Article

Pelvic osteotomies for the treatment of hip dysplasia in children and young adults

BL Gillingham, AA Sanchez and DR Wenger

Division of Pediatric Orthopedics, Department of Orthopedics, Naval Medical Center, San Diego, CA 92134-1005, USA.

Persistent acetabular dysplasia is a well-known cause of premature hip osteoarthritis. In the dysplastic hip, point loading occurs at the edge of the steep, shallow acetabulum. Pelvic osteotomies reduce this load by increasing the contact area, relaxing the capsule and muscles about the hip, improving the moment arm of the hip, and normalizing the forces of weight bearing. The orthopaedic surgeon can choose from among a variety of pelvic osteotomies (e.g., redirectional, reshaping, and salvage) for the purpose of restoring normal anatomy and biomechanical forces across the hip joint. Treatment of residual dysplasia is based on the patient’s age and the presence or absence of congruent hip reduction. A Salter or Pemberton procedure is generally appropriate for a child between the ages of 2 and 10. A triple innominate osteotomy can be considered for the older child or adolescent in whom the triradiate cartilage remains open. After triradiate closure, the Ganz periacetabular osteotomy can be considered in addition to the triple innominate osteotomy.

Are You Smarter Than Medical Personnel?

Sure, a twist in the title to “Are You Smarter Than a Fifth Grader”…but are you smarter than the medical personnel you deal with on a day to day basis? The ones YOU have to deal with the get the care YOU need?

Here’s a study shack full of muskuloskeletal questions I stumbled upon moons ago, but I decided it’s worth posting here…you never know just how much you reallllly know, until tested! Wonder how often med staff have to be re-tested…hmmm…without being provided any answers…hmmm…

Have fun…or don’t…it’s up to you!

http://www.studystack.com/menu-169926

Full Text: Post-PAO Fractures

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2505263/

by Drs. Espinosa, Strassberg, Belzile, Millis, Kim

One Hell of a Week

It’s over. It’s done. Finally.

Almost 2 months of approval was suddenly halted this week because….???

I have some very important thoughts on the subject, but I will not share them here. I’ve decided certain people and their short comings are not worth anymore of my time, energy, or life. But let’s just say the right people were contacted and informed of the issues that were experienced, the lies, and the malintentions.

In the interim, a  hip surgeon kindly replied via email and responded to the ongoing hip issues…including ensuring me that pursuing these issues was important and the timeliness of the email was much appreciated. It was my light at the end of this week’s dark tunnel.

My kiddo’s looked at me the last few days telling me “Mommy, you don’t look well at all” and really, with all the stress and frustrations I was dealing with it really was affecting me. Today they said “Mom! You have color back in your face again!” And life moves on…

How To Deal With Problems

To:            YOU
Date:         TODAY
From:        GOD
Subject:     YOURSELF
Reference:  LIFE

This is God.  Today I will be handling all of your
problems for you.  I do NOT need your help.  So, have a
nice day.  I love you. And, remember…. If life
happens to deliver a situation to you that you cannot
handle, do NOT attempt to resolve it yourself!  Kindly put
it in the SFGTD (something for God to do) box. I will get to
it in My time.  All situations will be resolved, but in My
time, not yours.  Once the matter is placed into the box,
do not hold onto it by worrying about it.  Instead, focus
on all the wonderful things that are present in your life
now. Should you decide to send this to a friend; Thank you.
You may have touched their life in ways you will never know!

(was in my inbox today sent from a very special person!)

Drunk…In the Name of Science

New article about trauma patients suggesting those with alcohol consumption may have higher rates of survival…don’t know that I buy it, and think I will continue to live without it:

http://www.orthosupersite.com/view.asp?rid=44401

Doctor Bias

A very interesting article on the bias of doctors and how it can affect medical record reporting:

http://www.orthosupersite.com/view.asp?rID=43765