AM:STARs Musculoskeletal Disorders :Adolescent Medicine: State of the Art Reviews, Vol. 18, No. 1 ( Adolescent Medicine: State of the Art Re )

Publication subTitle :Adolescent Medicine: State of the Art Reviews, Vol. 18, No. 1

Publication series :Adolescent Medicine: State of the Art Re

Author: Donald E. Greydanus  

Publisher: American Academy of Pediatrics‎

Publication year: 2007

E-ISBN: 9781581104066

P-ISBN(Paperback): 9781581102550

Subject: R72 Pediatrics

Keyword: 儿科学

Language: ENG

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Description

Topics in Musculoskeletal Disorders include “Musculoskeletal Diagnosis in Adolescents,” “An Introduction to Physical Therapy Modalities,” “Metabolic Bone Disease in Adolescents: Recognition, Evaluation, Treatment, and Prevention,” “Chronic Arthritis in Adolescence,” “Diagnosis and Management of Bone Malignancy in Adolescence,” “Osteomyelitis in Adolescents,” “Overuse Injuries in Adolescents,” “Scoliosis and Kyphosis: Diagnosis and Management,” “Diagnosis and Management of Back Pain in Adolescents,” “Hip Disorders in the Adolescent,” “Foot Problems in the Adolescent,” “Anterior Knee Pain in Adolescents and Young Adults,” and “Reflex Sympathetic Dystrophy.”

