Egbfdvnfghghjggjfggfk457db

1. Orthopaedic
problems in
children
West Bank, 2009

12. Torsional profile,
knock knees
and
bandiness

13. Healthy
and
happy

18. The tip-toe walker
• Habit
• Tight calf
• Neuromuscular
• Other

23. Remember
the packaging disorders!

25. Vertical
talus
(50% neurological)

33. Scoliosis
• Congenital
• Child
•Adolescent

37. Remember DDH!

41. Pits, dimples and creases
may
indicate missing bones!

49. It is negligent
not to examine hips in
a child with knee pain!

50. Osteomyelitis

51. Specimens
before
antibiotics!

52. Classical rickets

53. Hypophosphataemic rickets

54. IDIOPATHIC JUVENILE OSTEOPOROSIS
Differential diagnosis:
• Osteogenesis imperfecta
• Leukaemias
• Thyrotoxicosis
• Cushing’s

57. Juvenile osteoporosis & compression
fractures

58. OSTEOPETROSIS
Tarda: autosomal dominant. Mild.
(Albers Schonberg)
Congenita : autosomal recessive. Severe.
Small, anaemic, bruised &
fractured, nerve compressions

61. Osteogenesis imperfecta
Sillence classification
I. Dom. Blue sclerae Birth fract 0
II. Rec. Blue sclerae Lethal
III. Rec. White sclerae Birth fract +
IV. Dom. White sclerae Birth fract 0

64. Bone density
improved
with Pamidronate

65. Most things are straight
forward ......but
keep your wits about you!

66. Most things are straight
forward ......but
keep your wits about you!
Oxford