#Orthopedic screening of newborns

[kidsorthopedic]

Orthopedic Screening of Newborns: A Comprehensive Overview

Orthopedic screening of newborns is a crucial aspect of neonatal care, aiming to detect musculoskeletal abnormalities early on. Identifying conditions at birth allows for timely intervention, which can prevent long-term disabilities and enhance the quality of life. This comprehensive article delves into the significance, methods, common conditions detected, and the implications of orthopedic screening in newborns.

Introduction

The birth of a child is a momentous event, accompanied by a myriad of emotions and responsibilities. Among the numerous checks and screenings a newborn undergoes, orthopedic screening stands out as an essential process. The primary objective is to identify congenital musculoskeletal anomalies that, if left untreated, can lead to significant morbidity. Early detection facilitates appropriate treatment, ensuring the child’s optimal development and functioning.

Importance of Orthopedic Screening in Newborns

Orthopedic screening in newborns is pivotal for several reasons:

Early Detection of Congenital Anomalies: Early identification of conditions such as developmental dysplasia of the hip (DDH), congenital talipes equinovarus (clubfoot), and limb abnormalities allows for prompt treatment, often leading to better outcomes.

Prevention of Long-term Disabilities: Untreated musculoskeletal conditions can result in long-term disabilities, affecting a child’s mobility and overall quality of life. Early intervention can prevent or minimize these consequences.

Reduction of Healthcare Costs: Early diagnosis and treatment can reduce the long-term healthcare costs associated with managing chronic disabilities and complications arising from untreated conditions.

Parental Reassurance: Early screening and intervention can alleviate parental anxiety by providing clear diagnoses and treatment plans.

Common Orthopedic Conditions in Newborns

Several orthopedic conditions can be detected during neonatal screening. The most common include:

1. Developmental Dysplasia of the Hip (DDH)

Definition: DDH encompasses a spectrum of hip joint abnormalities where the femoral head is not properly seated in the acetabulum. It ranges from a loose hip joint to a completely dislocated hip.

Risk Factors: Family history, breech presentation, firstborn status, and being female are significant risk factors.

Screening Methods: The Barlow and Ortolani maneuvers are commonly used. These involve manipulating the hip to detect instability or dislocation. Ultrasound is used for confirmation and further evaluation.

Treatment: Early treatment includes Pavlik harness application, which maintains the hip in an optimal position for growth. Severe cases may require surgical intervention.

2. Congenital Talipes Equinovarus (Clubfoot)

Definition: Clubfoot is a deformity characterized by the foot being twisted inward and downward. It can be idiopathic or associated with neuromuscular disorders.

Screening Methods: Physical examination is usually sufficient for diagnosis. The foot’s position, rigidity, and appearance are assessed.

Treatment: The Ponseti method, involving gentle manipulation and casting, is the gold standard. Surgery is reserved for resistant cases.

3. Limb Abnormalities

Definition: These include conditions like polydactyly (extra fingers or toes), syndactyly (fused fingers or toes), and limb length discrepancies.

Screening Methods: Visual inspection and physical examination are the primary methods. Further imaging may be required for detailed assessment.

Treatment: Treatment varies based on the condition and severity. Surgical correction is often required for functional and cosmetic reasons.

4. Metatarsus Adductus

Definition: This condition involves the inward deviation of the forefoot. It is usually flexible and can be corrected with gentle manipulation.

Screening Methods: Physical examination reveals the inward deviation and flexibility of the foot.

Treatment: Most cases resolve spontaneously. Severe or persistent cases may require casting or surgery.

5. Torticollis

Definition: Torticollis is the shortening of the sternocleidomastoid muscle, causing the head to tilt to one side.

Screening Methods: Physical examination reveals limited range of motion and head tilt.

Treatment: Physical therapy and stretching exercises are the primary treatments. Severe cases may require surgical intervention.

Methods of Orthopedic Screening

Orthopedic screening in newborns involves a combination of physical examinations and, when necessary, imaging techniques. Here are the key methods used:

Physical Examination

General Inspection: The clinician observes the baby’s overall posture, limb symmetry, and any visible deformities.

Range of Motion Testing: Passive and active range of motion tests help identify joint limitations or abnormalities.

Specific Maneuvers: Techniques like the Barlow and Ortolani tests for DDH or manipulation tests for clubfoot are essential components of the physical exam.

Imaging Techniques

Ultrasound: Widely used for diagnosing DDH in infants, ultrasound provides detailed images of the hip joint without radiation exposure.

X-rays: Used less frequently in newborns due to radiation exposure, X-rays are reserved for specific conditions or older infants.

MRI and CT Scans: These are rarely used in the neonatal period but may be indicated for complex cases requiring detailed anatomical information.

Timing and Frequency of Screening

Orthopedic screening typically occurs at several key points:

At Birth: The initial examination identifies obvious abnormalities and high-risk conditions.

During Routine Check-ups: Follow-up screenings during well-baby visits help monitor development and detect conditions that may not be apparent at birth.

When Risk Factors are Present: Infants with known risk factors (e.g., breech presentation, family history) may require more frequent and focused screening.

Challenges in Orthopedic Screening

Despite its importance, orthopedic screening in newborns faces several challenges:

Variability in Screening Practices: There is no universal protocol for screening, leading to variability in practices and potentially missed diagnoses.

Skill and Experience of Clinicians: Accurate screening depends on the clinician’s skill and experience. Inexperienced practitioners may miss subtle signs.

Limited Resources: In resource-limited settings, access to advanced imaging and specialized care can be a significant barrier.

Advances and Innovations in Orthopedic Screening

Recent advances and innovations are enhancing the effectiveness of orthopedic screening in newborns:

Genetic Screening and Biomarkers

Research into genetic screening and biomarkers holds promise for identifying infants at risk for orthopedic conditions even before symptoms appear.

Artificial Intelligence (AI) and Machine Learning

AI and machine learning algorithms are being developed to assist in interpreting imaging studies, improving diagnostic accuracy and consistency.

Portable Ultrasound Devices

The advent of portable ultrasound devices allows for point-of-care screening, making it more accessible in remote or resource-limited areas.

Telemedicine

Telemedicine facilitates remote consultations and second opinions, ensuring that infants in underserved areas receive timely and accurate diagnoses.

The Role of Parents and Caregivers

Parents and caregivers play a crucial role in the early detection and management of orthopedic conditions. Educating them about the signs and symptoms to watch for, the importance of follow-up visits, and adherence to treatment plans is vital.

Signs and Symptoms to Watch For

Parents should be aware of signs such as:

Asymmetry in limb length or appearance.

Limited movement or stiffness in limbs or joints.

Persistent abnormal postures or deformities.

Importance of Follow-up Visits

Regular follow-up visits are essential for monitoring progress and adjusting treatment plans as needed. Parents should understand the significance of these appointments.

Adherence to Treatment Plans

Treatment for orthopedic conditions often involves prolonged and consistent interventions. Ensuring that parents adhere to the prescribed treatment plans, including the use of braces, casts, or physical therapy, is critical for successful outcomes.

Case Studies

Case Study 1: Developmental Dysplasia of the Hip (DDH)

Background: Baby A, a female infant, was born breech and had a family history of DDH. During the initial screening, the Barlow and Ortolani tests indicated hip instability.

Intervention: An ultrasound confirmed the diagnosis of DDH. Baby A was fitted with a Pavlik harness at two weeks of age.

Outcome: Regular follow-up visits and adjustments to the harness led to complete resolution of the hip instability by six months of age. Early detection and intervention prevented the need for surgical treatment.

Case Study 2: Congenital Talipes Equinovarus (Clubfoot)

Background: Baby B was diagnosed with bilateral clubfoot at birth. The feet were rigidly turned inward and downward.

Intervention: The Ponseti method was initiated at one week of age, involving weekly casting and manipulation.

Outcome: By three months, the feet were corrected to a normal position. Continued use of braces at night maintained the correction, preventing recurrence.

Future Directions in Orthopedic Screening

The future of orthopedic screening in newborns is promising, with ongoing research and technological advancements paving the way for more effective and accessible screening methods.

Integration of Genetic Research

Advances in genetic research may lead to the identification of specific genetic markers associated with orthopedic conditions, allowing for early risk assessment and targeted interventions.

Development of Advanced Imaging Techniques

Continued development of imaging techniques, including 3D ultrasound and advanced MRI protocols, will improve diagnostic accuracy and provide detailed anatomical information.

Expansion of Telehealth Services

Telehealth services will expand access to specialized orthopedic care, particularly in underserved areas. Virtual consultations and remote monitoring can ensure timely and effective management of identified conditions.

Training and Education

Enhanced training and education programs for healthcare providers will improve the accuracy and consistency of orthopedic screening. Simulation-based training and continuing education opportunities can keep practitioners up-to-date with the latest techniques and guidelines.

Conclusion

Orthopedic screening of newborns is a vital component of neonatal care, aimed at identifying and managing musculoskeletal conditions early on. Through a combination of physical examinations and imaging techniques, healthcare providers can detect conditions such as DDH, clubfoot, and limb abnormalities, facilitating timely and effective interventions.

[sivahospitals]

Patient Success Stories: Life-Changing Treatments at Kanyakumari’s Leading Multi-Specialty Hospital | Siva Hospital

Introduction

In healthcare, there is nothing more powerful than a true story of healing. These stories showcase the profound impact that dedicated medical professionals, advanced treatments, and compassionate care can have on people's lives. Siva Hospital, Kanyakumari’s leading Best Multispeciality Hospital, stands as a beacon of hope, delivering life-saving treatments and personalized care to its patients. Over the past 25 years, led by Dr. Sivakumar, Siva Hospital has touched countless lives, from Nagercoil to Thiruvananthapuram, restoring health and well-being to the communities it serves. Let’s delve into some inspiring stories of patients who experienced life-changing transformations at Siva Hospital.

