Clubfeet must be classified according to severity obtain reference points, assess the efficacy of orthopaedic treatment, and analyze operative results objectively. A scale 0-20 was established on basis four essential parameters: equinus in sagittal plane, varus deviation frontal plane derotation around talus calcaneo-forefoot (CFF) block adduction forefoot hindfoot horizontal plane. Four grades clubfeet can individualized: (a) Benign feet so-called "soft-soft feet," grade I, similar postural...

From the Faculté de Medecine, Hôpital Lapeyronie, Montpellier Cedex, France. Address correspondence to Pr. Alain Dimeglio, Professor à la faculté medecine, 371, Avenue Gaston Giraud 34965,

From birth to age 5 years, the sitting height increases by 27 cm. The represents 66% of standing at and 56% years. T1 S1 segment must still grow 15 cm deficit in caused a perivertebral arthrodesis can be calculated with accuracy; practical diagram used. At spinal canal has grown ∼95% its definitive size. Therefore, will have no influence on size canal. All indicators do not progress same speed. increase weight thoracic volume remain offset relative other indicators.

The method of Sauvegrain et al. for the assessment skeletal age from radiographs elbow is useful during two years pubertal growth spurt. purpose this study was to determine accuracy and its value in pediatric orthopaedics.The uses four anatomical landmarks elbow: lateral condyle, trochlea, olecranon apophysis, proximal radial epiphysis. It based on a 27-point scoring system. scores these structures are summed, total score determined. A graph then used age. evaluated by three independent...

Growth in childhood and puberty has a major influence on the evolution of spinal curvature. The yearly rate increase standing height sitting height, bone age, Tanner signs are essential parameters. Additionally, biometric measurements must be repeated every six months. Puberty is turning point. pubertal diagram characterized by two phases: first years phase acceleration, last three decelaration. Thoracic growth fourth dimension spine. Bone age an parameter. Risser 0 covers third growth. On...

Out of 210 children suffering from severely displaced supracondylar fractures, 76 (36%) presented with immediate neurovascular complications: 47 (22%) were neurological, 16 (8%) vascular and 13 (6%) both. Injury to two nerves simultaneously was observed in six patients. The median nerve affected 28 cases, the ulnar 25 radial 13. Posterolateral displacement associated 86% damage 56% nerve. Posteromedial all incidents injury one exception. Each patient made full neurological recovery,...

Background: The main progression of idiopathic scoliosis occurs during peak height growth velocity, which is between the ages eleven and thirteen years in girls fifteen boys corresponds to accelerating phase pubertal growth. Risser sign remains at grade 0 this stage Triradiate cartilage closure approximately twelve age fourteen boys, middle phase. In addition regular measurements, a more detailed evaluation skeletal maturity would be desirable prior identification 1. From method Sauvegrain...

Purpose: Literature regarding total hip arthroplasty for pediatric diseases is scarce. This review aims to portray the various orthopedic conditions of childhood that can lead significant impairment joint and, ultimately, in adolescence and adulthood. Methods: In total, 61 out 3666 articles were selected according (1) diagnosis one 12 pathologies (Legg–Perthes–Calvé disease, developmental dysplasia hip, slipped capital femoral epiphysis, neuromuscular dysplasia, post-traumatic avascular...

The efficacy of orthopaedic treatment and its influence on clubfoot surgery has never been truly demonstrated. In the unsorted mass clubfeet treated, it is difficult to determine exactly how effective for severely affected feet. If properly performed, perfectly synchronized, supported by a Kinetec machine, such can noticeably reduce rate operation and, when still required, extent. grade II soft > stiff feet with scores 5–10, Kinetec-supported extremely effective. Operation required in 32%...

Purpose The purpose of this review is to clarify the different methods predictions for growth lower limb and propose a simplified method calculate final deficit correct timing epiphysiodesis. Background Lower-limb characterized by four periods: antenatal (exponential); birth 5 years (rapid growth); puberty (stable puberty, which spurt rapid acceleration phase lasting 1 year followed more gradual deceleration 1.5 years. younger child, less precise prediction. Repeating measurements can...

Salter-Harris type III and IV medial malleolar fractures (MacFarland fracture) is a joint fracture of the ankle in children. The line passes through part lower epiphyseal disk tibia. Prognosis dominated by later risk misalignment osteoarthritis. aim this study was to evaluate functional radiological outcome these fractures. We retrospectively analyzed cases 48 children with MacFarland (31 boys 17 girls), mean age at time trauma 11 years 6 months (range, 8-15 years). were classed into two...

Compression was applied to the distal femoral growth plate in rabbits. Measurements of bone length and microscopic studies physis showed that axial rate decreased proportionally with compression force; forces greater than 30 N caused cartilage cell damage rapid cessation physeal growth.

Background: The main objective of this study was to retrospectively evaluate the clinical and radiographic outcomes displaced tibial shaft fractures with intact fibula in children after nonoperative management operative treatment by elastic stable intramedullary nailing. Methods: A performed on 80 consecutive children, 56 males, 24 females from 2 Institutions, closed fracture fibula. All patients underwent regular follow-up visits for at least years injury. Results: In total, 26 (group...

After analyzing the multiple evaluations described in literature, we propose an evaluation that can be used during growth. The global score is based on 50 points. normal foot scored 0. functional (passive motion, muscle function, and gait analysis) 28 morphology 12 radiographic analysis 10 final linked to initial classification at birth. gain treatment difference between birth of evaluation. It noted as a percentage.

Summary: We report a European study of idiopathic clubfoot that was compiled with the aid detailed questionnaire. The retrospective presented at seventh meeting Paediatric Orthopaedic Society (EPOS). Most EPOS members treat birth plaster cast, but few use physiotherapy and splints. results this conservative treatment vary. Operation is usually indicated an age ranging from 4 to 15 months. Some physicians perform extensive procedures, others limit operation medial posterior parts foot....

Children presenting with Perthes’ disease before their sixth birthday are considered to have a good prognosis. We describe 166 hips in children this age group. The mean at onset of the was 44 months (22 72). Mild forms (Catterall I and II) were treated conservatively severe III IV) either or operatively. aim former treatment restrict weight-bearing. Operative consisted innominate osteotomy indicated by Conway type-B appearance on bone scan. All patients followed skeletal maturity follow-up...