Orthopedic Conditions

Hi everyone, I would like to get some enlightment on pratical aspect of the metabolic bone disease of prematurity or neonatal osteopenia. I have tried to find some reviews but I must confess that, in clinical situation, i am sligthly lost. - Do you perform systematic screening? To whom? How? - How do you diagnose this condition? Based on x-ray, ALP, Ca / P serum, urine Ca / P? - How do you treat? For how long? How do you monitor treatment? and... do you have a nice guidelines for dummies? 😉 Many thanks in advance. Antoine

It has recently been brought to my attention that the suture of the pedunculated vestigial digit in post-axial polydactilly has been associated with development of painful neuroma over time! I have always ligated these vestigial non-bonny digits and have them follow up with their PCP.Here is some of the articles: Pediatr Dermatol. 2010 Jan-Feb;27(1):39-42. doi: 10.1111/j.1525-1470.2009.01071.x. A selective approach to treatment of ulnar polydactyly: preventing painful neuroma and incomplete excision. Mullick S1, Borschel GH. Pediatr Dermatol. 2009 Jan-Feb;26(1):100-2. doi: 10.1111/j.1525-1470.2008.00835.x. Traumatic amputation of a supernumerary digit: a 16-year-…

Male neonate at birth noted bony hard swelling right lower limp with few creases over lower end of leg(? amniotic band).All joint movement are free.Reflex complete. Imaging pictures are posted for comments. Plan for HPE examination. All maternal serology negative. ?Neonatal Osteofibrousdysplasia

Hi all! Baby 24 week gestation (820 g) in 21 day after birth without previous infection, anemia, O2 therapy, IV infusion, in good condition, develop osteomielitis of left hip. Blood culture- negative, stool – Staph. epidermidis. In R the slot of left hip joint is more than right on 2 mm. Do you use a local therapy, and what? Do you use immobilization, and how? Many thanks, Alex.

Neonatal - Orthopedic and Musculoskeletal Problems: Image Library McGraw Hill Lange LINK

Some informative publications: Clinical practice guideline: early detection of developmental dysplasia of the hip. Committee on Quality Improvement, Subcommittee on Developmental Dysplasia of the Hip. American Academy of Pediatrics. Pediatrics. 2000 Apr;105(4 Pt 1):896-905. PubMed PMID: 10742345. LINK TO DOWNLOAD ACR Appropriateness Criteria on developmental dysplasia of the hip--child. Karmazyn BK, Gunderman RB, Coley BD, Blatt ER, Bulas D, Fordham L, Podberesky DJ, Prince JS, Paidas C, Rodriguez W; American College of Radiology. J Am Coll Radiol. 2009 Aug;6(8):551-7. LINK TO DOWNLOAD American Institute of Ultrasound in Medicine; American Col…

While surfing I ran into this beautiful website----not specific for neonatology - but still beautiful LINK

We have a intersting case,suspect to Nail patella sindromeis it posible to derminate this sindrome in neonatal period

Dear Colleague, Have you face a spontaneous femur fracture after CS delivery? ie without predisposing bone disease!