1. Overcoming Heart Disease: A Journey to Health

When 58-year-old Mr. Ravi was diagnosed with severe coronary artery disease, he was devastated. His condition was critical, and he faced limited options due to his advanced age and other health complications. Ravi’s family sought expert advice at Siva Hospital, where he was quickly assessed by the experienced team of cardiologists. Dr. Sivakumar and his team recommended a minimally invasive cardiac intervention.

After a successful surgery and a carefully monitored recovery, Mr. Ravi’s life transformed. He began to regain his energy, strength, and confidence. Today, he is back to enjoying his daily walks with friends and spending quality time with his grandchildren. The advanced cardiovascular care he received at Siva Hospital enabled him to overcome what seemed like an insurmountable challenge.

“Siva Hospital and Dr. Sivakumar saved my life. I was at my lowest, and they brought me back,” says Mr. Ravi, who remains an advocate for regular heart check-ups and early intervention.

2. Battling Breast Cancer: A Triumph of Strength and Support

Mrs. Anjali, a 45-year-old schoolteacher, was diagnosed with breast cancer in its early stages during a routine health screening at Siva Hospital. Faced with a life-altering diagnosis, Anjali feared the impact it would have on her family and career. However, the oncology team at Siva Hospital guided her through every step of her journey with compassion and expertise.

With the hospital’s advanced imaging, chemotherapy, and radiotherapy options, Anjali’s cancer was effectively managed and treated. Today, she is cancer-free, continuing her passion for teaching, and advocating for regular screenings among her peers.

“The support and care I received from everyone at Siva Hospital gave me the strength to fight cancer. I owe them my life,” shares Anjali, who often returns to Siva Hospital for follow-up care and to support other patients.

3. Restoring Mobility: An Orthopedic Miracle

For 70-year-old Mr. Murugan, severe arthritis had become debilitating, robbing him of his ability to walk comfortably. After enduring years of pain and mobility issues, he visited Siva Hospital, where he consulted with the hospital’s renowned orthopedic team.

Dr. Sivakumar and his team recommended a joint replacement surgery, which Mr. Murugan initially feared. However, his fears were quickly alleviated by the detailed care and support he received from the staff. Post-surgery, he underwent extensive rehabilitation, tailored to his needs. Now, Mr. Murugan can walk without pain, even enjoying his favorite morning walk along Kanyakumari’s beachside.

“My quality of life has improved immensely. I never thought I’d walk again without pain,” Mr. Murugan says with a smile, grateful for the expertise of Siva Hospital’s orthopedic department.

4. Neonatal Care: A Newborn’s Battle and Victory

The joy of welcoming a newborn can quickly turn to anxiety when unexpected complications arise. This was the case for Mr. and Mrs. Suresh when their son was born prematurely at just 28 weeks. The baby, weighing only 1.1 kg, faced breathing difficulties and other critical health issues. Siva Hospital’s Neonatal Intensive Care Unit (NICU) team immediately took charge, employing state-of-the-art medical technology and compassionate care.

After weeks of dedicated treatment, the baby made a remarkable recovery, gaining weight and strength. Today, he is a healthy infant, and his parents remain grateful to Siva Hospital for the expert neonatal care that saved their child’s life.

“We were afraid we would lose our baby, but the NICU team at Siva Hospital was incredible,” shares Mrs. Suresh. “They gave us hope and saved our child.”

5. Life-Saving Trauma Care: A Race Against Time

When 34-year-old Prakash met with a severe road accident on his way home, his condition was dire. He was rushed to Siva Hospital with multiple fractures, internal bleeding, and a head injury. The hospital’s emergency and trauma team, known for their rapid response and expertise, acted immediately.

Prakash underwent multiple surgeries and received blood transfusions, all while being closely monitored by the trauma and ICU teams. With Siva Hospital’s state-of-the-art facilities and skilled professionals, Prakash survived and eventually regained his health after months of rehabilitation.

“I owe my life to Siva Hospital. Their quick action and dedication saved me,” Prakash says, as he continues his recovery journey with ongoing physiotherapy.

6. Overcoming Respiratory Distress: A Breath of Life

72-year-old Mrs. Lakshmi had struggled with severe respiratory issues for years, often facing breathlessness and fatigue. After consulting with Siva Hospital’s pulmonology department, she was diagnosed with advanced COPD (Chronic Obstructive Pulmonary Disease). The team crafted a personalized treatment plan, combining medication, respiratory therapy, and lifestyle changes.

Mrs. Lakshmi saw a significant improvement in her breathing and overall quality of life. She no longer experiences constant breathlessness and can now spend time with her grandchildren without feeling fatigued.

“Thanks to Siva Hospital, I can finally enjoy life again without feeling out of breath,” Mrs. Lakshmi shares, grateful for the care she received.

7. Complex Spinal Surgery: Returning to Life

For 38-year-old Rajesh, a spinal condition had caused intense pain and limited his mobility, impacting his work and daily life. Seeking relief, he visited Siva Hospital, where he was advised to undergo spinal surgery. The neurosurgery team, led by experts in the field, performed a complex but successful surgery.

After months of physical therapy and support from the rehabilitation team, Rajesh regained his mobility and returned to his job. He is now able to live without the constant pain that once plagued him.

“I thought I’d never be able to work or play with my kids again. Siva Hospital gave me my life back,” Rajesh says, thankful for his newfound freedom.

8. Hope in Infertility Treatment: Fulfilling a Family’s Dream

After several years of struggling with infertility, Mr. and Mrs. Kumar were disheartened and losing hope. Referred to Siva Hospital’s fertility clinic, they were able to work with a team of compassionate specialists who helped them explore effective treatment options.

Through IVF, the couple was finally able to conceive, and today, they are the proud parents of a beautiful baby girl. Their dream of a family became a reality thanks to the advanced fertility treatments and emotional support they received at Siva Hospital.

“We can’t thank Siva Hospital enough. They gave us the gift of family,” says Mrs. Kumar, overwhelmed with gratitude.

9. Healing Mental Health: A Journey to Recovery

Mental health challenges can be just as debilitating as physical ailments, as experienced by 28-year-old Anita, who had been battling anxiety and depression. Feeling lost and helpless, she sought help from the mental health professionals at Siva Hospital.

Through therapy, medication, and support groups, Anita gradually regained her confidence and learned to manage her condition. Today, she is back to leading a fulfilling life, thanks to the compassionate and professional mental health team at Siva Hospital.

“Siva Hospital helped me find myself again. I am forever grateful,” says Anita, who now speaks openly about mental health to encourage others to seek help.

10. Gastrointestinal Care: A New Lease on Life

50-year-old Mr. Ramesh had long suffered from a gastrointestinal disorder that affected his digestion and overall health. Despite previous treatments at other facilities, his symptoms persisted. At Siva Hospital, the gastroenterology team identified the issue and tailored a treatment plan for him.

Through a combination of dietary adjustments, medication, and lifestyle changes, Mr. Ramesh finally found relief. He now enjoys meals without discomfort, and his energy levels have returned.

“I had almost given up, but Siva Hospital gave me a new lease on life,” Mr. Ramesh says, grateful to have found effective care.

Conclusion

These inspiring stories underscore Siva Hospital’s commitment to patient-centered care. For 25 years, the hospital has built a reputation as Kanyakumari’s leading multi speciality hospital in kanyakumari, equipped with advanced medical technologies and a compassionate team led by Dr. Sivakumar. These patient success stories reflect the hospital’s unwavering dedication to transforming lives, restoring health, and offering hope. Siva Hospital continues to provide expert services to communities in Kanyakumari, Nagercoil, Thiruvananthapuram, and beyond, solidifying its role as a trusted healthcare provider in the region.

[ravirajrrr]

Meridian Hospital: A Comprehensive Multispeciality Healthcare Destination in Chennai

Chennai, often regarded as the healthcare capital of India, is home to numerous hospitals that offer world-class medical services. Among these, Meridian Hospital stands out as a beacon of excellence, providing a comprehensive range of multispeciality healthcare services. Located in the heart of Chennai, Meridian Hospital has established itself as a trusted destination for patients seeking high-quality, holistic medical care.

 State-of-the-Art Infrastructure and Technology

Meridian Hospital boasts state-of-the-art infrastructure, designed to meet the needs of modern healthcare. The hospital is equipped with the latest medical technology, ensuring that patients receive accurate diagnoses and effective treatments. From advanced diagnostic imaging systems to cutting-edge surgical equipment, every aspect of the hospital is geared toward providing the best possible care.

 Expert Medical Professionals

At the core of Meridian Hospital's success is its team of highly skilled and experienced medical professionals. The hospital employs a multidisciplinary team of doctors, surgeons, and specialists who are leaders in their respective fields. Whether it's cardiology, oncology, neurology, or orthopedics, Meridian Hospital has experts who deliver world-class care with compassion and precision.

 Comprehensive Multispeciality Services

Meridian Hospital offers a wide range of medical services across various specialities, making it a one-stop destination for all healthcare needs. The hospital's services include but are not limited to:

- Cardiology: Advanced heart care services, including interventional cardiology, cardiac surgery, and preventive cardiology.

- Oncology: Comprehensive cancer care, from early detection and diagnosis to treatment and rehabilitation.

- Orthopedics: Specialized care for bone and joint conditions, including joint replacements, sports injuries, and trauma care.

- Neurology and Neurosurgery: Expert care for neurological disorders and complex brain and spine surgeries.

- Gastroenterology: Advanced treatment for digestive system disorders, including minimally invasive surgeries.

- Pediatrics: Comprehensive child healthcare services, from newborn care to adolescent health.

 Patient-Centric Approach

What truly sets Meridian Hospital apart is its unwavering commitment to patient-centric care. The hospital's philosophy is centered around providing personalized care tailored to the unique needs of each patient. From the moment a patient walks through the doors, they are treated with respect, compassion, and understanding. The hospital's dedicated staff ensures that patients and their families are well-informed and comfortable throughout their healthcare journey.

