Soroush Baghdadi; Taghi Baghdadi
Abstract
AbstractTraumatic dislocation of the hip is rare in children. Complications occur in cases with associated injuries and delayed treatment. Treatment options are limited in case of avascular necrosis. We report a case of 6 year old girl who presented with stiffness and deformity of left hip with increased ...
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AbstractTraumatic dislocation of the hip is rare in children. Complications occur in cases with associated injuries and delayed treatment. Treatment options are limited in case of avascular necrosis. We report a case of 6 year old girl who presented with stiffness and deformity of left hip with increased lumbar lordosis and inability to walk due to a post traumatic AVN that happened after a traumatic hip dislocation at the age of 18 months. She successfully underwent head reduction osteotomy, utilizing pre-op 3D-printed models. The procedure was successful in terms of correcting her deformities, relieving pain and her ability to ambulate after 3 years of follow up. This case suggests that femoral head reduction osteotomy, with minimal modifications, can be performed in children as young as 6-years old. 3D-modeling is a great addition to the tools a surgeon can use, in the preoperative planning of difficult osteotomies, as well as education of the residents and fellows. Level of Evidence: Therapeutic Level V – Case reportFunding: No funding was received for this study.
Amirreza Farhoud; Reza Yousefian; Soroush Baghdadi; Taghi Baghdadi
Abstract
Chondrodysplasia punctata, characterized by transient and stippled calcification in epiphyses during first year of life and delay of their ossification, and disorders such as cataract and short limbs could present with congenital dislocation of hips or coxa vara. In this case report, a case of this rare ...
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Chondrodysplasia punctata, characterized by transient and stippled calcification in epiphyses during first year of life and delay of their ossification, and disorders such as cataract and short limbs could present with congenital dislocation of hips or coxa vara. In this case report, a case of this rare skeletal dysplasia is introduced that had been treated with pavlic harness as bilateral CDH for long time. Ultrasonography and MRI before open reduction of hips demonstrated reduced cartilaginous femoral heads in acetabulums and bilateral coxa vara.
Taghi Baghdadi, MD; Seyed Mohammad Javad Mortazavi, MD; Afshin Pirahani, MD
Abstract
Background: Spasticity is the most common manifestation of cerebral palsy. In order to decrease the spasticity, oral medications, direct intramascular injections of alcohol, phenol or Botulinum toxin, or surgery are used. This study aimed at comparing the efficacy of 45% ethanol injection with that of ...
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Background: Spasticity is the most common manifestation of cerebral palsy. In order to decrease the spasticity, oral medications, direct intramascular injections of alcohol, phenol or Botulinum toxin, or surgery are used. This study aimed at comparing the efficacy of 45% ethanol injection with that of Botulinum toxin injection in the spastic calf muscles of diplegic cerebral palsy children.Methods: Seventy five children (34 girls, 41 boys) with diplegia were divided into three groups: Group 1 received one injection of 45% alcohol followed by 4 weeks of cast immobilization, and then physiotherapy group 2 received Botulinum toxin followed by physiotherapy and group 3 had only physiotherapy with no injection or immobilization. The walking pattern of all three groups were evaluated clinically in one year in terms of independency from walking support, heel-toe gait pattern, neutral position of hind foot at heel strike, and ankle position in stance phase.Results: At one year, support independency was observed in 60% of group 1, 25% of group 2 and 40% of group 3 treated cases. The results in heel-toe gait were 100%, 90% and 50% respectively. Neutral heel placement was observed in 60%, 25% and 12.5%. Neutral ankle position was seen in 100%, 100% and 10% respectively.Conclusions: 45% alcohol injection into calf muscles of spastic diplegic cerebral palsy children gives as good or better result than Botulinum toxin injection. Because of its lower cost and easier accessibility, it is preferred over Botulinum toxin.
