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Hip Dislocation Congenital
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1. Non traumatic dislocation of the patella in children: the case for a dysplastic aetiology.
Match Strength: 15.448

Congenital dislocation of the patella may be a phenotype, which has several genotypes, i.e. it may be congenital or acquired. This hypothesis is suggested with three illustrative case studies. Risk factors predictive of the development of irreducible dislocation of the patella in infancy are suggested. As there is a spectrum of possible aetiologies, 'late' diagnosis and a number of 'risk' factors but a common pathology, the word 'congenital' is not always appropriate. We suggest 'Developmental dysplasia and dislocation of the patella (DDDP)' is a more appropriate term for this rare condition. ... Read More »
» Published in Acta Orthop Belg. 2005 Aug;71(4):435-8.

2. Pattern of congenital orthopaedic malformations in an African teaching hospital.
Match Strength: 14.575

BACKGROUND: Congenital Orthopaedic malformations are common malformations that are usually unacceptable to the common populace in the West African sub-region. There is paucity of knowledge about the common types of Orthopaedic congenital malformations in our environment This study was undertaken to determine the pattern of congenital Orthopaedic malformations in a Teaching Hospital. STUDY DESIGN: This was a prospective study of all the Orthopaedic congenital malformations seen in our surgical outpatient departments and the inpatient referrals from the wards between January 1995 and December ... Read More »
» Published in West Afr J Med. 2005 Apr-Jun;24(2):92-5.

3. Management of the bilateral congential dislocation of the hip and knee: a case report.
Match Strength: 13.903

Congenital dislocation of the knee (CDK) is a rare disease and may be associated with other congenital and musculoskeletal disorders. We report our result in the treatment of a patient with CDK and DDH that treated with serial casting and Pavlik harness. Early diagnosis of the CDK is very important non operative treatment usually provides more stabile, greater range of motion and much more quadriceps strength than the surgical treatment. Early reduction of dislocation prevents formation of the knee contracture ... Read More »
» Published in Arch Orthop Trauma Surg. 2006 Nov;126(9):634-6. Epub 2005 Nov 5.

4. One-stage treatment of congenital severely dislocated hips in older children through various acetabuloplasty techniques: 22 children followed for 1-5 years.
Match Strength: 13.669

BACKGROUND: There is no consensus regarding the best treatment for children with late diagnosis of congenital hip dislocation. PATIENTS AND METHODS: This retrospective study involved 29 hips in 22 children (19 girls) with an age range of 3-14 years, who had been operated with various techniques for congenital hip dislocation between 1998 and 2002. 6 patients had right, 9 patients had left, and 7 patients had bilateral congenital hip dislocation. The mean length of follow-up was 3 (1-5) years. RESULTS: While the mean acetabular index was 53 degrees (35-65) preoperatively, at the last follow-up ... Read More »
» Published in Acta Orthop. 2005 Apr;76(2):212-9.

5. Traumatic lumbar fracture-dislocation related to spina bifida occulta: case report.
Match Strength: 12.883

Traumatic lumbar fracture-dislocation is a rare condition. Congenital spinal deformities may facilitate the occurrence of this case. We diagnosed spina bifida occulta accompanied at the same level by a L2 anterior dislocation which resulted from a vehicle in-site traffic accident in a 35-year-old female patient. Posterior intervention was carried out during therapy, and reduction and stabilization were performed by means of a T12-L1 and L2-L3 trans-pedicular screw. In patients with a congenital spinal anomaly the effect of spinal traumas may be greater than normal. Therefore, spinal traumas in ... Read More »
» Published in Hiroshima J Med Sci. 2005 Jun;54(2):57-9.

6. Syringomyelia in infants secondary to mobile congenital atlantoaxial dislocation.
Match Strength: 12.722

We report a characteristic pattern of 'waist-like' syringomyelia observed in three infants having mobile and reducible congenital atlantoaxial dislocation. The syringomyelia in at least two of these cases was diagnosed to be an intramedullary tumor. Following atlantoaxial fixation, all three patients had long-term recovery of their symptoms. Copyright (c) 2007 S. Karger AG, Basel ... Read More »
» Published in Pediatr Neurosurg. 2007;43(1):15-8.

