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Modified Trochanteric Flip Osteotomy in Varus Intertrochanteric Osteotomy for Treatment of Legg-Calvé-Perthes Disease.
Children (Basel)
January 2025
Pediatric Orthopedics, Deformity Reconstruction and Foot Surgery, University Hospital Muenster, 48149 Muenster, Germany.
: Legg-Calvé-Perthes disease (LCPD) presents challenges in treatment due to its varied course and unclear etiology. This study aimed to evaluate the efficacy of combining proximal femoral varus osteotomy (PFVO) with a modified trochanteric flip osteotomy to address biomechanical consequences and improve hip abductor muscle strength. : We present a modified approach combining PFVO with a trochanteric flip osteotomy.
View Article and Find Full Text PDFCritical Diagnoses to Consider in the Assessment of Pediatric Patients Presenting with Limp in the Rheumatology Ward: A Cross-Sectional Study.
Arch Bone Jt Surg
January 2024
Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Objectives: Limping is a frequent reason for visits to emergency departments. The causes of limping in children are various, ranging from benign musculoskeletal problems to serious etiologies, such as malignancy and infections.
Methods: In this recent cross-sectional study, we evaluated the causes of limps in children referred to the pediatric rheumatology ward in northeast Iran.
Observational gait analysis.
Curr Opin Pediatr
February 2025
Royal Children's Hospital Melbourne, University of Melbourne, Murdoch Children's Research Centre, Parkville, Victoria, Australia.
Purpose Of Review: The review is aimed at practising paediatricians who want to improve their clinical skills in observational gait analysis. Many paediatric complaints relate to problems of walking or limb alignment, and only a small proportion of these are pathological. With a deeper understanding of normal gait and a framework to conduct an observational analysis, the clinician can feel more confident diagnosing and recognizing those walking patterns that need further investigation.
View Article and Find Full Text PDFDistal femur osteosarcoma in a seven-year-old: a case report on acute symptom presentation.
Ann Med Surg (Lond)
December 2024
Palestine Polytechnic University, Hebron, Palestine.
Introduction And Importance: Osteosarcoma is an exceptionally serious, uncommon disease in children with morbidity, mortality, and psychological burdens.
Case Presentation: In this report, the authors present the case of a previously healthy 7-year-old girl who exhibited continuous, painful limping. Plain imaging and a MRI scan revealed the presence of a lytic lesion in the femur on the left side.
The Subtle Signs of Scurvy: A Paediatric Case Misleading Clinicians.
Cureus
November 2024
General Paediatrics, Worcestershire Acute Hospitals NHS Trust, Worcestershire, GBR.
Scurvy, arising from vitamin C deficiency, remains relevant despite historical declines. Scurvy commonly presents with severe leg pain, reluctance to walk, and limping. Other symptoms include gingival bleeding, hypertrophy, and ecchymoses.
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