Radial dysplasia, also known as radial club hand or radial longitudinal deficiency, is a congenital difference occurring in a longitudinal direction resulting in radial deviation of the wrist and shortening of the forearm.
Radial dysplasia, also known as radial club hand or radial longitudinal deficiency, is a congenital difference occurring in a longitudinal direction resulting in radial deviation of the wrist and shortening of the forearm
Radial dysplasia, also known as radial club hand or radial longitudinal deficiency, is a congenital difference occurring in a longitudinal direction resulting in radial deviation of the wrist and shortening of the forearm.
Apresentação sobre deformidades no pulso devido a Exostoses multiplas hereditárias.
Apresentação feita pelo Dr. Jeff Auyeung, cirurgião consultor do Hospital Universitário de North Dunham.
MADELUNG
AND MULTIPLE EXOSTOSES
Jeff Auyeung
Consultant Hand Surgeon
University Hospital of North Durham
Radial dysplasia, also known as radial club hand or radial longitudinal deficiency, is a congenital difference occurring in a longitudinal direction resulting in radial deviation of the wrist and shortening of the forearm
Radial dysplasia, also known as radial club hand or radial longitudinal deficiency, is a congenital difference occurring in a longitudinal direction resulting in radial deviation of the wrist and shortening of the forearm.
Apresentação sobre deformidades no pulso devido a Exostoses multiplas hereditárias.
Apresentação feita pelo Dr. Jeff Auyeung, cirurgião consultor do Hospital Universitário de North Dunham.
MADELUNG
AND MULTIPLE EXOSTOSES
Jeff Auyeung
Consultant Hand Surgeon
University Hospital of North Durham
i present this lovely topic at Notional Guard Hospital in Al-Ahsa in the Orthopedic department.
hope you enjoy
Fahad Al Hulaibi
Orthopedic Resident
NGH-A
i present this lovely topic at Notional Guard Hospital in Al-Ahsa in the Orthopedic department.
hope you enjoy
Fahad Al Hulaibi
Orthopedic Resident
NGH-A
Recurrent posterior shoulder instability is an uncommon condition. It is often unrecognized, leading to incorrect diagnoses, delays in diagnosis, and even missed diagnoses. Posterior instability encompasses a wide spectrum of pathology, ranging from unidirectional posterior subluxation to multidirectional instability to locked posterior dislocations. Nonsurgical treatment of posterior shoulder instability is successful in most cases; however, surgical intervention is indicated when conservative treatment fails. For optimal results, the surgeon must accurately define the pattern of instability and address all soft-tissue and bony injuries present at the time of surgery. Arthroscopic treatment of posterior shoulder instability has increased application, and a variety of techniques has been described to manage posterior glenohumeral instability related to posterior capsulolabral injury. For more shoulder surgery and shoulder instability studies, visit Dr. Millett, The Steadman Clinic, Vail Colorado http://drmillett.com/shoulder-studies
Madelung deformity is an abnormality of the palmar ulnar part of the distal radial physis in which progressive ulnar and volar tilt develops at the distal radial articular surface, with dorsal subluxation of the distal ulna.
this is a complete and comprehensive presentation on the congenital hand anomalies. An important object in the field of plastic and reconstructive surgery
Do it-yourself-paeds-ortho (Paediatric Orthopaedics for beginners)Jonathan Cheah
This is a powerpoint developed by the consultants from the mater children's hospital brisbane emergency department (which has now amalgamated with the royal children's hospital to create the brand new Lady Cilento Children's Hospital LCCH)
This is ideal for medical students/ residents to use to learn paediatrics orthopaedics.
Easy and fun to go through.
In many fetal skeletal dysplasias ,the skin and s/c tissue continues to grow at a rate proportionately greater than the long bones resulting in relatively thickened skin folds (on occasion mistaken for hydrops fetalis ) .
Polyhydraminos –common .cause –variable combination of the following –oesophageal compression by the small chest ,GI abnormalities ,micrognathia ,or hypotonia .
Shoulder Problems in Older Adults | Rotator Cuff | Sports Medicine Doctor - C...Peter Millett MD
Shoulder problems occur frequently in older adults. Four syndromes are particularly frequent, and they all share the common symptom of pain when reaching overhead: (1) rotator cuff tendinitis or impingement syndrome, (2) rotator cuff tear, (3) osteoarthritis, and (4) frozen shoulder. In addition to pain, each can cause significant long-term disability. For more shoulder surgery and rotator cuff studies, visit Dr. Millett, The Steadman Clinic, Vail Colorado http://drmillett.com/shoulder-studies
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdf
Radial Dysplasia By Kids Orthopedic
1.
2.
3. Radial dysplasia, also known as radial
club hand or radial longitudinal
deficiency, is a congenital difference
occurring in a longitudinal direction
resulting in radial deviation of the wrist
and shortening of the forearm.
4. It can occur in different ways, from a
minor anomaly to complete absence of
the radius, radial side of the carpal
bones and thumb.
5. Hypoplasia of the distal humerus may be present as well and can lead to
stiffness of the elbow. Radial deviation of the wrist is caused by lack of
support to the carpus, the radial deviation may be reinforced if forearm
muscles are functioning poorly or have abnormal insertions.
