Orthopedics

Orthopedics

 CTEV Treatment

ü CTEV treatment:

ü Newborn: Manipulation + Dennis brown splint

ü 1-6m: Manipulation + above knee cast

ü 6m-3y: Soft tissue release(posteromedial)

ü 4-8y: Litchblau's procedure (<6yrs dweller="" evan="" op="" or="">6yrs)

ü 8-12y: Wedge tarsectomy

ü >12y: Triple orthrodesis

Bone Metastasis

*Causes of Osteolytic metastasis :

- Kidney (expansile) and Thyroid : Expansile lytic osseous metastasis are characteristic of Renal cell carcinoma (kidney) and Thyroid

 - Lung

 - Gastrointestinal tract (GIT)

 - Breast (occasionally)

 - Less commonly melanoma , carcinoma of  bronchus and pheochromocytoma may also

 present with Expansile lytic lesions.

*Causes of Osteoblastic metastasis :

 - Prostate

 - Breast (may be mixed)

 - Seminoma

 - Carcinoid

 - Neurogenic tumors

 - Uterus - Ovary