Aims. To identify a suite of the key physical, emotional, and social outcomes to be employed in clinical practice and research concerning
Aims. The aim of this study was to produce clinical consensus recommendations about the non-surgical treatment of children with
Aims.
Aims. This study aimed to evaluate the relationship between hip shape and mid-term function in
Aims. The aim of this study was to assess the prognostic value of the modified three-group Stulberg classification, which is based on the sphericity of the femoral head, in patients with
Aims. To explore the of age of onset distribution for Perthes’ disease
of the hip, with particular reference to gender, laterality and
conformity to the lognormal distribution. Patients and Methods. A total of 1082 patients were identified from the Liverpool Perthes’
Disease Register between 1976 and 2010, of which 992 had the date
of diagnosis recorded. In total, 682 patients came from the geographical
area exclusively served by Alder Hey Hospital, of which 673 had
a date of diagnosis. Age of onset curves were analysed, with respect to
the predefined subgroups. Results. The age of onset demonstrated a positive skew with a median of
5.8 years (interquartile range 4.6 to 7.5). Disease onset was a
mean five months earlier in girls (p = 0.01) and one year earlier
in those who went on to develop bilateral disease (p <
0.001).
There was no difference in the age of onset between geographical
districts with differing incidence rates. The entire dataset (n
= 992) conformed to a lognormal distribution graphically and with
the chi-squared test of normality (p = 0.10), but not using the
Shapiro-Wilk test (p = 0.01). The distribution for the predefined
geographical subgroup (n = 673) conformed well to a lognormal distribution
(chi-squared p = 0.16, Shapiro-Wilk p = 0.08). Given the observed
lognormal distribution it was assumed that
Aims. Modular or custom-made femoral components have been preferred
for total hip arthroplasty (THA) in patients with a history of Perthes’
disease because of the distortion in the anatomy of the proximal
femur. However, it has not been established whether a monobloc cementless
stem will fit the distorted proximal femur or whether the results
of the procedure are satisfactory in this group of patients. Patients and Methods. We reviewed 68 consecutive patients who had undergone THA for
childhood
Aims.
This paper reports a high incidence of minor congenital anomalies in boys and girls with
Aims. The aim of this study was to evaluate the epidemiology and treatment of
Aims.
Aims.
The role of heritable thrombophilic risk factors in the pathogenesis of the
Aims. Ganz’s studies made it possible to address joint deformities on both the femoral and acetabular side brought about by
It has been reported that there is an association between
We have investigated the annual incidence of
Our aim was to investigate the relationship between urinary excretion of deoxypyridinoline (DPD) as a marker of bone resorption, and
A nationwide study of
Aims.
Aims.
Children presenting with
Aims. The aims of this study were to describe the course of non-operatively
managed, bilateral
The purpose of this study was to determine the annual incidence of
We studied 16 patients suffering from osteoarthritis of the hip who had had
This nationwide prospective study was designed to determine prognostic factors and evaluate the outcome of different treatments of
The deformity index is a new radiological measurement of the degree of deformity of the femoral head in unilateral
It has been shown that in the puppy, two infarcts separated by an interval of four weeks produce a disorder of long duration which results in flattening and broadening of the femoral head and which reproduces the radiological changes seen in
1.
Recent reports have suggested an association between
Radiographs of 155 Indian children were examined to identify the acetabular changes which occur in
The radiographs of 153 children suffering from
There is a high incidence of
We used ultrasonography to examine 36 children suffering from transient synovitis and 12 children with early
A prospective study was made of 119 children with transient synovitis or any other cause for synovial effusion and elevated intra-articular pressure. During a follow-up of one year not one case of
Serum immunoglobulin concentrations in 41 children with
It has been suggested that
Recent work has suggested that thrombophilia may be an aetiological factor in up to 50% of children with
Skeletal age was estimated by examination of radiographs of the carpus in 182 children suffering from
The bicompartmental acetabulum is one of the morphological changes which may be seen in children with Legg-Calvé-Perthes’ disease. Three-dimensional CT and MRI were used to analyse the detailed morphology of the acetabulum with special reference to its inner surface, in 16 patients with
We performed superselective angiography in 28 hips in 25 patients with
1. The findings in a femoral head obtained at necropsy on a boy aged nine suffering from
We treated 98 consecutive patients with
The nuclide bone-scan will reliably diagnose
We studied, clinically and radiologically, the growth and remodelling of 21 hips after valgus femoral osteotomy with both rotational and sagittal correction for hinge abduction in 21 patients (mean age, 9.7 years) with
Seventeen patients, with an average age of nine years 11 months, underwent 18 Chiari osteotomies for the treatment of painful subluxation of the hips following
