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Down Syndrome + orthopaedic

Deepak Samson, Dominic M Power
BACKGROUND: Our aims were to identify iatrogenous injuries to the palmar branch of the median nerve sustained during volar plate fixation of the distal radius, make the clinician aware of this relatively uncommon complication of distal radius fixation, to emphasise common threads in symptomatology and to propose an algorithm for evaluation and management. METHODS: Retrospectively interrogating our database over a 5 year period, the case records, neurophysiology records, operative records, therapy records were reviewed...
September 2017: Journal of Hand Surgery Asian-Pacific Volume
Matthew R Boylan, Bhaveen H Kapadia, Kimona Issa, Dean C Perfetti, Aditya V Maheshwari, Michael A Mont
BACKGROUND: Down syndrome is the most common chromosomal abnormality and is associated with degenerative hip disease. Because of the recent increase in life expectancy for patients with this syndrome, orthopaedic surgeons are likely to see an increasing number of these patients who are candidates for total hip arthroplasty (THA). METHODS: Using Nationwide Inpatient Sample (NIS) data from 1998 to 2010, we compared the short-term adverse outcomes of THA among 241 patients with Down syndrome and a matched 723-patient cohort...
February 2016: Journal of Arthroplasty
Colin Ng, Luigi Bibiano, Stephan Grech, Branko Magazinovic
Antecubital fossa lesions are uncommon conditions that present to the orthopaedic clinic. Furthermore, the radius bone is an uncommonly reported location for an osteochondroma, especially when presenting with a concurrent reactive bicipitoradial bursitis. Osteochondromas are a type of developmental lesion rather than a true neoplasm. They constitute up to 15% of all bone tumours and up to 50% of benign bone tumours. They may occur as solitary or multiple lesions. Multiple lesions are usually associated with a syndrome known as hereditary multiple exostoses (HME)...
2015: Case Reports in Orthopedics
Can-lei Zheng, Yang Jia, Gui-zhi Zheng
OBJECTIVE: To observe the clinical effect of slow-rapid reinforcing-reducing needling manipulation at Jiaji (EX-B 2) acupoint for lumbar intervertebral disc protrusion. METHODS: Sixty subjects met the inclusion criteria of disc herniation were randomly divided into treatment group (n = 30) and control group (n = 30). In the treatment group, the stimulation mode (slow or fast, reinforcement or reduction) of Jiaji acupoints (EX-B 2) was based on the status of the patients by an overall analysis of symptoms and signs...
June 2015: Zhen Ci Yan Jiu, Acupuncture Research
A Petershofer, T Fingernagel, K Trieb
BACKGROUND: Patellar instability is a common orthopaedic condition which is often seen in younger individuals. Biomechanical studies have shown that the medial patellofemoral ligament (MPFL) is the most important soft tissue that restrains lateral subluxation of the patella in the beginning of flexion of the knee joint. METHODS: MPFL reconstruction is an effective procedure to treat recurrent patellar dislocation. Double-bundle and single-bundle procedures have been described...
August 2015: Der Orthopäde
Scott R Freedman, Lori Thein Brody, Michael Rosenthal, Justin C Wise
BACKGROUND: Patellofemoral pain syndrome (PFPS) is the most prevalent orthopaedic condition among physically active individuals, contributing to an estimated 30% to 40% of all sports medicine visits. Techniques using Kinesio Tape (KT) have become increasingly popular; however, there has been scant research supporting its use on patients with PFPS. HYPOTHESIS: The use of patellar KT to treat patients with PFPS will provide a statistically significant improvement in short-term pain and single-leg hop measures as compared with sham placement of KT...
July 2014: Sports Health
M Galli, V Cimolin, C Rigoldi, M Pau, P Costici, G Albertini
BACKGROUND: In children with Down syndrome (DS) hypotonia and ligament laxity are characteristic features which cause a number of orthopaedic issues, such as flat foot. The aim of this study was to determine if children with flat foot are characterised by an accentuated external foot rotation during walking. METHOD: Fifty-five children with DS and 15 typically developing children recruited as control group were assessed using three-dimensional gait analysis, using an optoelectronic system, force platforms and video recording...
