ABSTRACT
21 cases of Sprengel deformity in 19 patients were treated in Paediatric orthopaedic unit of Children's hospital of Rabat in 20 years. Only 6 patients (4 girls, 2 boys) were operated on. The ages of the patients at operation ranged from four to fifteen years (mean age: 10 years). The duration of follow-up ranged from 8 months to 10 years (average: 4 years and 2 months) The Woodward procedure was constantly used. Post operatively, the average increase in total abduction was 40 degrees (range 30 to 75 degrees) Functional and cosmetic results were judged good in 3 patients, moderate in 2 and fair in one case. We emphasize that patients who are less than 4 years old are the ideal candidates for scapular displacement procedure.
Subject(s)
Scapula/abnormalities , Adolescent , Age Factors , Child , Child, Preschool , Female , Follow-Up Studies , Humans , Male , Radiography , Scapula/diagnostic imaging , Scapula/surgery , Time Factors , Treatment OutcomeABSTRACT
INTRODUCTION: We retrospectively reviewed 106 pediatric cases of peripheral osteoarticular tuberculosis (OAT) seen over a 21-year period in Morocco. Patients with vertebral tuberculosis were excluded from the study. PATIENTS AND RESULTS: The 55 boys and 51 girls had a mean age of 8 years. The hip and knee together contributed 63% of the osteoarticular foci. Organ involvement was documented in 32 cases. Mean time from symptom onset to evaluation was 10 months. This resulted in diagnostic delay, which contributed to the 22% rate of residual abnormalities consisting of joint ankylosis and leg length inequality. CONCLUSION: OAT is a source of functional disability that should be recognized and treated early, particularly in children, given that appropriate management can lead to a full recovery (14 patients in our series).
