Infantile cortical hyperostosis. Case report.
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Biomedical subjects
Publications and source records attributed to E D Lyne.
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Thirty-four patients with chronic slipped capital femoral epiphysis (SCFE) involving 45 hips were followed over a period of no less than 10 years and as great as 38 years. Excluding those who had had intraoperative complications, 30 hips evaluated between 10 and 20 years follow-up were found to have good or excellent results. Fifteen hips followed greater than 20 years, however, showed fair to poor grading in 10 of 15 hips. This progessive change seemed to be related most closely to the bilateralism of the disease. These observations suggest that while follow-up of a 20 year duration may show good clinical results, over a longer period of time the prognosis of SCFE is guarded.
Thirty fractures resulting from skateboarding have been treated in the past six months at the Henry Ford Hospital, Detroit. Although there have been no serious or unusual injuries, this represents a substantial increase over the previous year. Awareness of the hazards of this sport is the first step in reducing the frequency and seriousness of these injuries. As a result of our experience, safety guidelines for skateboarding are recommended for the parents of enthusiasts. We hope adherence to these guidelines will greatly reduce the number of injuries.
In a prospective study of children with pain in the knee, eight patients (ten knees) were seen with the clinical and roentgenographic findings of Sinding-Larsen-Johansson disease. The etiology appears to be a traction tendinitis with de novo calcification in the proximal attachment of the patellar tendon, which had been partially avulsed. The patients were followed through the course of the disease, which was found to be self-limited and benign like Osgood-Schlatter disease.
In 14 hips in 11 children under 3 years of age, proximal femoral epiphysiolysis occurred from varying degrees of trauma. The vulnerability of the blood supply of the upper femoral epiphysis, and its important weight-bearing function, demands early diagnosis, reduction, and adequate fixation. The nature of the injury, however, determines the eventual outcome. Early diagnosis and investigation of the underlying pathology is necessary to avoid such complications as varus deformity, avascular necrosis, heterotopic new bone formation, non-union, and premature closure of the growth plate.
Clinical presentation is made of 18 cervical fractures occurring in children age 15 and under. Seven of 18 patients sustained neurological complications. The incidence of childhood cervical spine injury increases with age. Sixteen of 18 lesions were found in the C1 through C4 area in contrast to a greater involvement in adults in levels of C4 through C7. Although normal variations and anomalies are frequent in cervical spines in children, over treatment, at least initially, is recommended in all cases in which the diagnosis is in doubt.