Acquired Bone Deformities

5,543 views

Published on

Published in: Technology, Education
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
5,543
On SlideShare
0
From Embeds
0
Number of Embeds
27
Actions
Shares
0
Downloads
247
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Acquired Bone Deformities

  1. 1. Acquired Bone Deformities Integrated - based Lecture By Dr. Abdullah H A Juma Dr. Mohammed A Abbas Department of Orthopaedics & Trauma PDF created with pdfFactory Pro trial version www.pdffactory.com
  2. 2. Definitions • Acquired : adjective; arising in response to the action of the environment on the organism. It is opposite to congenital, familial, genetic & hereditary. It develops after birth. • Bone : noun; the hard part of the skeleton. Functions as supportive, locomotive & protective as well as manufacturing blood cells and homeostasis. See pictures of bones. • Deformity : noun; deviation from normal form. PDF created with pdfFactory Pro trial version www.pdffactory.com
  3. 3. PDF created with pdfFactory Pro trial version www.pdffactory.com
  4. 4. PDF created with pdfFactory Pro trial version www.pdffactory.com
  5. 5. PDF created with pdfFactory Pro trial version www.pdffactory.com
  6. 6. PDF created with pdfFactory Pro trial version www.pdffactory.com
  7. 7. PDF created with pdfFactory Pro trial version www.pdffactory.com
  8. 8. PDF created with pdfFactory Pro trial version www.pdffactory.com
  9. 9. PDF created with pdfFactory Pro trial version www.pdffactory.com
  10. 10. Types of Acquired Bone Deformities (1) • Torsional deformity : The bone is twisted medially (inwards, internally), e.g. intoeing gait in lower limb.see pic. tip position in upper limb or laterally (outwards, externally), e.g. outtoeing gait in LL external rotational deformity in UL PDF created with pdfFactory Pro trial version www.pdffactory.com
  11. 11. Pictures of internal ( inwards ) torsional deformities PDF created with pdfFactory Pro trial version www.pdffactory.com
  12. 12. PDF created with pdfFactory Pro trial version www.pdffactory.com
  13. 13. PDF created with pdfFactory Pro trial version www.pdffactory.com
  14. 14. PDF created with pdfFactory Pro trial version www.pdffactory.com
  15. 15. PDF created with pdfFactory Pro trial version www.pdffactory.com
  16. 16. Pictures of external ( outward ) torsional deformities PDF created with pdfFactory Pro trial version www.pdffactory.com
  17. 17. PDF created with pdfFactory Pro trial version www.pdffactory.com
  18. 18. Types of Acquired Bone Deformities (2) • Angular deformity : The bone is seen angulated in 2 planes, 1. Sagittal plane ( Antero / posterior ). e.g. anteriorly ; anterior bowing. posteriorly ; posterior bowing.see pic. 2. Coronal plane ( Medio / laterally ). e.g. medially ; varus deformity. laterally ; valgus deformity. PDF created with pdfFactory Pro trial version www.pdffactory.com
  19. 19. Pictures of angular deformity in the sagittal plane ( anterior / posterior ) PDF created with pdfFactory Pro trial version www.pdffactory.com
  20. 20. PDF created with pdfFactory Pro trial version www.pdffactory.com
  21. 21. PDF created with pdfFactory Pro trial version www.pdffactory.com
  22. 22. PDF created with pdfFactory Pro trial version www.pdffactory.com
  23. 23. Pictures of angular deformity in the coronal plane ( medial / lateral ), i.e. towards or away from midline PDF created with pdfFactory Pro trial version www.pdffactory.com
  24. 24. PDF created with pdfFactory Pro trial version www.pdffactory.com
  25. 25. PDF created with pdfFactory Pro trial version www.pdffactory.com
  26. 26. PDF created with pdfFactory Pro trial version www.pdffactory.com
  27. 27. PDF created with pdfFactory Pro trial version www.pdffactory.com
  28. 28. PDF created with pdfFactory Pro trial version www.pdffactory.com
  29. 29. PDF created with pdfFactory Pro trial version www.pdffactory.com
  30. 30. PDF created with pdfFactory Pro trial version www.pdffactory.com
  31. 31. PDF created with pdfFactory Pro trial version www.pdffactory.com