7. The Morphologic Variations of Low and High Hip Dislocation.
Match Strength: 11.714

Three different types of congenital hip disease in adults have been distinguished based upon the position of the femoral head relative to the acetabulum and the underlying pathoanatomy of the joint: (1) dysplasia; (2) low dislocation; and (3) high dislocation. To facilitate classification of borderline or ambiguous cases, we studied the morphologic variations of low and high dislocation as observed on the radiographs of 101 hips with low and 74 hips with high dislocation. In low dislocation, 54 hips (53.5%) had extended coverage of the true acetabulum (Type B1) and 47 hips (46.5%) had limited ... Read More »
» Published in Clin Orthop Relat Res. 2008 Feb 21

8. Congenital varicella syndrome as an unusual cause of congenital malformation: report of one case.
Match Strength: 11.298

Intrauterine infections with varicella-zoster virus following maternal varicella in early pregnancy and resulting in congenital malformations are rare. Herein we report a child with congenital varicella syndrome characterized by low birth weight, cicatricial scarring, hypoplasia of both lower extremities with joint contracture, congenital hip dislocation, corneal opacity, atresia of the sigmoid colon and a rarely associated cloaca anomaly. The varicella IgG remained positive after she was seven months old. Her mother developed chickenpox at the 14th week of gestation. The purpose of this ... Read More »
» Published in Acta Paediatr Taiwan. 2001 Jul-Aug;42(4):239-42.

9. Case Report : Congenital Knee Dislocation in a Patient with Larsen Syndrome and a Novel Filamin B Mutation.
Match Strength: 11.150

We treated a patient with multiple congenital joint dislocations and facial dysmorphisms consistent with Larsen syndrome. Sequencing of the FLNB gene resulted in identification of a novel, de novo 508G>C point mutation resulting in substitution of proline for a highly conserved alanine (A170P). This mutation has not been described previously but is likely causative because this alanine is highly conserved and is located in the calponin homology domain where other mutations have been described. We also report the successful use of a minimally invasive technique in achieving initial ... Read More »
» Published in Clin Orthop Relat Res. 2008 Mar 6

10. Atlantoaxial dislocation associated with the maldevelopment of the posterior neural arch of axis causing compressive myelopathy.
Match Strength: 10.687

The craniovertebral junction has a predilection for a variety of congenital anomalies due to its complex development. The association of atlantoaxial dislocation (AAD) with the maldevelopment of the posterior arch of axis is extremely rare. We report two such cases and present the management strategy. Publication Types: Case ... Read More »
» Published in Neurol India. 2004 Dec;52(4):489-91.

11. Open reduction of the radial head with ulnar osteotomy and annular ligament reconstruction for bilateral congenital radial head dislocation: a case with long-term follow-up.
Match Strength: 10.533

We report the 9 year follow-up results of treatment of a 5 year-old boy with bilateral congenital radial head dislocation by open reduction of the radial head and ulnar osteotomy with annular ligament reconstruction and discuss the management of this condition ... Read More »
» Published in J Hand Surg [Br]. 2007 Feb;32(1):93-7. Epub 2006 Nov 28.

12. Congenital pseudarthrosis of the ulna.
Match Strength: 10.249

We report a case of congenital pseudarthrosis of the ulna along with generalized neurofibromatosis (type I). The patient had a good clinical outcome after single-bone forearm reconstruction. In the setting of radial head dislocation following long-standing congenital pseudarthrosis of the ulna, single-bone forearm reconstruction is a viable option. It prevents the loss of hand function by the effective shortening of flexor tendons and spares movements of the humeroulnar and radiocarpal joints ... Read More »
» Published in J Pediatr Orthop B. 2007 Mar;16(2):150-2.

13. Reconstruction of quadriceps tendon with Achilles tendon allograft in older children with congenital dislocation of the knee.
Match Strength: 9.964

This is a case report of two children with congenital dislocation of the knee. They have been treated surgically with Z-lengthening of the quadriceps tendon and additional reconstruction of the quadriceps tendon with Achilles tendon allograft to fill in the remaining average 6 cm gap of the tendon. The patients were two girls, 6 and 9 years old. One of them had an operative treatment previously with a tendon lengthening procedure and it was failed and the other patient was untreated before. Preoperatively, untreated case was unable to walk. The other patient was limping. None of them was able ... Read More »
» Published in Knee Surg Sports Traumatol Arthrosc. 2006 Nov;14(11):1171-5. Epub 2006 Jun 7.

