Chapter 53 souza Flashcards
prevalence of sickle cell
.3% of blacks
1 in 10000 births
marfan
fibrillin is affected in this condition
marfan
occurs in 1 of 2500 births in US
cystic fibrosis
asymptomatic cariers of CF
1 in 25 people
life expectancy of Sickle cell
greater than 50 year old
MC maligant tumor in second decade
osteogenic sarc
osteogenic sarc is MC found in ___ and ____ of a joint
knee
metaphysis
5 year survival rate of osteogenic sarc is
75% with aggressive treatment
2nd MC malignant tumor of childhood
Ewing’s sarcoma - usually osteolytic and in diaphysis and febrile and increased ESR
prognosis of Ewing’s sarcoma
chemotherapy and resection result in a five year survival rate of 50-60%
confirms diagnosis of ewings sarcoma
biopsy
keinbocks of navicular
kohlers
What to do with kohlers?
adjust navicular/arch support
osteochondrosis of capitullum of elbow with sclerosis, fissuring, fragmentation etc
Panner’s disease- temporary immobilization and avoid rapid movement of pronation and supination may take up to 2 years to heal