Pub Date : 1996-08-01DOI: 10.1097/01241398-199701000-00068
J. Yang, H. al-Etani, M. Letts
Posterior dislocation of the sternoclavicular joint is uncommon in children, difficult to diagnose, and may be confused with a physical injury of the medial clavicle. We reviewed our experience with posterior dislocations of the medial clavicle over a 10-year period, and found 5 children who had sustained this injury. The computed tomography (CT) scan was found to be the best diagnostic procedure to assess the integrity of the sternoclavicular joint. The cause of the dislocation was most commonly lateral compression of the shoulders sustained during contact sports, particularly football and hockey. Reduction was usually obtained by retraction of the shoulders; for persistent dislocations, a towel clip was used to lift the medial end of the clavicle into its reduced position with the patient under general anesthesia. Reduction was maintained with a figure-of-eight bandage. Any child presenting with pain and swelling in the region of the sternoclavicular joint and no evidence of obvious fracture of the clavicle should have the possibility of dislocation of the sternoclavicular joint investigated with a CT scan.
{"title":"Diagnosis and treatment of posterior sternoclavicular joint dislocations in children.","authors":"J. Yang, H. al-Etani, M. Letts","doi":"10.1097/01241398-199701000-00068","DOIUrl":"https://doi.org/10.1097/01241398-199701000-00068","url":null,"abstract":"Posterior dislocation of the sternoclavicular joint is uncommon in children, difficult to diagnose, and may be confused with a physical injury of the medial clavicle. We reviewed our experience with posterior dislocations of the medial clavicle over a 10-year period, and found 5 children who had sustained this injury. The computed tomography (CT) scan was found to be the best diagnostic procedure to assess the integrity of the sternoclavicular joint. The cause of the dislocation was most commonly lateral compression of the shoulders sustained during contact sports, particularly football and hockey. Reduction was usually obtained by retraction of the shoulders; for persistent dislocations, a towel clip was used to lift the medial end of the clavicle into its reduced position with the patient under general anesthesia. Reduction was maintained with a figure-of-eight bandage. Any child presenting with pain and swelling in the region of the sternoclavicular joint and no evidence of obvious fracture of the clavicle should have the possibility of dislocation of the sternoclavicular joint investigated with a CT scan.","PeriodicalId":7581,"journal":{"name":"American journal of orthopedics","volume":"274 1","pages":"565-9"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79996820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1996-08-01DOI: 10.1097/01241398-199701000-00071
P. Simonian, M. E. Morris
Pectoralis tendon avulsion is a rare injury typically occurring in skeletally mature men. The diagnosis can be difficult to make and is often delayed. We report a case of a complete bony avulsion of the pectoralis tendon at the site of its humeral insertion in a skeletally immature male. The palpable and radiographic evidence of ossification at the injury site made the diagnosis in this adolescent case uniquely obvious.
{"title":"Pectoralis tendon avulsion in the skeletally immature.","authors":"P. Simonian, M. E. Morris","doi":"10.1097/01241398-199701000-00071","DOIUrl":"https://doi.org/10.1097/01241398-199701000-00071","url":null,"abstract":"Pectoralis tendon avulsion is a rare injury typically occurring in skeletally mature men. The diagnosis can be difficult to make and is often delayed. We report a case of a complete bony avulsion of the pectoralis tendon at the site of its humeral insertion in a skeletally immature male. The palpable and radiographic evidence of ossification at the injury site made the diagnosis in this adolescent case uniquely obvious.","PeriodicalId":7581,"journal":{"name":"American journal of orthopedics","volume":"23 1","pages":"563-4"},"PeriodicalIF":0.0,"publicationDate":"1996-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88972513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1996-06-01DOI: 10.1097/01241398-199701000-00073
W. Healy, K. Starkweather, J. Meyer, G. A. Teplitz
The case of a Maisonneuve fracture occurring in association with a triplane fracture in an adolescent wrestler is presented. In this combination of injuries, the deltoid ligament may be ruptured, and/or the medial malleolus fractured. If the proximal fibula fracture is not discovered, and the syndesmosis rupture is not treated, the resulting chronic talocrural instability may lead to chronic ankle pain and degenerative arthritis. The orthopedist should be aware of the possibility of a Maisonneuve fracture occurring in association with a triplane fracture, and should treat both injuries appropriately.