14. Prevalence and pathogenesis of congenital anomalies in cerebral palsy.
Match Strength: 9.933

BACKGROUND: It has been hypothesised that cerebral palsy (CP) and other congenital anomalies are attributable to feto-fetal transfusion problems in a monochorionic multiple gestation. Thus more than one organ could be compromised leading to the coexistence of two or more anomalies in a fetus. Such anomalies in a singleton birth may be attributable to early demise of the co-conceptus as a vanishing twin. AIM: To determine whether the coexistence of congenital anomalies and CP is greater than a chance finding by comparing the prevalence of congenital anomalies in children with cerebral palsy ... Read More »
» Published in Arch Dis Child Fetal Neonatal Ed. 2007 Apr 11;

15. Three-dimensional custom-designed cementless femoral stem for osteoarthritis secondary to congenital dislocation of the hip.
Match Strength: 9.511

A clinical and radiological study was conducted on 97 total hip replacements performed for congenital hip dislocation in 79 patients between 1989 and 1998 using a three-dimensional custom-made cementless stem. The mean age at operation was 48 years (17 to 72) and the mean follow-up was for 123 months (83 to 182). According to the Crowe classification, there were 37 class I, 28 class II, 13 class III and 19 class IV hips. The mean leg lengthening was 25 mm (5 to 58), the mean pre-operative femoral anteversion was 38.6 degrees (2 degrees to 86 degrees ) and the mean correction in the prosthetic ... Read More »
» Published in J Bone Joint Surg Br. 2007 Dec;89(12):1586-91.

16. Adolescent butterfly swimmer with bilateral subluxing sternoclavicular joints.
Match Strength: 9.409

Sternoclavicular joint subluxation/dislocation injuries in the athlete are uncommon. They can be organised by degree (subluxation, dislocation), timing (acute, chronic, recurrent, congenital), direction (anterior, posterior), and cause (traumatic, atraumatic). The unusual case reported is an adolescent butterfly swimmer with recurrent bilateral sternoclavicular subluxation associated with pain and discomfort. The condition was treated and resolved with conservative management. The diagnosis, investigations, and treatment options are discussed. Publication Types: Case ... Read More »
» Published in Br J Sports Med. 2006 Apr;40(4):e12.

17. A case of congenital neuromuscular disease with uniform type 1 fibers.
Match Strength: 9.350

Congenital neuromuscular disease with uniform type 1 fibers is a rare form of congenital nonprogressive myopathy. We report a 3-year-old boy with this disease who showed delayed motor developmental milestones and recurrent acute respiratory failure. He obtained head control at 16 months, crawled at 17 months and sat alone at 20 months, but still could not walk at age 44 months. His mental development was good; he could speak 3-word sentences at 44 months. Scoliosis, bilateral congenital dislocation of the hips, bilateral undescended testes and hemangioma simplex on the right lower limb were ... Read More »
» Published in Brain Dev. 2006 Apr;28(3):202-5. Epub 2006 Jan 18.

18. In vivo three-dimensional motion analysis of the forearm with radioulnar synostosis treated by the Kanaya procedure.
Match Strength: 9.134

Attempts to separate congenital radioulnar synostosis and restore forearm rotation had been disappointing until a new mobilization technique was developed by Kanaya and colleagues using free vascularized fascio-fat graft interposition. This technique provides a functional rotation arc, but postoperative forearm motion is difficult to evaluate given the inaccuracies in determining the range of motion and rotational axis using conventional x-rays or computed tomography. This study represents an attempt to analyze in vivo three-dimensional motion of the forearm with radioulnar synostosis treated ... Read More »
» Published in J Orthop Res. 2006 May;24(5):1028-35.

19. Comparison of clinical characteristics between congenital fiber type disproportion myopathy and congenital myopathy with type 1 fiber predominance.
Match Strength: 9.037

Congenital myopathies are clinical and genetic heterogeneous disorders characterized by skeletal muscle weakness and specific structural changes in muscle fiber. Congenital myopathy with fiber type disproportion (CFTD) is an established disorder of congenital myopathy. CFTD is characterized by non-progressive childhood neuromuscular disorders with a relatively good prognosis and type 1 fiber predominance and smallness. Congenital myopathy with type 1 fiber predominance (CMT1P) is also a distinct entity of congenital myopathy characterized by non-progressive childhood neuromuscular disorders ... Read More »
» Published in Yonsei Med J. 2006 Aug 31;47(4):513-8.