 Focus on Preventive Healthcare

Meridian Hospital believes that prevention is better than cure. The hospital offers a range of preventive healthcare services, including regular health check-ups, screenings, and wellness programs. These services are designed to help patients detect potential health issues early and take proactive measures to maintain their well-being.

 Commitment to Quality and Safety

Meridian Hospital adheres to the highest standards of quality and safety in all aspects of care. The hospital is accredited by leading healthcare organizations and follows strict protocols to ensure patient safety. Continuous improvement is a core value at Meridian Hospital, and the hospital regularly updates its practices and technologies to provide the best possible care.

 Community Engagement and Education

Beyond its clinical services, Meridian Hospital is actively involved in community engagement and education. The hospital organizes regular health camps, awareness programs, and Continuing Medical Education (CME) events for healthcare professionals. These initiatives are aimed at promoting health and wellness in the community and keeping medical professionals updated with the latest advancements in healthcare.

 Conclusion

Meridian Hospital in Chennai is the best multispeciality hospital in Chennai ; it is a healthcare institution dedicated to excellence in every aspect of patient care. With its state-of-the-art facilities, expert medical team, and patient-centric approach, Meridian Hospital continues to be a leading choice for individuals seeking comprehensive, high-quality healthcare in Chennai. Whether for routine check-ups or complex medical procedures, patients can trust Meridian Hospital to deliver exceptional care with a personal touch.

[cocoonhospital]

Neonatology Excellence at Cocoon Hospital Jaipur: Where Every Newborn’s Journey Begins with Expert Care!

 So That God’s Most Precious Gift Arrives in Safe Hands

BRINGING BABIES INTO THIS WORLD, OUR LABOUR OF LOVE.

14 Bedded Neonatology Department

NICU level III

High End Nursery

Vast Expertise in Handling : Premature Babies | High Risk Newborn Babies

Advanced Ventilator & Blood Gas Analyzers

Infection Free Environment

24*7 Availability of Neonatologist

Trained Neonatal Nurses

Baby Package

Separate Viewing Area

Advanced phototherapy Units and much more….

Neonatal Care

In Cocoon, the Level III Neonatal Care Unit aims to provide optimum state-of-the-art care for critically ill and recovering neonates and infants. The highly qualified team of neonatologists with neonatal trained nurses who specialized in the care of the new born at Cocoon Hospital offers high-intensity neonatal care 24/7.

There is a step-down Special nursery unit to take care of preterm babies, who are feeding and growing rapidly but need monitoring until they are fit for discharge.

With our advanced neonatal screening programs such as retinal screening, OAE & BERA hearing screening and hip screening, Cocoon also offers the broad spectrum of Neonatology and Pediatrics super specialties for the newborns and their siblings –

Pediatric Surgery

Pediatric Neurology

Pediatric Nephrology

Pediatric Orthopedics

Pediatric Endocrinology

Latest Technology in the NICU:

High-end Ventilation support –

Cocoon hospital is equipped with invasive and non-invasive ventilation services. We also offer advanced ventilation program in the form of High-Frequency Oscillation Ventilation (HFOV).

IND (Inhaled Nitric Oxide) –

Our hospital is dedicated to providing advanced therapy to babies with severe pulmonary hypertension.

[aspiradiagnostic]

Why Choose Aspira Pathlab & Diagnostics Limited as Your Diagnostic Centre in Mumbai?

Empowering Your Wellness: Aspira Pathlab & Diagnostics Limited - Diagnostic Centre in Mumbai

In our fast-paced world, prioritizing health often gets sidelined. However, regular health checkups and screenings are essential for early detection and prevention of potential health issues. Aspira Pathlab & Diagnostics Limited, a top diagnostic centre in Mumbai, is a leading provider of pathology tests, packages, and services, enabling you to take charge of your well-being.

Why Choose Aspira Pathlab & Diagnostics? Aspira Pathlab & Diagnostics Limited offers an extensive array of pathology tests, catering to diverse healthcare needs. Whether you require routine checkups, specialized tests, or comprehensive health packages, they have a solution for everyone. Their commitment to quality and accuracy is affirmed by their NABL accreditation, guaranteeing reliable results you can trust.

A standout feature of Aspira Pathlab & Diagnostics Limited is their emphasis on speed and convenience. They recognize the value of your time, and many of their tests come with the advantage of same-day reports. This minimizes waiting time and provides you with the necessary information promptly, allowing you to make informed health decisions.

For those who prefer the convenience of home, Aspira Pathlab & Diagnostics Limited offers home collection services. Their trained professionals will visit your location to collect samples, ensuring a seamless and hassle-free experience.

We Offer a Wide Range of Packages:

Health Packages

Gynecology Profiles

Anemia Profiles

Monsoon Profiles

Coagulation

Cancer Screening Packages

Newborn Screening & IEM Panels

Orthopedic Profiles

Allergy Panels

Cardiac Profiles

Booking an appointment at Aspira Pathlab & Diagnostics Limited is straightforward and convenient. You can book online via their user-friendly website or visit one of their conveniently located centers. Their friendly and professional staff are always available to assist you and answer any questions you might have.

By choosing Aspira Pathlab & Diagnostics Limited, you are prioritizing your health and well-being. Their dedication to quality, accuracy, speed, and convenience makes them an ideal partner in your healthcare journey.

Take a Step Forward for Your Better Health: Take control of your health today. Visit Aspira Pathlab & Diagnostics Limited, the leading diagnostic centre in Mumbai, to explore their comprehensive range of pathology tests, packages, and services. Book an appointment online, visit one of our centres, or contact us at 7208042200 | 022 71975756.

[believerschtl]

NEONATOLOGY IN BELIEVERS CHURCH MEDICAL HOSPITAL, THIRUVALLA

The Department of Neonatology at Believers Church Medical College Hospital is a Level–III unit that caters to all newborns, delivered here or referred from other hospitals. We care for extreme preterm babies of 24 weeks’ gestation to full-term babies, including multiple births and complicated deliveries. Our experienced team looks after babies with major problems including extreme prematurity, major and minor congenital anomalies, and in particular, cardiac anomalies requiring cardiac surgery. We are the only hospital in Central Travancore providing this service.

We have a 24x7 cover of Senior Neonatologists on the floor to deal with all emergencies. All major procedures and facilities are provided including, non- invasive ventilation, therapeutic hypothermia, mechanical ventilation,  neonatal ECMO , exchange blood transfusion, central line and PICC line insertions. We also have a transport incubator with ventilator to cater to the transport of sick newborn babies. We have a dedicated team of 5 Neonatologists providing round-the-clock. Our nursing staff are highly trained and motivated and capable of handling our delicate patients with extreme love and care.

We have excellent backup support from various other departments including Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Pediatric Ophthalmology, Pediatric Orthopedics, Pediatric Dermatology , Pediatric surgery and Pediatric Dental departments . Other departments like Endocrinology, Nephrology, Neurology, and Psychiatric Departments also lend their valuable support.  A good 24x7 laboratory service with excellent backup from Pathology, Microbiology, Biochemistry and Blood bank is available.  The Hospital Infection Control team works tirelessly with us to make sure that strict aseptic conditions are maintained in the NICU.

We have daily outpatient services including Well Baby Clinic and High Risk Clinic. High risk babies are also followed up by Developmental Pediatricians and Physiotherapists. Ante-natal counselling with the family is also catered to and we work closely with the Fetal and Reproductive Medicine Department. 

We promote exclusive breastfeeding and counsel all parents about the benefits of the same. We counsel the families about home care of the babies and follow them up regularly. Comprehensive vaccination services are provided and promoted and newborn vision, hearing, and thyroid function screening is routinely done.

A comprehensive, evidence-based care with a humane touch is assured for all babies in our unit.

[irispublishersorthopedics]

Iris Publishers- Finding an Association Between Congenital Talipes Equinovarus (CTEV) and Developmental Dysplasia of Hip (DDH): Role of Early Ultrasonography

Abstract

Introduction: Congenital talipes equinovarus (CTEV) and developmental dysplasia of the hip (DDH) are common congenital anomalies. An association between these two conditions has been proposed, but no consensus has been reached. Purpose: The purpose of this study was to determine the incidence of sonographic hip dysplasia in infants with idiopathic clubfoot.

Methods: All neonates with a confirmed diagnosis of CTEV who were referred to our paediatric orthopaedic service for two years were clinically examined and screened with ultrasound for DDH using the Graf method.

Result: A total of 50 babies with CTEV were identified, 47 patients had physiologic hip dysplasia and 3 were found to have dislocated hips. The incidence of DDH in babies with CTEV was found to be higher than the normal population in our region.

Conclusion: Our study indicates higher risk for DDH in presence of CTEV and CTEV patients should be considered particularly for selective hip screening in our population.

Abbreviations: Developmental dysplasia of the hip; Congenital talipes equinovarus; Clubfoot; CTEV; DDH

Introduction

Clubfoot or congenital talipes equinovarus (CTEV) and developmental dysplasia of hip (DDH) are conditions commonly encountered by orthopedic surgeons in their clinical settings. Both the conditions have unknown etiology. Genetic and environmental etiologies have been suggested for both, but with different pathways. Diagnosis of CTEV is simple and evident with clinical examination. DDH, on the other hand requires high clinical expertise for diagnosis and even the negative clinical signs do not rule out the condition completely. Ultrasound is recognized method to detect hip dysplasia. Routine clinical screening tests are sometimes conducted in babies with higher risk for DDH but lacks sensitivity. The renowned risk factors include positive family history, following breech delivery or with torticollis, and oligohydrominios. The early identification of children with DDH is valuable as it allows for less invasive treatment than if DDH is identified late [1]. However, the benefit of screening all children with ultrasonography is still controversial in literature.

