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Down Syndrome + orthopaedic

G Vicenti, D Bizzoca, V S Nappi, F Moretti, M Carrozzo, V Belviso, B Moretti
Clinical biophysics investigates the relationship between non-ionizing physical energy and the human body. Although several types of electrical stimulation devices have received US FDA approval for orthopaedic application, the use of Pulsed Electromagnetic Field (PEMFs) play a central role in joint biophysics. This narrative review aims to summarize the current evidences on the efficacy of PEMF-therapy in the treatment of knee articular diseases. Preclinical studies have assessed the effects of PEMFs on chondrocytes, synoviocytes, articular cartilage explants and animal models, showing positive effects of PEMF-therapy on cells proliferation, extracellular matrix (ECM) production, chondrocytes apoptosis and inflammatory cytokines down-regulation...
November 2018: Journal of Biological Regulators and Homeostatic Agents
Eduardo N Novais, Mariana G Ferrer, Kathryn A Williams, Sarah D Bixby
BACKGROUND: Leverage of the femoral head against the acetabular rim may lead to posterior hip dislocation during sports activities in hips with femoroacetabular impingement (FAI) deformity. Abnormal concavity of the femoral head and neck junction has been well described in association with posterior hip dislocation. However, acetabular morphology variations are not fully understood. QUESTIONS/PURPOSES: The purpose of this study was to compare the acetabular morphology in terms of acetabular version and coverage of the femoral head in adolescents who sustained a posterior hip dislocation during sports and recreational activities with a control group of patients without a history of hip disease matched by age and sex...
September 27, 2018: Clinical Orthopaedics and related Research
Christian-Dominik Peterlein, Sinja Friedrich, Hanna Daniel, Dominik Malcherczyk, Janine Ruden, Bilal F El Zayat
BACKGROUND: There have been few publications on the organisational structures of self-help groups that handle orthopaedic disorders in children. MATERIAL AND METHODS: A standardised questionnaire was sent by post to the corresponding support groups. The aim was to evaluate the self-help group's structure, use of social media and financial background. RESULTS: Support groups for dwarfism, infantile cerebral palsy and Down syndrome responded and sent the questionnaire back to our department...
July 11, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
L R Perotti, O Abousamra, M Del Pilar Duque Orozco, K J Rogers, J P Sees, F Miller
Purpose: Foot and ankle deformities are common orthopaedic disorders in children with Down syndrome. However, radiographic measurements of the foot and ankle have not been previously reported. The aim of this study is to describe the foot and ankle deformity in children with Down syndrome. Methods: Children who had foot and ankle radiographs in the standing weight-bearing position were selected. Three groups of patients were identified. The relationship of radiographic measurements with age, body mass index and pain is discussed...
June 1, 2018: Journal of Children's Orthopaedics
Carol C Hasler
Early-onset scoliosis (EOS) describes a wide array of diagnoses and deformities exposed to growth. This potentially life-threatening condition is still 1 of the biggest challenges in pediatric orthopaedics. The enlightenment of Bob Campbell's thoracic insufficiency syndrome concept and the negative impact of the earlier short and straight spine fusion approach on respiratory function and survival have fueled the evolution of EOS care. Despite all the progress made, growth-friendly spine surgery remains to be a burden to patients and caregivers...
July 2018: Journal of Pediatric Orthopedics
César Calvo-Lobo, Ana Ramos García, Marta Elena Losa Iglesias, Daniel López-López, David Rodríguez-Sanz, Carlos Romero-Morales, Ricardo Becerro-de-Bengoa-Vallejo
Background : Down syndrome is the most common chromosomal abnormality and a cause of intellectual disability. It is also associated with orthopaedic and musculoskeletal problems of the locomotive apparatus, especially of the feet. These problems are believed to have a harmful effect on health, social functioning, and mobility. In addition, these persons generally don't have access to podiatric health services, even when their foot problems are well known, because of limited access to healthcare facilities. The goal of our research was to evaluate and compare the foot health status of study participants with and without Down syndrome and to determine whether inadequate footwear is being used with normalized reference values...