20. Cementless total hip arthroplasty in patients with high congenital hip dislocation.
Match Strength: 8.774

BACKGROUND: The optimal surgical treatment for patients with high congenital dislocation of the hip remains controversial. The purpose of our study was to evaluate the mid-term to long-term results of cementless total hip arthroplasty in such patients. METHODS: The study included sixty-eight total hip replacements performed between 1989 and 1994 in fifty-six consecutive patients with high congenital hip dislocation at our hospital. The cup was placed at the level of the true acetabulum, and a shortening osteotomy of the proximal part of the femur and distal advancement of the greater ... Read More »
» Published in J Bone Joint Surg Am. 2006 Jan;88(1):80-91.

21. Screening for developmental dysplasia of the hip.
Match Strength: 8.759

The reported prevalence of established dislocation the hip in an unscreened population varies from 0.7 to 1.6 / 1000 children in European and American white populations. In clinically screened populations neonatal hip instability is reported to occur in 3 to 30 / 1000 newborns while established congenital dislocation has a prevalence of 0.1- 4/1000 of which 1/1000 is judged to be in need for surgery. Early diagnosis of DDH is essential for successful treatment and later prognosis of the disorder. Combined procedure including evaluation of both hip morphology and hip stability is currently ... Read More »
» Published in JBR-BTR. 2007 Jan-Feb;90(1):4-5.

22. Arthritis in a child secondary to congenital insensitivity to pain and self-aggression. Why and when pain is good?
Match Strength: 8.706

A 9 year-old female child presented with recurrent arthritis of ankles, left knee and unequal leg length. Clinical examination revealed mild valgus deformity in her left knee with grade 2 effusion, arthritis of both ankles and deformity in her left wrist. Examination of the affected joints showed no evidence of tenderness upon active or passive movements and the patient did not show any limping upon gait analysis. Past history of the patient revealed evidence of previous dislocation of her left hip and previous fibular fracture. Revision of her previous x-rays showed left hip dislocation, ... Read More »
» Published in Clin Rheumatol. 2006 Jun 13;

23. Migration of an abandoned pacemaker generator into the pouch of douglas in a child with complex congenital heart disease.
Match Strength: 8.692

A young girl with complex congenital heart disease underwent Fontan procedure and multiple pacemaker revisions, including abandonment of an intraabdominal pacemaker generator at age eight. She presented two years later with constipation and abdominal twitching. Radiographs, pacemaker interrogation, and laparoscopy confirmed dislocation of the abandoned generator and intraperitoneal migration into the pouch of Douglas. The device was removed surgically without incident ... Read More »
» Published in Pacing Clin Electrophysiol. 2007 Jul;30(7):910-1.

24. Acetabuloplasty for neglected dislocation of the hip in older children.
Match Strength: 8.650

This paper describes the technique and results of an acetabuloplasty in which the false acetabulum is turned down to augment the dysplastic true acetabulum at its most defective part. This operation was performed in 17 hips (16 children), with congenital dislocation and false acetabula. The mean age at operation was 5.1 years (4 to 8). The patients were followed clinically and radiologically for a mean of 6.3 years (5 to 10). A total of 16 hips had excellent results and there was one fair result due to avascular necrosis. The centre-edge angles and the obliquity of the acetabular roof improved ... Read More »
» Published in J Bone Joint Surg Br. 2007 Mar;89(3):372-4.

25. Pediatric congenital atlantoaxial dislocation: differences between the irreducible and reducible varieties.
Match Strength: 8.400

OBJECT: Clinicoradiological differences and outcome following surgery in pediatric patients (< or = 16 years of age) with congenital irreducible atlantoaxial dislocation (IAAD) and reducible atlantoaxial dislocation (RAAD) were analyzed. METHODS: Ninety-six patients (57 with IAAD and 39 with RAAD) were categorized as follows: Grade I, no deficits except hyperreflexia or neck pain (six patients); Grade II, minor deficits but independent for activities of daily living (25); Grade III, partially dependent (30); and Grade IV, totally dependent (35). Patients with RAAD underwent direct posterior ... Read More »
» Published in J Neurosurg. 2006 Feb;104(2 Suppl):115-22.

