Osteochondrosis or Epiphysitis and Other Miscellaneous Affections

Canale, S. Terry

doi:10.1016/b978-0-323-07243-4.00032-3

Cited by 3 publications

(10 citation statements)

References 505 publications

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“…4 Radiographically, the secondary ossification centre is seen on oblique views as a small fleck of bone oriented longitudinal to the long axis of metatarsal. 3,4 It must be emphasized that this finding can be seen as a normal variant in most children. 6 To make a diagnosis of Iselin's disease, this radiographic finding must be correlated with clinical symptoms.…”

Section: Discussionmentioning

confidence: 88%

“…1 It is a traction apophysitis of base of fifth metatarsal. 2,3 The apophysis is within the peroneus brevis tendon insertion site and appears radiographically at about age 10 in female and age 12 in male and usually fuses by age 11 in female and by age 14 in male. 4,5 Repetitive microtrauma from the peroneus brevis tendon, as occurs in sports activities is the cause of traction apophysitis.…”

Section: Discussionmentioning

confidence: 99%

“…6 Enlargement, fragmentation and widening of chondro -osseous junction are other radiographic signs. 3 MRI is not required for the diagnosis. If done, MRI will show increased signal intensity on T2 and STIR images due to bone marrow oedema.…”

Section: Discussionmentioning

confidence: 99%

“…7 A technetium bone scan, not required for diagnosis, may show increased uptake. 3,6 Differential diagnosis includes Jones fracture, avulsion fracture, stress fracture and os vesalianum (Fig. 4).…”

Section: Discussionmentioning

confidence: 99%

“…3 Failure of conservative management will result in nonunion which may require surgical excision of the bone fragment. 6 …”

Section: [ ( F I G _ 2 ) T D $ F I G ]mentioning

confidence: 99%

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Iselin's disease: Traction apophysitis of the fifth metatarsal base, a rare cause of lateral foot pain

Kishan

Mekala

Bonala

et al. 2016

Medical Journal Armed Forces India

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…3 Failure of conservative management will result in nonunion which may require surgical excision of the bone fragment. 6 …”

Section: [ ( F I G _ 2 ) T D $ F I G ]mentioning

confidence: 99%

See 3 more Smart Citations

Iselin's disease: Traction apophysitis of the fifth metatarsal base, a rare cause of lateral foot pain

Kishan

Mekala

Bonala

et al. 2016

Medical Journal Armed Forces India

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Orthotic variations in the management of infantile tibia vara and the results of treatment

Alsancak

Güner

Kınık

2013

Prosthetics &Amp; Orthotics International

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Background: Infantile tibia vara is an acquired form of tibial deformity associated with tibial varus and internal torsion. Several methods have been described for orthotics treatment. The purpose of this study was to determine the effectiveness of orthotics treatment in infantile tibia vara. Study design: Controlled trial. Objective: The aim of this study was to compare the effect of different types of orthoses and correction methods on decreasing the curve in children with severe genu varum. Methods: Three different types of knee-ankle-foot orthoses were applied to 35 lower extremities of 22 pediatric participants who were 19-38 months of age. The same orthotic design principles were used to correct the femur, while different designs were applied to correct the tibia. The orthoses used on 20 participants were evaluated for differences among them and their effects on the treatment process. In addition, methods used in the treatment, problems encountered, production of different types of orthoses, convenience of application of the orthoses, and degree of patients satisfaction are discussed in this article. Results: The mean duration of treatment of the participants until completion of treatment was 25.3 ± 9.7 weeks with a minimum of 9 weeks and a maximum of 41 weeks. No statistically significant correlation was found between the duration of orthotic use in patients with a successful outcome and percentile height and percentile weight. When the duration of treatment using the different types of orthoses was analyzed, significant differences were found between Type 1 and Type 2, and Type 1 and Type 3 orthoses (p < 0.05), while no difference was observed between Type 2 and Type 3 orthoses (p > 0.05). Conclusion: We found that bracing is an effective form of treatment for infantile tibia vara up to 38 months of age. We conclude that full-time use of knee-ankle-foot orthoses exerting corrective forces from five points along the full length of the limb was effective. Clinical relevanceThe localization of the distal tibial correction, the quality of the midtibial correction band, and the importance of the application of corrective forces from five points with rigid methods were found.

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Combined Antero-Posterior Inverted-U Metaphyseal and Open-Wedge Medial-Epiphyseal Osteotomy for Advanced Blount Disease

Ogbemudia¹,

Bafor²,

Ogbemudia³

et al. 2015

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Background: Blount disease is frequently associated with deformities that may not be adequately corrected by a single metaphyseal osteotomy. This study evaluated the outcome of a combined metaphyseal and epiphyseal osteotomy in severe cases. Methods: We prospectively evaluated the outcome of combining the antero-posterior inverted-U metaphyseal osteotomy with a medial open-wedge hemi-epiphyseal osteotomy in eighteen patients (27 tibiae) with Stage IV to VI Blount disease. Results: The average age of patients was 9 years (ranging from 5 to 17). The tibio-femoral angle improved from 43˚ varus (Range: 34˚ -78˚) to 2˚ varus (Range: 5˚ valgus to 8˚ varus). The metaphyseal-diaphyseal angle improved from 36˚ to 8˚ varus. Internal tibial torsion improved from 39˚ to 2˚. All the patients were able to achieve 110˚ of knee flexion in a year. Conclusion: In conclusion, the combined metaphyseal and epiphyseal osteotomy satisfactorily corrected tibiofemoral and

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Osteochondrosis or Epiphysitis and Other Miscellaneous Affections

Cited by 3 publications

References 505 publications

Iselin's disease: Traction apophysitis of the fifth metatarsal base, a rare cause of lateral foot pain

Iselin's disease: Traction apophysitis of the fifth metatarsal base, a rare cause of lateral foot pain

Orthotic variations in the management of infantile tibia vara and the results of treatment

Combined Antero-Posterior Inverted-U Metaphyseal and Open-Wedge Medial-Epiphyseal Osteotomy for Advanced Blount Disease

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