May 14, 2018: International Journal of Environmental Research and Public Health
Yoshihide Kanai, Hirotaka Mutsuzaki, Tomohiro Nakayama, Arito Yozu, Nobuaki Iwasaki
[Purpose] The general approach for flat foot (FF) treatment in people with Down's syndrome (DS) is the use of insoles. However, the appropriate timing of the first insole prescription remains unclear. An aim of this present research was to investigate the status of prevalence of FF and orthosis prescription in the DS population. [Subjects and Methods] Two hundred fifteen subjects with DS who were seen at our hospital were retrospectively investigated. Investigated parameters were: prevalence of FF and other foot diseases, ratio and timing of orthopaedic consultation, ratio and timing of orthoses prescription, and mean age at the time of orthosis prescription...
April 2018: Journal of Physical Therapy Science
Deepak Samson, Dominic M Power
BACKGROUND: Our aims were to identify iatrogenous injuries to the palmar branch of the median nerve sustained during volar plate fixation of the distal radius, make the clinician aware of this relatively uncommon complication of distal radius fixation, to emphasise common threads in symptomatology and to propose an algorithm for evaluation and management. METHODS: Retrospectively interrogating our database over a 5 year period, the case records, neurophysiology records, operative records, therapy records were reviewed...
September 2017: Journal of Hand Surgery Asian-Pacific Volume
Matthew R Boylan, Bhaveen H Kapadia, Kimona Issa, Dean C Perfetti, Aditya V Maheshwari, Michael A Mont
BACKGROUND: Down syndrome is the most common chromosomal abnormality and is associated with degenerative hip disease. Because of the recent increase in life expectancy for patients with this syndrome, orthopaedic surgeons are likely to see an increasing number of these patients who are candidates for total hip arthroplasty (THA). METHODS: Using Nationwide Inpatient Sample (NIS) data from 1998 to 2010, we compared the short-term adverse outcomes of THA among 241 patients with Down syndrome and a matched 723-patient cohort...
February 2016: Journal of Arthroplasty
Colin Ng, Luigi Bibiano, Stephan Grech, Branko Magazinovic
Antecubital fossa lesions are uncommon conditions that present to the orthopaedic clinic. Furthermore, the radius bone is an uncommonly reported location for an osteochondroma, especially when presenting with a concurrent reactive bicipitoradial bursitis. Osteochondromas are a type of developmental lesion rather than a true neoplasm. They constitute up to 15% of all bone tumours and up to 50% of benign bone tumours. They may occur as solitary or multiple lesions. Multiple lesions are usually associated with a syndrome known as hereditary multiple exostoses (HME)...
2015: Case Reports in Orthopedics
Can-lei Zheng, Yang Jia, Gui-zhi Zheng
OBJECTIVE: To observe the clinical effect of slow-rapid reinforcing-reducing needling manipulation at Jiaji (EX-B 2) acupoint for lumbar intervertebral disc protrusion. METHODS: Sixty subjects met the inclusion criteria of disc herniation were randomly divided into treatment group (n = 30) and control group (n = 30). In the treatment group, the stimulation mode (slow or fast, reinforcement or reduction) of Jiaji acupoints (EX-B 2) was based on the status of the patients by an overall analysis of symptoms and signs...
June 2015: Zhen Ci Yan Jiu, Acupuncture Research
A Petershofer, T Fingernagel, K Trieb
BACKGROUND: Patellar instability is a common orthopaedic condition which is often seen in younger individuals. Biomechanical studies have shown that the medial patellofemoral ligament (MPFL) is the most important soft tissue that restrains lateral subluxation of the patella in the beginning of flexion of the knee joint. METHODS: MPFL reconstruction is an effective procedure to treat recurrent patellar dislocation. Double-bundle and single-bundle procedures have been described...
August 2015: Der Orthopäde
Scott R Freedman, Lori Thein Brody, Michael Rosenthal, Justin C Wise
BACKGROUND: Patellofemoral pain syndrome (PFPS) is the most prevalent orthopaedic condition among physically active individuals, contributing to an estimated 30% to 40% of all sports medicine visits. Techniques using Kinesio Tape (KT) have become increasingly popular; however, there has been scant research supporting its use on patients with PFPS. HYPOTHESIS: The use of patellar KT to treat patients with PFPS will provide a statistically significant improvement in short-term pain and single-leg hop measures as compared with sham placement of KT...
