Editorial

Volume 9 | Issue 2 | May-August 2023 | Page: 01 | Jayanth S. Sampath

DOI- https://doi.org/10.13107/ijpo.2023.v09.i02.162

Authors: Jayanth S. Sampath FRCSEd (Tr & Orth) [1]

[1] Department of Orthopaedics, Rainbow Children’s Hospital, Bangalore, Karnataka, India.

Address of Correspondence

Dr. Jayanth S. Sampath,
Rainbow Children’s Hospital, Bangalore, Karnataka, India.
E-mail: editor.posi.ijpo@gmail.com

Editorial

On behalf of the Editorial Committee of Paediatric Orthopaedic Society of India, we are pleased to release the next issue of IJPO. The recent changes to the structure of our editorial board has allowed us to finalise this issue within a short time.
This issue of IJPO has several highlights. It features 5 original articles and 2 case reports by POSI members on a wide variety of topics within paediatric orthopaedics including hip dysplasia, children’s fractures, infection, and cerebral palsy. I would call the attention of the reader to a long-term epidemiological study on the incidence of fractures in adolescents. This work highlights that population-wide data collection is possible in the developing world, providing new insights into the aetiology and pathogenesis of musculoskeletal disorders in children.
We would like to invite our readers, particularly members of POSI and paediatric orthopaedic academic societies around the world, to join our panel of reviewers. This will provide an insight into the review process and contribute to the dissemination of knowledge within the profession.
We invite your suggestions and comments for any improvements to the journal. Kindly write to us editor.ijpo@gmail.com
I would like to acknowledge the contributions of Dr Gaurav Gupta, Associate Editor and Mr Saurabh Pullawar from Indian Orthopaedic Research Group who manages the page proofs, communications and the IJPO website.

Sincerely
Dr Jayanth S Sampath
Editor,
International Journal of Paediatric Orthopaedics

How to Cite this Article:  Sampat JS | Editorial | International Journal of Paediatric Orthopaedics | May-August 2023;9(2): 01. https://doi.org/10.13107/ijpo.2023.v09.i02.162

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Bimodal Presentation of Septic Shoulder as Shoulder Dislocation in Children

Volume 9 | Issue 2 | May-August 2023 | Page: 02-05 | Md. Rakibul Hassan, Qaisur Rabbi, Ayesha Hasina, Mehedi Hasan, Mahfoozur Rahman

DOI- https://doi.org/10.13107/ijpo.2023.v09.i02.163

Submitted: 21/11/2022; Reviewed: 20/12/2022; Accepted: 15/06/2023; Published: 10/08/2023

Authors: Md. Rakibul Hassan D-Ortho, MRCS (UK) [1], Qaisur Rabbi D-Ortho [2], Ayesha Hasina FCPS (Paed), MD (Paed), MCPS (Paed) [3], Mehedi Hasan MRCS (UK) [4], Mahfoozur Rahman D-Ortho [5]

[1] Department of Orthopaedics, Trauma & Spine Surgery Unit, Sheikh Fazilatunnessa Mujib Memorial KPJ Specialized Hospital, Gazipur, Dhaka, Bangladesh.
[2] Department of Pediatric Orthopaedics, Centre of Rehabilitation for Paralyzed, Savar & Mirpur-14, Dhaka, Bangladesh.
[3] Department of Paediatric & Neonatology, Sheikh Fazilatunnessa Mujib Memorial KPJ Specialized Hospital, Gazipur, Dhaka, Bangladesh.
[4] Department of Orthopaedics, Ahsania Mission Cancer Hospital, Dhaka, Bangladesh.
[5] Department of Trauma & Paediatric Orthopaedics, Eastern Medical Collage & Hospital, Cumilla, Bangladesh.

