legg-calvé-perthes disease (lcpd) is an idiopathic osteonecrosis of the femoral head with variable complications and resultant deformity of the femoral head and osteoarthritis. suggested risk factors are acetabular retroversion, obesity, latitude, hyperactivity, and coagulopathy. the most commonly applied classification is based on radiolucency in the lateral pillar of the femoral head, which i...

Shoulder deformity remains the most common musculo-skeletal sequela following a brachial plexus birth injury. The natural history of untreated glenohumeral deformity is one of progression in this unique patient population. In infants and young children with persistent neurological deficits, shoulder dysfunction becomes a major source of morbidity, as these children have extreme difficulty placi...

A 2 week old male child was referred to the orthopaedic service with a swelling in the left tibia and associated deformity of the foot. He was born at 38 weeks by normal delivery and birth weight. There was no other significant history. On examination, there was a fusiform swelling over the antero-medial aspect of the tibial diaphysis. The overlying skin was normal with no local warmth and the ...

Abstract Dropped head syndrome (DHS) exhibits cervical deformity due to weakness of the extensor group, and sarcopenia is characterized by progressive systemic reduction in skeletal muscle mass. These clinical finding are associated with reduced activity daily living, quality life, increased risk mortality. We collected reviewed prospective registry data for 16 patients idiopathic DHS continuou...

Introduction Intervention to lengthen the musculotendinous unit, or to reduce its activity, are commonly performed in children with cerebral palsy (CP) with joint passive range being used as a surrogate outcome measure of musculotendinous unit length. The development of muscle deformity in children with CP is often attributed to spasticity, which has been defined variably as a velocity-dependen...

Haploinsufficiency of the short stature homeobox-containing (SHOX) gene causes Turner skeletal features, a certain proportion of idiopathic short stature and Leri-Weill dyschondrosteosis (LWD). Here we report a Japanese female with LWD. Her physical growth, skeletal deformity, and endocrine status were recorded longitudinally. She exhibited a constant growth rate (average + 6.2 cm/yr) from 6 to...

OBJECTIVE To evaluate the cosmetic and functional results of patients submitted to surgical correction of Congenital High Scapula (Sprengel's Deformity) using modified Green's Procedure, as well as patients' satisfaction and complications. METHODS Nine patients submitted to surgical treatment from September 1993 to April 2008 have been assessed. The modification from original technique was: s...

PURPOSE Hip subluxation is common in children with cerebral palsy (CP). Surgery is indicated in case of pain or progressive increase of Reimers index on radiographs. Peri-iliac osteotomy combined with femoral osteotomy is one of the numerous operative techniques available, but results at skeletal maturity remain unclear. The purpose of this radiological study was to report the long-term results...