جراحة العظام / علاج العظام في الاردن / افضل دكتور عظام في الاردن / افضل اخصائي عظام في الاردن / استشاري عظام/افضل استشاري عظام في الاردن /جراحة عظام / /عمليات تطويل العظام في الاردن / خلع الكتف/ خلع الركبة / اطباء العظام في الاردن / دكتور طب عظام في الاردن / الاطباء في الاردن / خلع ورك / عمليات اليزاروف في الاردن /علاج الكسور /خلع الولادة / تركيب المفصل / اوجاع العظام /افضل طبيب عظام اطفال في الاردن / استشاري اطفال عظام في الاردن / /علاج خلع الكتف / علاج التواء الكاحل / التواء الكاحل / علاج الام العظام / علاج هشاشة العظام / ارقام اطباء عظام في الاردن / مشاكل العظام والمفاصل /مستشار جراحة العظام والمفاصل والكسور/مستشار جراحة عظام الأطفال.

1. Freih Odeh AbuHassanFreih Odeh AbuHassan,
F.R.C.S.(Eng.), F.R.C.S.(Tr.& Orth.)( g ), ( )
Professor of Orthopedics
University of Jordan
1/19/2011 1Professor Freih Abuhassan -
University of Jordan

2. Cervical SpineCervical Spine
Torticollis
1/19/2011 2Professor Freih Abuhassan -
University of Jordan

3. ShoulderShoulder
Sprengle’s deformity
1/19/2011 3Professor Freih Abuhassan -
University of Jordan

4. Spinep
1/19/2011 4Professor Freih Abuhassan -
University of Jordan

5. L t d i ti t f th= Lat. deviation or curvature of the
spinep
= G > Boys
= Uknown cause
St t l St t l= Structural or non Structural
1/19/2011 5Professor Freih Abuhassan -
University of Jordan

6. • Non Str ct ral• Non Structural
– Poor posturePoor posture
– LLD
– Disc
• Structural• Structural
– CONGENITALCONGENITAL
– IDIOPATHIC
– N.M
1/19/2011 6Professor Freih Abuhassan -
University of Jordan

7. 1/19/2011 7Professor Freih Abuhassan -
University of Jordan

8. 1/19/2011 8Professor Freih Abuhassan -
University of Jordan

9. 1/19/2011 9Professor Freih Abuhassan -
University of Jordan

10. =Observe ---10 -20 degree=Observe ---10 -20 degree
= Brace= Brace
MILWAUKEE TLSOMILWAUKEE , TLSO ,
CHARLESTONCHARLESTON
30 40 degree30 - 40 degree
1/19/2011 10Professor Freih Abuhassan -
University of Jordan

11. 1/19/2011 11Professor Freih Abuhassan -
University of Jordan

12. =Surgery
Post spinal fusionp
40 - 45 degree40 45 degree
1/19/2011 12Professor Freih Abuhassan -
University of Jordan

13. 1/19/2011 13Professor Freih Abuhassan -
University of Jordan

14. Congenital Scoliosis
1/19/2011 14Professor Freih Abuhassan -
University of Jordan

15. 1/19/2011 15Professor Freih Abuhassan -
University of Jordan

16. Congenital KyphosisCongenital Kyphosis
1/19/2011 16Professor Freih Abuhassan -
University of Jordan

17. Brachial plexus injuryac a p e us ju y
1/19/2011 17Professor Freih Abuhassan -
University of Jordan

18. * 2 per 1000 Live birth* 2 per 1000 Live birth
* 80 - 90 % Spontanous improvep p
* Increasing > birth wt.
*S*Surgery
if biceps not recovered by 3 mif biceps not recovered by 3 m
1/19/2011 18Professor Freih Abuhassan -
University of Jordan