Address of Correspondence

Dr. Md. Rakibul Hassan,
Consultant, Department of Orthopaedics, Trauma & Spine Surgery, Sheikh Fazilatunnessa Mujib Memorial KPJ Specialized Hospital, Gazipur, Dhaka, Bangladesh.
E-mail: rimon.rakibulhassan@gmail.com

Abstract

Introduction: The presence of a largely cartilaginous humeral head in children makes it difficult to diagnose septic arthritis of the shoulder.
Patients and methods: We conducted a case note review of five patients who presented with septic arthritis of shoulder joint.
Results: The age of the affected children ranged from 6 months to 10 years. Patients presented on average after 22 days from onset of symptoms. Staphylococcus aureus and Pseudomonas aeruginosa were obtained on pus culture. All cases were treated operatively by arthrotomy and drainage along with appropriate antibiotic administration for a period of 6 weeks.
Conclusion: Successful treatment of septic arthritis of the shoulder was achieved in all cases. At an average follow-up of 6 months, good outcome was noted with restoration of full range of shoulder movements.
Keywords: Septic shoulder, Children, Shoulder dislocation

References

1.Saavedra J, Falup-Pecurariu O & Faust Set al. ESPID bone and joint infection guidelines, 2017. https://download.lww.com/wolterskluwer_vitalstream_com/PermaLink/INF/C/INF_36_8_2017_05_10_SAAVEDRA_217-327_SDC1.pdf (date last accessed 25 November 2020 ).
2.Montgomery NI, Epps HR. Pediatric septic arthritis. Orthop Clin North Am 2017; 48:209–216 .
3.Arnold JC, Bradley JS. Osteoarticular infections in children. Infect Dis Clin North Am 2015; 29:557–574 .
4.Krogstad P. Osteomyelitis and septic arthritis. In: Feigin RD, Cherry JD, editors. Textbook of Pediatric Infectious Diseases. 6th ed. Philadelphia, PA: Saunders; 2009:725–748.
5. Lejman T., Strong M., Michno P., Hayman M. Septic arthritis of the shoulder during the first 18 months of life. Journal of Pediatric Orthopaedics. 1995;15(2):172–175. doi: 10.1097/01241398-199503000-00008.
6. Perlman M. H., Patzakis M. J., Kumar P. J., Holtom P. The incidence of joint involvement with adjacent osteomyelitis in pediatric patients. Journal of Pediatric Orthopaedics. 2000;20(1):40–43. doi: 10.1097/00004694-200001000-00009.
7. Melville J. M., Moss T. J. M. The immune consequences of preterm birth. Frontiers in Neuroscience. 2013;7, article 79 doi: 10.3389/fnins.2013.00079.
8. Ogden J. A. Pediatric osteomyelitis and septic arthritis: the pathology of neonatal disease. The Yale Journal of Biology and Medicine. 1979;52(5):423–448.
9. Sen E. S., Clarke S. L. N., Ramanan A. V. The child with joint pain in primary care. Best Practice & Research: Clinical Rheumatology. 2014;28(6):888–906. doi: 10.1016/j.berh.2015.04.008.
