Presentation
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.de]
Click for pdf: Common pediatric bone diseases General Presentation Background: It is not uncommon for children to present with fractures after experiencing trauma. [learn.pediatrics.ubc.ca]
Children under 2 years of age may present with bowed legs (physiologic), which usually corrects itself by the age of 3 to 4. [orthowestfl.com]
Presents at preschool age (tarda). Hearing deficit in 50%. [orthobullets.com]
This poor quality type I collagen is present in reduced amounts in the bone matrix. [oif.org]
Entire Body System
- Weakness
Significant care issues that arise with OI Type I include gross motor developmental delays, joint and ligament weakness and instability, muscle weakness, the need to prevent fracture cycles, and the necessity of spine protection. [oif.org]
They may be bent, weak, brittle, soft, or too big. The new bones also may not fit together as tightly as they should. The disease usually affects your pelvis, skull, spine, and legs, but it can happen in any bone. [webmd.com]
The costochondral junctions are the most active growth plates and is the reason you see these changes here. d) Harrison's groove: The distal end of the ribs are weak and may be depressed by the negative intrathoracic pressure developed during respiration [hawaii.edu]
Delays in walking or running ® presentation Also pain or weakness of affected limbs Delayed puberty and hypo-gonadism, dry hard skin, dental caries, ocular proptosis, anaemia and hepatosplenomegally may develop X-Rays Fusiform swelling / expansion of [flinders.edu.au]
[…] syndrome, scurvy, Lowe syndrome, osteomalacia [2] Prevention Vitamin D supplements for exclusively breastfeed babies [4] Treatment Vitamin D and calcium [1] Frequency Relatively common ( Middle East, Africa, Asia) [3] Rickets is a condition that results in weak [en.wikipedia.org]
- Surgical Procedure
Surgical procedures. There are different procedures to correct bowed legs, and they fall into two main types. Guided growth. [orthoinfo.aaos.org]
The orthopaedic management of the complex lower-limb anomalies has been perplexing because her respiratory status will not permit the use of general anesthesia for the performance of surgical procedures. [acpoc.org]
The most conspicuous feature of this type is large, hypertrophic calluses in the largest bones at fracture or surgical procedure sites. Hypertrophic calluses can also arise spontaneously. [oif.org]
procedure is controversial but the younger the child the less likely the fracture is to heal If re-grafting is considered essential then electrical stimultion should be used If failure of union ensues despite at least two of the above surgical efforts [flinders.edu.au]
- Fatigue
Stress Fracture This fracture is the result of repetitive stress to normal bone in the segment of the stress-deformity curve be tween P and E (fatigue zone) ( Figure 5 ). [healio.com]
Significant care issues that arise with OI Type IV include the need to prevent fracture cycles; the appropriate timing of rodding surgery; scoliosis monitoring; the need to develop strategies for coping with short stature and fatigue; the family’s need [oif.org]
- Turkish
Vitamin D insufficiency was found in 40% of non-Western immigrants in the Netherlands, and in more than 80% of Turkish and Moroccan immigrants. [en.wikipedia.org]
Respiratoric
- Cough
He has a one day history of a stuffy nose and cough. There are no other complaints. Exam: T 38.0 (tympanic). His other vital signs are normal. He is noted to have a contusion with mild swelling and ecchymosis over his right forehead. [hawaii.edu]
Jaw & Teeth
- Dental Caries
caries, ocular proptosis, anaemia and hepatosplenomegally may develop X-Rays Fusiform swelling / expansion of diaphysis of long bones Affects middle 1/3 and spreads proximally & distally Cortical surface becomes irregular Medullary canal becomes almost [flinders.edu.au]
Musculoskeletal
- Fracture
Plastic deformation of ulna Monteggia fracture-dislocation Greenstick fracture A greenstick fracture occurs when there is sufficient energy to start a fracture but insufficient energy to complete it. [rch.org.au]
Differential Diagnosis of Incomplete Fractures Greenstick Fracture This injury is the result of longitudinal stress similar to a bowing fracture. [healio.com]
[…] is a visible fracture buckle fracture : there is cortical irregularity physiological bowing stress fracture : there is a periosteal reaction [radiopaedia.org]
Cartilaginous calluses, which do not mineralize fully in the fracture clefts, account for the relative radiolucency. Incomplete fissure fractures can extend into complete fractures. [emedicine.medscape.com]
- Severe Short Stature
Short Stature: Height that is at the lower end of the normal range for a persons normal peers. [flinders.edu.au]
Neurologic
- Irritability