Controversy persists in the literature as to a potential association between idiopathic structural congenital talipes equinovarus (CTEV) foot deformity of the newborn and developmental dysplasia of the hip (DDH). Several studies have shown increased incidence of DDH in children with CTEV [2,3], whereas other studies have challenged that view suggesting that routine screening for DDH in cases of idiopathic CTEV is no longer advocated [4-6]. Hence, there remains a debate about the true association between CTEV and DDH.

We encounter patients from diverse ethnicity at Hamad General Hospital. We have followed all these patients that were referred to orthopedic service with an obvious clubfoot deformity with ultrasound screening of hips for 2 years. This observational cohort study was performed to assess if selective radiographic screening of hips in the clubfoot population is beneficial or not.

Materials and Methods

The study was conducted at Hamad General Hospital, Doha, Qatar. All cases of neonatal CTEV that were referred to the pediatric orthopedic service for evaluation in our hospital underwent routine clinical and ultrasound screening of the hips [7].

CTEV was diagnosed clinically based on the classical appearance of a fixed deformity combining equinus at the ankle, varus at the heel, supination at the mid-foot and adductus at the forefoot. Although CTEV was graded according to Pirani classification, it was not used for further in the study.

All basic details about the child were recorded. These included the patient biographic details, family history, prematurity, method and mode of delivery, history of multiple pregnancies, whether there was any complication during the delivery, and if the child has any other anomalies than the clubfoot. Children with CTEV have their hips examined clinically, all neonates’ hips were clinically examined for instability at the initial visit using the Barlow and Ortolani tests and screened with ultrasound for DDH. Static sonography was performed at the initial visit and followed at 6 weeks. Those with normal hips were not followed further. All ultrasounds were performed by the senior orthopedic consultant. The degree of dysplasia was classified according to Graf. Hips with Graf angle > 60° were classified as normal (type I), from 43° - 60° as type II (‘A’ if under three months of age, ‘B’ if aged over three months), < 43° and stable as type III and a dislocated hip as type IV. All type IIA (physiologic) underwent repeat ultrasound after three months to see if the abnormality persisted. Treatment was warranted for all babies with Graf type III or higher. Type IIB hips were regularly followed up and none required treatment.

Babies were followed up for a minimum of 2 years. As in other studies seeking to clarify an association between DDH and CTEV, we excluded all neonates with postural foot deformities, genetic syndromes or neuromuscular disorder, even though children with CTEV and DDH may have an underlying as yet undiagnosed syndrome.

Result

50 cases of congenital talipes equinovarus were referred to the orthopedic service during the study period and thus screened for hip dysplasia. There were 13 girls (26%) and 37 boys (74%). There were 18 cases (36%) of bilateral CTEV, 17 (34%) were left sided and 15 (30%) right sided.

Of the total 50 patients, 22 (44%) belonged to the local community (Qatari) whereas the rest were from varied backgrounds. 37 babies (74%) had spontaneous vaginal delivery (SVD). Of these, none was a breech presentation. 13 babies (26%) had caesarian section as method of delivery. 3 out of these 13 (23%) had breech presentation although none of these had a dysplastic hip. 2 babies were born prematurely at 32 and 33 weeks. None of the families had history of DDH previously, although 2 babies had their elder siblings that suffered from clubfoot.

1 female child had dislocated hip on the right side (Graf type IV). She underwent management for CTEV and DDH and was followed for 3 years before she travelled abroad for further treatment. 2 male babies had bilateral dysplastic hip (Graf type III) while 2 male babies had a unilateral DDH (Graf type IIA) – (1 had a left sided clubfoot and a left sided DDH; the other had bilateral clubfoot but DDH on the right side only). These last two cases were followed and had their hip ultrasound done after 3 months and instigated treatment. All babies with Graf III or less were successfully treated with Pavlik harness without complications.

According to the findings 5 babies out of 50 with no other risk factors for DDH with CTEV had dysplastic hip diagnosed upon ultrasound screening. That is every 10th child of 100 births (10%) with congenital talipoequinovarus suffers from developmental dysplasia of hip.

Discussion

There is controversy in the literature regarding the association between CTEV and DDH and there is still debate about the true association between both conditions. Studies to date have shown a variation in the incidence of DDH in children with CTEV, but no consensus has been reached. RW Paton et al in a 21-year prospective observational study included 139 children with 199 cases of fixed idiopathic CTEV feet. Sonographically, there were only 18 hips with Graf Type II hips, 1 Graf Type III hip and 0 Graf Type IV hip [8]. Westberry et al looked at 349 babies with idiopathic CTEV. 127 had screening hip radiographs identifying 1 with hip dysplasia. 1 in 127 (0.7%) [9]. Recently, T Ibrahim et al in a systematic review and meta-analysis found that the prevalence of DDH in idiopathic clubfoot is similar to the normal population, based on that they did not recommend routine screening for DDH in children with idiopathic clubfoot [10].

On the other hand, the results from some other studies have suggested an association between clubfoot and DDH. BT Carney identified eight children (16%) with radiographic signs of hip dysplasia among fifty-one children with clubfoot [11]. D Zhao et al in an observational cohort study over a three-year period revealed that the idiopathic CTEV group had a greater incidence of DDH in comparison with the general population, 2.7 % of babies (five of 184) with idiopathic CTEV had DDH [12]. DC Perry et.al in an observational cohort study identified seven babies with hip dysplasia among 119 babies with CTEV, which means 1 in 17 babies with CTEV will have underlying hip dysplasia, supporting selective ultrasound screening of hips in infants with CTEV [13].

Ultrasound of the hip has a high sensitivity for the diagnosis of DDH compared with pelvic radiographs and clinical examination and has become the most effective modality for early detection of DDH. It is widely accepted that DDH identified at an early stage in infancy requires less invasive treatment than when presenting later [1]. Although, there is a controversy if early ultrasonography should be performed for the diagnosis of DDH in all babies, most studies recommend selective screening in high-risk population, including those with a positive family history, following breech delivery or with torticollis, oligohydramnios and deformities of the foot [9]. Several authors have considered children with idiopathic clubfoot as a defined subgroup of the population with an increased risk of DDH and recommend selective ultrasound hip screening [13].

According to unpublished data, incidence of DDH in our population is 8/1000 live births, in our study 3 out of 50 babies with CTEV have DDH (Hips with Graf type IIa were considered as physiologic immature and were not included). In other words, incidence of DDH in babies with CTEV is 6/100 live births. This figure suggests that our CTEV group has 7.5 times greater incidence of DDH than the normal population.

We have to acknowledge that this study has certain limitations. Small sample size which is due to the rare nature of these two conditions. Our study did not include a control group as ethical restriction prevented direct comparison to a control group (Table 1&2).

Table 1: Degree of dysplasia classified according to side of CTEV.

Table 2: Degree of dysplasia using the Graf classification.

Conclusion

Based on our study results, a higher incidence of DDH exists in the population of our patients with idiopathic CTEV and it appears that CTEV remains an important group for selective ultrasound hip screening. However, studies of good quality with a larger sample size to assess the association between the CTEV and DDH would be most appropriate next step.

Acknowledgement

This research was conducted after the approval from Medical Research Center (MRC) at HMC. We acknowledge the support from MRC throughout the study. None of the authors of the study have any other financial benefits associated with the study.

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[vintage-tech]

Recently I came across a 16mm film reel at a storage locker contents dealer which had been sent to a private address by a local TV station in March of 1957 (according to the postmark).

So of course I broke out my 16mm film viewer to have a looksie, and held the camera to the viewscreen with my left hand as I reeled it up with my right. Pardon that I am cranking a bit faster than intended and so the 60 second film has been rendered in 40 seconds... and pardon the loud takeup noises!

It’s labelled as a commercial made by Swift-Chaplin Productions for Miles Laboratories, though the spot is clearly not an advertisement for Alka-Seltzer and appears to be a PSA for Seattle Children’s Orthopedic Hospital.

(Moment of backstory: Howard Swift, formerly of Screen Gems, teamed with producer Charles F. Chaplin to create Swift-Chaplin Productions to make industrial films and animated commercials for the new world of television. Swift was responsible for the special effects in Captain Video and 1940s Superman features. Article below is from an April 1956 issue of Billboard.)

One of these days I will have a projector that can play sound, but until then I have no context as to what the gentleman in this film is saying about the black baby playing with a filmstrip(?) or the little girl laying on his desk with machines that go ‘ping’ behind him. Here are some screencaps snapped off the viewscreen of my viewer, and notice the Children’s Orthopedic logo behind him on the wall (which I recognised from seeing it on envelopes when I was a little kid; it was a place my sister spent time at when she was a newborn)...

[kidsorthopedic]

Comprehensive Orthopedic Screening of Newborns: Ensuring Healthy Development from the Start

Introduction

Welcoming a newborn into the world is a joyous occasion, filled with hopes and dreams for a healthy and happy future. As parents, we strive to provide the best possible care for our little ones from the moment they enter our lives. One crucial aspect of newborn care that is often overlooked is orthopedic screening.

Orthopedic issues in newborns, although relatively rare, can have long-term implications if left undetected and untreated. This article aims to shed light on the importance of orthopedic screening for newborns, the common conditions screened for, and the benefits of early intervention.

Why Orthopedic Screening for Newborns Matters

Orthopedic screening for newborns is essential for several reasons. Firstly, it allows healthcare providers to detect any abnormalities or developmental issues early on, when interventions are most effective. Secondly, early detection can prevent potential complications and long-term disabilities that may arise if orthopedic conditions are left untreated. Lastly, orthopedic screening provides peace of mind for parents, knowing that their child's musculoskeletal health is being closely monitored from the start.

Common Orthopedic Conditions Screened for in Newborns

Hip Dysplasia: One of the most common orthopedic conditions in newborns, hip dysplasia occurs when the hip joint is not properly formed, leading to instability and potential dislocation. Hip dysplasia screening is typically done using a physical examination called the Ortolani and Barlow maneuvers, along with imaging studies such as ultrasound.

