CLINCAL SUBJECTSCLINICAL SUBJECTSSPECIALTY-MS/MD/FRCS

Piyush Gupta Clinical Methods of Pediatrics Latest Edition Ebook PDF download

Piyush Gupta Clinical Methods of Pediatrics Latest Edition Ebook PDF download

Piyush Gupta Clinical Methods of Pediatrics Latest Edition Ebook PDF download

Piyush Gupta Clinical Methods of Pediatrics Latest Edition Ebook PDF download local manifestation of systemic disorders adds to the confusion. These conditions are sometimes familial, occur at multiple sites, and show varied clinical manifestations from nothing to others that cause serious deformity and disability. The conditions have certain features in common. They heal spontaneously, have varied onsets, and have varied clinical significance. The conditions may be simple variations of
normal ossification, be the consequence of trauma, or result from variations in regional vascularity of bone. Osteochondroses are classified in varied ways. These have been classified anatomically by Siffert (1981). Articular Osteochondroses These conditions have the greatest potential for disability because of the potential for residual articular irregularity. These forms concern the orthopedist because of their potential for disability. Two types of articular lesions are differentiated based on the anatomic site of origin: Primary involvement of articular and epiphyseal cartilage as seen in conditions such as occurs in the metatarsal head (Freiberg disease) or capitellum Secondary involvement as a consequence of avascular necrosis of subjacent bone as seen in Perthes disease or typical forms of osteochondritis dissecans Nonarticular Osteochondroses Pain, swelling, and tenderness characterized these lesions. They are often considered as overuse syndromes. They tend to heal with time
and leave little or no residual deformity. They may be classified based on the anatomic features: At tendon attachments such as Osgood-Schlatter disease and trochanteric osteochondritis.
At ligament attachments such as medial epicondyle at the elbow or the vertebral ring apophysis.

At impact sites such as present over the calcaneum. Variation in ossification of the tubercle of the calcaneum is common. Some describe this as Sever
disease. Physeal Osteochondroses
Primary involvement of the growth plate may cause significant problems that often require treatment.

Long bones may have physes with disordered growth as with tibia vara or Blount disease when involving the proximal medial tibial physis or Madelung deformity when involving the distal radius. Because the shape and length of the bone are altered, both conditions may cause significant disability. Vertebral involvement, as with Scheuermann disease, leads to increased kyphosis due to wedging of the vertebral bodies.

Clinical Management Piyush Gupta Clinical Methods of Pediatrics Latest Edition

No generalizations may be made regarding management as the conditions are so different. A knowledge of the natural history for each lesion is essential. Some conditions such as ischiopubic synchondrosis are important, as they may be confused with a bone tumor and overtreated. Others, such as Osgood-Schlatter disease, require symptomatic management. Tibia vara, osteochondritis dissecans of the
knee, Perthes disease, and others may cause considerable deformity and disability.

Piyush Gupta Clinical Methods of Pediatrics Latest Edition Ebook PDF download

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