July 2014: Sports Health
M Galli, V Cimolin, C Rigoldi, M Pau, P Costici, G Albertini
BACKGROUND: In children with Down syndrome (DS) hypotonia and ligament laxity are characteristic features which cause a number of orthopaedic issues, such as flat foot. The aim of this study was to determine if children with flat foot are characterised by an accentuated external foot rotation during walking. METHOD: Fifty-five children with DS and 15 typically developing children recruited as control group were assessed using three-dimensional gait analysis, using an optoelectronic system, force platforms and video recording...
August 2014: Journal of Intellectual Disability Research: JIDR
C-D Peterlein, M Schiel, N Timmesfeld, M D Schofer, O Eberhardt, T Wirth, F F Fernandez
BACKGROUND: The treatment of hip instability in patients with Down syndrome is challenging. We have performed different pelvic osteotomies and corrections at the proximal femur for this indication. This retrospective study was conducted to evaluate the clinical and radiological outcome of each intervention. MATERIAL AND METHODS: All in all, 166 patients with Down syndrome were treated at our orthopaedic department in the observation period. Problems related to the hip joint were diagnosed in 63 of those patients...
December 2013: Zeitschrift Für Orthopädie und Unfallchirurgie
Jayesh Sardhara, Sanjay Behari, Awadhesh K Jaiswal, Arun Srivastava, Rabi Narayan Sahu, Anant Mehrotra, Shubha Phadke, Uttam Singh
BACKGROUND: This prospective study attempts to study the clinico-radiological differences between patients with syndromic AAD (SAAD), non-syndromic AAD (NSAAD), and AAD with Klippel-Feil anomaly (AADKFA) that may impact management. METHODS: In 46 patients with AAD [SAAD (including Morquio, Down, Larson and Marshall syndrome and achondroplasia; n = 6); NSAAD(n = 20); and, AADKFS (n = 20)], myelopathy was graded as mild (n = 17, 37 %), moderate (15, 32.5 %) or severe (14, 30...
July 2013: Acta Neurochirurgica
Beverlie L Ting, Deepti Mathur, Bart L Loeys, Harry C Dietz, Paul D Sponseller
PURPOSE: We examined the prevalence of known facial features of Marfan syndrome (MFS)-dolicocephaly, malar hypoplasia, enophthalmos, retrognathia, and down-slanting palpebral fissures-and the diagnostic utility (sensitivity, specificity, accuracy, predictive values, and likelihood ratios) of using them for screening and diagnosis. METHODS: Frontal and lateral photographs of 76 subjects with MFS (average age 18.3 years) and of 76 age- and gender-matched controls were obtained, randomized, and compiled into an online survey...
December 2010: Journal of Children's Orthopaedics
A Karaman
Down syndrome (DS) is diagnosed in approximately 1 Per 800 live births and is the most common known genetic cause of medical problems. To determine the prevalence of common medical problems in children with DS, a study was conducted between December 2003 and March 2010 in the Erzurum Nenehatun Obstetrics and Gynecology Hospital. 107 children with DS were entered into a retrospective observational study. Case notes were reviewed to obtain details regarding complications of children with DS. Medical problems such as cardiac, gastrointestinal, respiratory, sensory, orthopaedic anomalies, endocrine disorders, and obesity occur more frequently in children with DS...
2010: Genetic Counseling
P Diz, J Limeres, A F P Salgado, I Tomás, L F Delgado, E Vázquez, J F Feijoo
Determining a child's chronological age and stage of maturation is particularly important in fields such as paediatrics, orthopaedics, and orthodontics, as well as in forensic and anthropological studies. Some systemic conditions can cause abnormal physiological maturation, and skeletal maturation is usually more delayed than dental maturation. The aim of this study was to determine dental age in a group of patients with the most prevalent congenital or perinatally occurring physical and mental disabilities...
March 2011: Research in Developmental Disabilities
Sarah Ager, Jenny Downs, Sue Fyfe, Helen Leonard
BACKGROUND: Scoliosis is the most common orthopaedic complication of Rett syndrome. Parents of affected individuals are vital partners in the clinical management of scoliosis and this study explored parental experiences of various aspects of different management options. METHODS: Publicly available Rettnet postings informed the development of an online questionnaire about scoliosis and its management in Rett syndrome. Parents of subjects who met the criteria for Rett syndrome participated in a survey using this questionnaire...
2009: Disability and Rehabilitation
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