Chapter

Chronic Arthritis in Adolescence

Treatment

Renal osteodystrophy

Recognition

Treatment and prevention

Osteopetrosis/osteosclerosis

Recognition

Evaluation

Box 5. Osteopetrosis: 3 main clinical forms

Treatment

Glucocorticoids

Prevention and treatment

Antiseizure drugs

Chemotherapeutic drugs

Anticoagulants

Diuretics

Others

Acknowledgments

References

Chronic Arthritis in Adolescence

Juvenile arthritis

Oligoarthritis

Polyarthritis

Juvenile psoriatic arthritis

Infection-associated chronic arthritis

Lyme disease

Reactive arthritis

Inflammatory bowel disease

Other autoimmune disorders

Developmental and psychosocial issues

Conclusions

Acknowledgments

References

Diagnosis and Management of Bone Malignancy in Adolescence

Osteosarcoma

Epidemiology

Pathogenesis

Diagnosis

Radiologic appearance

Pathology

Evaluation

Treatment

Chemotherapy

Surgery

Prognosis

Ewing sarcoma

Epidemiology

Pathogenesis

Diagnosis

Clinical manifestations

Evaluation

Treatment

Surgery and radiation therapy

Prognosis

Survivorship issues in patients with bone tumors

Other malignant bone tumors

Acknowledgments

References

Osteomyelitis in Adolescents

Pathogenesis

Table 1 - Etiology of osteomyelitis in children and adolescents

Microbiolog

Table 2 - Factors associated with osteomyelitis

Table 3 - Differential diagnosis of osteomyelitis

Epidemiologic and Clinical Features

Management

Antimicrobial therapy

Table 4 - Antibiotic treatment of osteomyelitis in children and adolescents

Table 5 - Osteomyelitis sequelae

Surgical therapy

Prognosis

Special situations

Chronic osteomyelitis

Pelvic osteomyelitis

Vertebral osteomyelitis

Puncture-wound osteomyelitis

Chronic recurrent multifocal osteomyelitis

Conclusions

References

Overuse Injuries in Adolescents

Vulnerability of the adolescent athlete

Stress fractures

Table 1 - Risk factors for developing stress fractures

Juvenile osteochondritis dissecans

Epidemiology

Clinical history and presentation

Diagnosis

Management

Indications for surgery

Apophysitis

Sever disease

Iselin disease

Osgood-Schlatter disease

Sinding-Larson-Johannsen disease

Iliac crest apophysitis

Injuries to the physis and epiphysis

Little-league shoulder

Little-league shoulder

Achilles tendinopathy

Patellar tendinopathy

Rotator-cuff tendinopathy

Prevention

Conclusions

References

Scoliosis and Kyphosis in Adolescents: Diagnosis and Management

Scoliosis

Physical examination

Imaging

Natural history

Pulmonary effects

Back pain

Cosmetic deformity

Bracing

Kyphosis

History

Clinical examination

Scheuermann kyphosis

Conclusions

References

Diagnosis and Management of Back Pain in Adolescents

Anatomy

Thoracic vertebrae

Lumbar vertebrae

Intervertebral discs

Muscles and ligaments of the vertebral column

Spinal curves

Table 1 - Back pain description by location

Table 2 - Detail of flexion- and extension-based injuries

Physical examination

Fig 1. Forward flexion

Fig 2. Single leg hyperextension.

Imaging

Fig 3. A, FABER testing. B, Gaenselen’s test

Fig 4. A, Thomas test of hip flexion contracture. B, Popliteal angle of hamstring tightness

Laboratory tests

Acute injuries

Muscular contusions

Muscular strains

Fractures

Chronic injuries

Posterior column injuries

Spondylolysis and spondylolisthesis

Facet syndrome

Transitional vertebrae

Lordotic low-back pain

Sacroiliac inflammation

Scheuermann kyphosis

Spinal tumors

Rehabilitation

Table 3 Rehabilitation phases

Conclusions

References

Additional Resources

Hip Disorders in the Adolescent

Slipped capital femoral epiphysis

Table 1 - Classification of typical SCFE

Clinical presentation

Radiographic findings

Demographics

Table 2 - Endocrinopathies associated with atypical ACFE

Pathoanatomy and etiology

Natural history

Athletic injuries of the hip and pelvis

Avulsion injuries

Table 3 - Sports-related hip and pelvic injuries in adolescents: differential diagnosis

Fractures/dislocations

Osteitis pubis

Fig 3. The iliotibial band slips anteriorly and posteriorly over the prominent greater trochanter

Sports hernia

Other conditions that affect the adolescent hip

Osteonecrosis of the proximal femur

Inflammatory disease

Osteochondritis dissecans

Adolescent acetabular dysplasia

References

Foot Problems in the Adolescent

Overriding fifth toe

Table 1 - Adolescent foot conditions

Juvenile bunion

Morton toe

Freiberg infraction

Table 3 - Nonsurgical treatments of Freiberg infraction

Stress fracture of metatarsals

Fig 2. Oblique radiograph of a foot with a cartilaginous calcaneonavicular coalition

Table 4 - Nonsurgical treatment of tarsal coalition

Fig 3. Anatomy of the plantar fascia

Table 5 - Neuromuscular disorders with pes cavus

Pes cavus

Table 6 - Names for pes planus

Conclusions

References

Anterior Knee-Pain Syndrome

Anatomy

Diagnosis and differential diagnosis

Etiology

Fig 1. Lateral tilt in a normal and subluxing patella as seen on a skyline view

Fig 3. Bipartite patella in a teenager. A, Anterior-posterior view; B, lateral view

Proprioception

AKP after ACL reconstruction

Meniscal injury

The bone scan and its relation to stress fractures, RSD, and intraosseous pressure

Patellofemoral alignment

Fig 4. Patellar height (note Osgood-Schlatter disease)

Fig 5. Osgood-Schlatter disease

Joint laxity

Forces and cartilage degeneration of the PFJ

Fig 6. Sinding-Larsen-Johansson disease

Grading cartilage damage

Patellar dislocationPatellar dislocation (Fig 7)

Fig 7. Habitual dislocation of the left patella in a teenaged girl

Psychological factors in AKPS

Measurements in AKPS

Physical examination

Natural course and treatment

Natural course of the disease

Conservative treatment

Surgical treatment

Prevention

Conclusions

References

Reflex Sympathetic Dystrophy: Reflections From a Clinician

Differential diagnosis - Confusion with fibromyalgia

Other differential diagnoses

Personal characteristics of patients with RSD

Physical examination

Laboratory evaluation of patients with RSD

Management - Physical therapy

Pharmacologic therapy

Psychological therapy

Alternative therapies

Prevention

Conclusions

References

Index

Back Cover

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