Clubfoot: Clubfoot is a congenital condition characterized by an abnormal positioning of the foot, making it appear twisted or inverted. Early detection of clubfoot is crucial for initiating appropriate treatment, which may include serial casting, bracing, or in severe cases, surgical correction.

Congenital Limb Deficiencies: Some newborns may be born with limb abnormalities, such as missing or shortened limbs. Orthopedic screening helps identify these deficiencies early on, allowing for timely referrals to specialists for further evaluation and management.

Spinal Abnormalities: While less common, spinal abnormalities such as scoliosis or spina bifida may be detected during routine orthopedic screening of newborns. Early detection of spinal issues enables healthcare providers to monitor the condition closely and intervene if necessary to prevent complications.

Benefits of Early Intervention

Early intervention is key when it comes to orthopedic issues in newborns. By detecting and addressing abnormalities early on, healthcare providers can:

Prevent the progression of certain conditions: Timely intervention can prevent the worsening of orthopedic conditions, potentially reducing the need for more invasive treatments later in life.

Improve outcomes: Early treatment of orthopedic conditions often leads to better long-term outcomes, including improved mobility and quality of life for affected children.

Minimize complications: Addressing orthopedic issues early can help prevent complications such as joint deformities, muscle contractures, and mobility limitations.

Orthopedic Screening Process for Newborns

Orthopedic screening for newborns typically begins shortly after birth and may continue during routine pediatric check-ups in the first few months of life. The screening process may involve:

Physical Examination: Healthcare providers will perform a thorough physical examination of the newborn, paying close attention to the baby's hips, feet, limbs, and spine. Special maneuvers may be used to assess for hip dysplasia or clubfoot.

Imaging Studies: In some cases, imaging studies such as ultrasound or X-rays may be ordered to further evaluate suspected orthopedic abnormalities. These imaging studies provide detailed images of the bones and joints, allowing healthcare providers to make an accurate diagnosis.

Referrals to Specialists: If orthopedic abnormalities are detected during screening, the newborn may be referred to pediatric orthopedic specialists for further evaluation and management. These specialists have the expertise to develop comprehensive treatment plans tailored to the individual needs of each child.

Challenges and Considerations

While orthopedic screening for newborns is important, there are challenges and considerations to keep in mind:

False Positives: Some screening tests may yield false-positive results, leading to unnecessary worry and additional testing for parents. Healthcare providers must carefully weigh the risks and benefits of screening tests and communicate effectively with families about the results.

Access to Care: Access to pediatric orthopedic specialists may be limited in certain regions, especially in rural or underserved areas. Efforts should be made to ensure that all newborns have access to timely and appropriate orthopedic care, regardless of their geographic location.

Parent Education: Educating parents about the importance of orthopedic screening and what to expect during the process is crucial for promoting early detection and intervention. Healthcare providers should take the time to answer any questions or concerns parents may have and provide support throughout the screening process.

Conclusion

Orthopedic screening of newborns plays a critical role in identifying and addressing musculoskeletal abnormalities early in life. By detecting orthopedic issues early on, healthcare providers can intervene promptly, minimizing complications and improving outcomes for affected children. Parents should be proactive in advocating for their child's musculoskeletal health and ensuring that they receive timely orthopedic screening as part of their routine care. Together, we can give every newborn the best possible start in life by prioritizing their orthopedic health from day one.

[roofingpeabodyma]

Best Hospitals in Peabody, MA

Peabody is a city in Essex County, Massachusetts, United States. The population was 51,251 at the 2010 census. Peabody is located in the North Shore region of Massachusetts and is home to the Peabody Institute, founded in 1857 by philanthropist George Peabody. Peabody, MA is also home to several excellent hospitals which are:

Anna Jaques Hospital

Anna Jaques Hospital is a community hospital that provides both inpatient and outpatient care. The hospital has a staff of more than 400 doctors, nurses, and other professionals. In addition to general medical and surgical care, the hospital offers a number of specialty services, including cardiology, oncology, and orthopedics. The hospital is also home to a Level III Neonatal Intensive Care Unit (NICU). Anna Jaques Hospital is committed to providing quality care for the residents of Peabody and the surrounding communities.  The hospital also offers a wide range of medical and surgical services, as well as primary and preventive care. They are committed to providing high-quality, compassionate care to their patients and their families. They have a strong tradition of excellence in patient care, education, and research. The hospital is also a teaching affiliate of Tufts University School of Medicine. They offer a variety of residency and fellowship programs, as well as medical student rotations. In addition, they also offer many community outreach programs, such as health fairs and screenings, to help keep our community healthy.

Beverly Hospital

A community hospital serving residents of the North Shore. Founded in 1888, Beverly Hospital is a member of Massachusetts General Hospital’s Partners HealthCare system. The hospital offers a full range of medical and surgical services, including primary care, maternity care, and cancer care. In addition, Beverly Hospital is home to Peabody’s only Level III Neonatal Intensive Care Unit. The hospital’s family-centered approach to care ensures that patients and their families are treated with compassion and respect. Whether you’re welcoming a new baby into the world or receiving treatment for a serious illness, you’ll receive the highest quality of care at Beverly Hospital.

North Shore Medical Center

The North Shore Medical Center is located in Peabody and serves the medical needs of the community. The hospital has a capacity of over 400 beds and provides a wide range of services, including emergency care, surgery, and rehabilitation. The medical center is also home to a Level III Neonatal Intensive Care Unit, which provides care for premature and sick newborns. In addition to its Peabody campus, the North Shore Medical Center also operates facilities in Salem, Lynn, and Danvers. The medical center is an integral part of the North Shore community and provides comprehensive care for families in the area.

Anna Jaques Hospital

Anna Jaques Hospital is a 97-bed community hospital located in Peabody, MA. They provide a comprehensive range of medical and surgical services to our patients and families. The hospital is committed to providing the best possible care to our patients and families through our skilled and compassionate staff. They offer a variety of programs and services designed to meet the needs of our patients and families, including a 24-hour emergency department, a birthing center, and a wide range of outpatient services. They are proud to be a part of the Peabody community and look forward to serving their patients and families for many years to come.

Beverly Hospital

Beverly Hospital is a renowned teaching hospital in Peabody, MA, that has been serving the community for over 125 years. The hospital offers a wide range of services, from primary care to complex specialty care. Beverly Hospital is also a leader in medical research and education, training the next generation of doctors and nurses. The hospital has a strong commitment to excellence in patient care and safety. Indeed, Beverly Hospital was recently ranked as one of the top hospitals in Massachusetts by U.S. News & World Report. Whether you are a patient, visitor, or employee, you will be treated like family at Beverly Hospital.

Boston Children’s at Peabody

Boston Children’s at Peabody is known for its excellence in pediatric care. The hospital has a team of highly skilled and experienced doctors, nurses, and staff who are dedicated to providing the best possible care for their young patients. Families appreciate the personal attention and compassionate care they receive at Boston Children’s at Peabody. The hospital is also convenient to Peabody residents, making it a great option for families who want access to top-quality care close to home.

Brooksby Village Medical Center

Brooksby Village Medical Center is a top-rated medical facility that provides world-class care to patients of all ages. The hospital is part of the Partners HealthCare system and is accredited by the Joint Commission. Brooksby Village Medical Center offers a full range of services, including primary care, urgent care, specialty care, and more. The hospital also has a state-of-the-art Emergency Department that is open 24/7. In addition to its Peabody location, Brooksby Village Medical Center also has satellite locations in Beverly and Lynn. As a result, residents of Peabody and the surrounding communities have access to high-quality, compassionate care close to home.

Mass General/North Shore Center for Outpatient Care – MGH Danvers

The new Mass General/North Shore Center for Outpatient Care – MGH Danvers is a state-of-the-art facility that offers a wide range of outpatient services to the people of Peabody and the North Shore. The center is located on the campus of Massachusetts General Hospital in Danvers, just minutes from Peabody’s historic downtown. With its convenient location, ample parking, and easy access to public transportation, the center is designed to make outpatient care more convenient and accessible for families. The center provides primary care, specialty care, imaging, and lab services all under one roof. The center also has a community education center where families can learn about health and wellness topics. The Mass General/North Shore Center for Outpatient Care – MGH Danvers is committed to providing quality care for the whole family.

So if you are in need of quality health care in Doylestown, be sure to check out one of these great hospitals!

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[diwangpalaboy]

Collaboration blog test for SS 120 and DS 121 (duo, via text, due tonight, complete Q&A, hard copy submission on Tuesday) UPDATED

1. myth of invincibility 2. doctor’s diagnosis 3. genetic counseling 4. socially defined conditions about the disease or illness 5. regular checkups 6. patient’s actual experience of the disease, including his/her perceptions and emotions about the disease 7. “It takes a village to raise a child.” 8. Intelligence 9. “Parents assume that their baby will be healthy …___… a happy, healthy bundle of joy” (Moore, 2009) 10. Dr Carmencita Padilla, pediatrician and geneticist 11. “After the Vietnam War, babies were born with orthopedic, mental, and vision defects due to exposure of their fathers to ___.” (Moore, 2009) 12. activity, pulse, grimace, appearance and respiration (APGAR) 13. Usually bears the brunt of the blame for the physical impairment of the child 14. fine motor skills 15. “oversharenting”

a. “Gaano kamahal ang mag-alaga at magtaguyod ng isang anak na may kapansanan (halimbawa retarded)?” b. disease c. includes taking family medical history (to determine genetic risks), medical screenings and laboratory tests for one or both parents (Moore, 2009) d. function of one’s genetic makeup and social environment (e.g. nutrition and stimulation) e. picking up a small object f. “Lahat ng ganap ng supling araw-araw ay madalas nakapost online.” g. Ang paniniwalang ang kapahamakan (rape, sunog, birth defect) ay mangyayari lamang sa iba pero hindi kailanman sa kanyang sarili o kanyang pamilya. h. agent orange i. first test given to newborns j. ten fingers, ten toes k. well-baby visits l. social pediatrics m. mother n. sickness o. illness

[healthcare-market]

Telemedicine Technologies and Services Market Demand, Insights and Forecast up to 2025

Transparency Market Research (TMR) has published a new report titled, “Telemedicine Technologies & Services Market - Global Industry Analysis, Size, Share, Growth, Trends, and Forecast, 2017–2025”. According to the report, the global telemedicine technologies & services market was valued at US$ 21,000 Mn in 2016 and is projected to expand at a CAGR of 15% from 2017 to 2025. The report suggests that rise in geriatric population, increase in prevalence of chronic diseases such as diabetes, cardiovascular diseases, and others, surge in demand for self-care devices/solutions, increase in penetration of smartphones and Internet services, and shortage of health care personnel are likely to drive the telemedicine technologies & services market from 2017 to 2025.