August 2014: Journal of Intellectual Disability Research: JIDR
C-D Peterlein, M Schiel, N Timmesfeld, M D Schofer, O Eberhardt, T Wirth, F F Fernandez
BACKGROUND: The treatment of hip instability in patients with Down syndrome is challenging. We have performed different pelvic osteotomies and corrections at the proximal femur for this indication. This retrospective study was conducted to evaluate the clinical and radiological outcome of each intervention. MATERIAL AND METHODS: All in all, 166 patients with Down syndrome were treated at our orthopaedic department in the observation period. Problems related to the hip joint were diagnosed in 63 of those patients...
December 2013: Zeitschrift Für Orthopädie und Unfallchirurgie
Jayesh Sardhara, Sanjay Behari, Awadhesh K Jaiswal, Arun Srivastava, Rabi Narayan Sahu, Anant Mehrotra, Shubha Phadke, Uttam Singh
BACKGROUND: This prospective study attempts to study the clinico-radiological differences between patients with syndromic AAD (SAAD), non-syndromic AAD (NSAAD), and AAD with Klippel-Feil anomaly (AADKFA) that may impact management. METHODS: In 46 patients with AAD [SAAD (including Morquio, Down, Larson and Marshall syndrome and achondroplasia; n = 6); NSAAD(n = 20); and, AADKFS (n = 20)], myelopathy was graded as mild (n = 17, 37 %), moderate (15, 32.5 %) or severe (14, 30...
July 2013: Acta Neurochirurgica
Beverlie L Ting, Deepti Mathur, Bart L Loeys, Harry C Dietz, Paul D Sponseller
PURPOSE: We examined the prevalence of known facial features of Marfan syndrome (MFS)-dolicocephaly, malar hypoplasia, enophthalmos, retrognathia, and down-slanting palpebral fissures-and the diagnostic utility (sensitivity, specificity, accuracy, predictive values, and likelihood ratios) of using them for screening and diagnosis. METHODS: Frontal and lateral photographs of 76 subjects with MFS (average age 18.3 years) and of 76 age- and gender-matched controls were obtained, randomized, and compiled into an online survey...
December 2010: Journal of Children's Orthopaedics
A Karaman
Down syndrome (DS) is diagnosed in approximately 1 Per 800 live births and is the most common known genetic cause of medical problems. To determine the prevalence of common medical problems in children with DS, a study was conducted between December 2003 and March 2010 in the Erzurum Nenehatun Obstetrics and Gynecology Hospital. 107 children with DS were entered into a retrospective observational study. Case notes were reviewed to obtain details regarding complications of children with DS. Medical problems such as cardiac, gastrointestinal, respiratory, sensory, orthopaedic anomalies, endocrine disorders, and obesity occur more frequently in children with DS...
2010: Genetic Counseling
P Diz, J Limeres, A F P Salgado, I Tomás, L F Delgado, E Vázquez, J F Feijoo
Determining a child's chronological age and stage of maturation is particularly important in fields such as paediatrics, orthopaedics, and orthodontics, as well as in forensic and anthropological studies. Some systemic conditions can cause abnormal physiological maturation, and skeletal maturation is usually more delayed than dental maturation. The aim of this study was to determine dental age in a group of patients with the most prevalent congenital or perinatally occurring physical and mental disabilities...
March 2011: Research in Developmental Disabilities
Sarah Ager, Jenny Downs, Sue Fyfe, Helen Leonard
BACKGROUND: Scoliosis is the most common orthopaedic complication of Rett syndrome. Parents of affected individuals are vital partners in the clinical management of scoliosis and this study explored parental experiences of various aspects of different management options. METHODS: Publicly available Rettnet postings informed the development of an online questionnaire about scoliosis and its management in Rett syndrome. Parents of subjects who met the criteria for Rett syndrome participated in a survey using this questionnaire...