26. Congenital dislocation of the hip. A re-appraisal of the upper age limit for treatment.
Match Strength: 8.394

Difficulties posed in managing developmental dysplasia of the hip diagnosed late include a high-placed femoral head, contracted soft tissues and a dysplastic acetabulum. A combination of open reduction with femoral shortening of untreated congenital dislocations is a well-established practice. Femoral shortening prevents excessive pressure on the located femoral head which can cause avascular necrosis. Instability due to a coexisting dysplastic shallow acetabulum is common, and so a pelvic osteotomy is performed to achieve a stable and concentric hip reduction. We retrospectively reviewed 15 ... Read More »
» Published in J Bone Joint Surg Br. 2006 Aug;88(8):1076-81.

27. Transoral atlantoaxial reduction plate fixation for irreducible atlantoaxial dislocation.
Match Strength: 8.084

OBJECTIVE: To design a clinically applicable transoralpharyngeal atlantoaxial reduction plate (TARP), introduce the operation procedure, and evaluate its preliminary clinical effects. METHODS: A novel TARP system, including butterfly titanium alloy plate, self-locking screws, atlantoaxial reductor and other operational instruments was developed. This system was applied clinically on five patients with irreducible atlantoaxial dislocation of congenital or traumatic origin. During operation, the reduction was completed by the combined action of the plate and the atlantoaxial reductor after ... Read More »
» Published in Chin J Traumatol. 2006 Feb;9(1):14-20.

28. Endobronchial migration of prosthetic patch after congenital diaphragmatic hernia repair.
Match Strength: 8.006

Surgical repair of congenital diaphragmatic hernia (CDH) can be performed by means of either direct suturing of the diaphragm or positioning of a prosthetic patch. However, half of all prosthetic patches show evidence of reherniation. We describe the case of an 8-year-old girl who presented with prosthesis dislocation and fistulization in the right lower bronchus as a complication of a CDH repair that she underwent when she was 1 year old. Abdominal ultrasound and magnetic resonance imaging suggested a hernia relapse, whereas chest computed tomographic scan failed to identify the diaphragmatic ... Read More »
» Published in J Pediatr Surg. 2006 Jan;41(1):e65-7.

29. Double insurance atlantoaxial fixation.
Match Strength: 7.952

BACKGROUND: An alternative technique of atlantoaxial fixation is described, which combines the trans-articular method of fixation described by Magerl in 1982 and the interarticular technique described by us in 1988. METHODS: Between January 2001 and January 2005, 18 patients underwent the discussed method of fixation at the Department of Neurosurgery at King Edward VII Memorial Hospital in Mumbai, India. Fifteen patients had congenital craniovertebral anomaly and 3 patients had posttraumatic atlantoaxial instability. Fourteen patients had basilar invagination with "fixed" atlantoaxial ... Read More »
» Published in Surg Neurol. 2007 Feb;67(2):135-9. Epub 2006 Nov 3.

30. Genetic variability in the group of patients with congenital hip dislocation.
Match Strength: 7.949

Our study of genetic homozygosity degree includes an analysis of the presence, distribution and individual combination of 20 selected genetically controlled morpho-physiological traits in the group of patients (N = 93) with congenital hip dislocation (CDH) and in control sample consisting of school children from Belgrade (N = 200). Assuming that CDH is genetically controlled disease, we made a hypothesis that an increased homozygosity level, as well as the changed variability among the patients, could be population-genetic parameter for the prediction of the illness. Taking into consideration ... Read More »
» Published in Genetika. 2005 Aug;41(8):1142-6.

31. Mietens-Weber syndrome: two new patients and a review.
Match Strength: 7.904

In 1966, Mietens and Weber reported four out of six siblings from a consanguineous couple with growth failure, dislocation of the head of the radii, bilateral flexion contracture of the elbows, short ulnae and radii, bilateral corneal opacities, horizontal and rotational nystagmus, strabismus, small, pointed nose and mild to moderate mental retardation. Since then, only three other cases have been reported. We report on two new cases, a pair of female twins aged 9 years. The patients were born after an uneventful, normal pregnancy, to young and non-consanguineous parents. After birth, physical ... Read More »
» Published in Clin Dysmorphol. 2006 Jul;15(3):175-7.

32. Irreducible anterior atlantoaxial dislocation: one-stage treatment with a transoral atlantoaxial reduction plate fixation and fusion. Report of 5 cases and review of the literature.
Match Strength: 7.687

STUDY DESIGN: Retrospective report of five surgical cases and review of the literature. OBJECTIVES: To report the clinical application of a novel internal fixation device in the treatment of irreducible atlantoaxial dislocation with ventral spinal cord compression. SUMMARY AND BACKGROUND DATA: Irreducible atlantoaxial dislocation with ventral spinal cord compression is difficult to treat. Traction is not uniformly successful at either reducing the dislocation or decompressing the spinal cord. Direct anterior decompression of the spinal cord may be necessary, in addition to the need for ... Read More »
» Published in Spine. 2005 Jul 1;30(13):E375-81.