The global telemedicine technologies & services market is driven by emerging new and advanced technologies, increase in incidence of chronic diseases, and adoption of telemedicine solutions. Rise in geriatric population, surge in prevalence of long-term care conditions, increase in demand for self-care, and advances in mobile penetration, connectivity, and ICT services are the other factors propelling the global telemedicine technologies & services market. However, disparity of Internet quality and cyber threats are the major restraints of the global telemedicine technologies & services market.

The U.S. and China are projected to dominate the global telemedicine technologies & services market in the next few years, owing to increase in manufacturer focus for business expansion in these regions. Players are developing advanced telemedicine technologies & services products for research operations and entering into distribution agreements to strengthen their presence in the U.S. and China. Increase in adoption of technologically advanced products manufactured by local manufacturers drive the telemedicine technologies & services market in the U.K. The market in the country is expected to expand at a CAGR of 16% from 2017 to 2025

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Services Segment Dominates the Market

The report offers detailed segmentation of the global telemedicine technologies & services market based on component, specialty, and services. The component segment has been divided into hardware, software, and services. The services sub-segment is poised to account for leading share of the component segment during the forecast period from 2017 to 2025. Rise in demand for different telemedicine services such as teleradiology, teledermatology, and telepsychiatry drive the market. The services sub-segment is likely to register comparatively higher growth rate in terms of revenue during the forecast period. The software sub-segment is estimated to expand at the second highest growth rate during the forecast period.

Dermatology and Neurology: Top Two Specialty Segments

In terms of specialty, the dermatology segment is projected to account for significant share of the global telemedicine technologies & services market during the forecast period. The neurology segment is likely to expand at a high CAGR from 2017 to 2025. Dominance of the segment is attributed to increase in geriatric population and emergence of cost-effective medical care. In February 2018, Masimo received the U.S. FDA approval for its product Eve for Rad-97 Pulse COOximete, a critical congenital heart disease (CCHD) newborn screening application. Such continuous new product launches and exponentially rise in patient base in developed as well as developing countries are likely to drive the segment between 2017 and 2025. The gynecology segment is expected to expand at a CAGR of 16% during the forecast period. The cardiology and orthopedics segments accounted for combined share of 30.0% of the global telemedicine technologies & services market in terms of revenue in 2016.

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High Growth of the Telemedicine Technologies & Services Market in the U.S. and China

In terms of revenue, the U.S. was the leading market for telemedicine technologies & services in 2016. Increase in prevalence of chronic diseases, rise in government initiatives, surge in the number of installations of telemedicine solutions in various clinics/hospitals, and presence of a large number of suppliers and service providers of telemedicine solutions contribute to the major share of the U.S. However, cyber threats and disparity of Internet quality are likely to hamper the market. Rise in venture capital funding for telemedicine solutions, surge in government initiatives for adoption of telemedicine, increase in geriatric population, and rise in prevalence of chronic diseases such as diabetes and heart diseases are the factors likely to drive the telemedicine technologies & services market in China. Government initiatives and grants to increase adoption of telemedicine solutions is expected to boost the market in the U.K. Rise in geriatric population, high percentage of people residing in remote locations, surge in government initiatives, and increase in penetration of smartphone and Internet services are likely to augment the market in India. The market in India is projected to expand at a CAGR of 25% from 2017 to 2025.

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Highly Consolidated Market, with Top Players Accounting for Majority Share

The report also provides profiles of leading players operating in the global telemedicine technologies & services market. McKesson Corporation, F. Hoffmann-La Roche Ltd., Medtronic, Koninklijke Philips N.V., GE Healthcare, LifeWatch, and Honeywell International, Inc., among others are the major players in the market. Expansion of telemedicine technologies & services product portfolio through partnerships to improve quality of product is a growing trend in the global telemedicine technologies & services market. In January 2018, Royal Philips and American Well entered into a strategic partnership to deliver virtual care solutions across the world. In October 2017, Medtronic announced that its Medtronic Care Management Services (MCMS) business had entered into a strategic partnership with American Well. Other prominent players in the global telemedicine technologies & services market include Aerotel Medical Systems Ltd., GlobalMed, and AMD Global Telemedicine, Inc.

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[albertalice920]

Cerebral Palsy is a non-progressive neurological illness that affects movement, coordination, and motor skills. It’s a lifelong condition that has no cure. However, treatment programs can go a long way in minimizing pain and equipping your child with essential life skills. There are several early-age symptoms which if spotted in time, can expedite the diagnosis, and ensure early treatment for your child. Here, we take a look at some of the Cerebral Palsy symptoms in babies that parents can watch out for.

Understanding Cerebral Palsy

Cerebral Palsy refers to a group of neurological disorders that affect movement, muscle tone, coordination, and motor skills caused by damage or abnormalities in the developing brain. It often occurs as a result of damage to the head before, during, or after birth, and is a lifelong condition that may differ in severity from patient to patient. Treatment options such as Physiotherapy, Occupational Therapy, Behavioral Therapy, and Speech Therapy help in the recovery of motor skills and improve functionality for an independent lifestyle, as far as possible.

Symptoms of Cerebral Palsy in babies

The sooner a diagnosis of Cerebral Palsy is made, the sooner your child can benefit from treatment. While most cases are diagnosed around two to three years of age, there are certain symptoms that manifest at a much earlier age. In general, the following are symptoms that could indicate Cerebral Palsy in young children:

Deformities in joints and/or bones

Poor coordination

Retaining primitive reflexes past the appropriate age

Involuntary muscular contractions in their limbs

Floppiness with their limbs

Slow, writhing movements

Vision and/or hearing problems

Decreased muscle mass

Abnormal gait such as toe-walking or scissor-walking

Poor bladder and/or bowel control

Difficulty feeding as a baby

Abnormal mouth patterns such as grimacing or repeatedly thrusting and retracting the tongue

Drooling

Inability to recognise faces

Clumsiness and/or delayed development related to movement

In addition, parents should keep an eye out for the following signs at specific ages.

Younger than six months:

Inability to hold their head up when picked up while they are lying on their back

Overextending their back and neck while being held

Stiffening or scissoring of legs when picked up

Stiffness or floppiness in the body

Thumbs consistently bent towards the middle of the palm

Older than six months:

Not rolling over

Difficulty in bringing their hands together

Difficulty in raising their hands to their mouth

Favoring one hand for actions, like reaching towards an object, while keeping the other hand in a fist

Older than ten months:

Inability to crawl on all fours, and using their knees or buttocks to move instead

Lopsided crawling that uses only one side while dragging the other

Inability to stand even with support

It is important to note that certain developmental delays may correct themselves as the child grows older. Nonetheless, if your child displays one or more of the above symptoms, it is best to consult a doctor as soon as possible.

How Cerebral Palsy is diagnosed

There are currently no formal procedures for detecting Cerebral Palsy. Typically, the doctor will conduct a developmental screening by observing the child’s behavior during clinic visits. The parents may also be questioned about how the child has been behaving at home – how they respond to touch, whether they favor any particular limb, whether parts of their body feel unusually floppy or stiff, and so on. Some of the signs they will watch out for include abnormal posture, abnormal reflexes, and poor muscle coordination.

If the doctor suspects that your child has Cerebral Palsy, they may order further tests to detect abnormalities in the brain and to rule out any other illnesses that could be causing the symptoms. These tests could include:

MRIs: This takes about an hour to complete and involves the use of magnetic fields and radio waves, to create detailed cross-sectional images of the child’s brain. This can help in identifying lesions or other abnormalities.

Cranial ultrasound: This is a quick and effective way to make a preliminary assessment for your child. It involves using high-frequency ultrasound waves to get an image of the brain.

Blood, stool, and urine tests: These will rule out any infectious, metabolic, autoimmune, or genetic disorders that could be causing the child’s developmental delays.

Orthopedic tests: An orthopedic specialist can test motor development, and any abnormalities in the bones and/or joints.

Cognitive tests: A cognitive specialist can examine the child to detect intellectual, behavioral, or psychological deficiencies.

Can Cerebral Palsy be detected at birth?

Many parents ask if there are any Cerebral Palsy newborn symptoms to watch out for. If your child experienced an injury at birth, it is critical to get them checked at regular intervals. However, it may not be possible to give an absolute diagnosis of Cerebral Palsy at an early age. This is especially true for milder cases of Cerebral Palsy where the symptoms are less pronounced. In that case, doctors recommend that parents continue to get developmental screenings done for their child after some time has passed, between six months to a year. This way, symptoms that may not have been evident earlier can be detected more accurately. Additionally, parents can opt for a second opinion if they are not satisfied with what the first doctor opines.

In short, it is essential that parents keep a lookout for telltale Cerebral Palsy symptoms in babies, and get a diagnosis as soon as possible. Early intervention and treatment can enhance the child’s physical, emotional, and social potential and give them the best shot at a happy, productive life.

https://www.abclawcenters.com/frequently-asked-questions/what-are-the-earliest-signs-of-cerebral-palsy/

https://www.mayoclinic.org/diseases-conditions/cerebral-palsy/symptoms-causes/syc-20353999

FAQs

How soon can you tell if a baby has Cerebral Palsy?

