Anatomy of the spine The spine consists of 33 vertebrae divided into 5 sections. There are 7 cervical vertebrae (in lordotic alignment), 12 thoracic rib-bearing vertebrae (in kyphotic alignment) and 5 lumbar vertebrae (in lordotic alignment). These upper 24 are…
Anatomy of the Hip The hip is a ball-and-socket joint where the head of the femur articulates with the acetabulum of the pelvis. The hip joint is more important for weight bearing rather than its range of motion (of which…
Overview Osteomyelitis is an infection of bone characterised by progressive inflammatory destruction and apposition of new bone. Infection commonly occurs after an open fracture or from haematological seeding in the setting of acute bacteremia. It is common in the Paediatric…
Overview Classification of bone tumors Classification Tumors Primary Bone forming (benign) Osteoma, osteoid osteoma, osteoblastoma Primary Bone forming (malignant) Osteogenic sarcoma (osteosarcoma) Primary Cartilaginous (benign) Osteochondroma, chondroma, chondroblastoma (enchondroma) Primary Cartilaginous (malignant) Chondrosarcoma Primary Fibrous Non-ossifying fibroma, ossifying fibroma, fibrous…
Definition of terms Term Definition Genu Knee Talus Ankle Pes Foot Valgus Inward curving of bone relative to each other Varus Outward carving of bone relative to each other Cavus steep arch or depression Genu Valgum Genu valgum is aka…
Summary Condition Presentation Radiologic findings Treatment Developmental dysplasia of the hip (DDH) Common in extended breech babies. Positive barlow and ortolani test on screening. Limb length discrepancy in unilateral disease (Galeazzi). Limp may be present as disease progresses and early…
Overview *Revisit embryology of bone! Pediatric vs adult bone Pediatric Adult Higher water content Lower water content Lower mineral content Higher mineral content Less brittle (more elastic) More brittle Higher strain-to-failure Lower strain-to-failure Stronger in tension than compression Stronger in…
Complications of Fractures Summary of complications of fractures Onset Examples Urgent early complications Visceral injury, vascular injury, nerve injury, compartment syndrome, hemarthrosis, infection, gas gangrene Less urgent early complications Fracture blister, pressure sore, heterotrophic ossiifcation, ligament injury, tendon injury, nerve…
Overview The main objective of treating fractures is to enable the patient to return to normal function as soon and as safely as possible. The 4 principles of managing fractures include resuscitation, reduction, restriction (holding reduction) and rehabilitation. Treating the…
History Possible secondary injuries Secondary injury Action Thoracic injury Check cardiorespiratory function (fractures of the ribs or sternum may injure the heart and lungs) Spinal fracture Perform a neurological exam Pelvic and abdominal injuries Ask about urinary function, order diagnostic…
