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Doctor insights on: Remedies For Delayed Closure Of Anterior Fontanel

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What is the best treatment for delayed closure of anterior fontanel soft spot?

What is the best treatment for delayed closure of anterior fontanel soft spot?

Patience: Most kids will have what feels to be closure of the anterior fontanel by 15-18 mo but some may persist. The separation between the bones will persist to some degree until about 9 when kids reach their adult head size. In examining thousands of kids over 3 decades, i never found one that didn't eventually close. ...Read more

Dr. Milroy Samuel
22 doctors shared insights

Soft Spot On Top Of Head (Definition)

In an infant, the space where two skull-bone sutures join forms a membrane-covered "soft spot" called a fontanel (fontanelle). The fontanels allow for growth of the skull during an infant's first year. The fontanels should feel firm and very slightly curved inward to the touch. A tense or bulging fontanel occurs when fluid builds up in the skull cavity or when pressure increases in the brain (increased intracranial pressure). When the infant is crying, lying down, or vomiting, the fontanels may look like they are slightly bulging, but they should return to normal when the infant is in ...Read more


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What issues are possible for adults following PFO closure?

What issues are possible for adults following PFO closure?

Not common.see below: Major periprocedural complications (i.e. Death, hemorrhage requiring blood transfusion, cardiac tamponade, need for surgical intervention, and fatal pulmonary emboli) occurred in 1.5% of patients, and minor complications (bleeding not requiring transfusion, transient atrial arrhythmias, device embolization with successful catheter retrieval, device arm fracture, air embolism with st elev. Avfistul. ...Read more

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What is the probability of bone growth 10 mnth post L3-S1 fusion after removal of growth stimulator&complete non-union at L3L4 with 2 loose screws L3?

What is the probability of bone growth 10 mnth post L3-S1 fusion after removal of growth stimulator&complete non-union at L3L4 with 2 loose screws L3?

Ans: First you must why is there no bone growth in a 30 yo? Are you a heavy smoker ? You need a bone density test. You need to eat better and do some passive exercise. There is calcium you can and should take. Better get going or you will have more problems as you age ...Read more

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What are the treatments without hip replacement of early stages of avn in femur head for a 32 year old.

What are the treatments without hip replacement of early stages of avn in femur head for a 32 year old.

Revascularization: Basically observation to start with, for very early AVN, as well as elimination of potential causes such as alcohol or steroids. There are revascularization surgeries that can be done which may preclude the need for hip replacement. ...Read more

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What are the post op suggestions for pulmonary valve stenosis repair in infants?

What are the post op suggestions for pulmonary valve stenosis repair in infants?

Get the flu shot: Of course after a pulmonary valve replacement or repair, your child is going to be in the cardiac ICU for a period of time and on the floor. There's going to be ample time to get advice on what to do. Make sure they get the flu shot, and more than likely your child is going to need antibiotics before dental cleanings and certain medical procedures. Make sure they always get that taken care of. ...Read more

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No acute fracture, reversal of the usual cervical lordosis centered at c4-5. Previous c5-6 acdf without hardware or fracture. There is incomplete oss?

Loss cerv lordosis: Loss of cervical lordosis is more likely a result of the condition requiring fusion, and post surgical, changes. Why is there a concern re failure to fuse? What are the symptoms? If it is loss of pre surgical anatomy, then no work up is needed, but a ct can diagnose this easily if other problem are present. ...Read more

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His bone age is 17 yrs. All of the epiphyses are closed the exception of the distal radius and ulna. His knee plates are closing. Any way to grow?

His bone age is 17 yrs. All of the epiphyses are closed the exception of the distal radius and ulna. His knee plates are closing. Any way to grow?

Growth in the spine: in the vertebral bodies or vertebrae still occur even after the hands and feet and limbs have closed growth plates and it often does. there are 24 pre sacral vertebrae, of each one adds only 1mm then that is an inch. Growth occurs in the spine until about age 20, but slows compared to the rates shown in adolescence ...Read more

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What are the long term complications of a baby having open heart surgery for an asd?