The signs of Cerebral Palsy typically appear in the first few months of the baby’s life, however many children are not diagnosed until age 2 or later.

Do babies with Cerebral Palsy smile?

Yes, a two month old baby should ideally be able to smile at people.

Do babies with Cerebral Palsy kick?

Babies with Cerebral Palsy do not kick as movement is unduly stiff or rigid.

This is one of the most distinguishing signs of Cerebral Palsy.

Do babies with Cerebral Palsy sleep a lot?

Sleep problems faced by children with Cerebral Palsy vary from one child to another. They may include excessive daytime sleeping.

Are babies with Cerebral Palsy stiff?

Babies with spastic Cerebral Palsy do not move smoothly. Their muscles tend to be tight and stiff, which cause movements to be jerky. Often, the muscles do not do what the child wants them to.

Can a baby with Cerebral Palsy walk?

Yes, many children with Cerebral Palsy can walk. They can walk on their own, with or without mobility aids like walkers or crutches.

How are babies tested for Cerebral Palsy?

Common tests conducted by neurologists to diagnose Cerebral Palsy may include neuroimaging such as cranial ultrasound, computed tomography scan (CT Scan), and magnetic resonance imaging scans (MRIs).

What are the chances of having a baby with Cerebral Palsy?

Studies conducted in the United State opine that 2.3 per 1,000 children are born with Cerebral Palsy. Approximately 10,000 babies born each year will develop Cerebral Palsy.

Can babies with Cerebral Palsy breastfeed?

When breastfeeding a baby with Cerebral Palsy, you may need to provide additional support to your baby's head and body. The feeding may take longer than usual, especially if your infant has poor oral muscle control. Children with Cerebral Palsy commonly have feeding and swallowing disorders. Some babies with Cerebral Palsy may not be able to feed at all on their own.

How long can a child live with Cerebral Palsy?

Children born with Cerebral Palsy can generally expect to live between 30 and 70 years on an average.

[asianhospitalph]

METAMORPHOSIS ISSUE 52

Last June 25, Asian Hospital and Medical Center’s Asian Cardiovascular Institute (ACVI) unveiled and blessed their newly improved facility for the safety of their cardiovascular patients, an addition to their top-notch and state-of the-art equipment and facilities.

The said event, which boasts of it negative pressure room, was hosted by Cardiology Program Fellow Dr. Esther Joy Vego. Pulmonary Services Physical Therapist Mr. Joel Raso lead the prayer in the form of a song at the beginning of the program.

Asian Hospital’s President and CEO Mr. Andres Licaros, Jr. and Chief Medical Officer, Dr. Jose Acuin officially began the ceremony through their separate welcome remarks. The ACVI team kicked-off the virtual program by presenting their dance number where members of Cath Lab, Heart Station, and the Cardiology Fellows were a part of.

ACVI Program Director Dr. Ofelia Najos-Valencia and Pulmonary Services Head Dr. Lenora Fernandez presented the 1-minute audiovisual presentation where excerpt shots of the facility blessing, Heart Station’s Treadmill Stress Lab Facility were shown. CV Cath Lab Staff Nurse Ms. Dannah Dahonog prepared a special number for everyone, which was then followed by the delivery of the closing remarks by ACVI’s Program Director, Dr. Ofelia Najos-Valencia. Watch the recorded online show via www.asianhospital.com/asianhospitalph.

Patients are encouraged to book their appointments! For inquiries, please contact Asian Cardiovascular Institute's Heart Station at (02) - 8-771-9000 locals 5748 and 5929.

Asian Hospital's Sports Medicine and Human Performance Center continuously promotes their new service, Telehersisyo. This is an online live interaction exercise program between coach and client/s through a video conferencing application.

They offer strengthening and conditioning, managing weight, Corrective and Optimal Recovery Exercise (C.O.R.E.), Posture, Orthopedic, and Strengthening Exercise (P.O.S.E.) inspired by Yoga movement, and a Group Exercise or High Intensity Interval Training (H.I.I.T.) inspired by the Metafit program.

Patients may enroll in the one-on-one personal training, monthly enrolment for individual sessions, or a monthly enrolment with a buddy. This new normal, let our team of multidisciplinary professionals in the field of Sports Medicine help everyone reach their fitness goals to stay fit and active while staying at the comfort and safety of their homes.

For more details, watch the Telehersisyo AVP via www.asianhospital.com/asianhospitalph. For appointments and inquiries, contact Sports Medicine and Human Performance Center at (02) 8-771-9000 locals 5757 and 5749.

Asian Hospital and Medical Center offers “Park and Vax", a Drive-Thru Vaccination that will protect anyone from flu and pneumococcal diseases at the patients’ convenience.

Patients need not to step out of their vehicles and set foot at the hospital. They just simply need to Register and schedule the service they wish to avail, Visit and park, once they have been vaccinated, the last step is to Pay and go. It’s easy to remember—RVP!

Park and Vax offers the Flu vaccine, Pneumococcal Vaccine Polyvalent-23 (5 years), and the Pneumococcal 13-valent Conjugate vaccine. These vaccines protect the person from illnesses and may reduce the risk of COVID-19 complications.

Purchases are subject to senior citizen discounts. Protect families and possibly reduce the risk of COVID-19 complications. For inquiries, please contact the Home Care Business Unit at (02) 8-771-9000 locals 8427 and 5871 or (0916) 2536413.

Asian Hospital and Medical Center invited all expectant moms and dads to their only Lay Forum titled, “Virtual Simply Maternal Series” last June 26, Saturday, at 9:00 AM to 11:00 AM. This free lay forum held via Zoom invited three Specialists as speakers of the event.

Ear, Nose, and Throat Specialist Dr. Christopher Malorre Calaquian discussed Newborn Hearing Screening, Pediatric Cardiologist Dr. Kim Martin Tolentino focused on Newborn Critical Congenital Heart Disease Screening, while Pediatric Endocrinologist Dr. Sylvia Estrada expounded on Newborn Screening.

The next Virtual Simply Maternal Series are set to happen on the ff. dates: July 31, August 28, September 25, and on October 30 all happening at 9:00 AM to 11:00 AM.

Pregnant women patients may avail of the Maternity Package that are available in 1st, 2nd, and 3rd trimester all for a reasonable and affordable price. They may also sign up for eConsults to schedule an online consultation with an Obstetric Gynecologist.

To register and for other inquiries, please send email to corpcomm@asianhospital.com, or contact the Genesis Center at (02) 8-771-9000 locals 8391 and 5791.

[marketresearchhealthcarefuture]

Next Generation Sequencing Market Industry Analysis, Key Player profile, Size and Share 2027

Market Analysis

Global Next Generation Sequencing Market Size is expected to exhibit significant growth over the forecast period. The NGS Market Growth is projected to register a CAGR of 18.05% over the forecast period to reach USD 20,347.45 Million by 2025.

NGS Technology is that helps to determine the sequence of DNA molecules that have a total size significantly larger than 1 million base pairs. The technology has revolutionized biological sciences with its ultra-high throughput, scalability, and speed that assists researchers to carry out a wide range of applications and study biological systems.

also read @ https://www.medgadget.com/2019/01/next-generation-sequencing-market-expectations-and-growth-factors-highlighted-to-2023-by-industry-recent-trends-size-share-and-demand-forecast-by-mrfr.html

 Next Generation Sequencing Market Scope

The global next generation sequencing market can reach a valuation of USD 20,347.45 million by 2023. It is predicted to expand at a CAGR of 18.05% over the forecast period. Major factors driving market growth include growth of genome mapping programs, advanced in diagnostic kits, and technological advances in genomics and molecular biology. Huge demand for personalized medicine owing to the alarming cases of chronic diseases such as cancer can fuel the market demand. Advantages of NGS over Sanger sequencing in terms of reading speed, low sample size, accuracy, and cost can drive the market demand.

However, ethical issues pertaining to genome sequencing, lack of awareness, and difficulties in management of large volumes of data can hamper the market growth.

Next Generation Sequencing Market Segmentation

The global next-generation sequencing market has been segmented into technology, workflow, application, and end user.

Based on technology, the global next-generation sequencing market has been divided into whole-genome sequencing, whole-exome sequencing, and targeted sequencing & resequencing. The targeted sequencing & resequencing segment has been further divided into DNA-based targeted sequencing & resequencing and RNA-based targeted sequencing & resequencing.

Based on workflow, the global next-generation sequencing market has been divided into pre-sequencing, sequencing, and data analysis. The pre-sequencing segment has been further segmented into NGS-semi-automated library preparation kits, NGS library preparation kits, NGS automated library preparation kits, and clonal amplification. The data analysis segment is further segmented into NGS primary data analysis, NGS secondary data analysis, and NGS tertiary data analysis.

Applications of the market comprise agrigenomics & forensics, oncology, human leukocyte antigen typing or immune system monitoring, drug development, clinical investigation, reproductive health, metagenomics, epidemiology, consumer genomics, and others. The oncology segment has been sub-segmented into companion diagnostics, diagnostics & screening, oncology screening, and others. The clinical investigation segment has been further segmented into non-communicable diseases, infectious diseases, inherited diseases, idiopathic diseases, and others. The reproductive health segment has been further divided into newborn or genetic screening, non-invasive prenatal testing, pre-implantation genetic testing, and single-gene analysis.

End-users of the market are pharmaceutical and biotechnology companies, hospitals & clinics, diagnostic laboratories, and others.

Next Generation Sequencing Market Regional Analysis

Americas, Europe, Asia Pacific (APAC), and the Middle East & Africa (MEA) are regions taken into consideration with respect to the global next generation sequencing market.

Americas held the largest market share owing to advances in sequencing, applications in genomics, and availability of funds for research and development. Utilization of phylogenetic markers for the study of microbial cultures will favor the regional NGS market.