6. The incidence is between 1:30,000 and 1:100,000 and it is more often a
sporadic mutation rather than an inherited condition. In case of an
inherited condition, several syndromes are known for an association with
radial dysplasia, such as the cardiovascular Holt-Oram syndrome, the
gastrointestinal VATER syndrome and the hematologic Fanconi anaemia
and TAR syndrome.
7. Other possible causes are an injury to the apical ectodermal ridge during
upper limb development, intrauterine compression, or maternal drug use
(thalidomide).
9. Clinical Features Of Radial Deficiency (Types II, III, And IV; See Presentation,
Classification) Are Dramatic, With Abnormalities Of The Entire Extremity.
The Scapula Is Often Small, And The Clavicle Is Often Shorter, With An
Increased Curvature.
10. The Humerus May Or May Not Be Short, And Deficiencies Of The Capitellum
And Trochlea Are Common. Elbow Motion Is Usually Diminished More In
Flexion Than In Extension.
11. The forearm is always decreased in length, and the ulna is approximately
60% of the normal length at the time of birth. This discrepancy persists
throughout the growth period and into adulthood. True forearm rotation is
absent in patients with partial or complete aplasia of the radius.
12. Numerous muscular abnormalities are found throughout the upper
extremity. The deltoid or the pectoralis major can be hypoplastic, can be
partially absent, or can have an abnormal insertion. The biceps may be
absent or fused to the underlying brachialis.
13. The forearm demonstrates the most severe abnormalities, which may involve
any of the muscles that originate from or attach to the radius, including the
following:
Extensor carpi radialis longus
Extensor carpi radialis brevis
Pronator teres
Flexor carpi radialis
Palmaris longus
Flexor pollicis longus
Pronator quadratus
Supinator
14. The radial nerve usually terminates at the elbow, and the ulnar nerve is
normal. An enlarged median nerve substitutes for the absence of the radial
nerve and supplies a dorsal branch for dorsoradial sensibility.
This subcutaneous branch is positioned in the fold between the wrist and
forearm and must be protected during surgery.
15. The vascular anatomy
demonstrates a normal brachial
and ulnar artery. The radial
artery is often absent, and the
interosseous arteries usually
remain patent.
16. Radial deficiency is associated with numerous systemic conditions,
including Holt-Oram syndrome (cardiac septal defects); TAR syndrome;
Fanconi anemia (aplastic anemia); and VACTERL syndrome.
17. In addition to these conditions, a variety of associated musculoskeletal
deformities appear sporadically. These include cleft palate, clubfoot,
kyphosis, scoliosis, torticollis, and rib deformities.
18. Classification of radial dysplasia is practised through different models. Some
only include the different deformities or absences of the radius, where
others also include anomalies of the thumb and carpal bones.
19. The Bayne and Klug classification discriminates four different types of radial
dysplasia. A fifth type was added by Goldfarb et al. describing a radial
dysplasia with the participation of the humerus. In this classification, only
anomalies of the radius and the humerus are taken into consideration.
20. James and colleagues expanded this classification by including deficiencies of
the carpal bones with a normal distal radius length as type 0 and isolated
thumb anomalies as type N.
Type N: Isolated thumb anomaly
Type 0: Deficiency of the carpal bones
Type I: Short distal radius
Type II: Hypoplastic radius in miniature
Type III: Absent distal radius
Type IV: Complete absent radius
Type V: Complete absent radius and manifestations in the proximal
humerus
21.
22. In cases of a minor deviation of the wrist, treatment by splinting and
stretching alone may be a sufficient approach in treating the radial
deviation in RD. Besides that, the parent can support this treatment by
performing passive exercises of the hand.
23. This will help to stretch the wrist and also possibly correct any extension
contracture of the elbow. Furthermore, splinting is used as a
postoperative measure trying to avoid a relapse of the radial deviation.
24. More severe types (Bayne type III en IV) of radial dysplasia can be treated
with surgical intervention. The main goal of centralization is to increase
hand function by positioning the hand over the distal ulna and stabilizing
the wrist in a straight position. Splinting or soft-tissue distraction may be
used preceding the centralization.
25. In classic centralization, central portions of the carpus are removed to create
a notch for placement of the ulna. A different approach is to place the
metacarpal of the middle finger in line with the ulna with a fixation pin.
26. Buck-Gramcko described another operation technique, for treatment of
radial dysplasia, which is called radicalization.
During realization the metacarpal of the index finger is pinned onto the ulna
and radial wrist extensors are attached to the ulnar side of the wrist, causing
overcorrection or ulnar deviation.
This overcorrection is believed to make relapse of radial deviation less likely.
27. The child has to perform stretching, splinting, and similar therapeutic
exercises for a specific period of time, if the doctor decides to treat his
radical club hand non-surgically. However, the orthopaedic must
examine the child’s hand consistently to assess the effectiveness of the
treatment plan.
28. On the other hand, the recovery period will differ if the orthopaedic has to
perform surgery. Also, the surgery and post-operative care will vary
according to the type of radical club hand. However, the orthopaedic will
perform the surgery in phases and only after the child attains a specific
age.
29. For Appointment: +91 9051148463
For Emergency: +91 9330026550
Mail : drsoumyapaik@gmail.com
Website: http://www.kidsorthopedic.com/