Paediatric Orthopaedics

Mastering the art and science of paediatric orthopaedics entails the acquisition of theoretical knowledge, the development of surgical dexterity and learning the process of clinical decision-making. Of these three components, clinical decision-making is arguably the most important.

Featuring a practical focus, Paediatric Orthopaedics: A System of Decision-Making provides a guide to managing a wide spectrum of orthopaedic conditions in children. The book provides strategies for determining an optimum management approach to follow in any given situation, thus empowering surgeons to adapt their approach to the needs of individual patients.

The book addresses 73 topics in 9 sections covering the majority of orthopaedic conditions in children. This simplifies both organization and navigation and creates a design that is suitable for reading either in its entirety or for quick reference.Eminent paediatric orthopaedists have pooled their experience and knowledge to provide a logical approach to the evaluation and treatment of both common and some uncommon conditions.

Readers are given insight into decision-making trees where choices are not always made on science alone but governed also by social issues or patient preference. The text has been fully updated and, with the introduction of colour illustrations, is an invaluable tool for all those working in paediatric orthopaedics.

CONTENTS

DEFORMITIES

General Principles of Treatment of Deformities in Children

Equinus Deformity

Equinovarus

Calcaneus Deformity

Cavus

Congenital Vertical Talus

Planovalgus Deformity

Valgus Deformity of the Ankle and Subtalar Joint

Metatarsus Adductus and Skewfoot

Anterolateral Bowing of the Tibia and Congenital Pseudarthrosis of the Tibia

Posteromedial Bowing of the Tibia

Tibial Torsion

Flexion Deformity of the Knee

Genu Recurvatum

Genu Varum

Genu Valgum

Coxa Vara

Femoral Anteversion

Cubitus Varus and Valgus

Varus and Valgus Deformity of the Wrist

Scoliosis

Kyphotic Deformities of the Spine

Torticollis

DISLOCATIONS

Developmental Dysplasia of the Hip

Paralytic Dislocation of the Hip: Cerebral Palsy

Paralytic Dislocation of the Hip: Spina Bifida and Polio

Teratologic Hip Dislocation in Multiple Congenital Contractures

Post Infective Hip Dysplasia

Congenital Dislocation of the Knee

Congenital Dislocation of the Patella

Recurrent and Habitual Dislocation of the Patella

Recurrent and Voluntary Dislocation of the Shoulder

Radial Head Dislocation

Atlantoaxial Instability

DEFICIENCIES

Fibular Hemimelia

Tibial Hemimelia

Congenital Short Femur and Proximal Focal Femoral Deficiency

Distal Focal Femoral Deficiency

Radial Club Hand

Ulnar Club Hand

Thumb Deficiencies

DISCREPANCIES OF LIMB LENGTH

General Principles of Management of Discrepancies of Limb Length in Children

Limb Discrepancy of the Femur

Limb Discrepancy of the Tibia

Discrepancies of Length in the Fibula

Length Discrepancy of the Metatarsals

Length Discrepancy of the Humerus

Discrepancies of Length in the Forearm

DECREASED JOINT MOBILITY

General Principles of Management of Decreased Joint Mobility in Children

Congenital Radio-Ulnar Synostosis

Tarsal Coalition

Contractures of Muscles

PARALYSES

General Principles of Management of Lower Motor Neuron Paralysis

The Paralysed Hip

The Paralysed Knee

The Paralysed Foot and Ankle

The Paralysed Elbow

The Paralysed Shoulder in the Child

The Paralysed Elbow and Shoulder in the Infant

The Paralysed Hand and Wrist

General Principles of Management of Upper Motor Neuron Paralysis

The Spastic Foot and Ankle

The Spastic Knee

The Spastic Hip

The Spastic Forearm and Hand

The Spastic Thumb

EPIPHYSEAL AND PHYSEAL PROBLEMS

Blount’s Disease

Perthes’ Disease

Slipped Capital Femoral Epiphysis

Physeal Bar

INFECTIONS

Acute Septic Arthritis

Acute Osteomyelitis

ACQUIRED DEFECTS OF BONE

Diaphyseal Bone Loss

Benjamin Joseph, MS (Orth), MCh Orth, FRCS Ed, adjunct professor of paediatric orthopaedics, Christian Medical College, Vellore, India; and consultant paediatric orthopaedic surgeon Aster Medcity, Kochi, India

Selvadurai Nayagam, BSc, MCh(Orth), FRCS Ed (Trauma and Orth), consultant orthopaedic surgeon, Royal Liverpool Children's Hospital; and honorary reader, University of Liverpool, UK

Randall T. Loder, MD, garceau professor of orthopaedic surgery, Indiana University School of Medicine, Indianapolis; and chief of orthopaedics, James Whitcomb Riley Children’s Hospital, Indianapolis, USA

Ian Torode, MBBS, FRCS (C), FRACS, former director of clinical orthopaedics and deputy director of orthopaedics, Royal Children's Hospital, Melbourne, Australia