Aims. It is well established that there is a strong association between
Perthes’ disease and worsening socioeconomic deprivation. It has
been suggested that the primary determinant driving this association
is exposure to tobacco smoke. This study aimed to examine this hypothesis. Patients and Methods. A hospital case-control study (n = 149/146) examined the association
between tobacco smoke exposure and
1. Intra-osseous venographs have been obtained in twenty-eight hips affected by
1. Cancellous bone grafting of the head of the femur in
The aims of this survey were to establish the familial incidence of
1 . Thirty-four cases of
Valgus extension osteotomy (VGEO) is a salvage procedure for ‘hinge abduction’ in
We performed a paired study of mature patients with
We evaluated radiological hip remodelling after shelf acetabuloplasty and sought to identify prognostic factors in 25 patients with a mean age of 8.9 years (7.0 to 12.3) who had unilateral
It has recently been postulated that thrombophilia may have a role in the aetiology of
We studied the natural history of
Of 193 children with
We have examined the effect of arthrodiastasis on the preservation of the femoral head in older children with
1. The progressive radiographic changes in twenty-five patients suffering from
We compared the prognostic value of the Catterall grouping, the Salter-Thompson grading, the arthrographic shape of the femoral head, and the Herring lateral pillar grouping during the fragmentation stage of
Forty-eight images using magnetic resonance imaging (MRI) in 16 hips with
There are differences of opinion about the pathogenesis of
1. Eighty-nine cases of
In a prospective five-year study, 294 episodes of acute transient synovitis of the hip were diagnosed in 275 children. The average annual incidence was 0.2% and the accumulated risk of suffering at least one episode was 3%. The risk of recurrence was 20 times greater than the risk of having a single episode.
In 40 children with unilateral
Seventy children who had suffered from
Premature epiphysial closure is an infrequent complication of
The pathogenesis of
1. A rationale of subtrochanteric osteotomy with derotation and varus angulation in the treatment of
Fifteen independent observers of three levels of experience (consultant staff, fellows, residents) assessed 40 radiographs of children presenting with
The surgical treatment of
Upper femoral osteotomy is a recognised treatment for selected patients with
A new method of recording the three-dimensional anatomy of the proximal femur from a single anteroposterior radiograph is described. This technique shows that in
The results of treating 148 hips in 135 children (aged 7 to 16 at the onset of management) for
A study was undertaken to assess the degree of inter-observer error when a panel of observers classified the radiographs of patients with early
The reliability of the Catterall grouping of
A prospective survey was carried out on all cases of irritable hip presenting at the Royal Liverpool Children's Hospital over a period of one year. All children had a radioisotope scan of the hips and were then followed for one year by serial radiography. Five of the 50 children seen during the one year had areas of ischaemia in the capital femoral epiphysis demonstrated on the scan. all five developed radiological signs of
Throughout 1976 orthopaedic surgeons in three regions of England forwarded details of all new patients with
We have attempted to identify the most important long-term prognostic factors in
In order to define the prognostic factors in
Eighty-four children suffering from
The sagging rope sign is the term used to describe the radiographic appearances which sometimes occur after
1. An account is given of a family in which five members in three generations were affected by osteochondritis involving the hips, in three cases bilaterally. 2. One patient showed aseptic osseous necrosis of the epiphyses of the ankles and fingers. 3. The differential diagnosis between
We reviewed the radiographs of 49 patients with
We have considered the reasons for securing containment of the femoral head in
We analysed the short-term outcome after varus osteotomy for
We studied the pattern of proximal femoral growth after severe
Twenty-four hips in twenty children affected by Group 1
Hip arthrography was performed in 19 patients in the initial stage of
The results of a long-term review of 102 hips in eighty-seven patients with
We have devised a combined pillar score (CPS) system, based on the lateral pillar (LP) and the posterior pillar (PP) classifications, together with the age at onset of
The August 2023 Children’s orthopaedics Roundup. 360. looks at: DDH: What can patients expect after open reduction?; Femoral head deformity associated with hip displacement in non-ambulatory cerebral palsy; Bony hip reconstruction for displaced hips in patients with cerebral palsy: is postoperative immobilization indicated?; Opioid re-prescriptions after ACL reconstruction in adolescents are associated with subsequent opioid use disorder; Normative femoral and tibial lengths in a modern population of USA children; Retrospective analysis of associated anomalies in 636 patients with operatively treated congenital scoliosis; Radiological hip shape and patient-reported outcome measures in healed
The August 2024 Children’s orthopaedics Roundup. 360. looks at: Antibiotic prophylaxis and infection rates in paediatric supracondylar humerus fractures; Clinical consensus recommendations for the non-surgical treatment of children with