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Chapter 18 - Children’s orthopaedics

from Section 4 - Children’s Orthopaedics/Hand and Upper Limb

Published online by Cambridge University Press:  15 November 2019

Paul A. Banaszkiewicz
Affiliation:
Queen Elizabeth Hospital, Gateshead
Deiary F. Kader
Affiliation:
Queen Elizabeth Hospital, Gateshead
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Summary

In this section, we follow the exam format with a simple question around a clinical picture, X-ray or a video clip, followed by increasingly difficult questions to explore candidate depth and breadth of knowledge. Some of the questions are made deliberately difficult and beyond average candidate level, some are easy and the majority are average. We also support some of the answers with clinical photographs to create mental images to aid recall information during the exam. The online version of this book will have more cases, videos and discussion. This section complements the first edition of this book, the postgraduate paediatric orthopaedic book (the green book) [1] and the third edition of the parent book. Candidates are strongly encouraged to read all of them to have a better overview of the paediatric section of the exam.

Type
Chapter
Information
Postgraduate Orthopaedics
Viva Guide for the FRCS (Tr & Orth) Examination
, pp. 379 - 428
Publisher: Cambridge University Press
Print publication year: 2019

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References

Alshryda, S, Jones, S, Banaszkiewicz, P. Postgraduate Paediatric Orthopaedics: The Candidate’s Guide to the FRCS (Tr and Orth) Examination. Cambridge: Cambridge University Press; 2014.Google Scholar
Loder, RT, Richards, BS, Shapiro, PS, Reznick, LR, Aronson, DD. Acute slipped capital femoral epiphysis: the importance of physeal stability. J Bone Joint Surg Am. 1993;75(8):11341140.CrossRefGoogle ScholarPubMed
Alshryda, S, Tsang, K, Chytas, A, et al. Evidence based treatment for unstable slipped upper femoral epiphysis: systematic review and exploratory patient level analysis. The Surgeon. 2018;16(1):4654.CrossRefGoogle ScholarPubMed
Alshryda, S, Tsang, K, Ahmed, M, Adepapo, A, Montgomery, R. Severe slipped upper femoral epiphysis; fish osteotomy versus pinning-in-situ: an eleven year perspective. The Surgeon. 2014;12(5):244248.Google Scholar
Jerre, R, Billing, L, Hansson, G, Wallin, J. The contralateral hip in patients primarily treated for unilateral slipped upper femoral epiphysis. Long-term follow-up of 61 hips. J Bone Joint Surg Br. 1994;76(4):563567.Google Scholar
Phillips, PM, Phadnis, J, Willoughby, R, Hunt, L. Posterior sloping angle as a predictor of contralateral slip in slipped capital femoral epiphysis. J Bone Joint Surg Am. 2013;95(2):146150.Google Scholar
Stasikelis, PJ, Sullivan, CM, Phillips, WA, Polard, JA. Slipped capital femoral epiphysis. Prediction of contralateral involvement. J Bone Joint Surg Am. 1996; 78(8):11491155.Google Scholar
Parsch, K, Weller, S, Parsch, D. Open reduction and smooth Kirschner wire fixation for unstable slipped capital femoral epiphysis. J Pediatr Orthop. 2009;29(1):18.Google Scholar
Ziebarth, K, Zilkens, C, Spencer, S, Leunig, M, Ganz, R, Kim, Y-J. Capital realignment for moderate and severe SCFE using a modified Dunn procedure. Clin Orthop Relat Res. 2009;467(3):704716.Google Scholar
Naseem, H, Chatterji, S, Tsang, K, Hakimi, M, Chytas, A, Alshryda, S. Treatment of stable slipped capital femoral epiphysis: systematic review and exploratory patient level analysis. J Orthop Traumatol. 2017;18:469.Google Scholar
British Orthopaedic Association. BOAST11. Supracondylar fractures of the humerus in children. 2014.Google Scholar
Isaacs, H, Handelsman, JE, Badenhorst, M, Pickering, A. The muscles in club foot – a histological histochemical and electron microscopic study. J Bone Joint Surg Br. 1977;59B(4):465472.Google Scholar
Gray, DH, Katz, JM. A histochemical study of muscle in club foot. J Bone Joint Surg Br. 1981;63B(3):417423.Google Scholar
Wynne-Davies, R. Genetic and environmental factors in the etiology of talipes equinovarus. Clin Orthop Relat Res. 1972;84:913.Google Scholar
Sharon-Weiner, M, Sukenik-Halevy, R, Tepper, R, Fishman, A, Biron-Shental, T, Markovitch, O. Diagnostic accuracy, work-up, and outcomes of pregnancies with clubfoot detected by prenatal sonography. Prenat Diagn. 2017;37(8):754763.Google Scholar
Ponseti, IV, Morcuende, JA. Current management of idiopathic clubfoot questionnaire: a multicenter study. J Pediatr Orthop. 2004;24(4):448.Google Scholar