10. Pääkkönen M., Kallio M. J. T., Kallio P. E., Peltola H. Sensitivity of erythrocyte sedimentation rate and C-reactive protein in childhood bone and joint infections. Clinical Orthopaedics and Related Research. 2010;468(3):861–866. doi: 10.1007/s11999-009-0936-1.
11. Belthur M. V., Palazzi D. L., Miller J. A., Phillips W. A., Weinberg J. A clinical analysis of shoulder and hip joint infections in children. Journal of Pediatric Orthopaedics. 2009;29(7):828–833. doi: 10.1097/BPO.0b013e3181b76a91.
12. Schallert E. K., Herman Kan J., Monsalve J., Zhang W., Bisset G. S., Rosenfeld S. Metaphyseal osteomyelitis in children: how often does MRI-documented joint effusion or epiphyseal extension of edema indicate coexisting septic arthritis? Pediatric Radiology. 2015:45 (8):1174–1181. doi: 10.1007/s00247-015-3293-0.
13. Volberg FM, Sumner TE, Abramson JS, Winchester PH. Unreliability of radiographic diagnosis of septic hip in children. Pediatrics 1984;73:118–20
14. Zamzam MM. The role of ultrasound in differentiating septic arthritis from transient synovitis of the hip in children. J Pediatr Orthop B 2006;15:418–22.
15. Gordon JE, Huang M, Dobbs M, et al. Causes of false-negative ultrasound scans in the diagnosis of septic arthritis of the hip in children. J Pediatr Orthop 2002;22:312–16.
16. Zawin JK, Hoffer FA, Rand FF, Teele RL. Joint effusion in children with an irritable hip: US diagnosis and aspiration. Radiology 1993;187:459–63.
17. Mazur JM, Ross G, Cummings J, Hahn GA Jr, McCluskey WP. Usefulness of magnetic resonance imaging for the diagnosis of acute musculoskeletal infections in children. J Pediatr Orthop 1995;15:144–7.
18. Gillespie R: septic arthritis of childhood. Clin Orthop 96:152-159. 1973
19. Griffin PP: Bone and joint infections in children. Pedi11tr Clin North Am 14:533-548. 1967
20. Lloyd-Roberts GC: Suppurative arthritis of infancy: Some observations upon prognosis and management. J Bone and Joi111 Surg [Br] 42:706-720. 1960
21. Morrey BF. Bianco AJ Jr. Rhodes RH: Septic arthritis in children. Ortho C/in North Am 6:923-934. 1975
22. Nelson JD: The bacterial etiology and antibiotic manage­ment of septic arthritis in infants and children. Pediatrics 50:437-440. 1972
23. Tuson CE, Hoffman EB, Mann MD. Isotope bone scanning for acute osteomyelitis and septic arthritis in children. J Bone Joint Surg [Br] 1994;76-B:306–10
24. Sundberg SB, Savage JP, Foster BK. Technetium phosphate bone scan in the diagnosis of septic arthritis in childhood. J Pediatr Orthop 1989;9:579–85
25. Bos CF, Mol LJ, Obermann WR, Tjin a Ton ER. Late sequelae of neonatal septic arthritis of the shoulder. J Bone Joint Surg Br 1998; 80:645–650.
26. Ernat J, Riccio AI, Fitzpatrick K, Jo C, Wimberly RL. Osteomyelitis is commonly associated with septic arthritis of the shoulder in children. J Pediatr Orthop 2017; 37:547–552
27. Xu G, Spoerri M, Rutz E. Surgical treatment options for septic arthritis of the hip in children. Afr J Paediatr Surg 2016; 13:1–5.

