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Tibial Tuberosity Fractures in Adolescents: Anatomo – Clinical Assessment and Treatment Results

Volume 10 | Issue 3 | September-December 2024 | Page: 12-18 | Ake YL, Ouattara SJJ, Bonny R, Kouassi-Dria AKS DOI- https://doi.org/10.13107/ijpo.2024.v10.i03.202 Open Access License: CC BY-NC 4.0 Copyright Statement: Copyright © 2024; The Author(s). Submitted: 28/10/2024; Reviewed: 10/11/2024; Accepted: 03/12/2024; Published: 10/12/2024 Authors: Ake YL [1], Ouattara SJJ [1], Bonny R [1], Kouassi-Dria AKS […]

Hip Displacement in Children with Cerebral Palsy- A Clinico- Radiological Evaluation

Volume 10 | Issue 3 | September-December 2024 | Page: 6-11 | Deepa Metgud, Shruti Desai, Shreya Bavi, Vinuta Deshpande, Naveenkumar Patil, Santosh Patil DOI- https://doi.org/10.13107/ijpo.2024.v10.i03.200 Open Access License: CC BY-NC 4.0 Copyright Statement: Copyright © 2024; The Author(s). Submitted: 20/11/2024; Reviewed: 26/11/2024; Accepted: 08/12/2024; Published: 10/12/2024 Authors: Deepa Metgud PhD, MPT [1], Shruti Desai […]

Tibial Tuberosity Fractures in Adolescents: Anatomo – Clinical Assessment and Treatment Results

Hip Displacement in Children with Cerebral Palsy- A Clinico- Radiological Evaluation

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Tibial Tuberosity Fractures in Adolescents: Anatomo – Clinical Assessment and Treatment Results

Volume 10 | Issue 3 | September-December 2024 | Page: 12-18 | Ake YL, Ouattara SJJ, Bonny R, Kouassi-Dria AKS

DOI- https://doi.org/10.13107/ijpo.2024.v10.i03.202

Open Access License: CC BY-NC 4.0

Submitted: 28/10/2024; Reviewed: 10/11/2024; Accepted: 03/12/2024; Published: 10/12/2024

Authors: Ake YL [1], Ouattara SJJ [1], Bonny R [1], Kouassi-Dria AKS [1]

[1] Department of Paediatric Surgery, Cocody Teaching Hospital, Abidjan, Ivory Coast

Address of Correspondence

Dr. Ake Yapi Landry
Associate Lecturer, Department of Paediatric Surgery, Cocody Teaching Hospital, Abidjan, Ivory Coast
Email: akeyapilandry@yahoo.fr

Abstract

Background: The objective of this study was to describe the anatomo-clinical, therapeutic aspect of TT fractures and the results.
Methods: This retrospective study was conducted over a period of 5 years (01 January 2018 to 01 January 2023) in the Paediatric Surgery Department of the Teaching Hospital and at theInternational clinic. The epidemiological- clinical, anatomopathological, therapeutic, and the results variables of TT fractures were studied.
Results: Data from 10 cases were included in this study. All patients were male, and their mean age was 14.3 years [range: 11-15 years]. All fractures occurred during sports activities through indirect mechanisms. Fractures occurred on both the left and right sides of the knee. We have compiled fractures of type IB (2 cases), type IIB (03 cases), IIIA (01 case), type IIIB (03 cases), and type IV (01 case). All patients underwent open reduction and osteosynthesis. No complications occurred in any of the patients, and their long-term results were satisfactory.
Conclusion: TT fractures are uncommon in adolescents; however, they are common in sports that involve jumping. The indications for treatment are based on the modified Ogden classification. These fractures have a good prognosis, with full recovery of function and activity after consolidation.
Keywords: Fracture, Tibial tuberosity, Adolescence

References

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How to Cite this Article: Ake YL, Ouattara SJJ, Bonny R, Kouassi-Dria AKS | Tibial Tuberosity Fractures in Adolescents: Anatomo – Clinical Assessment and Treatment Results | International Journal of Paediatric Orthopaedics | September-December 2024; 10(3): 12-18.

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Hip Displacement in Children with Cerebral Palsy- A Clinico- Radiological Evaluation

Volume 10 | Issue 3 | September-December 2024 | Page: 6-11 | Deepa Metgud, Shruti Desai, Shreya Bavi, Vinuta Deshpande, Naveenkumar Patil, Santosh Patil

DOI- https://doi.org/10.13107/ijpo.2024.v10.i03.200

Open Access License: CC BY-NC 4.0

Submitted: 20/11/2024; Reviewed: 26/11/2024; Accepted: 08/12/2024; Published: 10/12/2024

Authors: Deepa Metgud PhD, MPT [1], Shruti Desai MPT [1], Shreya Bavi MPT [1], Vinuta Deshpande MPT [1], Naveenkumar Patil MS Ortho [2], Santosh Patil MD Rad [3]

[1] Department of Paediatric Physiotherapy, KAHER Institute of Physiotherapy, Belagavi, Karnataka, India.
[2] Department of Orthopaedics, KAHER’S JGMM Medical College Gabbur, Kotagondhunshi, Hubbali, Karnataka, India.
[3] Department of Radiology, JN Medical College, Belagavi, Karnataka, India.

Address of Correspondence

Dr. Deepa Metgud
Department of Paediatric Physiotherapy, KAHER Institute of Physiotherapy, Belagavi, Karnataka, India.
Email Id: deepametgud@klekipt.edu.in

Abstract

Background: Children with cerebral palsy (CP) are at risk for hip subluxation due to the spasticity and contractures of the hip adductors, medial hamstrings, and hip flexors. Hip displacement is often asymptomatic in these children until the hip is particularly or fully dislocated resulting in pain, gait disturbances and impaired sitting balance. Hip surveillance is a process of actively monitoring a child for early identification of hip displacement. In India, the National Hip Surveillance Program was established to support surveillance in preventing dislocations and reducing the need for surgery. In light of this, the present study aims to determine the prevalence of hip displacement in children with cerebral palsy in Belagavi.
Method: This descriptive, cross-sectional observational study was conducted at a tertiary care hospital and inclusive education schools. Children aged 2–18 years with cerebral palsy, underwent clinical examinations followed by radiographic evaluation and the Migration Percentage (MP) was calculated to categorize hip displacement, the primary outcome measure of the study. Prevalence of subluxation and its association with gender, age, GMFCS E&R levels and CP subtypes were assessed.
Results: Out of 128 children with CP assessed, 104 had subluxation, with the majority (73.44%) showing bilateral involvement, while 7.81% had right-sided subluxation. The prevalence of subluxation varied by CP subtypes, with spastic type accounting for the higher prevalence. A statistically significant association between CP subtype and subluxation was found on the right side (p = 0.003).
Conclusion: The study identifies an 81.3% occurrence of hip subluxation in children with CP, with bilateral involvement being the most prevalent (73.44%). The likelihood of subluxation was notably impacted by CP subtype, especially in spastic CP. Timely detection through clinical assessment and radiographic monitoring is vital to prevent advancement to dislocation. Future investigations should prioritize extended follow-ups and therapeutic approaches to optimize outcomes.
Keywords: Hip subluxation, Cerebral palsy, Radiography, Migration percentage

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How to Cite this Article: Metgud D, Desai S, Bavi S, Deshpande V, Patil N, Patil S | Hip Displacement in Children with Cerebral Palsy – A Clinico- Radiological Evaluation | International Journal of Paediatric Orthopaedics | September-December 2024; 10(3): 6-11.

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