19. 1/19/2011 19Professor Freih Abuhassan -
University of Jordan

20. Congenital Hand Deformity
1/19/2011 20Professor Freih Abuhassan -
University of Jordan

21. 1/19/2011 21Professor Freih Abuhassan -
University of Jordan

22. 1/19/2011 22Professor Freih Abuhassan -
University of Jordan

23. 1/19/2011 23Professor Freih Abuhassan -
University of Jordan

24. 1/19/2011 24Professor Freih Abuhassan -
University of Jordan

25. Causes of DDHCauses of DDHCauses of DDHCauses of DDH
* Li t l it H* Li t l it H* Ligaments laxity : Horm.* Ligaments laxity : Horm.
* Mal position : Extended Br* Mal position : Extended Br* Mal position : Extended Br.* Mal position : Extended Br.
* Genetic.* Genetic.Genetic.Genetic.
* Post natal.* Post natal.
1/19/2011 25Professor Freih Abuhassan -
University of Jordan

26. Risk factors for DDHRisk factors for DDHRisk factors for DDHRisk factors for DDH
11.. FFemaleemale
22.. FFamily historyamily history
FF33.. FFirst bornirst born breech.breech.
44.. FFeet def. : C.Valgus.eet def. : C.Valgus.44.. FFeet def. : C.Valgus.eet def. : C.Valgus.
55.. FFull term or Premature.ull term or Premature.
66.. FFaulty habitsaulty habits
1/19/2011 26Professor Freih Abuhassan -
University of Jordan

27. Pathology of DDH
1/19/2011 27Professor Freih Abuhassan -
University of Jordan

28. CDHCDHCDHCDH
* Chromosomal disease :* Chromosomal disease : 4545x.x.
* Malformation : Sacral agenesis* Malformation : Sacral agenesis* Malformation : Sacral agenesis.* Malformation : Sacral agenesis.
* Syndromes :* Syndromes :yy
1/19/2011 28Professor Freih Abuhassan -
University of Jordan

29. Diagnosis of DDHDiagnosis of DDHDiagnosis of DDHDiagnosis of DDH
*<*< 33m.m.
-- Clunk sign of Ortolani.Clunk sign of Ortolani.
** 33 1212 monthsmonths33 --1212 months.months.
-- Limited abduction.Limited abduction.
S iS i-- Shortening.Shortening.
** AfterAfter 1212 months.months.
-- Limping.Limping. -- Shortening.Shortening.
1/19/2011 29Professor Freih Abuhassan -
University of Jordan

30. Galliazzi
Professor Freih Abuhassan -
University of Jordan
1/19/2011 30

31. 1/19/2011 31Professor Freih Abuhassan -
University of Jordan

32. 1/19/2011 32Professor Freih Abuhassan -
University of Jordan

33. Investigation for DDHInvestigation for DDHInvestigation for DDHInvestigation for DDH
# Ult d ft# Ult d ft 99 kk# Ultrasound after# Ultrasound after 99 weeks.weeks.
# X# X--ray afterray after 33--44 monthsmonths## ay a teay a te 33 o t so t s
-- AbductionAbduction 3030 degree.degree.
-- IRIR 1515 degree.degree.
1/19/2011 33Professor Freih Abuhassan -
University of Jordan

34. 1/19/2011 34Professor Freih Abuhassan -
University of Jordan

35. 1/19/2011 35Professor Freih Abuhassan -
University of Jordan

36. 1/19/2011 36Professor Freih Abuhassan -
University of Jordan

37. Poor orthosis
1/19/2011 37Professor Freih Abuhassan -
University of Jordan

38. Flexition
1/19/2011 38Professor Freih Abuhassan -
University of Jordan

39. 1/19/2011 39Professor Freih Abuhassan -
University of Jordan

40. LEGGLEGG CALVE’CALVE’ PERTHE’SPERTHE’SLEGGLEGG -- CALVE’CALVE’ -- PERTHE’SPERTHE’S
AVN h d f th f= AVN head of the femur
= Children bet 2 13 Y= Children bet. 2-13 Y
= Presentation= Presentation
Pain in the groin thigh kneePain in the groin, thigh, knee
1/19/2011 40Professor Freih Abuhassan -
University of Jordan

41. 1/19/2011 41Professor Freih Abuhassan -
University of Jordan

42. 1/19/2011 42Professor Freih Abuhassan -
University of Jordan

43. Poor orthosisPoor orthosis
Old method of treatementOld method of treatement
1/19/2011 43Professor Freih Abuhassan -
University of Jordan