How to Cite this Article: Hassan MR, Rabbi Q, Hasina A, Hasan M, Rahman M | Bimodal Presentation of Septic Shoulder as Shoulder Dislocation in Children | International Journal of Paediatric Orthopaedics | May-August 2023; 9(2): 02-05 | https://doi.org/10.13107/ijpo.2023.v09.i02.163

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Management of Paediatric Monteggia Variant Fracture – Our Experience of Two Similar Cases

Volume 9 | Issue 2 | May-August 2023 | Page: 30-33 | Ramani Narasimhan, Vaibhav Gautam

DOI- https://doi.org/10.13107/ijpo.2023.v09.i02.169

Submitted: 13/05/2023; Reviewed: 09/06/2023; Accepted: 21/07/2023; Published: 10/08/2023

Authors: Ramani Narasimhan MS Ortho Fellow Paediatric Orthopaedic Surgey (USA) , Vaibhav Gautam MS Ortho

[1] Department of Paediatric Orthopaedics, Indraprastha Apollo Hospitals, New Delhi, India.

Address of Correspondence

Dr. Vaibhav Gautam,
Department of Paediatric Orthopaedics, Indraprastha Apollo Hospitals, New Delhi, India.
E-mail: vaibhavgtm1@gmail.com

Abstract

Introduction: The common mechanism of injury for Monteggia fracture is fall on outstretched hand with elbow extended and forearm in pronation causing a proximal fracture of ulna with dislocation of radial head. Monteggia injuries were classified by Bado into 4 sub-types based on the direction of displacement of the radial head and the presence of associated fracture (type 1 with anterior dislocation of radial head being most common). We managed two cases of Monteggia type 1 variant injury consisting of a fracture of the radial neck and anterior displacement of distal radial shaft without dislocation of the radiocapitellar joint.
Case report: We operated two children (5 and 9 years old respectively) with this Monteggia variant injury; displaced ulna shaft fracture with volar angulation, and fracture neck radius with anterior displacement of radial shaft. Ulna fracture was fixed by elastic nailing and radial neck fracture was managed by closed means (with or without fixation). At final follow up (2 and 7 years later respectively), both the children had excellent outcomes with good range of pronation and supination movements.
Conclusion: In the management of Monteggia equivalent lesions, an understanding of the direction of displacement of radial shaft will help in formulating the appropriate method of fracture reduction. Closed reduction of the radial neck fracture is preferred since the results of open reduction are poor especially in terms of regaining pronation and supination movements.
Keywords: Monteggia, Forearm fracture, Monteggia variant

References

1. Shah AS, Waters PM. Monteggia fracture-dislocation in children. In: Flynn JM, Skaggs DL, Waters PM, editors. Rockwood and Wilkins’: Fractures in Children. Philadelphia, PA: Wolters Kluwer (2014). p. 527–63.
2. Evans EM. “Pronation injuries of the forearm, with special reference to the anterior Monteggia fracture.” The Journal of bone and joint surgery. British volume vol. 31B,4 (1949): 578-88, illust.
3. Bado, José Luis. “The Monteggia Lesion.” Clinical Orthopaedics and Related Research (1976-2007) 50 (1967): 71-86.
4. Salter, Robert Bruce and W. Robert Harris. “Injuries Involving the Epiphyseal Plate.” Journal of Bone and Joint Surgery, American Volume 45 (1963): 587-622.
5. Cepela, Daniel J et al. “Classifications In Brief: Salter-Harris Classification of Pediatric Physeal Fractures.” Clinical orthopaedics and related research vol. 474,11 (2016): 2531-2537. doi:10.1007/s11999-016-4891-3
6. Güven, Melih et al. “Cocuklardaki Monteggia eşdeğer lezyonlarinda tedavi sonuçlari” [The results of treatment in pediatric Monteggia equivalent lesions]. Explore when to use sildenafil for your health needs. Discover the generic option for Viagra in sildenafil tablets. Find more information on safe usage and benefits at https://www.treasurevalleyhospice.com/how-long-does-50mg-viagra-stay-in-your-system.pdf Empower your health decisions today. Acta orthopaedica et traumatologica turcica vol. 42,2 (2008): 90-6.
7. Alrashidi, Yousef. “A Monteggia variant associated with unusual fracture of radial head in a young child: A case report.” International journal of surgery case reports vol. 78 (2021): 42-47. doi:10.1016/j.ijscr.2020.11.142
8. Silva, Rómulo & Pinto, Luis & Fernandes, José & Costa, Francisca & Freitas, Joana & Coutinho, Jorge. (2022). A Rare Pediatric Monteggia Equivalent Fracture: Case Report, Literature Review and a New Proposed Pediatric Bado Classification. Case Reports in Clinical Practice. 7. 10.18502/crcp.v7i1.9630.
9. Li, Ming-Lei et al. “Monteggia type-I equivalent fracture in a fourteen-month-old child: A case report.” World journal of clinical cases vol. 9,30 (2021): 9228-9235. doi:10.12998/wjcc.v9.i30.9228
10. Younus, A., N. Ncobela, and A. Kelly. “New Bado Type IV Monteggia fracture dislocation variant occurring in a child: a case report.” East African Orthopaedic Journal 13.2 (2019): 88-91.
11. ElKhouly, Amr et al. “The Monteggia Fracture: literature review and report of a new variant.” Journal of orthopaedic case reports vol. 8,4 (2018): 78-81. doi:10.13107/jocr.2250-0685.1170
12. Olney, B W, and M B Menelaus. “Monteggia and equivalent lesions in childhood.” Journal of pediatric orthopedics vol. 9,2 (1989): 219-23.
13. Čepelík, M., et al. “Monteggia lesion and its equivalents in children.” Journal of Children’s Orthopaedics 13.6 (2019): 560-568.
14. Xu L, Ye W, Li H, et al Monteggia equivalent lesion in children: a narrative review World Journal of Pediatric Surgery 2021;4:e000283. doi: 10.1136/wjps-2021-000283
15. Falciglia, Francesco et al. “Radial neck fractures in children: results when open reduction is indicated.” Journal of pediatric orthopedics vol. 34,8 (2014): 756-62. doi:10.1097/BPO.0000000000000299
16. J.H. Newman, Displaced radial neck fractures in children, Injury, Volume 9, Issue 2, 1977, Pages 114-121, ISSN 0020-1383, https://doi.org/10.1016/0020-1383(77)90004-3.