What are the long term complications of a baby having open heart surgery for an asd?

Minimal: Open heart surgical repair of an ASD carries the most risk at the time of surgery, due to anesthesia. Long term a few patients will develop an atrial arrhythmia; most are perfectly fine. ...Read more

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Would neck x-ray tell if growth plates are completely closed. ie, if one had 1cm of total growth left could neck growth plates appear closed on x ray?

Would neck x-ray tell if growth plates are completely closed. ie, if one had 1cm of total growth left could neck growth plates appear closed on x ray?

Bone age: Accurate bone age is determined by looking at a left hand X-ray and comparing the findings to a bone age atlas. You can also determine if there is any growth remaining by looking at a APPelvis Xray (Risser Stage) as well as knee X-rays. ...Read more

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Heard the epiphyseal plate of the long bones of short children closes too early. What might be the cause?

Heard the epiphyseal plate of the long bones of short children closes too early. What might be the cause?

Not early - genes: We have a large number of growth plates throughout our body and the do follow a somewhat predictable schedule on their closure age. However, some children's will close a bit earlier than others and this is largely affected by genes and gender. ...Read more

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I understand that once growth plate closed thr is no room for linear growth ,any therapy like gh can increase bone thickness ?

Growth Hormone: While there are many uses for growth hormone, increasing bone thickness is not one of them. Check out http://www.drugs.com/cdi/norditropin-nordiflex.html for an example of prescription only GH. Don't take if you don't need it (not a do-it-yourself project) as may cause acromegaly (info = http://goo.gl/az2thj; images = https://goo.gl/P2G5Rt). ...Read more

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What is the implication of the rod and screw in fractured femur bowing on X-ray 8 weeks post op in 58 year old male?

What is the implication of the rod and screw in fractured femur bowing on X-ray 8 weeks post op in 58 year old male?

Could be a problem: If the surgeon felt this was new bowing that could be due to too much stress on the rod. That would be very unusual with modern rods as they are very strong...Especially to see as early as 8 weeks. If it is just on an x-ray report you need to talk to your orthopedist as it us likely nothing. Most rods are normally bowed and may bow slightly more after being inserted. ...Read more

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What is cardio thoracic surgery for patch closure of asd?

What is cardio thoracic surgery for patch closure of asd?

Open heart surgery: Basically, patient is put on heart-lung machine (cardiopulmonary bypass), so right atrium can be opened, and a patch (usually from pericardium) is sewn in to close the atrial septal defect (or hole in the wall between right & left atria of heart) ... But can be done endovascularly by cardiologist with device that goes across ASD and opens up to cover ASD on both sides of asd. ...Read more

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What is "cardio thoracic surgery for patch closure of asd?"

What is "cardio thoracic surgery for patch closure of asd?"

Close the hall: Between the two chamber of the heart.Atrial septal defect, or asd, is a congenital anomaly of the heart and most asd's are not serious and can be easily fixed.In adults, repair of an ostium secundum or the sinus venosus defect is very safe and effective. Surgery carries a very small risk and in most centers, the operative mortality is less than 1% for repair of an ostium secundum asd. ...Read more

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What are the short/long term effects of a hairline skull fracture. 3" in length from lambdoid suture forward toward the temporal bone.

What are the short/long term effects of a hairline skull fracture.  3" in length from lambdoid suture forward toward the temporal bone.

Usually none: In an adult, the type of fracture you describe really has no long-term effects. Short term problems really have to do with any associated intracranial problems (hemorrhages, contusions, etc.). Potential fractures requiring treatment are ones that are exposed through the scalp (open), significantly depressed, ones involving skull sinuses, which can leak csf, or "growing" fractures in young children. ...Read more

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I just had a closed complete transverse fracture of the upper distal 3r of the tibia, what are my guidelines for returning to soccer?

I just had a closed complete transverse fracture of the upper distal 3r of the tibia, what are my guidelines for returning to soccer?

About 3 months: Working with an orthopedic surgeon and an experienced pt to set "functional recovery" goals is best. In about 3 months you should be able to do many of the demands of soccer. ...Read more

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