  32. 32. Causes of Acquired Bone Deformities • Traumatic. • Inflammatory. • Degenerative. • Infectious. • Tumours. • Dietary. • Miscellaneous. PDF created with pdfFactory Pro trial version www.pdffactory.com
  33. 33. Rickets A condition producing all types of deformities • Softening of bone in childhood due to lack of mineralization. • Due to vitamin D deficiency which leads to Calcium & Phosphorus deficiency. • Types : 1. Dietary deficiency. 2. Secondary to liver ( biliary ), renal and intestinal diseases. 3. Hereditary, sex-linked, vit - D resistant. PDF created with pdfFactory Pro trial version www.pdffactory.com
  34. 34. Pictures of rickets with all types of deformities PDF created with pdfFactory Pro trial version www.pdffactory.com
  35. 35. PDF created with pdfFactory Pro trial version www.pdffactory.com
  36. 36. PDF created with pdfFactory Pro trial version www.pdffactory.com
  37. 37. PDF created with pdfFactory Pro trial version www.pdffactory.com
  38. 38. PDF created with pdfFactory Pro trial version www.pdffactory.com
  39. 39. PDF created with pdfFactory Pro trial version www.pdffactory.com
  40. 40. PDF created with pdfFactory Pro trial version www.pdffactory.com
  41. 41. PDF created with pdfFactory Pro trial version www.pdffactory.com
  42. 42. PDF created with pdfFactory Pro trial version www.pdffactory.com
  43. 43. PDF created with pdfFactory Pro trial version www.pdffactory.com
  44. 44. PDF created with pdfFactory Pro trial version www.pdffactory.com
  45. 45. Scoliosis torsional and angular deformities in the spine See pictures PDF created with pdfFactory Pro trial version www.pdffactory.com
  46. 46. PDF created with pdfFactory Pro trial version www.pdffactory.com
  47. 47. PDF created with pdfFactory Pro trial version www.pdffactory.com
  48. 48. PDF created with pdfFactory Pro trial version www.pdffactory.com
  49. 49. Investigations • Bone profile; calcium, phosphate, alkaline phosphatase. • Serum level of vitamin D. • X-rays. • Urinary excretion of calcium and phosphate. • Bone biopsy. • Bone densitometry. PDF created with pdfFactory Pro trial version www.pdffactory.com
  50. 50. General Outline of Treatment • Medically : treat the primary causes plus supplement of deficient factors. • Surgically : to correct the deformities. • Supportive measures : orthoses and prostheses to control deformities. • Physical therapy. • Occupational therapy. PDF created with pdfFactory Pro trial version www.pdffactory.com
  51. 51. Case report • A 5 years old boy who presents with bowing in both lower extremities. This has been progressive and he takes a poor diet. Family history is negative for a similar case and no history of trauma exists. • Examination shows increased inte-rcondylar distance with varus deformity of both legs. • How do you approach this case ? PDF created with pdfFactory Pro trial version www.pdffactory.com
  52. 52. Answer • History : proper, detailed, precise and accurate. • Examination : General, Systemic & Local. Tools of Examination: Look(Inspection) Feel(Palpation) Move SOAP S = Subjective = History O = Objective = Examination A = Assessment ( working/DD/definiteDx.) P = Plan ( investigations and treatment ) PDF created with pdfFactory Pro trial version www.pdffactory.com
  53. 53. Requirements & Expectations • Sound knowledge. • Build up skills of communication with patients, taking a proper history, conducting a proper examination, reading x-rays and other investigatory tests. • Intellectuality and cognitive ability are required for best achievement. • Attitudes and good behavior are mandatory. • Ending up with a safe and a competent medical practitioner. PDF created with pdfFactory Pro trial version www.pdffactory.com
  54. 54. The END PDF created with pdfFactory Pro trial version www.pdffactory.com
  55. 55. • You can download this lecture from the website of : Dr. Abdullah H. A. Juma www.slideshare.net/slideaj PDF created with pdfFactory Pro trial version www.pdffactory.com

×