- Presentation:Paediatric Orthopedics.

Presentation: Paediatric Orthopedics.

The presentation is about:-

1. Transient Synovitis Of The Hip.
2. Coxa vara.
3. Legg–Calvé–Perthes syndrome.
4. Slipped capital femoral epiphysis.

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- Hutchinson’s Triad.

Hutchinson's triad

It is a common pattern of presentation for congenital syphilis.
It consists of :-

1. Interstitial keratitis
2. Hutchinson incisors
3. Eighth nerve deafness.

Dr Ibrahim

Return to other triads here.

- Compound fracture grading - Gustilo-Anderson grading.

Compound fracture grading 

Gustilo-Anderson grading.

- Grade I :- clean , less than 1cm wound , minimal soft tissue injury, simple or minimally comminuted fracture. 

- Exploding head syndrome.

Exploding head syndrome

 

Def:- is a condition that causes the sufferer occasionally to experience a tremendously loud noise as originating from within his or her own head, usually described as the sound of an explosion, roar, gunshot, loud voices or screams, a ringing noise, or the sound of electrical arcing (buzzing).
This noise usually occurs within an hour or two of falling asleep, but is not necessarily the result of a dream and can happen while awake as well.

Causes:- 
The cause of the exploding head syndrome (EHS) is not known, but :

• Some physicians have reported its correlation with stress, anxiety, and extreme fatigue.
• It may be the result of a sudden movement of a middle ear component or of the eustachian tube. 
• It may be the result of a form of minor seizure in the temporal lobe where the nerve cells for hearing are located.

- Renal trauma grading scale.

Basically we can divide renal trauma into five grades.

The grades I , II and III are classified as minor traumas, and the grades IV,V as major :-

• Grade I: contusion or subcapsular hematoma, without parenchymal laceration.
• Grade II: superficial cortical laceration less than 1 cm deep.
• Grade III: deep cortical laceration extending more than 1 cm.
• Grade IV:
1. corticomedullary laceration with collecting system injury and urinary extravasation. 
2.  vascular injury:- laceration or thrombosis of a segmental artery.

• Grade V:
1. Multiple deep lacerations.
2. Thrombosis of the main renal artery.
3. Avulsion of renal hilum which devascularizes kidney.