Ponseti, IV, Smoley, EN. Congenital club foot: the result of treatment. J Bone Joint Surg Am. 1963;45(A(2)):261344.CrossRefGoogle Scholar
Huntley, JS. What is the best treatment for paediatric trigger thumb (acquired thumb flexion contracture)? In Alshryda, S, Huntley, JS, Banaszkiewicz, P (Eds.), Paediatric Orthopaedics: An Evidence-Based Approach to Clinical Questions. Cham: Springer; 2016.Google Scholar
Caird, MS, Flynn, JM, Leung, YL, Millman, JE, D’Italia, JG, Dormans, JP. Factors distinguishing septic arthritis from transient synovitis of the hip in children. A prospective study. J Bone Joint Surg Am. 2006;88(6):12511257.CrossRefGoogle ScholarPubMed
Maharajan, K, Patro, DK, Menon, J, et al. Serum procalcitonin is a sensitive and specific marker in the diagnosis of septic arthritis and acute osteomyelitis. J Orthop Surg Res. 2013;8:19.Google Scholar
Zhao, J, Zhang, S, Zhang, L, et al. Serum procalcitonin levels as a diagnostic marker for septic arthritis: a meta-analysis. Am J Emerg Med. 2017;35(8):11661171.CrossRefGoogle ScholarPubMed
Kocher, MS, Zurakowski, D, Kasser, JR. Differentiating between septic arthritis and transient synovitis of the hip in children: an evidence-based clinical prediction algorithm. J Bone Joint Surg Am. 1999;81(12):16621670.Google Scholar
Kocher, MS, Mandiga, R, Zurakowski, D, Barnewolt, C, Kasser, JR. Validation of a clinical prediction rule for the differentiation between septic arthritis and transient synovitis of the hip in children. J Bone Joint Surg Am. 2004;86A(8):16291635.Google Scholar
Herring, JA, Kim, HT, Browne, R. Legg–Calve–Perthes disease. Part II: Prospective multicenter study of the effect of treatment on outcome. J Bone Joint Surg Am. 2004;86A(10):21212134.Google Scholar
Wiig, O, Terjesen, T, Svenningsen, S. Prognostic factors and outcome of treatment in Perthes’ disease: a prospective study of 368 patients with five-year follow-up. J Bone Joint Surg Br. 2008;90(10):13641371.CrossRefGoogle ScholarPubMed
Wright, JG. Evidence-Based Orthopaedics. The Best Answers to Clinical Questions, ed. Wright, J.. Philadelphia: Saunders; 2009.Google Scholar
Daly, K, Bruce, C, Catterall, A. Lateral shelf acetabuloplasty in Perthes’ disease. A review of the end of growth. J Bone Joint Surg Br. 1999;81(3):380384.Google Scholar
Domzalski, ME, Glutting, J, Bowen, JR, Littleton, AG. Lateral acetabular growth stimulation following a labral support procedure in Legg–Calve–Perthes disease. J Bone Joint Surg Am. 2006;88(7):14581466.Google ScholarPubMed
Bankes, MJ, Catterall, A, Hashemi-Nejad, A. Valgus extension osteotomy for ‘hinge abduction’ in Perthes’ disease. Results at maturity and factors influencing the radiological outcome. J Bone Joint Surg Br. 2000;82(4):548554.Google Scholar
Segev, E, Ezra, E, Wientraub, S, Yaniv, M, Hayek, S, Hemo, Y. Treatment of severe late-onset Perthes’ disease with soft tissue release and articulated hip distraction: revisited at skeletal maturity. J Child Orthop. 2007;1(4):229235.Google Scholar
Laklouk, MA, Hosny, GA. Hinged distraction of the hip joint in the treatment of Perthes disease: evaluation at skeletal maturity. J Pediatr Orthop B. 2012;21(5):386393.CrossRefGoogle ScholarPubMed
Davids, JR, Blackhurst, DW, Allen, BL. Jr Clinical evaluation of bowed legs in children. J Pediatr Orthop B. 2000;9(4):278284.CrossRefGoogle ScholarPubMed
Levine, AM, Drennan, JC. Physiological bowing and tibia vara. The metaphyseal–diaphyseal angle in the measurement of bowleg deformities. J Bone Joint Surg Am. 1982;64(8):11581163.Google Scholar
O’Neill, DA, MacEwen, GD. Early roentgenographic evaluation of bowlegged children. J Pediatr Orthop. 1982;2(5):547553.Google Scholar
McCarthy, JJ, Betz, RR, Kim, A, Davids, JR, Davidson, RS. Early radiographic differentiation of infantile tibia vara from physiologic bowing using the femoral–tibial ratio. J Pediatr Orthop. 2001;21(4):545548.CrossRefGoogle ScholarPubMed
Herring, JA (Ed.). Tachdjians Pediatric Orthopaedics, Vol. 1. Philadelphia: Saunders Elsevier; 2008.Google Scholar
Raney, EM, Topoleski, TA, Yaghoubian, R, Guidera, KJ, Marshall, JG. Orthotic treatment of infantile tibia vara. J Pediatr Orthop. 1998;18(5):670674.CrossRefGoogle ScholarPubMed
Richards, BS, Katz, DE, Sims, JB. Effectiveness of brace treatment in early infantile Blount’s disease. J Ped Orthopaed. 1998;18(3):374380.CrossRefGoogle ScholarPubMed
Ramsey, PL, Lasser, S, MacEwen, GD. Congenital dislocation of the hip: use of the Pavlik harness in the child during the first six months of life. 1976. J Bone Joint Surg Am. 2002;84A(8):1478; discussion 1478.Google Scholar

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