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Dr. Vivek Shrivastava, a renowned medical professional based in Indore, brings over 23 years of expertise in pediatrics and orthopedics.
Radial Club Hand
Radial club hand is a congenital birth defect where the radius bone, one of the two bones in the forearm, is underdeveloped or absent. This can cause the hand to appear “clubbed” or bent toward the thumb side.
Severity Levels
The condition can vary in severity, ranging from mild shortening of the radius to a complete absence.
Associated Conditions
Radial club hand may be associated with other birth defects or syndromes, such as:
- Poland syndrome: A rare condition that affects the chest and arm.
- Fanconi anemia: A rare inherited blood disorder.
- Holt-Oram syndrome: A condition that affects the heart and arms.
Treatment
Treatment for radial club hand often involves a combination of surgery, therapy, and prosthetics. The specific approach will depend on the severity of the condition.
Common treatments may include:
- Surgery: To correct the deformity, lengthen the forearm, or improve hand function.
- Therapy: To strengthen muscles and improve hand function.
- Orthotics To provide support and function.
Knock Knee
Knock knee, also known as genu valgus, is a condition where the knees touch or nearly touch each other, causing a gap between the ankles. It’s common in children and often corrects itself with growth.
Causes:
1. Genetic predisposition
2. Growth and development
3. Injury or trauma
4. Infections (e.g., osteomyelitis)
5. Neuromuscular disorders (e.g., cerebral palsy)
6.Metabolic disorder eg Rickets
Symptoms:
1. Knees touch or nearly touch
2. Gap between ankles
3. Uneven gait or walking pattern
4. Difficulty standing or balancing
5. Pain or discomfort in knees, legs, or feet
Treatment:
1. Observation and monitoring
2. Bracing or orthotics
3. Physical therapy
4. Surgery (in severe cases)
Exercises to help correct knock knee:
1. Strengthening exercises (leg lifts, squats, lunges)
2. Stretching exercises (hamstring, quadriceps)
3. Balance and coordination exercises
When to seek medical attention:
1. Severe knock knee
2. Pain or discomfort
3. Difficulty walking
4. Uneven growth or development
5. Concerns about appearance or self-esteem
Foot Deformities
Hallux valgus, also known as bunions, is a common foot deformity characterized by:
Characteristics:
1. Lateral deviation of the big toe (hallux)
2. Medial prominence of the first metatarsal bone
3. Bony bump or lump at the base of the big toe
4. Pain, redness, and swelling
Causes:
1. Genetics
2. Poor footwear (tight, narrow, or high-heeled)
3. Abnormal gait or biomechanics
4. Arthritis (e.g., rheumatoid, osteoarthritis)
5. Neuromuscular disorders (e.g., cerebral palsy)
Symptoms:
1. Pain or discomfort at the base of the big toe
2. Redness and swelling
3. Difficulty walking or standing
4. Pressure on adjacent toes
5. Corns or calluses
Treatment:
Non-surgical:
1. Orthotics or shoe inserts
2. Padding or taping
3. Physical therapy
4. Medications (pain relievers, anti-inflammatory)
5. Lifestyle modifications (wider shoes, avoiding high heels)
Surgical:
1. Bunionectomy (removal of the bony prominence)
2. Osteotomy (cutting and realigning the bone)
3. Arthrodesis (joint fusion)
4. Soft tissue procedures
Complications:
1. Chronic pain
2. Limited mobility
3. Arthritis progression
4. Wound complications
5. Recurrence
Prevention:
1. Wear proper fitting shoes
2. Avoid high heels
3. Use orthotics or arch supports
4. Maintain a healthy weight
5. Exercise regularly
Cerebral palsy
Orthopedic surgery is commonly performed in cerebral palsy (CP) patients to address musculoskeletal issues that affect mobility, posture, and overall quality of life. Here’s an overview of orthopedic surgery in CP patients:
Common Orthopedic Issues in CP Patients:
1. Muscle spasticity and contractures
2. Hip subluxation or dislocation
3. Knee flexion or extension contractures
4. Foot deformities (e.g., equinus, varus, or valgus)
5. Scoliosis and other spinal deformities
6. Osteoporosis and fractures
Surgical Goals:
1. Improve mobility and function
2. Enhance posture and balance
3. Reduce pain and discomfort
4. Prevent or correct deformities
5. Improve overall quality of life
Common Orthopedic Surgeries:
1. Muscle lengthening procedures: Lengthening of muscles and tendons to reduce spasticity and contractures.
2. Tendon transfers: Transferring tendons to improve muscle balance and function.
3. Osteotomies: Cutting and realigning bones to correct deformities.
4. Hip reconstruction: Surgery to correct hip subluxation or dislocation.
5. Spinal fusion: Surgery to correct scoliosis or other spinal deformities.
6. Clubfoot correction: Surgery to correct foot deformities.
7. Bone stabilization: Surgery to stabilize bones and prevent fractures.
Considerations and Challenges:
1. Complexity of CP: Each patient’s condition is unique, requiring individualized treatment plans.
2. Multiple surgeries: CP patients may require multiple surgeries throughout their lifetime.
3. Anesthesia risks: Patients with CP may have increased anesthesia risks due to associated medical conditions.
4. Postoperative care: Requires specialized rehabilitation and therapy to optimize outcomes.
5. Growth considerations: Surgeons must consider growth plates and potential impact on future growth.
Preoperative Evaluation:
1. Comprehensive medical history and physical examination
2. Imaging studies (e.g., X-rays, CT scans, MRI)
3. Assessment of cognitive and communication abilities
4. Evaluation of nutritional status and bone health
5. Consultation with rehabilitation team and other specialists
Postoperative Rehabilitation:
1. Pain management
2. Physical therapy to maintain range of motion and strength
3. Occupational therapy to improve daily functioning
4. Orthotics and assistive devices to support mobility and balance
5. Regular follow-up with orthopedic surgeon and rehabilitation team
Outcomes and Research:
1. Improved mobility and function
2. Reduced pain and discomfort
3. Enhanced quality of life
4. Prevention of deformities and complications
5. Ongoing research focuses on optimizing surgical techniques, improving outcomes, and reducing complications.
About
Our mission is to provide the best services.
More Than 23 Years Of Experience .Senior Pediatric Orthopedic Surgeon .Practicing Bone Problem In Children. He Is Credited With Starting First Pediatric Orthopedic Unit In State Of Madhya Pradesh India. He Is Fellowship Trained In Pediatric Orthopedic At Various Centre In India & Japan. All Fractures & Deformity Are Treated With Latest Techniques. He Has Experience Of More Then 5000 Surgeries And Trusted By Thousands Of Patients.
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