Doctor insights on:
Breech Hip Dysplasia
Baby had joint deformity in wrists & ankles.Fracture proximal tibia, milt bowing right femur & pelvic tilt.No spinal deformity.What causes this?
Im 26, my mother born w/ severe bilateral hip dysplasia corrected by surgery. Lifelong hip "catching" and clicking in joint, and pain. Poss dysplasia?
Now arthritis: Dysplasia correction involves cutting the femur and/or pelvis, and the changing the alignment to improve coverage of the ball by the socket. Dysplasia comes in various types and degrees of severity. Because the correction is rarely 'perfect', some symptoms can be present. Most patients develop degenerative changes later in life. (arthritis). ...Read moreSee 1 more doctor answer
35 lady w/bilateral femoral hip impinge, rgt labral tear, osteoarthritis, 200 lbs 5'9'. PT, Ned's no help. Hip arthroscopic or total hip replacement?
Heterotopic: ossif can occur from muscle or joint periarticular swelling or inflammation. Speak to your surgeon about whether medications or radiation may be indicated to reduce or limit its effects. Much depends upon the extent, the depth and the regions involved i.e. which muscle planes are affected,how that influences motion, how far away or close to the joint. Gentle therapy and ROM can help ...Read more
4 years after lumbar spine fused, a recent MRI shows 6 mm anterolisthesis. Can a fusion fracture?
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
Spondylolisthesis with flexion. Extension level 3.55 mm of anterolisthesis.flexion is 5.99, neutral 3.77 mm, mod central stenosis. l4-5 anterolisthes?
Spondylolisthesis: This is an MRI report of the low back which shows moderate narrowing of the spinal canal at the lumbar 4/5 level. In addition, there is a small slip with instability at the lumbar 4/5 level. This is arthritis which often causes pain in the low back with bending and stooping. The pain may radiate into the calf, ankle or big toe. There may be numbness too. See a neurosurgeon for treatment. ...Read more
Mri says partial tear of anterior, posterior cruciate ligament, grade3 chondromalacia, subchondral cysts in medial tibial condyle, is operatn right thng?
See good knee...: This is purely an MRI reading of your knee.'partial' acl and PCL tears in your age group means very little to me unless you had a very significant , recent knee injury w/ a hemarthrosis .( which u don't have).'chondromalacia'( of what..Mfc, lfc, patella?) means you have a component of arthritis in your knee. See a qualified, respected knee surgeon to discuss your options . Best of luck! ...Read moreSee 2 more doctor answers
Lung scarring: Bronchopulmonary dysplasia is a condition of airway & lung scarring that occurs in premi's & micro premi's during their prolonged need for ventilation or oxygen in those critical weeks. Xrays are seen to gradually change to show the characteristic patterns that correlate with pathology seen under the microscope when a kid doesn't survive. ...Read moreSee 1 more doctor answer
Please interpret nonhealing subtrochanteric femur fracture -cephalomedullary device in place. Device has fallen into significant almost 80 deg varus?
Fracture: The device is the intramedullary nail or screw stabilizing / transfixing the fracture. Varus angulation means inward angulation, 80 degrees is the amount of angulation. Sounds like the fracture has not healed and the hardware has changed its relative position. Need to see your orthopedic surgeon. ...Read more
Placenta is fundo posterior, lying in upper uterine segment and showing grade 1 maturity.internal os is closed.cervical length approx 4.2 cm. 24 weeks?
Grade2 Spondylolisthesis of L5/S1& spina bifida occulta. Low back pain on right. Sharp moving pain along inguinal ligament? GP palpation normal
Need surg consult: A Grade 2 Spondylolisthesis definitely needs to be evaluated and treated by an orthopaedic or neurosurgeon who specializes in spinal surgery. You are just on the border of requiring spinal surgery, i.e. a fusion, with a Grade 2 slip. The inguinal pain may/may not be related to the back. Time to see your surgeon for an up-to-date evaluation ...Read moreSee 1 more doctor answer
Mri comes back with grade II to III chondromalacia patella , knee joint effusion with ganglion, longitudinal partial tear.Mcland lcl strain. ?
Conservative Rx: Depends upon your primary complaint and whether there was a mechanism of injury. Chondromalacia(i.e.Cartilage wear=arthritis) is common and can cause swelling and pain. Collateral ligament strains/partial tears (mcl+lcl) should be managed well conservatively. Recommend seeing a pt for motion, strengthening, edema control. Am a fan of a stationary bike as well (nonimpact knee motion+strengthening). ...Read moreSee 1 more doctor answer
Surgery type: If you have a knee angular deformity, it can be corrected by cutting a bone (an osteotomy) near the knee joint to change the alignment of the knee. A knock-knee deformity is also called genu valgum, from the latin roots. The correction of a knock knee is usually done by cutting the end of the femur to make the correction. The term "distal" refers to end of the femur at the level of the knee. ...Read more
Pain! how to treat, chiro? X-ray shows spina bifida [email protected], grade1 anterolisthesis of L5 w/spondylosis, mild disc space height [email protected]&l5-s1
Too little info: As dr. Hines says, a neurosurgeon can help differentiate all of the above and provide you with the best treatment options for your condtion. There are many factors to consider- your age, how much spondylosis, pain location, duration, relief, exacerbation, general health, etc. See a neurosurgeon for some good answers. Best of luck to you. ...Read moreSee 1 more doctor answer
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