{"title":"Triplane fracture associated with a proximal third fibula fracture.","authors":"W. Healy, K. Starkweather, J. Meyer, G. A. Teplitz","doi":"10.1097/01241398-199701000-00073","DOIUrl":"https://doi.org/10.1097/01241398-199701000-00073","url":null,"abstract":"The case of a Maisonneuve fracture occurring in association with a triplane fracture in an adolescent wrestler is presented. In this combination of injuries, the deltoid ligament may be ruptured, and/or the medial malleolus fractured. If the proximal fibula fracture is not discovered, and the syndesmosis rupture is not treated, the resulting chronic talocrural instability may lead to chronic ankle pain and degenerative arthritis. The orthopedist should be aware of the possibility of a Maisonneuve fracture occurring in association with a triplane fracture, and should treat both injuries appropriately.","PeriodicalId":7581,"journal":{"name":"American journal of orthopedics","volume":"168 1","pages":"449-51"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80543613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1996-06-01DOI: 10.1097/01241398-199701000-00044
P. Nimityongskul, A. McBryde, L. Anderson, J. Crotty
The decision to aspirate a painful hip joint is often based on history, physical, and laboratory findings. The purpose of this study is to determine whether ultrasound is helpful in making decisions to aspirate a painful hip joint in children. The anterior capsular distance was determined in 10 children with painful or irritable hips. This anterior capsular distance is 2 to 4 mm in most hips. A side difference of 2 mm or more is considered a significant capsular distension. Based on these criteria and clinical parameters, 3 hips were aspirated, and 7 were observed without aspiration. None of the 7 hips subsequently required further diagnostic workup or treatment and all have had a satisfactory outcome. Ultrasound is a reliable method to detect capsular distension or joint effusion. It helps significantly in making the decision as to "when to aspirate" a painful or irritable hip joint.
{"title":"Ultrasonography in the management of painful hips in children.","authors":"P. Nimityongskul, A. McBryde, L. Anderson, J. Crotty","doi":"10.1097/01241398-199701000-00044","DOIUrl":"https://doi.org/10.1097/01241398-199701000-00044","url":null,"abstract":"The decision to aspirate a painful hip joint is often based on history, physical, and laboratory findings. The purpose of this study is to determine whether ultrasound is helpful in making decisions to aspirate a painful hip joint in children. The anterior capsular distance was determined in 10 children with painful or irritable hips. This anterior capsular distance is 2 to 4 mm in most hips. A side difference of 2 mm or more is considered a significant capsular distension. Based on these criteria and clinical parameters, 3 hips were aspirated, and 7 were observed without aspiration. None of the 7 hips subsequently required further diagnostic workup or treatment and all have had a satisfactory outcome. Ultrasound is a reliable method to detect capsular distension or joint effusion. It helps significantly in making the decision as to \"when to aspirate\" a painful or irritable hip joint.","PeriodicalId":7581,"journal":{"name":"American journal of orthopedics","volume":"47 1","pages":"411-4"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81762808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1996-05-01DOI: 10.1097/01241398-199611000-00047
David Ring, D. Wenger
The historic evolution of pyogenic infectious spondylitis from its initial descriptions to its current characterization illustrates the degree to which our means of perception and evaluation influence our understanding of an illness. As new concepts resulting from medical innovations challenge traditional beliefs regarding the etiology and optimum treatment of pyogenic infectious spondylitis in children (commonly termed discitis), controversies have arisen. This review attempts to clarify these issues by reconstructing their historic basis and delineating the limitations of our current knowledge. In our opinion, this exercise demonstrates the similarities between pyogenic infectious spondylitis in children and adults and provides support for the management of this illness at all ages with parenteral antibiotics, cast or brace immobilization when needed for symptomatic relief, and, rarely, operative débridement.
