The pediatric hip:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2006
|
| Schriftenreihe: | Orthopedic clinics of North America
37,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | IX S., S. 119 - 244 zahlr. Ill., graph. Darst. |
| ISBN: | 1416035389 |
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| 245 | 1 | 0 | |a The pediatric hip |c guest ed. James T. Guille |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 2006 | |
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| 650 | 7 | |a Ziekten |2 gtt | |
| 650 | 4 | |a Kind | |
| 650 | 4 | |a Child | |
| 650 | 4 | |a Hip Dislocation, Congenital | |
| 650 | 4 | |a Hip Injuries | |
| 650 | 4 | |a Hip joint |x Abnormalities | |
| 650 | 4 | |a Hip joint |x Diseases | |
| 650 | 4 | |a Hip joint |x Dislocation | |
| 650 | 4 | |a Pediatric orthopedics | |
| 700 | 1 | |a Guille, James T. |e Sonstige |4 oth | |
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Datensatz im Suchindex
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| adam_text | CONTENTS
Preface ix
James T. Guille
Growth and Development of the Child s Hip 119
Mark C. Lee and Craig P. Eberson
The child s hip begins in intrauterine development as a condensation of mesoderm in the
lower limb bud that rapidly differentiates to resemble the adult hip by eight weeks of
life. The developmental instructions are transmitted through complicated cell signaling
pathways. From eight weeks of development to adolescence, further growth of the hip is
focused on differentiation and the establishment of the adult arterial supply. The post¬
natal growth of the child s hip is a product of concurrent acetabular and proximal femoral
growth from their corresponding growth plates. Absence of appropriate contact between
acetabulum and proximal femur yields an incongruent joint. Multiple disease processes
may be understood in light of this growth process, including Legg Calve Perthes disease
and developmental dysplasia of the hip.
Evaluation of the Child Who Has Hip Pain 133
Steven L. Frick
Evaluation of children who have hip pain can be a diagnostic challenge. This article reviews
pertinent history taking, physical examination, laboratory testing, and imaging studies that
assist in reaching a correct diagnosis. It also reviews the diagnostic categories that are
important in formulating a differential diagnosis to frame clinical decision making.
Role of Ultrasound in the Diagnosis and Management of Developmental
Dysplasia of the Hip: An International Perspective 141
Marek Synder, H. Theodore Harcke, and Marcin Domzalski
Early diagnosis of developmental dysplasia of the hip is very important for proper treat¬
ment. Different ultrasound techniques have been used for early diagnosis of develop¬
mental dysplasia of the hip, but two of them are widely used in orthopedic practice:
Graf s technique in Europe and Harcke s method in the United States. Our experience
has led us to use an ultrasound technique that combines the two methods. Use of ultra¬
sound has reduced the number of late presenting cases, shortened treatment time, and
decreased the number of surgical procedures of the hip joint in Poland.
VOLUME 37 • NUMBER 2 • APRIL 2006 v
Treatment of Developmental Dysplasia of the Hip After Walking Age With Open
Reduction, Femoral Shortening, and Acetabular Osteotomy 149 !
Edilson Forlin, Luiz A. Munhoz da Cunha, and Daniel C. Figueiredo ]
The one stage surgical treatment for developmental dysplasia of the hip—consisting of
open reduction, femoral shortening, and pelvic osteotomy—is a demanding procedure,
one that is more challenging, technically, than a staged procedure. It can, however, be done
safely and effectively, providing good conditions for proper development of the hip joint
in the older child who has untreated developmental dysplasia of the hip.
Treatment of Late Dysplasia with Ganz Osteotomy 161
Daniel J. Sucato
Following careful study, the Ganz periacetabular osteotomy was introduced in 1988 for the
treatment of adolescent and adult hip dysplasia. It offers a powerful and versatile ability
to reorient the acetabulum, restoring near normal biomechanics, improving symptoms,
and delaying or preventing osteoarthritis. This article outlines hip dysplasia and the bio
mechanical deficiencies, the assessment of patients who have hip dysplasia, and the tech ?
nique of performing the osteotomy. The early and mid follow up radiographic and clinical
outcomes are reviewed and complications associated with the procedure are discussed.
