Tachdjian's Pediatric Orthopaedics

Limb Length Discrepancy

Leg Length Inequality Leg length inequality in children is a frequent parental concern or physical finding noted by the orthopaedist. It is commonly identified incidentally during screening examinations such as those performed on armed forces recruits, as well as during…

Disorders of the Foot

The author wishes to acknowledge the contribution of John A. Herring and B. Stephen Richards for their work in the previous edition version of this chapter. Introduction The human foot is a complex structure capable of supporting body weight, accelerating…

Disorders of the Leg

The author wishes to acknowledge the contributions of Charles E. Johnston and Megan Young for their work in the previous edition version of this chapter. Disorders of the Knee Presenting in Infancy Disorders of the knee presenting in infancy include…

Disorders of the Femur

Femoral Anteversion The clinical significance of femoral anteversion is controversial. The contribution of excessive anteversion to childhood intoeing is accepted, whereas the relationship, if any, between anteversion and osteoarthritis of the hip and knee in adulthood remains uncertain. Definition Femoral…

Congenital Coxa Vara

Congenital coxa vara is a developmental abnormality characterized by a primary cartilaginous defect in the femoral neck with an abnormal decrease in the femoral neck-shaft angle, shortening of the femoral neck, relative overgrowth of the greater trochanter, and shortening of…

Slipped Capital Femoral Epiphysis

The author wishes to acknowledge the contribution of John A. Herring for his work in the previous edition version of this chapter. During a period of rapid growth in adolescence, weakening of the upper femoral physis and shearing stress from…

Legg-Calvé-Perthes Disease

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Developmental Dysplasia of the Hip

Definition Developmental dysplasia of the hip (DDH) is a spectrum of disorders of development of the hip that present in different forms at different ages. The common etiology is excessive laxity of the hip capsule with a failure to maintain…

Disorders of the Upper Extremity

The authors would like to acknowledge the contributions of Drs. Marybeth Ezaki and Peter Carter. Introduction Very few congenital anomalies of the upper limb can be restored to normal function and appearance. The goals of treatment are therefore to maximize…

Other Anatomic Disorders of the Spine

The authors wish to acknowledge the contribution of Charles E. Johnston and Brandon A. Ramo for their work in the previous edition version of this chapter. Spondylolisthesis Spondylolisthesis is defined as the forward slippage of one vertebra on its adjacent…