Spinal tuberculosis (TB) is a dangerous form of skeletal TB because of its ability to cause bone destruction, deformity, and paraplegia. The emergence of multiple drug-resistant strains (MDR-TB) should be suspected if treatment failure occurs, either medically or surgically, because its global incidence is increasing. Patients with MDR-TB are more difficult to treat, remain infectious for longe...

Thirty one patients with suspected myelopathy due to rheumatoid arthritis were examined by plain radiography and 27 had computed myelography. Clinical features and radiological findings were compared. Deformity of the spinal cord could occur in the absence of combined anterior and posterior compression and correlated closely with clinical features only when considered in combination with skelet...

Madelung's disease is a wrist deformity due to atrophy of the medial portion of the distal radial growth plate. It results in carpal anteromedial subluxation, limiting the range of motion. This skeletal dysplasia is rare and represents 1.7% of birth defects. The authors report a bilateral case in a 21 year old girl. This observational study allowed us to study the frequency, the signs and the m...

Epiphysiolysis is an uncommon injury which is fraught with complications. Completely separated physeal fractures of distal femur invariably need osteosynthesis with open reduction and fixation to prevent redisplacement. We evaluated 15 patients prospectively until their skeletal maturity to assess the complications in distal femur epiphysiolysis. Clinically puckered sign indicates irreducibilit...

Adolescent idiopathic scoliosis (AIS) is a structural 3-dimensional deformity the spine, which is occurring between 10 years of age and skeletal maturity and it mostly affects prepuberbal girls. The etiology of AIS remains unknown and seems should be multifactorial. According to the theories, there could be a shorter spinal cord or a higher location of the conus medullaris and disproportionate ...

BACKGROUND AND PURPOSE Growth modulation with a medial malleolar screw is used to correct ankle valgus deformity in children with a wide spectrum of underlying etiologies. It is unclear whether the etiology of the deformity affects the angular correction rate with this procedure. PATIENTS AND METHODS 79 children (20 girls) with ankle valgus deformity had growth modulation by a medial malleola...

BACKGROUND CONTEXT Neurofibromatosis is an autosomal-dominant hereditary disorder with two subtypes: NF-1 (type I) and NF-2 (type II). NF-1 is a complex disorder with a constellation of manifestations that can also entail skeletal abnormalities, including spinal deformity of a noncongenital nature with early age onset. The short, sharp, angular curve usually present in the thoracic region, as e...

Primary hyperparathyroidism is a generalized disorder of bone and mineral metabolism caused by autonomous secretion of parathyroid hormone. It is primarily seen in adults with typical age of presentation between third and fifth decades of life. Juvenile hyperparathyroidism is a rare disorder. The common presentations in order of incidence are fatigue and lethargy, headache, nephrolithiasis, nau...

Skeletal dysplasia (SD) is disorders of bone and cartilage development caused by genetic defects. It comprises more than 300 specific disorders[1]. Causative genes responsible for SD include those encoding the bone and cartilage matrix proteins, receptors and intracellular molecules involved in signal pathway of chondrocyte and osteoblast, specific transcription factors, enzymes involved in bon...

The Madelung deformity can result in pain and decreased function of the wrist and hand. None of the surgical techniques available has been shown consistently to improve grip strength, range of movement or relieve pain. In this prospective study we have treated 18 patients with the Madelung deformity (25 wrists) by wedge subtraction osteotomy of the radius and shortening of the ulna. Our results...