RESUMO
Children with early onset scoliosis typically present before age 5 years. Radiographic criteria help to distinguish progressive cases from those that will spontaneously resolve. Severe cardiopulmonary problems may occur in untreated progressive cases. A comprehensive evaluation should be performed to identify commonly associated conditions, such as plagiocephaly, congenital heart disease, inguinal hernia, and hip dysplasia. For curves >20 degrees , magnetic resonance imaging of the neural axis is indicated to rule out occult central nervous system lesions. Surgical management should be considered when nonsurgical measures, including bracing and casting, fail to arrest progression. Surgical methods continue to evolve and are primarily directed at obtaining and maintaining curve correction while simultaneously preserving spinal and trunk growth.
Assuntos
Escoliose/terapia , Algoritmos , Fenômenos Biomecânicos , Pré-Escolar , Progressão da Doença , Humanos , Próteses e Implantes , Alvéolos Pulmonares/crescimento & desenvolvimento , Remissão Espontânea , Escoliose/complicações , Escoliose/fisiopatologia , Fusão Vertebral , Coluna Vertebral/crescimento & desenvolvimento , Toracoplastia , Resultado do TratamentoRESUMO
We report a case of delayed rupture of the flexor digitorum superficialis and profundus tendons after the use of local corticosteroid injections for trigger finger. The treatment involved the exploration, debridement, and placement of a silicone rod for planned flexor digitorum profundus staged reconstruction.
