Intervertebral disc infection (discitis) in childhood.
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Biomedical subjects
Publications and source records attributed to C Malkin.
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A 73-year-old woman with fatigue fracture of the right pubic rami following total hip arthroplasty had a long delay to union. Discrepancy in leg lengths due to nonunion of an intertrochanteric osteotomy of the contralateral hip may have contributed to the fatigue fracture of the pubic rami. The postarthroplasty fatigue fractures in patients reported in the literature were of the compression type and healed within a few weeks. In the patient reported here, the fracture was of the distraction type and was characterized by failure of callus formation with slow healing requiring two years to union.
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Bilateral epiphyseometaphyseal cupping of the distal femoral epiphysis occurred in a 9-year-old girl with a history of infantile scurvy. This rare condition is characterized by a cup-shaped depression of the metaphyseal end, growth disturbance at the distal femoral epiphysis and knee flexion contracture which develops slowly over many years of bone growth. Conservative treatment by corrective plasters and back slabs brought about recovery of the right knee flexion contracture and halted the growth disturbance. However, in the left knee, extension supracondylar femoral osteotomies had to be performed and severe growth disturbance of the distal femoral epiphysis led to premature epiphyseal fusion.