Auriculo-osteodysplasia. A syndrome of multiple osseous dysplasia, ear anomaly, and short stature.
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Adolescent↗
Biomedical subjects
R K Beals
Publications and source records attributed to R K Beals.
Spastic paraplegia and diplegia. An evaluation of non-surgical and surgical factors influencing the prognosis for ambulation.
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Birth Weight↗
Orthopedic aspects of the XO (Turner's) syndrome.
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Abnormalities, Multiple↗
Premature closure of the physis following diaphyseal fractures.
Three patients who experienced premature complete physeal closure of the ipsilateral limb following diaphyseal fractures are reported. The diagnosis was recognized because of unexpected progressive limb length discrepancy following fracture healing. The cause is unknown. This phenomenon should be recognized by those treating fractures in children.
Adolescent↗
Diffuse capillary hemangiomas associated with skeletal hypotrophy.
A syndrome of capillary hemangiomas of the lower limbs associated with decreased circumference and length of the limb is reported. Hypotrophy of the limb in this syndrome is slowly progressive and surgery is usually required to achieve limb-length equalization. This syndrome is to be distinguished from the more common Klippel-Trenaunay-Weber syndrome of skeletal hypertrophy associated with multiple hemangiomas.
Child↗
Craniofacial conodysplasia.
A family with dominant inheritance of a previously unreported syndrome of craniofacial dysplasia and cone-shaped physes of the hands and feet is described. Hydrocephalus and spinal cord compression at the craniocervical junction causes neurological complications and mimics cerebral palsy. Early diagnosis and treatment may prevent progression of neurological changes.
Bone Diseases, Developmental↗
Coxa vara in childhood: evaluation and management.
Coxa vara in childhood may be clinically classified as developmental, congenital, dysplastic, or traumatic and may occur at the physis or in the trochanteric or subtrochanteric area. Evaluation should include a search for a family history of similar deformity, a history of trauma or infection, and evidence of associated skeletal abnormality. Radiographs will illustrate whether the deformity is unilateral or bilateral and whether it occurs at or below the physis. With this information, coxa vara can be classified, and the optimal treatment can be selected. Surgical treatment of coxa vara in childhood is usually indicated when the disease is progressive, painful, unilateral, or associated with leg-length discrepancy.
Bone Diseases↗
The short clavicle syndrome.
Congenital or developmental shorting of the clavicle is an uncommon and isolated condition leading to a tangential position of the scapula. It presents in childhood as abnormal posture and may be familial. It causes minimal disability and affected patients do not require treatment.
Adolescent↗
The trichorhinophalangeal dysplasia syndrome: report of eight kindreds, with emphasis on hip complications, late presentations, and premature osteoarthrosis.
The trichorhinophalangeal dysplasia syndrome is characterized by peripheral cone-shaped epiphyses and unusual facies and hair. It is generally considered to be an uncommon dysplasia that presents in childhood. Thirteen cases in eight kindreds are reported. In four patients, the diagnosis was not established until after the 40th year, and it is suggested that the dysplasia may present in adult life and be more common than is generally appreciated. The skeletal stigmata of the syndrome are described, with special reference to hip involvement, and a severe and progressive degenerative arthritis is reported.
Abnormalities, Multiple↗
Growth and development of the tibia, fibula, and ankle joint.
Deformities of the leg and ankle may result from growth abnormalities of the tibia and fibula. Measurements of the distance between the proximal tibial and fibular physes, the distal tibial and fibular physes, and the angle between the long axis of the tibia and the distal tibial physis and talar dome were made to determine the changes that occur during normal skeletal development. These measurements demonstrate that early detection of growth discrepancy is possible.
Ankle Joint↗
Pelvic osteotomy for bladder exstrophy.
Twenty-five patients with bladder exstrophy underwent pelvic osteotomy at or before initial bladder closure and anterior abdominal repair. Ten patients underwent bilateral iliac osteotomies before 1977. An alternative procedure consisting of bilateral superior pubic ramotomies has been used in 15 patients since 1977. In all patients, successful tension-free closure of the abdomen was achieved. Long-term follow-up of these two groups of patients shows no difference in the degree of pubic diastasis, which was asymptomatic. Posterior iliac osteotomy requires two additional incisions, longer operative time, and postoperative immobilization. We therefore recommend bilateral superior pubic ramotomy as an alternative procedure in initial reconstruction of the anterior abdomen in patients with bladder exstrophy.
Adolescent↗
Treatment of patellofemoral instability in childhood with creation of a femoral sulcus.
Four patients with six knees with patellofemoral instability and severe trochlear dysplasia were treated with creation of a femoral sulcus. None of the six knees have had recurrent dislocations at 3- to 11-year follow-up. All patients had chromosomal abnormalities and limited motor demands. We recommend this procedure for children with patellar instability refractory to standard treatment methods who have severe trochlear dysplasia and limited motor demands.
Adolescent↗
Modified adductor muscle transfer in cerebral palsy.
Eighty-five patients with cerebral palsy had modified adductor muscle transfers. A study of associated patient characteristics suggests that comparing adductor transfer with adductor release using postoperative radiographs, need for subsequent surgery, or postoperative motor skills is flawed by multiple variables. Adductor release and adductor transfer are best compared by measuring the abduction obtained at surgery and maintained over time. A follow-up of 141 modified adductor transfers with no prior or concomitant hip surgery demonstrated an averaged initial improvement in abduction of 43 degrees and maintenance of abduction with a low incidence of recurrence.
Adolescent↗