أ. د حسان النعمان

استاذ - وكيل كلية الطب لشئون الدراسات العليا والبحوث

كلية الطب

العنوان: العنوان الشخصى : ش الجمهورية بسوهاج -عنوان العمل : كلية الطب البشرى-جامعة سوهاج


2018-10-24 12:27:04 | 0 | Pediatric orthopedic surgery
Elbow Dislocation - Pediatric
ELBOW DISLOCATION - PEDIATRIC INTRODUCTION Description pediatric elbow dislocations usually occur in older children (10-15 years) and can be associated with other elbow fractures including a medial epicondyle fracture with an incarcerated intra-articular bone fragment. * treatment is usually closed reduction followed by brief immobilization unless the medial epicondyle has an incarcerated fragment in the joint that is blocking reduction. ... إقراء المزيد

2018-10-24 12:25:51 | 0 | Pediatric orthopedic surgery
Distal Clavicle Physeal Fractures
Introduction Description * injury to the distal physis of the clavicle in skeletally immature patients * most can be treated nonoperatively with sling immobilization Epidemiology * rare injury, accounting for only 5%-10% of clavicle fractures in children Pathophysiology mechanism * fall onto an outstretched extremity or onto side of the shoulder. * direct blow * child abuse (rare cause) pathoanatomy ... إقراء المزيد

2018-10-24 12:24:59 | 0 | Pediatric orthopedic surgery
Diastrophic Dysplasia
Introduction A form of short-limbed dwarfism caused by failure of formation of secondary ossification center (epiphysis) * associated with progressive deformity Epidemiology * more common Finland * rare in rest of world Genetics * autosomal recessive mutation in _DTDST gene (SLC26A2)_ on chromosome 5 * encodes for sulfate transporter protein * mutation is present in 1 in 70 Finnish citizens ... إقراء المزيد

2018-10-24 12:23:55 | 0 | Pediatric orthopedic surgery
Larsen's Syndrome
Introduction A rare genetic disorder with characteristic findings of ligamentous hyperlaxity, abnormal facial features, and multiple joint dislocations dislocations include * hips * knees (usually bilateral) * shoulders * elbows (radial head) Epidemiology * estimated to be 1 in 100,000 live births Genetics autosomal dominant (AD) and recessive (AR) inheritance patterns * AD linked to a mutation of the gene ... إقراء المزيد

2018-10-24 12:23:04 | 0 | Pediatric orthopedic surgery
INTRODUCTION * Nonprogressive congenital disorder involving multiple rigid joints (usually symmetric) leading to severe limitation in motion Epidemiology * incidence 1:3000 live births Mechanism symmetry of contractures due to immobilization in utero * neurogenic (90%) * myopathic (10%) Pathophysiology exact mechanism unknown * some mothers have serum antibodies inhibiting the fetal acetylcholine receptors leading to a decreased number of anterior ... إقراء المزيد

2018-10-24 12:21:40 | 0 | Pediatric orthopedic surgery
Friedreich's Ataxia
Introduction The most common form of spinocerebellar degenerative diseases characterized by lesions in the * dorsal root ganglia * corticospinal tracts * dentate nuclei in the cerebellum * sensory peripheral nerves Epidemiology * 1 in 50,000 births onset usually between 7 and 25 years * age of onset related to number of GAA repeats Genetics * autosomal recessive repeat mutation ... إقراء المزيد

2018-10-24 12:20:11 | 0 | Pediatric orthopedic surgery
Medial Epicondylar Fractures - Pediatric
Introduction Overview a fracture of the medial epicondyle of the elbow that is the third most common fracture seen in children and is usually seen in boys between the age of 9 and 14. * treatment is controversial but is usually nonoperative unless the medial epicondyle is incarcerated in the joint. Epidemiology incidence * account for up to 20% of ... إقراء المزيد

2018-10-24 12:18:41 | 0 | Pediatric orthopedic surgery
Distal Radius Fractures - Pediatric
INTRODUCTION Epidemiology incidence * common - forearm fractures in total account for approximately 40% of all pediatric long bone fractures * distal radius (and ulna) is the most common site of pediatric forearm fractures. * male > female (male 2-3 times more common than female) demographics * most common during metaphyseal growth spurt peak incidence occurring from: * 10-12 years ... إقراء المزيد

2018-10-24 12:16:58 | 0 | Pediatric orthopedic surgery
Lateral Condyle Fracture - Pediatric
Introduction Overview pediatric lateral condyle fractures are the second most common fractures in the pediatric elbow and are characterized by a higher risk of nonunion, malunion, and AVN than other pediatric elbow fractures. * treatment is dictated by the degree of articular displacement and may require CRPP or open reduction. Epidemiology incidence * 17% of all distal humerus fractures in ... إقراء المزيد

2018-10-24 12:15:48 | 0 | Pediatric orthopedic surgery
Radial Head and Neck Fractures - Pediatric
Introduction Overview radial neck fractures in children are a relatively common traumatic injury that usually affects the radial neck (metaphysis) in children 9-10 years of age. * treatment depends on the degree of angulation and is surgical if angulation remains greater than 30 degrees after closed reduction is attempted. Epidemiology demographics * median age is 9-10 years * no difference ... إقراء المزيد