33. Clinical and radiological manifestations of osteogenesis imperfecta type V.
Match Strength: 7.646

We reviewed clinical manifestation of 12 patients from three Korean families. They showed mild to moderate bone fragility, and suggested an autosomal dominant inheritance pattern. Significant intrafamilial phenotype variability was obvious. Clinical, radiological, and histopathologic characteristics that distinguished this subtype from others include ossification of interosseous membrane of the forearm with radial head dislocation, hyperplastic callus formation, no evidence of type I collagenopathy and an abnormal histopathologic pattern. Severity of the interosseous membrane ossification was ... Read More »
» Published in J Korean Med Sci. 2006 Aug;21(4):709-14.

34. Arnold Pavlik (1902-62): an autobiography.
Match Strength: 7.515

Professor Arnold Pavlik, a Czech orthopaedic surgeon, became famous mainly for the development of a functional, active method of treating developmental dysplasia of the hip, in his time called congenital dislocation of the hip. A translation is presented of the autobiography Pavlik prepared to achieve his doctorate in medical sciences, but which his early death in February 1962 denied him. Publication Types: Biography, Historical Article Personal name as Subject: Pavlik ... Read More »
» Published in J Med Biogr. 2006 Feb;14(1):3-7.

35. The breech presentation and the vertex presentation following an external version represent risk factors for neonatal hip instability.
Match Strength: 7.104

The aim of this study was to evaluate the frequency and type of hip-joint instability and the frequency of hip dislocation requiring treatment in neonates who had been lying in the breech presentation and were delivered vaginally after an external version or by caesarean section, and to compare them with neonates who were naturally in the vertex presentation. Breech presentations without ongoing labour were subjected to an attempted external version and, in cases where this proved unsuccessful or where labour had started, to deliver by caesarean section. None of the breech presentations was ... Read More »
» Published in Acta Paediatr. 2001 Aug;90(8):895-8. Comment in: Acta Paediatr. 2001 Aug;90(8):836-9.

36. Prenatal growth retardation, microcephaly, and eye coloboma in infant with multiple congenital anomalies: Further delineation of presumed new dysmorphic syndrome.
Match Strength: 7.037

BACKGROUND:: Ten years ago an unusual association of prenatal growth retardation, microcephaly, coloboma of the iris/eye anomalies, congenital heart defects, and urogenital anomalies was reported for the first time in three siblings. Autosomal recessive inheritance was presumed. This finding has been included in London Winter-Baraitser Dysmorphology Database as a separate entity, but still has not been classified as a distinct syndrome. CASE:: We report an infant with an association of prenatal growth retardation, microcephaly, facial dysmorphism, eye anomalies, congenital heart defects, and ... Read More »
» Published in Birth Defects Res A Clin Mol Teratol. 2008 Jan 29

37. Three-dimensional computerized selection of hip prostheses in patients with congenital dislocated hips.
Match Strength: 7.030

This study assessed the effectiveness of the combined use of computed tomography (CT) and computer-aided design (CAD) in the preoperative evaluation and implant selection in 20 patients (20 hips) with congenital dislocation of the hip who were scheduled to undergo total hip arthroplasty. Computerized selection of the femoral implant with optimum fit and fill was made after a three-dimensional reconstruction of the femoral canal using CT data and CAD. Implantation of all sizes of 5 noncemented and 2 cemented femoral implants was simulated using CATIA software (IBM, Kingstone, NY). When patients ... Read More »
» Published in Orthopedics. 2001 Nov;24(11):1065-7.

38. Congenital lumbosacral limb duplication: a case report.
Match Strength: 6.958

We report a case of congenital lumbosacral limb duplication at the pelvis, lower limb, and foot of a 4-year-old boy. The patient presented with a supernumerary lower limb joined at the lumbosacral region by a bony connection. A pseudo-navel and a pseudo-penis were found on the supernumerary limb and foot duplication was noted at the end. Radiography and a 3-dimensional computed-tomography reconstruction revealed duplication of an inversely oriented pelvis dorsal to the normal pelvis, semi-vertebrae in T7 to T9, thoracolumbar scoliosis, lumbosacral vertebral dysplasia, and dislocation of the ... Read More »
» Published in J Orthop Surg (Hong Kong). 2006 Aug;14(2):187-91.