2009: Disability and Rehabilitation
Jenny Downs, Deidra Young, Nick de Klerk, Ami Bebbington, Gordon Baikie, Helen Leonard
BACKGROUND: Scoliosis is a common orthopaedic complication of Rett syndrome, and surgery is commonly used to reduce asymmetry in cases with severe scoliosis. METHODS: Data from questionnaires administered to caregivers biennially from 2000 to 2006 were used to describe functional skill levels in subjects with Rett syndrome, and within-subject change in 16 subjects with scoliosis surgery were compared with within-subject change in 186 pairs of data from 86 subjects with conservatively managed scoliosis...
June 2009: Journal of Pediatric Orthopedics
Michelle S Caird, Brian P D Wills, John P Dormans
Down syndrome, the result of trisomy of chromosome 21, is one of the most common chromosomal abnormalities. Patients have a characteristic facial appearance, variable levels of intelligence and self-care skills, and a variety of associated medical conditions. Orthopaedic manifestations occur frequently; most are related to hypotonia, joint hypermobility, and ligamentous laxity. Atlanto-occipital and atlantoaxial hypermobility, as well as bony anomalies of the cervical spine, can produce atlanto-occipital and cervical instability...
October 2006: Journal of the American Academy of Orthopaedic Surgeons
L S Platt
OBJECTIVE: Many Special Olympics athletes experience hypokinetic diseases and comorbid conditions that may predispose them to serious injuries during physical activity. A clear understanding of these conditions and diseases may assist health care professionals in preventing further distress and managing the injuries sustained by these athletes. Such diseases and conditions include overweight and obesity, diabetes, vision problems, seizure disorders, and Down syndrome, which is often associated with atlantoaxial instability...
January 2001: Journal of Athletic Training
Daniela Concolino, Antonietta Pasquzzi, Giuseppe Capalbo, Saverio Sinopoli, Pietro Strisciuglio
AIMS: To verify the importance of podiatric evaluation in patients with Down syndrome for the early diagnosis and treatment of minor orthopaedic problems. METHODS: Case-control study of 50 children affected by Down syndrome (aged 4-10 y) without major orthopaedic malformations compared to 100 healthy children. A complete podiatric examination was performed on all patients and controls. RESULTS: Children with Down syndrome showed several orthopaedic anomalies including bony deformity of the forefoot (90%), flat foot (60%), isolated calcaneal valgus (24%), knee valgus (22%) and pronated flat foot (16%)...
January 2006: Acta Paediatrica
Ioannis Tsitouridis, Fares E Sayegh, Panagiota Papapostolou, Stella Chondromatidou, Fotini Goutsaridou, Maria Emmanouilidou, Maria S Sidiropoulou, George A Kapetanos
Gas production as a part of disk degeneration can occur but rarely causes nerve compression syndromes. Few cases have been reported in which lumbar intraspinal epidural gas cause nerve root compression symptoms. We present 12 cases of gas collection in the spinal canal that were presented to the orthopaedic out-patient department with symptoms of low back pain and sciatica. CT showed the presence of free epidural gas collections adjacent to or over the affected nerve roots. Relief of symptoms was noted with the change of positions, lying down or sleeping...
October 2005: European Journal of Radiology
J Merrick, E Ezra, B Josef, D Hendel, D M Steinberg, S Wientroub
An Israeli sample of 475 individuals representing the full spectrum of those with Down syndrome in the Jewish population is presented. The sample is part of a European multicenter study evaluating musculoskeletal disorders. Generalized joint laxity was found to have significant relationships with a number of medical conditions (knee problems, patello-femoral instability, genu valgus, pes planus, heart defects, and gastrointestinal problems). Body mass index was also related to feet problems, vertical talus, spinal problems, genu valgum, pes planus, and heart problems...
June 2000: Journal of Pediatric Orthopedics. Part B
P Mulpruek, A Jirasirikul
A 1 month old girl was referred to the orthopaedic clinic with bilateral clubfoot deformities. At birth, clinical examination showed the typical characters of Down's syndrome and the diagnosis was confirmed by chromosome study. These two conditions appear improbable as their basic pathologies are entirely different. In our patient, the translocation type at the long arm of chromosome 21 was determined in the chromosome study. This result has never been reported in the literature.
December 1999: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
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