Operative Reconstruction for Septic Arthritis of the Hip 173
In Ho Choi, Won Joon Yoo, Tae Joon Cho, and Chin Youb Chung
The long term effects of initial treatment for infantile septic arthritis of the hip differ and
depend on patient age, infecting organism, and timing and adequacy of surgical and
pharmacologic treatment. Appropriate and timely reconstructive operations benefit hip
growth and development by providing the best possible hip joint mechanics at skeletal
maturity. Any surgical treatment for severe sequelae, however, must be regarded as a
measure that temporarily improves clinical function and delays the more definitive
procedures that are reserved for adult patients. This article summarizes the surgical
modalities currently available to reduce and stabilize a damaged femoral head and neck
and to reconstruct femoral acetabular articulation.
Evaluation and Treatment of Hip Dysplasia in Cerebral Palsy 185
David A. Spiegel and John M. Flynn
Hip problems, including progressive subluxation, dislocation, and pain, are common in
patients with cerebral palsy, particularly those who are nonambulatory with a large
degree of spasticity. Clinical and radiographic screening facilitates early detection, and
surgery is indicated to prevent progressive dysplasia. Although an early soft tissue release
may prevent progressive subluxation in a subset of cases, bony reconstructive surgery is
indicated for patients with established bony deformity. Salvage procedures are recom¬
mended to treat chronic pain caused by established subluxation or dislocation.
Hip Disorders in Children Who Have Spinal Cord Injury 197
James J. McCarthy and Randal R. Betz
Little has been written regarding the assessment and treatment of hip disorders in children
who have underlying paralysis. Each year approximately 2000 people younger than
20 years of age suffer a spinal cord injury (SCI). This compares with a larger number of
children who have other forms of neurologic disorders, such as myelodysplasia, which
affects approximately 6000 newborns annually in the United States, and for which there
is a large body of literature describing the natural history and treatment of hip disorders
in children who have myelodysplasia. This article focuses on hip disorders in children
who have SCI, although there is clearly commonality in hip disorders that transcends
many neurologic disorders.
Evaluation and Treatment of Hip Dysplasia in Charcot Marie Tooth Disease 203
Gilbert Chan, J. Richard Bowen, and S. Jay Kumar
The hip dysplasia seen in Charcot Marie Tooth disease is neuromuscular in nature. It
usually presents in the second or third decade of life and is initially asymptomatic but may
later present with pain and gait abnormalities. Treatment should be aimed at addressing
[ the acetabular and femoral components of the dysplasia. Early recognition is essential to
I avoid serious morbidity associated with the condition.
I Controversies in Slipped Capital Femoral Epiphysis 211
: Randall T. Loder
Slipped capital femoral epiphysis (SCFE) is a common adolescent hip disorder. This article
reviews the major controversies in SCFE as of the year 2005. These are (1) treatment of the
unstable SCFE, (2) the role of osteotomy in the treatment of SCFE, (3) prophylactic fixation
of the contralateral hip in children presenting with unilateral SCFE, and (4) methods of
fixation in the very young child with SCFE.
Fractures of the Hip in Children 223
James H. Beaty
Fractures of the hip are uncommon in children, and their importance is related not to the
frequency of the injury but to the frequency of complications. Many of these complications
can be minimized or avoided by anatomic reduction and internal fixation. Open reduction
frequently is necessary to obtain a stable, anatomic reduction. Regardless of the age of the
child, stable fixation of the fracture must be given priority over preservation of the proxi¬
mal femoral physis. The development of osteonecrosis, however, is most likely related to
the severity of the initial injury and is largely unaffected by treatment of the fracture.
Hip Arthroscopy in Children and Adolescents 233
Mininder S. Kocher and Ben Lee
Hip arthroscopy has become an established procedure for certain indications in adults;
however, experience in children and adolescents has been more limited. This article reviews
the technique, indications, and results of hip arthroscopy in children and adolescents.
