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Biomedical subjects

R Jawish

Publications and source records attributed to R Jawish.

17 recordsLinked to original sources
PubMed2003

[Overgrowth of femoral fractures in childhood].

PURPOSE: The purpose of this work was to define the role of different factors which can accelerate overgrowth of femoral fractures in childhood. MATERIAL AND METHODS: Fifty-one fractures of the femur observed in 28 boys and 23 girls, mean age four years, were treated orthopedically. Twelve fractures involved the upper third of the femur, 34 the middle third and five the lower third. There were 30 transverse, 13 oblique, and eight spiral fractures. Overgrowth (OG) was assessed on x-rays obtained two years after bone healing and defined as the sum of the initial shortening (RI) plus leg length difference (LLD): OG=RI + LLD. RESULTS: OG was 11.3 mm in boys and 7.55 in girls, mean 9.5 mm. OG was greatest between the ages of 3 and 7 years. OG was 18.62 mm in spiral fractures, 9.15 mm in oblique fractures and 7.59 mm in transverse fractures. OG was 12.41, 9.46, and 2.49 mm for the upper, middle, and lower femur. Mean OG was 5.46, 9.43, and 18.09 mm for RI<5 mm, 5 mm 10 mm respectively. There was a linear relationship between RI and OG: OG=0.84 RI + 3.4. DISCUSSION: Taking into account different factors, bony overgrowth can be estimated from the initial shortening in fractures of the femur in children. It is tolerated better in boys, between the age of 3 and 7 years, and for proximal and spiral fractures.

Age Factors↗
PubMed1997

[Osteoid osteoma of the intramedullary diaphyse in children].

We report 2 cases of uncommon osteoid osteoma in 2 children; they occurred at an exceptional age: 18 months and 2.5 years. They have also original location at the intramedullary diaphyseal tibial shaft. Osteoid osteoma is divided into cortical, medullary and subperiosteal location. Cortical osteoid osteoma is accompanied by intense reactive bone sclerosis, but medullary and subperiosteal types are associated with mild or non reactive bone sclerosis. In our cases, osteoid osteoma were associated with intense reactive bone sclerosis as noted in the cortical form.

Bone Neoplasms↗
PubMed1994

[Open osteotomy of the first cuneiform in the treatment of tarsometatarsal varus in children].

MATERIAL AND METHODS: Open wedge osteotomy of the first cuneiform was used for correction of metatarsus varus primus. The osteotomy interested the medial, dorsal and plantar face of the first cuneiform, but lateral cortex should be carefully left intact, it is used like a hinge for opening the osteotomy. This procedure is carried out when varus of the tarsometatarsal joint is superior to 20 degree, it is reduced to its normal value, between 5 and 10 degree. Osteotomy is stabilized with bone graft. In resistant metatarsus adductus, closed wedge osteotomy of the cuboid has been added to correct the varus deformity of the fore foot, it allowed lateral swing of the forefoot: the bone excised from cuboid is used to stabilized medial osteotomy. Twelve children, aged 5 to 15 years, underwent medial open wedge osteotomy of the first cuneiform for correction of 16 feet including 8 hallux valgus, 6 serpentine feet, defined as adductus of the forefoot and valgus of the hindfoot, and 2 clubfeet. In all hallux valgus it was associated with release of all contracted lateral structures and in three cases, shortening of the proximal phalanx. In serpentine feet and clubfeet closed wedge osteotomy of cuboid has been added. RESULTS: Results have been studied with follow up ranging between 18 months and 5 years. In 8 cases of hallux valgus, one case showed recurrence; failure was related to technical deficiency, because the lateral cortex of the first cuneiform was cut accidently leading to over lengthening of the first column. In 6 resistant metatarsus varus and 2 clubfeet, we didn't find any recurrence at term of our follow up. DISCUSSION: In all cases, growth of metatarsals hasn't been disturbed at term of our follow up and tarsometatarsal joint remained well corrected, because proximal epiphyseal plate of metatarsal was normally positioned and saved from damage.

Adolescent↗
PubMed1993

Osteochondritis dissecans of the humeral capitellum in children.

We studied 13 cases of osteochondritis dissecans of capitellum humeri in 12 children, 11 boys and 1 girl, aged between 10 and 15 years. We distinguished this affection from Panner's disease which affects young children and resembles Legg-Perthes-Calvé disease of the hip. Operative treatment was performed in 7 out of 13 elbows for removal of loose bodies or excision of osteochondritis in situ with cartilage damage. In other cases, functional treatment was carried out. At long-term follow-up, ranging from 2 to 13 years, clinical examination demonstrated satisfactory results in 9 cases; in 3 cases limitation of movement was related to fracture of the radial head or to delay in operative treatment for too long. Roentgenographically, changes related to growth disturbance were constantly observed; they involved the radial head, the olecranon, the trochlea and the proximal end of the ulna.

Adolescent↗
PubMed1992

[Long-term outcome of pectus excavatum surgically treated in children].

The authors have studied the result of 34 pectus excavatum, corrected by two surgical methods, followed up between 3 and 20 years: half of cases were treated by Judet's procedure, making turn over of anterior wall chest, with 35 per cent of good result. The other cases were treated by sternochondroplasty and internal fixation, with 88 per cent of good result. Early failures related to sternal non union and to infection, occurred in 53 per cent of Judet's procedure; eight of the 13 failures were managed by sternochondroplasty (7 cases) and Judet's procedure (1 case); followed by good results. Failure at further time was related to the young age of the patients at treatment, to the deficiency of fixation and early removal of material. Consequently, durable correction at long term was obtained, when treatment was performed by sternochondroplasty procedure, over 14 years of age, when many pins were used for fixing the correction, left in place for more than one year. In such cases, we didn't observe regression of result. When small residual deformities subsisted they were often masked by the development of the muscles in man, and breast in woman, providing acceptable aspect of chest.

