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Biomedical subjects

A Catterall

Publications and source records attributed to A Catterall.

62 records · Page 4Linked to original sources

Natural history of Osgood-Schlatter disease.

The natural history of untreated Osgood-Schlatter disease is presented in the retrospective study of 69 knees in 50 patients. Seventy-six percent of the patients believed they had no limitation of activity, although 60% still could not kneel without discomfort. Two groups of patients were identified: those who presented with radiologic fragmentation and had either separated ossicles or an abnormally ossified tuberosity at review, and those who presented with soft tissue swelling without radiologic fragmentation and were asymptomatic at review. There was a low incidence of patellar instability or anterior knee pain, and no case of premature proximal tibial epiphyseal arrest.

Activities of Daily Living↗

Art and learning.

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Bone Development↗

Lower limb lengthening by a modified Wagner technique.

A series of 50 patients who underwent femoral and tibial lengthenings using the Wagner apparatus is reviewed. Satisfactory gains in leg length with an acceptably low complication rate were achieved. Both substitution of cortical osteotomy for complete osteotomy and delaying of distraction increased callus formation. The particular problems of lengthening the congenital short femur and tibia are discussed.

Adolescent↗

Elevated growth velocity in children with Perthes' disease.

Sequential measurements of height and weight from diagnosis to maturity in 44 children with Perthes' disease are presented. Both boys and girls have an increased growth velocity after the age of 6 years. In boys diagnosed prior to the age of 6 years, the pubertal growth spurt occurs early but is not sustained. Girls have a delayed but rapid pubertal growth spurt. Abnormal growth patterns are further evidence for the concept of "the susceptible child" and increased growth velocity may contribute to trabecular failure and subsequent epiphyseal infarction.

Body Height↗

Congenital hip dysplasia: problems in the diagnosis and management in the first year of life.

Eighty-two infants less than 1 year of age who presented with a diagnosis of congenital hip dysplasia have been reviewed. Forty-one infants had a diagnosis of congenital dislocation of the hip (CDH), of which 14 were bilateral cases. Forty-one infants had a diagnosis of acetabular dysplasia, of which none was bilateral. The incidence of breech malposition was higher in the CDH group (34%) than in the acetabular dysplasia group (15%). The metaphyseal edge angle, which accurately discriminates between these two groups, is described. There was evidence of abnormal radiographic development in those children with acetabular dysplasia who were not treated by abduction splintage.

Acetabulum↗

Legg-Calvé-Perthes syndrome.

A review of the etiology, pathology, natural history, clinical signs, radiologic features and treatment of Legg-Calvé-Perthes disease suggests the concept of the "head at risk." This concept takes into account factors for and against operative and conservative treatment by splintage. In the older child, the objectives and principles of treatment are best achieved by operative treatment.

Age Factors↗