The decision of whether or not to remove pediatric metallic implants remains a controversial issue. Many factors have been cited both in favor and against routine removal of metallic implants. The purpose of this study was to determine the fracture rate following the routine removal of hardware from patients with...

The differential diagnoses of a limp in a child are broad. Normal age-related gait must first be differentiated from gait impairment. Once gait impairment is identified, differential diagnoses are narrowed as the history and physical examination findings begin to suggest a source for the limp. In many instances, a diagnosis...

LEGG-CALVE-PERTHES DISEASE Alternative titles; symbols LCPD; LCP LEGG-PERTHES DISEASE PERTHES DISEASE Legg-Calve-Perthes disease is characterized by loss of circulation to the femoral head, resulting in avascular necrosis in a growing child. Clinical pictures of the disease vary, depending on the phase of disease progression through ischemia, revascularization, fracture and collapse, and repair and...

Radiology case 458-571 Clinical presentation: 3 year old child of recent immigrants from India, not walking properly.
There is a varus deformity of both legs with bowed tibiae. The epiphyseal plates are widened and all the metaphyses are broad and irregular, relative to the epiphyses. Additionally, the distal tibial metaphyses appear cupped...