39. Unusual K-wire migration.
Match Strength: 6.925

The authors report a case of intra-abdominal migration of a Kirschner wire from the left hip to the right lobe of the liver in a 5-year-old child. The wire was used for stabilization of the left hip after open reduction for neglected unreduced congenital dislocation of the left hip. The migrated wire was removed by laparotomy. Surprisingly, no injury was noted to any intervening abdominal structure intra-operatively. This unusual migration of a Kirschner wire into a child's liver has not been reported previously ... Read More »
» Published in Indian J Pediatr. 2006 Dec;73(12):1107-8.

40. Unusual K-wire migration.
Match Strength: 6.925

The authors report a case of intra-abdominal migration of a Kirschner wire from the left hip to the right lobe of the liver in a 5-year-old child. The wire was used for stabilization of the left hip after open reduction for neglected unreduced congenital dislocation of the left hip. The migrated wire was removed by laparotomy. Surprisingly, no injury was noted to any intervening abdominal structure intra-operatively. This unusual migration of a Kirschner wire into a child's liver has not been reported previously ... Read More »
» Published in Indian J Pediatr. 2006 Dec;73(12):1107-8.

41. Expanding the phenotypic spectrum of L1CAM-associated disease.
Match Strength: 6.708

Mutations in the L1CAM gene cause neurological abnormalities of variable severity, including congenital hydrocephalus, agenesis of the corpus callosum, spastic paraplegia, bilaterally adducted thumbs, aphasia, and mental retardation. Inter- and intrafamilial variability is a well-known feature of the L1CAM spectrum, and several patients have a combination of L1CAM mutations and Hirschsprung's disease (HSCR). We report on two siblings with a missense mutation in exon 7 (p.P240L) of the L1CAM gene. In one of the siblings, congenital dislocation of the radial heads and HSCR were present. Neither ... Read More »
» Published in Clin Genet. 2006 May;69(5):414-9.

42. Craniovertebral junction realignment for the treatment of basilar invagination with syringomyelia: preliminary report of 12 cases.
Match Strength: 6.694

Twelve selected patients, eight males and four females aged 14 to 50 years, with syringomyelia associated with congenital craniovertebral bony anomalies including basilar invagination and fixed atlantoaxial dislocation, and associated Chiari I malformation in eight, were treated by atlantoaxial joint manipulation and restoration of the craniovertebral region alignment between October 2002 and March 2004. Three patients had a history of trauma prior to the onset of symptoms. Spastic quadriparesis and ataxia were the most prominent symptoms. The mean duration of symptoms was 11 months. The ... Read More »
» Published in Neurol Med Chir (Tokyo). 2005 Oct;45(10):512-7; discussion 518.

43. Silicone intubation with trans-sac fixation to prevent tube dislocation.
Match Strength: 6.682

PURPOSE: To report a new technique for silicone tube fixation, after successful intubation for congenital nasolacrimal duct obstruction, to minimize its lateral dislocation. METHODS: Thirty patients (40 eyes) aged 20 months to 5 years (median, 28 months) were treated using the Ritleng bicanalicular lacrimal intubation system. After drawing the silicone stent out of the nose, a piece of 7-O Prolene suture was tied securely around one of its limbs. This limb was then pulled up, pulling the tied end of the Prolene suture to the medial canthal area. The same procedure was repeated with the other ... Read More »
» Published in J AAPOS. 2005 Dec;9(6):558-62.

44. Developmental dysplasia of the hip: nursing implications and anticipatory guidance for parents.
Match Strength: 6.626

Developmental dysplasia of the hip (DDH) is a comprehensive term used to describe an abnormal relationship between the femoral head and the acetabulum. Developmental dysplasia of the hip includes a very wide spectrum of abnormality from a frank dislocation (very unstable) to a stable hip with a slightly shallow acetabulum. As many of these findings may not be present at birth, the term developmental more accurately reflects the biologic features than does the term congenital. Despite the recent increased awareness of DDH and the importance of thorough screening programs, hip dysplasia ... Read More »
» Published in Orthop Nurs. 2006 Mar-Apr;25(2):100-9; quiz 110-1.

