Journal of pediatric orthopedics. Part B
-
The authors report a case of abscess in the obturator internus muscle, which is a rare occurrence. It was managed with antibiotics and surgical intervention was not necessary. Pyomyositis involving the muscles around the hip needs to be differentiated from septic arthritis and transient synovitis of the hip because these pathologies more commonly afflict this joint. ⋯ Only rarely is the obturator internus involved by the abscess. Magnetic resonance imaging is the imaging modality of choice to image the obturator internus and to ascertain the diagnosis. Lack of awareness of the existence of this condition leads to a delay in the correct diagnosis.
-
Measurement of capillary refill time (CRT) is thought of as a fast and inexpensive tool for assessing perfusion to an extremity or digit. CRT is frequently relied upon by orthopedic surgeons, especially in the postoperative period when pulses may be inaccessible owing to casts or dressings. Yet to our knowledge, no study has attempted to correlate CRT with other indices of perfusion to the extremity. ⋯ A lack of correlation was found between arterial flow and CRT (r=0.02, P=0.93). Though the study has its weaknesses, the results caution the use of CRT as a solitary measure of perfusion in children. This was a level 1 diagnostic study.
-
Literature, describing scoliosis in patients of osteogenesis imperfecta (OI), favors operative treatment as soon as possible in the form of fixation with instrumentation and fusion to prevent curve progress and pulmonary function deterioration. There are various complications associated with the treatment of scoliosis in OI before, during, and after surgery because of poor bone quality in such patients. ⋯ Owing to unusual symptoms and continuous dull pain in her back, the diagnosis was delayed during which the conditions made her life miserable. This report also suggests that a stress fracture should be on high suspicion in OI patients when they present with minor difference in the nature of pain.