How to Cite this Article:  Narasimhan R, Gautam V | Management of Paediatric Monteggia Variant Fracture – Our Experience of Two Similar Cases| International Journal of Paediatric Orthopaedics | May-August 2023; 9(2): 30-33 | https://doi.org/10.13107/ijpo.2023.v09.i02.169

 

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Role of Biodegradable Cement in Musculoskeletal Infection in the Pediatric Population

Volume 9 | Issue 2 | May-August 2023 | Page: 16-20 | Cury Sharma, Vivek Singh, Aditya Gowda, Parshwanath Bondarde, Naveen Kumar, Ch Sri Madhusudhan, Vikas Maheshwari

DOI- https://doi.org/10.13107/ijpo.2023.v09.i02.166

Submitted: 14/12/2022; Reviewed: 17/02/2023; Accepted: 20/06/2023; Published: 18/08/2023

Authors: Cury Sharma MS Ortho [1], Vivek Singh MS Ortho [1], Aditya Gowda MS Ortho [1], Parshwanath Bondarde MBBS [2], Naveen Kumar MS Ortho, MCH Paediatric Orthopaedics [1], Ch Sri Madhusudhan MBBS [2], Vikas Maheshwari MS Ortho [1]

[1] Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

[2] MBBS, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Address of Correspondence

Dr. Vivek Singh
Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
E-mail: singhvr27@gmail.com

Abstract

Introduction: Chronic osteomyelitis presents a significant challenge when it comes to treatment in children. Despite thorough radical debridement and extended antibiotic courses, it often proves resistant to resolution. The literature lacks definitive guidelines on the optimal management of chronic osteomyelitis, leaving several unanswered questions.
Patients and methods: The study comprised all patients who underwent surgery in the year 2022. After clinical history, examination, radiological studies, and blood investigations; single stage debridement and bone cement beads application was performed and patients were followed up for a period of 12 months.
Result: Eighteen patients (12 males and 6 females) with a mean age 6 years requiring surgical debridement were included in the study. Involved bones were tibia (12%), ulna (6%), humerus (6%), and femur (76%). Erythrocyte sedimentation rate (ESR) normalized in a mean time of 2.3 months and C-reactive protein (CRP) normalised in a mean time of 2.3 weeks. The average duration of infection prior to treatment was 5.6 months (Table 2). The most common organism isolated was Methicillin resistant Staphylococcus aureus (MRSA) (Table 4) and most common antibiotic sensitivity found was with Linezolid (58%) followed by Vancomycin (41%). Mean bone healing time radiologically was 3.3 months and mean cement absorption time was 2.6 months.
At 1 year follow up, all patients had healing both clinically and radiologically. There was reactivation of infection in 1 patient that settled with antibiotic therapy only. None of the children in the series required reoperation for infection.o signs of relapse at 1 year follow up and 0 percent – reoperation.
Conclusion: The addition of biodegradable cement increases the rate of eradication of infection during treatment of chronic osteomyelitis in children. Antibiotic course should be continued until the ESR and CRP normalise with an initial short intravenous course.
Keywords: Chronic osteomyelitis, Stimulan, Paediatric