45. Surgical treatment of dysplastic and isthmic spondylolisthesis.
Match Strength: 6.587

Background. Dysplastic spondylolisthesis results from a congenital malformation of the vertebral processes, sometimes accompanied by spina bifida; its progression causes subluxation or dislocation in the intervertebral joints and an anterior repositioning of the entire vertebra. Isthmic spondylolisthesis, on the other hand, most often results from a spinal fissure. The body and part of the arch are dislocated, while the intervertebral joints are normal. Treatment is indicated when there is pain, neurological symptoms, or radiological signs of progression of the slippage. Material and methods. ... Read More »
» Published in Ortop Traumatol Rehabil. 2005 Dec 30;7(6):639-45.

46. Etiology of Congenital Dislocation of the Hip : Carl E. Badgley MD (1893-1973) The 11th President of the AAOS 1942.
Match Strength: 6.547

Dr. Carl E. Badgley was born in 1893, the son of a Presbyterian minister [2]. He received his medical degree at the University of Michigan in 1919, and became interested in orthopaedic surgery owing to Drs. Hugh Cabot and LeRoy Abbott. He was appointed as an instructor of surgery in 1920 and was appointed professor and head of the Section of Orthopaedic Surgery in 1932, an appointment he retained until 1963 when he retired.Dr. Badgley, devoted to his home state, was active in organizing institutions and organizations within Michigan. These included the Rackham Arthritis Research Unit within ... Read More »
» Published in Clin Orthop Relat Res. 2008 Jan;466(1):90-103.

47. Percutaneous endoscopic gastrostomy in children and adolescents.
Match Strength: 6.454

BACKGROUND: Long-term nasogastric tube feeding is often associated with irritation of the hypopharynx or dislocation of the tube. These pitfalls may be circumvented by percutaneous endoscopic gastrostomy. Although frequently used in adults, there is limited experience with the procedure in children. METHODS: A series of 139 patients (aged 3 weeks to 36.5 years, mean age, 4.4 years; weight 3.1-60 kg, mean weight, 15 kg) underwent placement of a percutaneous endoscopic gastrostomy because of central dysphagia (n = 103); general dystrophy caused by chronic renal failure, congenital heart disease, ... Read More »
» Published in J Pediatr Gastroenterol Nutr. 1997 Nov;25(5):487-91.

48. One stage reduction and fixation for atlantoaxial spondyloptosis: Report of four cases.
Match Strength: 6.157

We report four patients having an extremely rare and hitherto unreported clinical condition of spondyloptosis of the atlas over axis. Between the year 1999 and 2004, four patients with spondyloptosis were retrospectively analysed. The age of the patients ranged from 12 to 31 years. In three patients, the aetiology of spondyloptosis was probably congenital in nature and in one case it was secondary to rheumatoid disease. The patients presented with varying degrees of neck pain and spastic quadriparesis. All patients were successfully treated by atlantoaxial joint distraction, reduction of the ... Read More »
» Published in Br J Neurosurg. 2006 Aug;20(4):209-13.

49. Pediatric keratoprosthesis.
Match Strength: 5.624

OBJECTIVE: To describe the authors' experience using keratoprosthesis to treat pediatric corneal opacity. DESIGN: Nonrandomized, consecutive, retrospective interventional series. PARTICIPANTS: Twenty-two eyes of 17 children with opaque corneas as a result of primary congenital disease and or previous failed keratoplasty. METHODS: A retrospective review of pediatric patients with a history of corneal opacification treated with keratoprosthesis surgery. MAIN OUTCOME MEASURES: Intraocular pressure, inflammation, clarity of the visual axis, visual acuity, refraction, complications, and retention ... Read More »
» Published in Ophthalmology. 2007 May;114(5):989-94.

50. Ectopia lentis et pupillae: report of a unilateral case and surgical management.
Match Strength: 5.503

PURPOSE: To report a case of clinically unilateral congenital ectopia lentis et pupillae (ELeP) and discuss its surgical management. DESIGN: Interventional case report. METHODS AND RESULTS: A 37-year-old female was referred to our service for surgical management of unilateral ectopia pupillae for aesthetic reasons. On presentation the visual acuity of the affected eye was 20/400. Ultrasound exam did not show any crystalline lens dislocation, and therefore the case was considered a very rare variable of the ELeP syndrome. We proceeded to surgical correction of the pupillary ectopia. At the 3 ... Read More »
» Published in Graefes Arch Clin Exp Ophthalmol. 2006 Jul;244(7):878-9. Epub 2005 Nov 29.

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