral palsy (CP) is an accepted practice with evidence-based guidelines implemented. For the skeletally immature open triradiate cartilage (TRC), recommendations for radiographic stemmed from population-based studies. nonambulatory CP, progression of hip displacement after skeletal maturity has been reported; less known ambulatory CP. We aimed to determine prevalence and risk factors associated progressive TRC closure, a proxy maturity, Methods: This...

Recommendations with regard to the need for continued hip surveillance after skeletal maturity are based on expert opinion rather than evidence. This study aimed determine prevalence of and risk factors associated progressive displacement in cerebral palsy (CP) triradiate cartilage (TRC) closure.Patients who had spastic nonambulatory CP (Gross Motor Function Classification System IV V) hypertonic (spastic or mixed-type) motor type follow-up at least 2 years TRC closure were included. The...

Children with cerebral palsy (CP) frequently develop both neuromuscular hip dysplasia and scoliosis, occasionally, the timing of worsening these pathologies is concurrent. The question as to whether or spine should be addressed first in CP remains controversial, majority evidence being "expert opinion." purpose this project was determine impact posterior spinal fusion (PSF) on change displacement for children without previous reconstructive surgery.This an Institutional Review Board-approved...

Psoriatic arthritis (PsA) is an inflammatory associated with psoriasis and causes irreversible joint damage, unless detected early treated systemic drugs.There no reliable tool for screening PsA among Turkish patients. Therefore, we aimed to validate the psoriatic evaluation (PASE) questionnaire in Turkish.A 15-item PASE was administered 122 consecutive patients who visited our dermatology clinic routine evaluations. Then, were evaluated by a rheumatologist blinded results of...

Growth modulation using tension band plates (TBPs) is increasingly important for lower limb deformity correction in patients with skeletal dysplasia (SKD). Development of rebound a concern after TBP removal. Data regarding this complication are rare; therefore, we evaluated the prevalence and risk factors children SKD undergoing genu valgum TBP.All treated by at distal femur or/and proximal tibia single center were reviewed. Inclusion criteria were: (1) minimum 2-year follow-up removal or...

This study assessed the effect of time interval from initial injury to surgery and presence associated fracture on functional outcomes after acute posterior elbow dislocation. Twenty-six pediatric patients were evaluated with respect operation point (within 24 h vs. later) retrospectively. The Mayo Elbow Performance Index (MEPI) score was used assess results. MEPI 91 (80-100) in one 83 (75-95) (P=0.02) more than fracture. treated within 90.3 those later h, it 88.6 (75-100) (P=0.6). Treatment...

This study aimed to determine the risk factors for reconstructive hip surgery after intrathecal baclofen pump application in children with cerebral palsy.Inclusion criteria were hypertonic (spastic or mixed spastic/dystonic motor type) palsy, implantation <8 years of age, no osteotomies prior concomitant and at least a 5-year follow-up. Exclusion included concurrent implantation, lack 1 surveillance radiograph before baclofen, follow-up, having selective dorsal rhizotomy. In addition,...

Limited evidence exists concerning growth modulation by tension band plate (TBP) to correct varus deformity in patients with achondroplasia limited due FGFR3 gene mutation. We evaluated the efficacy of TBP children genu varum and reported static radiographic dynamic motion data determine parameters that impact rate correction.Patients who underwent surgery for were studied. Those at least 1 year follow-up included. Radiographic measured. Growth velocity femoral/tibial length was calculated...

ABSTRACT Introduction Traditional thoracolumbosacral orthosis fabrication involves truncal casting (traditionally fabricated [TF] Wilmington brace [WB]), whereas the newer Chêneau-style (computer-aided design [CAD]) three-dimensional scanning technology. We sought to evaluate how these two styles affect position of spine in coronal and sagittal plane. Materials Methods Inclusion criteria included adolescent idiopathic scoliosis treated with WB or CAD brace, major curve Cobb angle 20°–45°,...

In July of 2018, the Second International Consensus Meeting (ICM) on Musculoskeletal Infection convened in Philadelphia, PA was held to discuss issues regarding infection orthopedic patients and provide consensus recommendations these practicing surgeons. During this meeting, attending delegates divided into subspecialty groups topics specifics their respective fields, which included spine. At spine group discussed voted upon for 63 questions prevention, diagnosis, treatment spinal surgery....

Study Design. Retrospective cohort. Objective. There are preoperative characteristics that predict rod lengthening of magnetically controlled growing rods (MCGR). Lengthening MCGR will lead to increased kyphosis. Summary Background Data. The amount length gained by is variable, and predictors lacking. Similarly, sagittal plane changes over the period have not been investigated. Methods. Patients with a minimum 2-year follow-up were identified those previous spine surgery excluded....

Accurate length measurements of extremity bones are essential in treating limb deformities and discrepancies children.This study aimed to determine errors common techniques used measure lower lengths children.Precision instrument were studied utilizing electro-optical system (EOS), orthoroentgenogram, teleoroentgenogram The goal was a 70-cm metallic rod phantom (average the 10-year-old boy 50th percentile) 3 phases. In Phase 1, performed an EOS unit with internal calibrations,...

According to our knowledge, there is no prior article that reports functional results of medial collateral ligament (MCL) primary repair and insert change after MCL rupture mobile-bearing dislocation as a late complication unicompartmental knee replacement (UKR). Firstly, 63-year-old woman was treated with UKR due anteromedial osteoarthritis the right joint. 1 year surgery, she suffered from because falls while getting on public bus, therefore, secondly, operated followed up for 2 years. The...

Early-onset scoliosis in children with skeletal dysplasia is progressive, contributing to cardiopulmonary restrictive disease. Serial elongation-derotation-flexion (EDF) casting, used other etiologies of delay curve progression, may be beneficial maximizing spine growth. Our hypothesis serial EDF casting can safely as a temporary alternative surgery, delaying progression and preserving growth, treat dysplasia.All patients treated at single institution for were reviewed retrospectively....

Radiographic lucency around a smooth pelvic rod (Galveston/unit technique) or sacroiliac/iliac screw following spinal fusion in children with nonambulatory spastic cerebral palsy (CP) has been described as "windshield wiper" phenomenon. We evaluated demographics, radiographs, and complications 101 cases from single center to determine prevalence, risk factors, associated persistent radiographic 1 5 years fusion.Inclusion criteria were diagnosis of quadriplegic CP [Gross Motor Function...