Developmental dysplasia of the hip (DDH) refers to a spectrum of hip abnormalities ranging from shallowness of the hip socket to dislocation of the femoral head. It was previously known as congenital dislocation of the hip but the term developmental dysplasia is now preferred as it can develop after birth. Left untreated, DDH can cause limping, leg length discrepancies, and hip arthritis. Treatment depends on the child's age and severity of dysplasia, ranging from splinting or bracing for mild cases to osteotomy surgery for more advanced cases. Early diagnosis before walking begins is important to allow for effective nonsurgical treatment.
Hip dysplasia describes a condition where the hip becomes partially or fully dislocated and/or the hip’s ball (femoral head) and socket (acetabulum) are misaligned. The condition primarily affects children but is also commonly diagnosed in adulthood. Treatment options range from simple bracing to extensive surgery and should be determined based on the patient’s age and the severity of their condition.
http://www.davidsfeldmanmd.com/specialties/hip-dysplasia
Arthrogryposis multiplex congenita is a disorder that affects the early development of body joints in a fetus, most commonly the large joints in the arms and legs. An infant who is born with the condition typically has limited mobility and obvious physical deformities in one or more joints.
Hip dysplasia describes a condition where the hip becomes partially or fully dislocated and/or the hip’s ball (femoral head) and socket (acetabulum) are misaligned. The condition primarily affects children but is also commonly diagnosed in adulthood. Treatment options range from simple bracing to extensive surgery and should be determined based on the patient’s age and the severity of their condition.
http://www.davidsfeldmanmd.com/specialties/hip-dysplasia
Arthrogryposis multiplex congenita is a disorder that affects the early development of body joints in a fetus, most commonly the large joints in the arms and legs. An infant who is born with the condition typically has limited mobility and obvious physical deformities in one or more joints.
Planning and performance of a total hip replacement for a case of neglected acetabular fracture. Surgery performed by Dr.A.K.Venkatachalam of www.hipsurgery.in.
A course Review from James Moore's Sporting Hip and Groin Course - February 2016 (Highly Recommend!). Following my attendance of the course, i performed my own research on 'The Sporting Hip and Groin' and incorporated this into the course review which I presented to the Sports Science and Medicine staff at Wigan Athletic FC. Further references available upon request.
The hip joint is a pivotal joint of the lower extremity, and its functional demands require great stability coupled with a wide range of motion that allows poly axial motion, including flexion, extension, abduction, adduction, internal and external rotation and circumduction.
developmental dyspepsia of the hip is the most common pediatric hip problem. often occurs in first born female baby, in left side more than right side in cases of breech presentation. it may be bilateral in 20% of cases.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
2. Previously known as congenital
dislocation of the hip implying a
condition that existed at birth
developmental encompasses
embryonic, fetal and infantile periods
includes congenital dislocation and
developmental hip problems including
subluxation, dislocation and dysplasia
3. Congenital dislocation of the hip (CDH) refers to an
abnormal configuration of, or relationship
between, the femoral head and the acetabulum. It
is a continuum of disorders that ranges from
shallowness of the acetabulum, to instability and
subluxation of the femoral head, to frank
dislocation, the term congenital implies that a
condition existed at birth. In the paediatric
orthopaedic literature, the long standing
terminology of congenital dislocation of the hip has
been progressively replaced by the use of dysplasia
or developmental dysplasia of hip (DDH). In 2% of
cases the hip dislocation is not evident at birth but
manifest in first few months of the life.
4. Complications include malformation of the hip
socket despite treatment. If not treated,
dislocation will occur when the child starts to
walk, causing twisting of the thigh bone (called
femoral anteversion) and shortening of the hip
muscle (contractures). Walking with a
dislocated hip will lead to a waddling gait with
in-toeing, pain, arthritis, unequal leg length and
decreased mobility. Lordosis (“sway back")
can also result from uncorrected hip
dislocation.
5. The early manifestation of hip dislocation
includes:
Increased fat in the depth of acetabulum
A tight Iliopsoas muscle
Capsular constriction at the mouth of
acetabulum.
Anteversion of the femoral neck
Decreased depth of the acetabulum
Hyperthrophy of the transversus ligament
Hyperthrophy of ligamentum teres
The development of neolimbus
6. limited abduction of the flexed hip, due
to shortening and contraction of the hip
adductors;
increase in depth or asymmetry of the
inguinal or thigh skinfolds;
shortening of one leg;
Allis' or Galeazzi's sign -- lower position
of knee of the affected side when knees
and hips are flexed, due to location of
femoral head posterior to acetabulum in
this position;
Ortolani's "jerk" sign ("clunk of entry" or
reduction sign);
7. Barlow's test ("clunk of exit" or dislocation
sign);
telescoping or pistoning action of thighs, due
to lack of containment of femoral head with
acetabulum;
Trendelenburg's test -- drop of normal hip
when child, standing on both feet, elevates
unaffected limb and bears weight on
affected side, due to weakness of hip
abductors; and
waddling type of gait.
8. There are characteristic radiographic
presentations which are present in each of the
stages of CHD. The term congenital hip
dysplasia generally refers to delayed or
defective development of the hip joint leading
to a deranged articular relationship between
an abnormal acetabulum and a deformed
proximal end of the femur. This condition is
considered a precursor of the clinical entities
of subluxation and dislocation of the hip.
9. In congenital subluxation of the hip, there is
an abnormal relationship between the
femoral head and acetabulum, but the two
are in contact. Congenital dislocation of the
hip, on the other hand, is associated with a
complete loss of contact of the femoral head
with the acetabular cartilage.
10. Unfortunately, the femoral head and acetabulum in
the newborn cannot be assessed by direct
visualization, since the femoral head is not ossified
and is a cartilaginous body which is not visualized on
plain films. The ossification center for the femoral
head generally appears between three and six
months; a delay in its appearance is an indication of
congenital hip dysplasia. The neck of the femur is
used for ascertaining the relationship between the
acetabulum and the femoral head until the
ossification center appears. The measurement used
to evaluate the relationship of the femoral head and
acetabulum include Hilgenreiner line, acetabular
index, Perkin-Ombredanne line, Shenton-Menard
line, and Andren-von Rosen line.
11. The principal treatment for CHD is
conservative, especially if diagnosed early. The
most common technique is to reduce the
dislocation of the femoral head by means of a
flexion/abduction maneuver, for a sufficient
period of time to permit proper growth of the
head and acetabulum, which in turn assures a
congruent and stable hip joint. This technique is
usually performed on patients in the very early
stages of CHD and in infants under two years of
age; which include splinting, with a Frejka splint
or Pavlik harness. Colonna or Buck's skin traction
is used in children 2 to 12 years of age, with a
well-padded spica cast applied simultaneously to
the unaffected side.
12. If the conservative approach fails, or the child is too
old, or the deformities are too advanced, surgical
management is indicated. There are several
surgical techniques currently in use for treating
CHD, the most popular being the Salter osteotomy
of the innominate bone, which may be combined
with simultaneous derotation varus osteotomy of
the femoral neck. The key to preventing
significant deformities and future arthrosis of the
hip is to diagnose CHD early, before the child
begins to walk, when conservative care is most
effective, and before the femoral head has
completely ossified.