{"title":"Pyogenic infectious spondylitis in children. The evolution to current thought.","authors":"David Ring, D. Wenger","doi":"10.1097/01241398-199611000-00047","DOIUrl":"https://doi.org/10.1097/01241398-199611000-00047","url":null,"abstract":"The historic evolution of pyogenic infectious spondylitis from its initial descriptions to its current characterization illustrates the degree to which our means of perception and evaluation influence our understanding of an illness. As new concepts resulting from medical innovations challenge traditional beliefs regarding the etiology and optimum treatment of pyogenic infectious spondylitis in children (commonly termed discitis), controversies have arisen. This review attempts to clarify these issues by reconstructing their historic basis and delineating the limitations of our current knowledge. In our opinion, this exercise demonstrates the similarities between pyogenic infectious spondylitis in children and adults and provides support for the management of this illness at all ages with parenteral antibiotics, cast or brace immobilization when needed for symptomatic relief, and, rarely, operative débridement.","PeriodicalId":7581,"journal":{"name":"American journal of orthopedics","volume":"22 1","pages":"342-8"},"PeriodicalIF":0.0,"publicationDate":"1996-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87129635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1996-03-01DOI: 10.1097/00004694-199609000-00087
Shaw Ba
We report a case of spontaneous resolution of a congenital osteochondroma in a child with metachondromatosis. We could find no reports of congenital or neonatal osteochondromas. Furthermore, reports of spontaneous resolution of osteochondromas are rare. We conclude that some of these radiologically benign lesions may be observed in very young patients.
{"title":"Resolving neonatal osteochondroma: a case report and literature review.","authors":"Shaw Ba","doi":"10.1097/00004694-199609000-00087","DOIUrl":"https://doi.org/10.1097/00004694-199609000-00087","url":null,"abstract":"We report a case of spontaneous resolution of a congenital osteochondroma in a child with metachondromatosis. We could find no reports of congenital or neonatal osteochondromas. Furthermore, reports of spontaneous resolution of osteochondromas are rare. We conclude that some of these radiologically benign lesions may be observed in very young patients.","PeriodicalId":7581,"journal":{"name":"American journal of orthopedics","volume":"87 1","pages":"226-228"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76343045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1996-01-01DOI: 10.1007/978-1-4419-1428-6_3046
D. Rumbaugh, James E. King, M. Beran, D. Washburn, K. Gould, Nate Kornell, D. J. Scaturo, B. Haig, R. Schvaneveldt, B. Barton, T. Ulrich, Peter Robinson, Matthew J. Schuelke, E. Day, Henry W. Chase, E. Carayannis, Timothy M. Flemming, M. Mitchelmore, Paul White, Erin M. Brodhagen, M. Gettinger, E. Usher, D. B. Morris, Janna Wardman, J. R. Nelson, R. Low, P. Jin, Betty K. Tuller, N. Nguyen, Fons Wijnhoven, G. Weber, C. Rigg, K. Trehan, Michael L. Jones, Aytac Gogus, N. Seel, S. Naidu, Danny R. Bedgood, Christina M. Steiner, Birgit Marte, J. Heller, D. Albert, A. Podolskiy, L. Uden, Andrew J. Martin, C. Balkenius, B. Johansson, Karen L. Hollis, David A. Cook, J. Bloomberg, O. Bock, R. Clariana, Simon Hooper, Amy B. Adcock, R. Van Eck, C. Tsai, Chung-Yuan Hsu, M. Burtsev, J. S. Nairne, Marco Vasconcelos, Josefa N. S. Pandeirada, Liu Yang, J. Carbonell, M. Dornisch, G. Manaster, Katie Davis, Marcia L. Conner, Dolores Fidishun, M. Tennant, J. Gurlitt, J. Fletcher, S. Cerri, G. Veletsianos, P. Wickman, J. D. Ba
