There are four classification of Blount’s disease. The first is early onset when the bowing occurs while the child is younger than four years old. The second is late onset and occurs when the child is older than four. Next, is juvenile onset between the years of four and ten and adolescent onset after ten years of age. The most common is early onset because children are usually identified younger than two years old (Gopakumar 65). There are also different stages of this condition. If Blount’s disease is caught between stages one and four it is usually curable and the child won’t have to live with the leg bowing their whole life. However, if the condition is in stages five or six then treatment is usually ineffective. If treatment is attempted …show more content…
This procedure is known as a realignment osteotomy, and is usually only used once the growth plate has already fused. During surgery, the bone is cut to either shorten it, lengthen it, or change its alignment. Also during surgery, closing wedges, opening wedges, a dome, plates, screws, or smooth pins could be put it. One method using plates and screws is guiding the bone growth with a non-locking titanium plate that is held in place with screws. This procedure reduces growth on the opposite side. The implant can be removed if the opportunity arises (Gopakumar 67). Another option for correction is orthotic application. The use of orthotics help apply forces to relieve weight bearing stress on the tibia. While using this type of method, stretching exercises, strengthening exercises, and lower limb massages are also used to help with the process (Alsancak 2). One type of orthotic application is a full time brace. These type of braces usually consist of a thigh cuff and ankle hinge. They allow for full extension of the leg; however, it does not allow for hyperextension of the knee. A drop lock is include to allow the child to sit down. On the sides of the braces are bars that help with stability, and cuffs for the calf to place pressure on the tibia. The strap is used to control the amount of pressure put on the tibia. The tighter the strap the more pressure that is applied. As the name implies, these type of braces
have been trying to find the exact cause of this disease and how it can be treated so
Treatments for OI are individualized and dependent upon the severity of the disease and age of the patient being treated. There is a team of healthcare providers that provide this treatment for OI including several types of doctors, physical therapist, a nurse clinician and a social worker. There are 3 types of nonsurgical treatments, medication being one of them. Medical bisphosphonates are given to the child either by mouth of IV. This helps slow down resorption of the bone and in more severe cases, it helps reduce the number of fractures and helps with pain. Another type of nonsurgical treatment is immobilization, this includes casts, braces and splints to keep the bones still and in line in order to heal correctly. The last nonsurgical treatment is exercise. After a child receives a fracture, it is encouraged to get them up and weight bearing as soon as the bone is healed. Certain exercises will increase mobility and reduce risk of fractures
northernorthotics.com.au - Bone and Ligament Injuries and the Ways That Northern Orthotics Can Help You
This is a special kind of material which is inserted and placed inside the shoes of a person suffering from plantar fasciitis. Basically, orthotics acts as shoe insoles, cushioning your heels and providing them with a comfortable feel while you walk or run.
When an orthotic is fit properly it will provide the necessary support to prevent pain and injury. Custom fitted orthotics are specifically designed to match
Functional braces reduced the abduction angle in the knee when forces were applied at 0 degrees of flexion, while prophylactic knee braces had no effect on joint movement. In functional bracing conditions at a knee flexion of 30 degrees, the abduction angle reduced from 0 percent to 22 percent. When prophylactic braces were applied, there was no change in the angle, suggesting that there was no effect between the non-braced and prophylactic braces conditions.(4/568) When the MCL was intact, neither condition of braces had an effect on the ACL load when force was applied. The MCL load was decreased by functional braces but not by prophylactic braces when force was applied.(4/570) While the force conditions in this study did not exactly simulate the contact received during athletic competition, they were accurate representations of the minimal force applied during these events.(4/569)
There can be disruption of the tibial – femoral joint. There is possible damage to neurovascular structures. It’s possible to disrupt the medial cortex, resulting in instability and non- union between the upper and lower bone because of possible soft tissue interference. It can also be extremely difficult to compute the correct amount of bone to remove, meaning several extra cuts are sometimes made. While closed wedge osteotomy is most common, it also had the most reduced risk of failure. The surgeons use a specific technique where a wedge of bone is removed with the tibia on an anterolateral approach, because it gives the patient a massive disadvantage: “The patient has more inherent stability which allows for faster rehab and weight bearing as well as not requiring bone grafting” (High
Treatment of OA aims to reduce pain to a tolerable level as well as improve function of the affected area. Often, this is possible with a combination of physical activity, medical care, or as a last resort, surgery. Weight loss and exercise are useful in OA. Studies have shown For every 10 lbs lost over 10 years, the chance of developing knee OA is cut 50 percent. Working out regularly, can build muscle strength, and increase mobility to stiffened areas, as well as decrease the chance of impairment due to OA. Assistive devices such as orthotics may help in daily activities. A heat therapy such as a spa tub can temporary relieve OA
Each one mentioned above is very different form the other. Each one also has various sub-types of the condition. Today approximately one in ever fifty thousand children born are affected by the disease. In today’s general population nine in one million suffer from this disease. Most people who have this disease pass away at a very young age. The oldest know person living with this condition was Tabatha Nichols of Hastings Michigan. She was twenty-four years old when she passed away in her
Change your footwear. Avoid using high heeled and narrow shoes. Ease the pressure on the nerve of your foot by wearing orthotic pads such as metatarsal pads and good arch support.
Full Torso. Brace: A full torso brace is also termed as the Milwaukee brace and was considered as standard treatment until a decade ago. It is used even today particularly for high curves. The brace contains a wide flat bar in front and it has two smaller ones in back. These bars get attached to a ring around neck that rests for the chin and at back of the head. The best curve correction occurs if patient lies on their chest when using the brace. Some researchers suggested that increasing tension on the chest straps might provide additional benefits. The brace is also periodically adjusted for growth with changes.
material and above-stated body position changes for patients is the best practice and should be implemented into policy and practice. Any device used to prevent heel pressure injuries should be selected and fitted appropriately to ensure pressure is adequately offloaded. ("Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure
A surgical procedure to limit the growth of a normal leg to allow a short leg to grow to a matching length is an Epiphysiodesis. An epiphysiodesis procedure using guided growth was first recorded in 1933 by Phemister to correct leg-length discrepancies and angular deformities of children.11 This procedure is performed on the epiphyseal plate in one of the patient's legs that slows down the growth of a specific bone and is performed under general anesthesia. A surgeon would make an incision over the epiphyseal plate shown in Figure 1 and at the end of the bone in the longer leg shown. Then proceed to destroy the epiphyseal plate by scraping or drilling a screw or stable to restrict further growth. The percutaneous technique uses the screw or
CUSTOMIZABLE COMPRESSION THERAPY: Two adjustable straps allow you to customize the amount of compression to effectively reduce pain, inflammation and swelling. Great support brace for arthritis, carpal tunnel, tendonitis, repetitive stress injury, post-surgery, sprains and strains.
These are some of the questions that are asked and can be answered through a review of literature. Children with these illnesses are studied to find the reasons of the illness and to solve the problem. The cause of the illness is also identified when study’s take place.