At 4 1/2 months the infant suddenly became extremely irritable and ceased to thrive. [jamanetwork.com]
Complications of Paget's disease include bone pain, fracture of bone, deformity, nerve irritation (impingement), arthritis, localized skin warmth, and rarely, sarcoma, a form of bone cancer. [medicinenet.com]
Treatment
Bisphosphonates are the mainstay of treatment for Paget's disease of bone. [medicinenet.com]
Treatment Treatment of Paget's disease does not cure the disease but can provide prolonged periods of remission. Bisphosphonates, which decrease bone resorption by inhibiting osteoclast resorption, are the treatment of choice. [aafp.org]
[…] for Skeletal Dysplasia Treatments can help relieve orthopaedic and medical problems related to skeletal dysplasia. [childrensnational.org]
Your child’s doctor may work with a team of specialists to develop and deliver a treatment plan. [healthline.com]
Prognosis
Campomelic dysplasia and Stüve-Wiedemann syndrome are characterized by a poor prognosis. [ncbi.nlm.nih.gov]
A fall, though the associated trauma was otherwise minimal, resulted in a fracture of the right femur, and the prognosis is poor. [jamanetwork.com]
Gloomy prognosis [ Back to the Top ] Metaphyseal Dysplasias (hyperdysplasias) 1. [flinders.edu.au]
Prognosis - Bowing of long bones congenital Not supplied. Treatment - Bowing of long bones congenital Not supplied. Resources - Bowing of long bones congenital Not supplied. [checkorphan.org]
Etiology
A possible etiology for this syndrome is described. [jstage.jst.go.jp]
Genetics have been implicated as a possible etiological factor in this unfortunate entity. [acpoc.org]
Pathophysiology : Although there are many potential etiologies for weakened bone manifesting as pathological fractures, it is simple to divide it into three categories with common etiologies: 1) Metabolic bone disease- eg. [learn.pediatrics.ubc.ca]
Seeking the elusive etiology of Paget disease: a progress report. J Bone Miner Res. 1996; 11:1599-601. [ Links ] 39. Khan SA, Brennan P, Newman J, Gray RE, McCloskey EV, Kanis JA. Paget's disease of bone and unvaccinated dogs. [scielo.org.co]
Although the etiology of Paget's disease is unknown, studies have provided some support for both viral and hereditary causes. [aafp.org]
Epidemiology
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.de]
Epidemiological aspects of Paget's disease: family history and relationship to other medical conditions. Semin Arthritis Rheum. 1994;23:222-5. [ Links ] 36. Lever JH. [scielo.org.co]
International Journal of Epidemiology. 32 (3): 340–1. doi : 10.1093/ije/dyg160. PMID 12777415. ^ Pileggi VJ, De Luca HF, Steenbock H (September 1955). [en.wikipedia.org]
Osteogenesis imperfecta: epidemiology and pathophysiology. Curr Osteoporosis Rep 2007;5:91-97. Van de Harten JJ, Brons JTJ, Dijkstra PE et al. [iame.com]
Pathophysiology
The pathophysiology of arthritic changes associated with Paget disease is unknown. Enlargement of joints and altered biomechanics may cause abnormal stress across joints, giving rise to degenerative changes. [emedicine.medscape.com]
The pathophysiology and management of rickets. Orthopedic Clinics of North America 1972;3:601-621. Return to Radiology Cases In Ped Emerg Med Case Selection Page Return to Univ. Hawaii Dept. Pediatrics Home Page [hawaii.edu]
Pathophysiology : Although there are many potential etiologies for weakened bone manifesting as pathological fractures, it is simple to divide it into three categories with common etiologies: 1) Metabolic bone disease- eg. [learn.pediatrics.ubc.ca]
Pathophysiology Bowing fractures are indisputably fractures. No fracture lines are visible on radiographs, but microscopically the bowed bone shows oblique microfractures of the compressed concave cortex. [healio.com]
Osteogenesis imperfecta: epidemiology and pathophysiology. Curr Osteoporosis Rep 2007;5:91-97. Van de Harten JJ, Brons JTJ, Dijkstra PE et al. [iame.com]
Prevention
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.de]
Compression of vital nerves especially in the spine and skull require surgery as early as possible to prevent paralysis or other life threatening complications. [news-medical.net]
Prevention - Bowing of long bones congenital Not supplied. Diagnosis - Bowing of long bones congenital Not supplied. Prognosis - Bowing of long bones congenital Not supplied. Treatment - Bowing of long bones congenital Not supplied. [checkorphan.org]
"Prevention of rickets and vitamin D deficiency: new guidelines for vitamin D intake". Pediatrics. 111 (4 Pt 1): 908–10. doi : 10.1542/peds.111.4.908. [en.wikipedia.org]
[…] obesity Surgical options include: Inserting draining tubes in the middle ear to prevent hearing loss caused by chronic ear infection Improving breathing by tracheotomy or removing tonsils or adenoids Widening the spinal canal to relieve pressure on the [childrensnational.org]