Introduction Congenital syphilis is still a public health issue worldwide. Beyond the neonatal period, clinical findings may be subtle and nonspecific. We report an unusual case of congenital syphilis with recurrent fever, knee pain and severe anemia in a 28 month-old boy, despite standard penicillin treatment early in life. Congenital syphilis should be considered throughout early childhood, e...

BACKGROUND Labyrinthine Aplasia, Microtia and Microdontia (LAMM) syndrome is characterized by the complete absence of inner ear structures (Michel aplasia), microtia and microdontia. Hypophosphatemic rickets results from defects in the renal tubular reabsorption of filtered phosphate. CASE CHARACTERISTICS 13-year-old Indian girl presented with deafness since infancy and progressive wrist wide...

PURPOSE To determine the various musculoskeletal manifestations of multiple epiphyseal dysplasia in children, and the course of this disease in childhood. METHODS Ten children were diagnosed and treated at the Children's Hospital of Eastern Ontario (CHEO) for multiple epiphyseal dysplasia, 1976-2001. We reviewed the clinical, pathological and radiographic records for these cases to determine ...

Frontal malalignment of the lower limbs has been shown to be closely linked to the onset and progression of knee osteoarthritis. Restoration of a satisfactory alignment after total knee arthroplasty has a positive impact on implant durability and functional result. An angle measurement commonly used to assess this alignment is the HKA angle (hipknee-ankle). It is measured on a full length AP ra...

PURPOSE To compare two commonly used methods of temporary hemiepiphysiodesis (staples and figure of eight plate) in the management of coronal plane deformities of the knee in skeletally immature children. METHODS This prospective study was conducted between November 2012 and November 2015. A total of 40 patients with 67 affected knee joints, having at least 1 year of skeletal growth remaining...

The aim of this study was to determine if microfractures improve the outcome of high tibial osteotomy in patients with medial compartmental osteoarthritis in genu varum. Forty patients presenting with Outerbridge grade III and IV chondropathies on the femoral and/or the tibial joint surface underwent high tibial osteotomy with Puddu plates (Arthrex, Inc, Naples, Florida) for primary medial comp...