Adolescent↗
PubMed1991

Uncommon torticollis in children.

We report on one case of uncommon torticollis in children caused by a pencil cap lodged in the neck. Diagnosis had been established two months after the trauma, during a screening for oro-pharyngeal cancer. The foreign body had pierced the posterior wall of pharynx without damaging the spine and large vessels.

Child↗
PubMed1991

[Conservation of the foot in the treatment of longitudinal external ectromelia].

We studied 52 congenital longitudinal deficiencies of the fibula in 44 children, 25 girls and 19 boys. We preferred equalization of leg-length discrepancy and correction of equinovalgus deformity of the foot, to amputation. Correction of the deformity in valgus and equinus is obtained at the price of the section of triceps, peroneus brevis and fibula, inserted on the calcaneum. In some cases an open osteotomy of the talocalcaneal synostosis, or an osteotomy of the lower part of the tibia are also necessary. Good correction of foot has been obtained in 62.8 per cent of cases. 39.5 per cent of children have had suitable foot for weight-bearing, with normal shoes, and 23, 25 per cent have had prosthesis for discrepancy. This procedure should be carried out in predictable discrepancies below 150 mm, whereas 89 per cent of children were saved from amputation; this latter is recommended, at early age, for more important discrepancies.

Bone Lengthening↗
PubMed1990

[Growth acceleration in orthopedically treated diaphyseal fractures of the femur in children].

Authors reported 126 fractures of the femur in children having had orthopaedic treatment. Between them, 40 cases are reviewed at an average of 4 years 3 months of follow up. Radiographic measurement of limbs discrepancy revealed that the mean value of overgrowth is more important in boy (11.36 mm) than girl (6.38 mm), especially between 3 and 7 years of age, and it is related to the initial overlap value and the type of fracture.

Adolescent↗
PubMed1990

[The Z-shaped or serpentine foot in children and adolescents].

Serpentine foot or Z-shaped foot, definite as varus of forefoot with valgus of heel, is a deformity which is advisable to separate from metatarsus varus in children. We have studied 55 serpentine feet of 31 children aged between 6 months and 13 1/2 years, observed in 20 years. We distinguished four grades of deformities. Treatment was orthopedic in 15 times, surgical in 29, with 50% of bad result, 11 feet which haven't had any treatment were in use to indicate evolution of the adductus. However, valgus of heel is transitory and secondary to forefoot rigidity, it always regressed but growth disturbance of tarsal bone occurred making lateral deviation. We insist on early radiographic diagnosis and treatment which is orthopaedic before first year of age, then surgical when first failed or in old children. It get release of metatarsal stiffness before 6 years of age, then in older we make osteotomy of 1 degree cuneiform and cuboid to correct bone deformity. Correction of hind foot valgus, realized in 24% of the surgical treatment, must be prohibited, it always made transverse tarsal instability.

Adolescent↗
PubMed1989

[Intervertebral disk calcification in children].

Thirty one intervertebral space calcifications (I.S.C.) were studied in 21 children (12 boys, 9 girls), with mean age of 7 years; 25 calcifications had been followed for an average of 71.5 months. The main symptom was pain (Crisis) which relieved in a delay of 1 month in 70 per cent of cases. "Crisis" and radiographic fragmentation of the calcification are both criteria of going out of 18 calcifications, in a delay ranged from 28 days to 6 months. The calcification appears as a sign which disclose a general disease of spine, interesting vertebral body, growth plate, and disc; therefore we have observed 15 lesions due to growth disorders in 16 cervical I.S.C., at dorsal level we have described 4 cases of intrasomatic cavitation containing calcified material, opened in the intervertebral space. This growth disturbance has been noted either on first radiograph, or has appeared later, after disappearance of the I.S.C.; we found more over absence of listel and lesion of multiple plates distant from the calcification. This disease is identified to vertebral osteochondrosis where residual deformities are more worrying than the benign calcification; they have concluded management of I.S.C. as early as possible to avoid great deformities of vertebral bodies.

Adolescent↗
PubMed1989

[Stable flexible nailing of fractures of both bones of the forearm in children].

Flexible medullary nailing is a method of choice for fractures of the forearm in children. This technique is indicated when orthopaedic treatment has fallen, or for instable fracture. We reported forty four fractures of the forearm concerning children with an age ranged from 2.5 to 15 years. We obtained 38 good results (83.3%) and 6 complications (14.7%) which were related to growth disturbance, leading to limitation of pronation; in one case we obtained a rupture of extensor pollicis longus.

Adolescent↗
PubMed1987

[Ossification of the posterior longitudinal ligament of the lumbar spine].

The authors present five cases (4 men, 1 women) of ossification of the posterior lumbar longitudinal ligament. The mean age is 61 years. They emphasize the extreme rarity of this location, its association with ankylosing spinal hyperostosis and diabetes in three patients; they also give a reminder of the characteristics of this radiological symptom. They discuss the etiology on the basis of three hypotheses (disc deterioration, hyperostosis, disease described by Japanese authors).

Aged↗
PubMedDate not supplied

[Simultaneous bilateral spontaneous rupture of the quadriceps tendon. Apropos of a case of a hemodialysis patient with hyperparathyroidism and review of the literature].

The bilateral simultaneous spontaneous rupture of the quadriceps tendons is a rare condition. Of the pathologies associated with this condition, in the literature, chronic renal failure with hyperparathyroidism is of special interest. In this context, the frequency of this lesion is related to the chronicity of the renal disease. We report a case treated surgically with a good functional result in a patient under dialysis with hyperparathyroidism.

Adult↗