References

1. Disch K, Hill DA, Snow H, Dehority W. Clinical outcomes of pediatric osteomyelitis. BMC Pediatrics [Internet]. 2023 Feb 3 [cited 2024 Aug 21];23(1):54. Available from: https://doi.org/10.1186/s12887-023-03863-z
2. Humm G, Noor S, Bridgeman P, David M, Bose D. Adjuvant treatment of chronic osteomyelitis of the tibia following exogenous trauma using OSTEOSET®-T: a review of 21 patients in a regional trauma centre. Strategies Trauma Limb Reconstr. 2014 Nov;9(3):157–61.
3. Zhang Y, Liang R jia, Xu J jiao, Shen L feng, Gao J qing, Wang X ping, et al. Efficient induction of antimicrobial activity with vancomycin nanoparticle-loaded poly(trimethylene carbonate) localized drug delivery system. International Journal of Nanomedicine. 2017 Feb 10;12:1201–14.
4. Wassif RK, Elkayal M, Shamma RN, Elkheshen SA. Recent advances in the local antibiotics delivery systems for management of osteomyelitis. Drug Delivery [Internet]. 2021 Jan 1 [cited 2023 Oct 19]; Available from: https://www.tandfonline.com/doi/abs/10.1080/10717544.2021.1998246
5. Markakis K, Faris AR, Sharaf H, Faris B, Rees S, Bowling FL. Local Antibiotic Delivery Systems: Current and Future Applications for Diabetic Foot Infections. Int J Low Extrem Wounds. 2018 Mar;17(1):14–21.
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7. Gitelis S, Brebach GT. The treatment of chronic osteomyelitis with a biodegradable antibiotic-impregnated implant. J Orthop Surg (Hong Kong). 2002 Jun;10(1):53–60.
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9. Maale GE, Eager JJ, Mohammadi DK, Calderon FA. Elution Profiles of Synthetic CaSO4 Hemihydrate Beads Loaded with Vancomycin and Tobramycin. Eur J Drug Metab Pharmacokinet. 2020;45(4):547–55.

How to Cite this Article:  Sharma C, Singh V, Gowda A, Bondarde P, Kumar N, Srimadhusudhan C, Maheshwari V | Role of Biodegradable Cement in Musculoskeletal Infection in the Pediatric Population | International Journal of Paediatric Orthopaedics | May-August 2023; 9(2): 16-20. https://doi.org/10.13107/ijpo.2023.v09.i02.166

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Incidence of Distal Radius Fracture in Children Peaks Around the Pubertal Growth Spurt: A Hospital-Based Study Over Twelve Years (2000 to 2011)

Volume 9 | Issue 2 | May-August 2023 | Page: 10-15 | Raghavendra S. Kulkarni, SriRam R. Kulkani

DOI- https://doi.org/10.13107/ijpo.2023.v09.i02.165

Submitted: 14/05/2023; Reviewed: 28/05/2023; Accepted: 29/06/2023; Published: 10/08/2023

Authors: Raghavendra S. Kulkarni MS Ortho [1], SriRam R. Kulkani MS Ortho [2]

[1] Department of Orthopaedics, SSPM Medical College & Lifetime Hospital, Padve, Sindhudurg, Maharashtra, India.
[2] Department of Orthopaedics, ACPM Medical College & Hospital, Dhule, Maharashtra, India.

