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Archive for the ‘Helpful websites’ Category

We haven’t had much of a chance to  look at paediatric orthopaedic problems in the  lecture course so far so it might be useful to highlight some of these clinical problems now.

Top of the list to look at would be:

  • Developmental dysplasia of the hip (AKA congenital dislocated hip [CDH] or congenital hip dysplasia, Ed).  This may present as a clicking hip in a neonate or a limp or dipping hip  in a toddler.  Predisposing factors, clinical  features and management are (well) described in Master Medicine: Surgery, 3ed (2008) Lavelle-Jones & Dent in the library.
  • The next condition NOT TO MISS is infection – either osteitis or septic arthritis.  The differential diagnosis here is with transient synovitis and Perthe’s disease.
  • Finally two developmental  conditions in growing bones that also present with  a  limp in childhood are Slipped Upper (or Capital) Femoral Epiphysis (SUFE) and Osgood-Schlatter’s  disease (a name to conjure with? Ed)

I found this website from the American Academy of Orthopaedic Surgeons easy to  navigate and informative, but remember, you won’t need to know stacks about these conditions.

http://orthoinfo.aaos.org/menus/children.cfm

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If you’d  like to get ready for Trauma in week 5 already then you  might like to look at these links to the AO foundation about fracture management.  AO is  a Swiss group which really dominates the realm of fracture classification and management.  AO has developed an extensive range of fixation devices used worldwide and their approach to the mangement of any fracture is internationally recognised and accepted.

See what you think of these sites and let DundeeBones know if they are any good.  They may be too detailed.

http://lifeinthefastlane.com/2010/02/ao-surgery-reference/

http://www.aofoundation.org/wps/portal/!ut/p/c1/04_SB8K8xLLM9MSSzPy8xBz9CP0os3hng7BARydDRwML1yBXAyMvYz8zEwNPQwN3A6B8JJK8gUWAm4GRk6m_oUlwgBFIHr9uP4_83FT9gtyIcgCExWfz/dl2/d1/L2dJQSEvUUt3QS9ZQnB3LzZfQzBWUUFCMUEwOEVSRTAySjNONjQwSTEwRzA!/?showFsk=true

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This  month’s Journal of Hand Surgery (vol 35E) has  a good paper on surgery for the treacherous spiral cord contracture in Dupuytren’s disease.  Good intra-operative photos and nice diagrams. http://jhs.sagepub.com/cgi/content/abstract/35/2/103

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I’ve added a link to this online orthopaedic text. Click on the relevant bone on the skeleton or choose from the drop down menus to find out more about each bone or joint, conditions related to it and management options.

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Shoulder Doc

This website is a really good shoulder resource, containing copies of shoulder texts, anatomy material as well as arthroscopic footage of shoulder procedures and pathology.  Go to the educational menu for the most useful material.  Why not have a look at this before you come to theatre to see shoulder surgery!

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Useful links

Thanks for these two useful links people have given me today.

www.handuniversity .com has good sections on trigger finger, carpal   tunnnel syndrome and Dupuytrens’ contracture.  All good reading prior to upcoming lectures.

www.swarminteractive.com has good stuff on shoulder procedures discussed in our patient presentation  today.  Follow the path to –  patient education – to – view animations – to – orthopaedics – to – shoulder  and BINGO!    (Don’t click the, “Subscribe now”  button!, ed)

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