Index 241
|
| adam_txt |
CONTENTS
Preface ix
James T. Guille
Growth and Development of the Child's Hip 119
Mark C. Lee and Craig P. Eberson
The child's hip begins in intrauterine development as a condensation of mesoderm in the
lower limb bud that rapidly differentiates to resemble the adult hip by eight weeks of
life. The developmental instructions are transmitted through complicated cell signaling
pathways. From eight weeks of development to adolescence, further growth of the hip is
focused on differentiation and the establishment of the adult arterial supply. The post¬
natal growth of the child's hip is a product of concurrent acetabular and proximal femoral
growth from their corresponding growth plates. Absence of appropriate contact between
acetabulum and proximal femur yields an incongruent joint. Multiple disease processes
may be understood in light of this growth process, including Legg Calve Perthes disease
and developmental dysplasia of the hip.
Evaluation of the Child Who Has Hip Pain 133
Steven L. Frick
Evaluation of children who have hip pain can be a diagnostic challenge. This article reviews
pertinent history taking, physical examination, laboratory testing, and imaging studies that
assist in reaching a correct diagnosis. It also reviews the diagnostic categories that are
important in formulating a differential diagnosis to frame clinical decision making.
Role of Ultrasound in the Diagnosis and Management of Developmental
Dysplasia of the Hip: An International Perspective 141
Marek Synder, H. Theodore Harcke, and Marcin Domzalski
Early diagnosis of developmental dysplasia of the hip is very important for proper treat¬
ment. Different ultrasound techniques have been used for early diagnosis of develop¬
mental dysplasia of the hip, but two of them are widely used in orthopedic practice:
Graf's technique in Europe and Harcke's method in the United States. Our experience
has led us to use an ultrasound technique that combines the two methods. Use of ultra¬
sound has reduced the number of late presenting cases, shortened treatment time, and
decreased the number of surgical procedures of the hip joint in Poland.
VOLUME 37 • NUMBER 2 • APRIL 2006 v
Treatment of Developmental Dysplasia of the Hip After Walking Age With Open \
Reduction, Femoral Shortening, and Acetabular Osteotomy 149 !
Edilson Forlin, Luiz A. Munhoz da Cunha, and Daniel C. Figueiredo ]
The one stage surgical treatment for developmental dysplasia of the hip—consisting of
open reduction, femoral shortening, and pelvic osteotomy—is a demanding procedure,
one that is more challenging, technically, than a staged procedure. It can, however, be done
safely and effectively, providing good conditions for proper development of the hip joint
in the older child who has untreated developmental dysplasia of the hip.
Treatment of Late Dysplasia with Ganz Osteotomy 161
Daniel J. Sucato
Following careful study, the Ganz periacetabular osteotomy was introduced in 1988 for the
treatment of adolescent and adult hip dysplasia. It offers a powerful and versatile ability
to reorient the acetabulum, restoring near normal biomechanics, improving symptoms,
and delaying or preventing osteoarthritis. This article outlines hip dysplasia and the bio
mechanical deficiencies, the assessment of patients who have hip dysplasia, and the tech ?
nique of performing the osteotomy. The early and mid follow up radiographic and clinical
outcomes are reviewed and complications associated with the procedure are discussed.
Operative Reconstruction for Septic Arthritis of the Hip 173
In Ho Choi, Won Joon Yoo, Tae Joon Cho, and Chin Youb Chung
The long term effects of initial treatment for infantile septic arthritis of the hip differ and
depend on patient age, infecting organism, and timing and adequacy of surgical and
pharmacologic treatment. Appropriate and timely reconstructive operations benefit hip
growth and development by providing the best possible hip joint mechanics at skeletal
maturity. Any surgical treatment for severe sequelae, however, must be regarded as a
measure that temporarily improves clinical function and delays the more definitive
procedures that are reserved for adult patients. This article summarizes the surgical
modalities currently available to reduce and stabilize a damaged femoral head and neck
and to reconstruct femoral acetabular articulation.
Evaluation and Treatment of Hip Dysplasia in Cerebral Palsy 185
David A. Spiegel and John M. Flynn
Hip problems, including progressive subluxation, dislocation, and pain, are common in
patients with cerebral palsy, particularly those who are nonambulatory with a large
degree of spasticity. Clinical and radiographic screening facilitates early detection, and
surgery is indicated to prevent progressive dysplasia. Although an early soft tissue release
may prevent progressive subluxation in a subset of cases, bony reconstructive surgery is
indicated for patients with established bony deformity. Salvage procedures are recom¬
mended to treat chronic pain caused by established subluxation or dislocation.