{"title":"The acquisition of knowledge.","authors":"D. Rumbaugh, James E. King, M. Beran, D. Washburn, K. Gould, Nate Kornell, D. J. Scaturo, B. Haig, R. Schvaneveldt, B. Barton, T. Ulrich, Peter Robinson, Matthew J. Schuelke, E. Day, Henry W. Chase, E. Carayannis, Timothy M. Flemming, M. Mitchelmore, Paul White, Erin M. Brodhagen, M. Gettinger, E. Usher, D. B. Morris, Janna Wardman, J. R. Nelson, R. Low, P. Jin, Betty K. Tuller, N. Nguyen, Fons Wijnhoven, G. Weber, C. Rigg, K. Trehan, Michael L. Jones, Aytac Gogus, N. Seel, S. Naidu, Danny R. Bedgood, Christina M. Steiner, Birgit Marte, J. Heller, D. Albert, A. Podolskiy, L. Uden, Andrew J. Martin, C. Balkenius, B. Johansson, Karen L. Hollis, David A. Cook, J. Bloomberg, O. Bock, R. Clariana, Simon Hooper, Amy B. Adcock, R. Van Eck, C. Tsai, Chung-Yuan Hsu, M. Burtsev, J. S. Nairne, Marco Vasconcelos, Josefa N. S. Pandeirada, Liu Yang, J. Carbonell, M. Dornisch, G. Manaster, Katie Davis, Marcia L. Conner, Dolores Fidishun, M. Tennant, J. Gurlitt, J. Fletcher, S. Cerri, G. Veletsianos, P. Wickman, J. D. Ba","doi":"10.1007/978-1-4419-1428-6_3046","DOIUrl":"https://doi.org/10.1007/978-1-4419-1428-6_3046","url":null,"abstract":"","PeriodicalId":7581,"journal":{"name":"American journal of orthopedics","volume":"38 1","pages":"680"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72991351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1996-01-01DOI: 10.1097/01241398-199609000-00087
B. Shaw
We report a case of spontaneous resolution of a congenital osteochondroma in a child with metachondromatosis. We could find no reports of congenital or neonatal osteochondromas. Furthermore, reports of spontaneous resolution of osteochondromas are rare. We conclude that some of these radiologically benign lesions may be observed in very young patients.
{"title":"Resolving neonatal osteochondroma: a case report and literature review.","authors":"B. Shaw","doi":"10.1097/01241398-199609000-00087","DOIUrl":"https://doi.org/10.1097/01241398-199609000-00087","url":null,"abstract":"We report a case of spontaneous resolution of a congenital osteochondroma in a child with metachondromatosis. We could find no reports of congenital or neonatal osteochondromas. Furthermore, reports of spontaneous resolution of osteochondromas are rare. We conclude that some of these radiologically benign lesions may be observed in very young patients.","PeriodicalId":7581,"journal":{"name":"American journal of orthopedics","volume":"18 1","pages":"226-8"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79624983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1995-11-01DOI: 10.1097/01241398-199605000-00038
J. Dimar, M. Campbell, S. Glassman, R. Puno, J. R. Johnson
Idiopathic juvenile osteoporosis represents a rare bone disorder that affects prepubescent children of both sexes. The diagnosis is generally one of exclusion, ruling out other potential metabolic bone diseases. Here, the authors present a representative case of this rare disorder in an otherwise healthy male, along with the clinical history, physical presentation, and review of the available literature. Finally, it is important to note that patients with this disorder often have profound involvement of the spinal column with multiple compression fractures.
{"title":"Idiopathic juvenile osteoporosis. An unusual cause of back pain in an adolescent.","authors":"J. Dimar, M. Campbell, S. Glassman, R. Puno, J. R. Johnson","doi":"10.1097/01241398-199605000-00038","DOIUrl":"https://doi.org/10.1097/01241398-199605000-00038","url":null,"abstract":"Idiopathic juvenile osteoporosis represents a rare bone disorder that affects prepubescent children of both sexes. The diagnosis is generally one of exclusion, ruling out other potential metabolic bone diseases. Here, the authors present a representative case of this rare disorder in an otherwise healthy male, along with the clinical history, physical presentation, and review of the available literature. Finally, it is important to note that patients with this disorder often have profound involvement of the spinal column with multiple compression fractures.","PeriodicalId":7581,"journal":{"name":"American journal of orthopedics","volume":"1 1","pages":"865-9"},"PeriodicalIF":0.0,"publicationDate":"1995-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82921749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The joy of teaching.","authors":"Greer Rb rd","doi":"10.12968/sece.2018.15.8","DOIUrl":"https://doi.org/10.12968/sece.2018.15.8","url":null,"abstract":"","PeriodicalId":7581,"journal":{"name":"American journal of orthopedics","volume":"140 3","pages":"744"},"PeriodicalIF":0.0,"publicationDate":"1995-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72586638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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