Europe can hold the second position in the next generation sequencing market owing to the focus of molecular research companies for developing better products.

APAC is predicted to showcase a robust growth rate during the forecast period due to technological breakthroughs in sequencing and investments by healthcare companies for developing accurate diagnostic testing kits. Full genome sequencing was used in the isolation of the COVID-19 pathogen from patients and the virus strain was replicated in Vero cells for further study.

Next Generation Sequencing Market Competition Outlook

BGI, Agilent Technologies, Inc., F. Hoffmann-La Roche Ltd, Charles River, Illumina, Inc., PerkinElmer Inc., Oxford Nanopore Technologies, Genome Life Sciences, Thermo Fisher Scientific, GenScript, Pacific Biosciences of California, Inc., Qiagen, Xcelris Genomics, Macrogen, Inc., and Eurofins Scientific are key players of the global next generation sequencing market.

Next Generation Sequencing Industry News

Roche decided to acquire Stratos Genomics for developing its nanopore sequencing technology. The technology of the latter can assist Roche for attaining DNA samples for individual genetic disorders.

Obtain Premium Research Report Details, Considering the impact of COVID-19 @ https://www.marketresearchfuture.com/reports/next-generation-sequencing-market-6354

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About Market Research Future:

At Market Research Future (MRFR), we enable our customers to unravel the complexity of various industries through our Cooked Research Report (CRR), Half-Cooked Research Reports (HCRR), Raw Research Reports (3R), Continuous-Feed Research (CFR), and Market Research & Consulting Services.

[drmichaelvohrer]

Hip Dysplasia

Hip Dysplasia – HIP Screening

What is a hip dysplasia – DDH

Hip dysplasia is one of the most common pediatric orthopaedic conditions affecting children from newborn age, during childhood with effect even during adulthood and old age. Hip dysplasia is a delay of development of the hip joint. The pelvic part of the hip joint is too small, to steep or not developed anatomically correct. As a result the cavity of the hip joint does not or only minor stabilize the upper part of the femur bone and its articulating part of the femoral head. There are multiple degrees of delay of hip development known, from mild dysplasia to complete dislocation, unilateral or with both the hip joints involved.

Is there a difference in hip dysplasia and hip dislocation?

A dysplastic hip can be either centered (a) or displaced/ dislocated (b). In a centered hip the upper part of the femur with its femoral head is still centered somehow within the hip joint fossa acetabuli. In case of a hip dislocation the femoral head has already slipped out of the acetabulum. As a consequence there is an independent development in between these two normally perfectly fitting joint parts with resulting incongruity. A dislocated hip is not able to properly stabilize the joint while walking, hip imbalance with limp will develop.

What is the reason for a child developing hip dysplasia?

The exact cause for the development of DDH is still not exactly known. However it is widely believed that hip dysplasia is developmental. This is because hip dysplasia is known to develop around the time of birth, after birth, or even during childhood. Therefore is also why hip dysplasia is often defined as “developmental dysplasia of the hip” (DDH).

Are there risk factors for a hip dysplasia?

General risk factors are for example twin pregnancies, oligohydramnion (low intrauterine amniotic fluid level), breech position, female gender, firstborn and a family history of DDH (Developmental Dysplasia of the Hip). In these cases the incidence of developing a DDH is significantly higher. Specific positioning of babies such as swaddling after birth is known to have negative effect to the hip development.

What are the symptoms of a hip dysplasia in a newborn?

Clinical symptoms which can be seen in newborn are a limitation of abduction possibility of the affected hip joint or leg. Sometimes a fold asymmetry in the upper leg, at the gluteal fold or the labial fold can be seen, especially if one hip is instable and has the tendency to dislocate, then also a leg length discrepancy might occur. The experienced examiner might find signs of hip instability (Ortholani, Barlow) during the examination. Older children might develop gait asymmetries or a limp, rotation anomalies of the legs or tiptoe walking. Mild to moderate hip dysplasia very often cannot be identified by normal clinical examination alone. This needs further on examination. Therefore the golden standard of diagnosis is meanwhile the ultrasound examination within the first months of life of a newborn.

It is generally recommended to have at least one valid picture of the hip to visualize and measure the hip anatomy. This can be done easily and without the need for radiation with ultrasound in a newborn.

What is hip Screening with Ultrasound

Ultrasound is the golden standard of examination to evaluate if a child is affected by a hip dysplasia. Ultrasound is pain free and does not contain any kind of radiation. Pregnant woman know ultrasound as a pain free possibility to see their children and its heartbeat already in the uterus even before the baby is born. This ultrasound technique allows as soon as the child is born to see the developmental status of the hip joints. The ultrasound examination can be done from the date of birth until the osseous growth centre of the femoral head has developed and hinders the ultrasound beam to approach the deep fossa of the hip joint. This usually happens at the age of about 5 to 6 months in healthy mature babies.

Ultrasound Stages of DDH from healthy hip to displacement

Can any examiner do a hip ultrasound screening?

The ultrasound hip screening can be done by a special trained pediatric doctor or pediatric orthopaedic doctor. The standard Ultrasound method for DDH (Developmental Dysplasia of the Hip) is the Graf Method. With this method a hip dysplasia can be diagnosed reliable. Usually a special positioning mattress is used to be sure that standardized examination circumstances are given. A specific ultrasound device with angulation measurement and linear ultrasound probe will allow correct measurement of the hip anatomy.

What is the Graf Method of Ultrasound?

Reinhard Graf is an Austrian Pediatric orthopaedic surgeon, he has been Head of the Stolzalpe Hospital/Austria from 1988 to 2011. Here he developed the Ultrasound hip examination already in the 1970s in Austria. As a general hip screening method to diagnose hip problems it has been established in Austria in 1992 as a mandatory hip screening for newborn. Germany followed in 1996, Switzerland in 1997. Since the screening is established the problem of hip dysplasia in these populations is almost completely disappeared, as treated early, the prognosis is excellent. Since the screening has been established the amount of hip surgeries in these countries is reduced approximately by 50%.

Are there any other methods of diagnosing a hip dysplasia?

In older children where the bone growth development is already more developed the standard examination for hip dysplasia is the x-ray. This will usually be done with special x-ray filters for children and gonad protection to reduce radiation to a minimum.

What happens if your child is diagnosed with hip dysplasia?

If your child has a hip dysplasia, treatment options will be discussed with the pediatric orthopaedic surgeon. The treatment depends on the age of the child and severity of the dysplasia. In a vast majority of the cases conservative therapy can be done if the diagnosis is confirmed early. Then certain splints and braces will be worn by the baby for a period of time until the hip development has become physiologic. Usually these splints and braces are applied in a certain hip flexion abduction position which allows the hip to develop regular.

What kind of splints or braces are usually used for hip dysplasia treatment?

Depending on the age of the child and severity of the dysplasia different splints are taken. Commonly used splints are:

Tűbinger splint

Pavlik Harness

Rhino cruiser

How do I know how to apply the splint or brace?

The treating doctor will explain detailed about the splint treatment. Parents will be instructed if the harness or splint can be removed for bathing and pampering or if the splint might be needed full time. The splints and braces will have to be adjusted time by time to the growth of the child.

In certain intervals follow up examinations have to be done, either with ultrasound, when the children are becoming older also with x rays.

Is it easy to treat a child with a hip dysplasia?

Generally the outcome of a therapy is much better the earlier the diagnosis is confirmed. The later a hip dysplasia is detected the longer a treatment might be needed. As an important part of the treatment is usually done as an outpatient treatment the patient compliance is an integral part of the treatment. Therefore the doctor will exactly explain the treatment steps and requirements to the parents.

What if my child need a surgery? In severe cases surgical options might have to be discussed. The pediatric orthopedic surgeon will then explain the necessary steps of treatment detailed with the parents and the family.

Example for an intraoperative setup

Which kind of surgical procedures might have to be done?

In case a treatment is not successful with conservative treatment or the hip situation is not allowing a stable reduction of the hip surgical options might be needed.

With closed or open reductions of the hips it is possible to relocate instable hips to a physiologic hip position. This position usually needs to be held stable with a special hip spica cast for a period of 6 weeks to 3 months to allow the joint to grow stable around the repositioned femoral head. During the casting period the child’s needs special hygiene care in which families are instructed. In case a cast needs to be applied for a period of 3 months a cast change after 6 weeks is done. These treatments will usually be done under general anesthesia during a short in-patient treatment at the hospital.

In cases where the bony acetabular roof is not developed properly from at an age from 15 months to 8 years a reconstruction of the acetabulum with an Acetabuloplasty is usually performed. Therefore a bone graft will be applied in the acetabulum bone to create sufficient acetabular coverage to protect the hip from dislocation. Sometimes in older children this needs to be combined with an adaption of the upper part of the femur bone to allow the femoral head to stay centered in the joint.

Before surgery: Bilateral hip dysplasia with dislocation on the left side

After surgery: bilateral Acetabuloplasty and open reconstruction on the left side

Several other techniques of hip reconstruction are published and can be performed related to the pathologic findings of the child. In case the treating pediatric orthopedic surgeon will discuss the treatment option in detail with the parents.

Is there any possibility to protect the hip of a newborn?

During the first month of life the baby’s hips have a normal flexion tone. This flexion tone should be initially protected. Extension of the hips with swaddling should be avoided. Specific baby slings and papoose are on the market, which support the knees of the baby and protect the baby’s hips during carrying time. Vitamin D3 Prophylaxis allows sufficient bone metabolism and reduces the probability of ossification delay.

How long is the follow up period in DDH after it is healed?

The follow up needs to be done until maturity. During the growth period there is always possibility for developing secondary dysplasia of the hips which should be ruled out during growth within certain intervals. Your treating pediatric orthopedic surgeon will guide you regarding these intervals. Usually these are done at the age of 3 years, 5-6years, in puberty and after end of growth.