Hip Disorders in Children Who Have Spinal Cord Injury 197
James J. McCarthy and Randal R. Betz
Little has been written regarding the assessment and treatment of hip disorders in children
who have underlying paralysis. Each year approximately 2000 people younger than
20 years of age suffer a spinal cord injury (SCI). This compares with a larger number of
children who have other forms of neurologic disorders, such as myelodysplasia, which
affects approximately 6000 newborns annually in the United States, and for which there
is a large body of literature describing the natural history and treatment of hip disorders
in children who have myelodysplasia. This article focuses on hip disorders in children
who have SCI, although there is clearly commonality in hip disorders that transcends
many neurologic disorders.
Evaluation and Treatment of Hip Dysplasia in Charcot Marie Tooth Disease 203
Gilbert Chan, J. Richard Bowen, and S. Jay Kumar
The hip dysplasia seen in Charcot Marie Tooth disease is neuromuscular in nature. It
usually presents in the second or third decade of life and is initially asymptomatic but may
later present with pain and gait abnormalities. Treatment should be aimed at addressing
[ the acetabular and femoral components of the dysplasia. Early recognition is essential to
I avoid serious morbidity associated with the condition.
I Controversies in Slipped Capital Femoral Epiphysis 211
: Randall T. Loder
Slipped capital femoral epiphysis (SCFE) is a common adolescent hip disorder. This article
reviews the major controversies in SCFE as of the year 2005. These are (1) treatment of the
unstable SCFE, (2) the role of osteotomy in the treatment of SCFE, (3) prophylactic fixation
of the contralateral hip in children presenting with unilateral SCFE, and (4) methods of
fixation in the very young child with SCFE.
Fractures of the Hip in Children 223
James H. Beaty
Fractures of the hip are uncommon in children, and their importance is related not to the
frequency of the injury but to the frequency of complications. Many of these complications
can be minimized or avoided by anatomic reduction and internal fixation. Open reduction
frequently is necessary to obtain a stable, anatomic reduction. Regardless of the age of the
child, stable fixation of the fracture must be given priority over preservation of the proxi¬
mal femoral physis. The development of osteonecrosis, however, is most likely related to
the severity of the initial injury and is largely unaffected by treatment of the fracture.
Hip Arthroscopy in Children and Adolescents 233
Mininder S. Kocher and Ben Lee
Hip arthroscopy has become an established procedure for certain indications in adults;
however, experience in children and adolescents has been more limited. This article reviews
the technique, indications, and results of hip arthroscopy in children and adolescents.
Index 241 |
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| spelling | The pediatric hip guest ed. James T. Guille Philadelphia [u.a.] Saunders 2006 IX S., S. 119 - 244 zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Orthopedic clinics of North America 37,2 Heup gtt Kinderen gtt Ziekten gtt Kind Child Hip Dislocation, Congenital Hip Injuries Hip joint Abnormalities Hip joint Diseases Hip joint Dislocation Pediatric orthopedics Guille, James T. Sonstige oth Orthopedic clinics of North America 37,2 (DE-604)BV000001089 37,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=014809215&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | The pediatric hip Orthopedic clinics of North America Heup gtt Kinderen gtt Ziekten gtt Kind Child Hip Dislocation, Congenital Hip Injuries Hip joint Abnormalities Hip joint Diseases Hip joint Dislocation Pediatric orthopedics |
| title | The pediatric hip |
| title_auth | The pediatric hip |
| title_exact_search | The pediatric hip |
| title_exact_search_txtP | The pediatric hip |
| title_full | The pediatric hip guest ed. James T. Guille |
| title_fullStr | The pediatric hip guest ed. James T. Guille |
| title_full_unstemmed | The pediatric hip guest ed. James T. Guille |
| title_short | The pediatric hip |
| title_sort | the pediatric hip |
| topic | Heup gtt Kinderen gtt Ziekten gtt Kind Child Hip Dislocation, Congenital Hip Injuries Hip joint Abnormalities Hip joint Diseases Hip joint Dislocation Pediatric orthopedics |
| topic_facet | Heup Kinderen Ziekten Kind Child Hip Dislocation, Congenital Hip Injuries Hip joint Abnormalities Hip joint Diseases Hip joint Dislocation Pediatric orthopedics |
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