44. S C F EPIPHYSISS C F EPIPHYSIS
=Displaced med. & post
=Femoral H is held by lig.
1/19/2011 44Professor Freih Abuhassan -
University of Jordan

45. 1/19/2011 45Professor Freih Abuhassan -
University of Jordan

46. P t tiP t tiPresentationPresentation
Painful hipPainful hip ------Painful kneePainful knee
Affects adolescentsAffects adolescents
–– Boys are affected twice as girlsBoys are affected twice as girls–– Boys are affected twice as girlsBoys are affected twice as girls
–– Bilateral inBilateral in 3030%%
–– AetiologyAetiology
Hormonal imbalanceHormonal imbalance••Hormonal imbalanceHormonal imbalance
••TraumaTrauma
1/19/2011 46Professor Freih Abuhassan -
University of Jordan

47. 1/19/2011 47Professor Freih Abuhassan -
University of Jordan

48. 1/19/2011 48Professor Freih Abuhassan -
University of Jordan

49. Angular deformitiesAngular deformities
1/19/2011 49Professor Freih Abuhassan -
University of Jordan

50. Bowlegs Knock kneesBowlegs Knock knees
1/19/2011 50Professor Freih Abuhassan -
University of Jordan

51. N l t 3 Y ldNormal up to 3 Y old
1/19/2011 51Professor Freih Abuhassan -
University of Jordan

52. Common 3 - 6 Y
RESOLVE by 7 - 10 Yy
1/19/2011 52Professor Freih Abuhassan -
University of Jordan

53. Genu
1/19/2011 53Professor Freih Abuhassan -
University of Jordan

54. 1/19/2011 54Professor Freih Abuhassan -
University of Jordan

55. Poor orthosis
1/19/2011 55Professor Freih Abuhassan -
University of Jordan

56. No relation between bowlegs & O.ANo relation between bowlegs & O.A
1/19/2011 56Professor Freih Abuhassan -
University of Jordan

57. S U il tSevere Unilat.
Family
Short
stature
History
stature
1/19/2011 57Professor Freih Abuhassan -
University of Jordan

58. 1/19/2011 58Professor Freih Abuhassan -
University of Jordan

59. Intoe gaitIntoe gait
1/19/2011 59Professor Freih Abuhassan -
University of Jordan

60. MetatarsusMetatarsus adductusadductus
1/19/2011 60Professor Freih Abuhassan -
University of Jordan

61. 1/19/2011 61Professor Freih Abuhassan -
University of Jordan

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University of Jordan

63. 1/19/2011 63Professor Freih Abuhassan -
University of Jordan

64. CTEVCTEV
1/19/2011 64Professor Freih Abuhassan -
University of Jordan

65. •• Incidence:Incidence: 11 inin 10001000
M l t f l tiM l t f l ti 22 11•• Male to female ratioMale to female ratio 22::11
Bil t l iBil t l i 11//33 ff•• Bilateral inBilateral in 11//33 of casesof cases
1/19/2011 65Professor Freih Abuhassan -
University of Jordan

66. 1/19/2011 66Professor Freih Abuhassan -
University of Jordan

67. Flat FeetFlat Feet
No Longitudinal arch of the footNo Longitudinal arch of the footgg
1/19/2011 67Professor Freih Abuhassan -
University of Jordan

68. 1/19/2011 68Professor Freih Abuhassan -
University of Jordan

69. Historical treatmentHistorical treatment
1/19/2011 69Professor Freih Abuhassan -
University of Jordan

70. 1/19/2011 70
Professor Freih Abuhassan -
University of Jordan

71. ProspectiveProspective
controlled Professor Freih Abuhassan -
University of Jordan
study1/19/2011 71

72. 1/19/2011 72Professor Freih Abuhassan -
University of Jordan

73. Normal child needs
normal shoes
1/19/2011 73Professor Freih Abuhassan -
University of Jordan

74. Special shoes or inserts
fonly for abnormal
hild N M dichildren e.g N.M. dis.
1/19/2011 74Professor Freih Abuhassan -
University of Jordan

75. 1/19/2011 75Professor Freih Abuhassan -
University of Jordan