Address of Correspondence

Dr. Raghavendra S. Kulkarni,
Professor of Orthopaedics & Medical Superintendent, SSPM Medical College & Lifetime Hospital, Padve, 415634 Sindhudurg, Maharashtra, India.
E-mail: rskulkarnics53@gmail.com

Abstract

Introduction: A significant asynchrony between statural growth rate and mineral mass accrual may contribute to the increased prevalence of low-energy fractures observed during puberty. This disparity is most pronounced when the compact bone of the radius exhibits a temporary surge in porosity concurrent with the most rapid phase of linear growth.
Materials & Methods: The district hospital, Sindhadurg complete medical records are used to identify all distal radius fracture younger than 18 years, treated during 2000 to 2011. The medical record linkage system of regular and periodical school health medical examination performed by medical officers tested biannually, anthropometrically, physiologically and clinically for whole district children provides the unique data on velocity of growth. This demographic data of distal radius fracture in children and adolescents are compared with, documentation of longitudinal velocity of growth of the same children that was collected during the identical time period for children from the same student population of Sindhudurg.
Results: After adjusting for age and sex, the annual incidence rates per 100,000 population showed a statistically significant increase from 2.8 (95% CI 2.4-3.3) in 2000, to 6.3 (95% CI 5.7-6.9) in 2006, and 12.7 (95% CI 11.9-13.4) in 2011. The average age for peak growth velocity was 14.2 years in boys and 12.6 years in girls, according to the Government of Maharashtra’s school health program. Notably, the incidence of fractures peaked at ages 13.1 to 15.2 in boys and 11.4 to 13.8 in girls.
Conclusion: This long term data for the whole Sindhudurg district indicates a correlation between the peak incidence of distal radius fractures and the age of maximum growth velocity in both boys and girls, suggesting a potential vulnerability during this critical growth phase.
Keywords: Distal radius fracture in children, adolescent, puberty, growth spurt, longitudinal velocity of growth.

References

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How to Cite this Article:  Kulkarni RS, Kulkani SR |  Incidence of Distal Radius Fracture in Children Peaks Around the Pubertal Growth Spurt: A Hospital-Based Study Over Twelve Years (2000 to 2011) | International Journal of Paediatric Orthopaedics | May-August 2023; 9(2): 10-15 | https://doi.org/10.13107/ijpo.2023.v09.i02.165

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A Rare Case Report of Congenital Subtalar Dislocation

Volume 9 | Issue 2 | May-August 2023 | Page: 27-29 | Harsharan Singh Oberoi, Baldish Singh Oberoi

DOI- https://doi.org/10.13107/ijpo.2023.v09.i02.168

Submitted: 21/03/2023; Reviewed: 18/04/2023; Accepted: 11/06/2023; Published: 10/08/2023

Authors: Harsharan Singh Oberoi MS Ortho [1], Baldish Singh Oberoi MS Ortho [1]

[1] Department of Orthopaedics, Oberoi Hospital, Jalandhar City, Punjab, India.

Address of Correspondence

Dr. Baldish Singh Oberoi
Orthopaedic Surgeon, Oberoi Hospital, Jalandhar City, Punjab, Jalandhar City, Punjab, India.
E-mail: baldishoberoi@gmail.com

Abstract

Congenital dislocation of the subtalar joint is a very rare deformity and one of the causes of the calcaneovalgus foot. Only 2 cases were reported earlier in the literature. We are reporting the third case. A seven year old female child came to our hospital with a deformity of the left foot noticed by parents at birth. There was no history of trauma. The patient was treated in early childhood with casting. On examination the foot was in severe valgus and the patient was bearing weight on the medial malleolus. Calcaneus was displaced laterally. Radiographs and a CT scan of the left foot confirmed the diagnosis of a congenital subtalar dislocation. Surgical correction was achieved through lengthening of various tendons and release of subtalar joint followed by fixation with a K wire.
Keywords: Congenital subtalar dislocation, Calcaneovalgus foot, K wire fixation, Ankle foot orthosis

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How to Cite this Article:  Oberoi HS, Oberoi BS | A Rare Case Report of Congenital Subtalar Dislocation | International Journal of Paediatric Orthopaedics | May-August 2023; 9(2): 27-29. https://doi.org/10.13107/ijpo.2023.v09.i02.168

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