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June 1996 - present
Publications
Publications (53)
La aparición de dolor en la cadera de un niño es un motivo habitual de consulta. La multiplicidad de los posibles diagnósticos requiere una búsqueda etiológica minuciosa. La exploración física permite confirmar la afectación de la cadera o de las estructuras adyacentes. Los exámenes complementarios, que se solicitarán teniendo en cuenta los signos...
Purpose of the studyThe purpose of this study was to evaluate a diagnostic and management protocol for osteoarticular infection in children which was developed at the Rouen University Hospital in 1993. We studied the technical aspects of the protocol allowing improved certain diagnosis and bacteriological documentation as well as the reduction in i...
The purpose of this study was to evaluate a diagnostic and management protocol for osteoarticular infection in children which was developed at the Rouen University Hospital in 1993. We studied the technical aspects of the protocol allowing improved certain diagnosis and bacteriological documentation as well as the reduction in intravenous treatment...
Résumé
Ce chapitre traite des grandes lignes du diagnostic, de la classification et des principes thérapeutiques des pathologies orthopédiques acquises de l’enfant. Par définition, toutes les pathologies congénitales ou malformatives (luxation congénitale de hanche, déformations congénitales du pied, etc.) sont exclues. En revanche des pathologies...
Current knowledge of the causes and risk factors of Legg-Calvé-Perthesdisease (LCPD) does not allow effective preventive strategies. The outcome in adulthood is usually good. Hip osteoarthritis rarely develops before 50 years of age. The risk of osteoarthrosis depends chiefly on the final degree of joint incongruence. Age at onset and the lateral p...
Las fracturas del extremo distal del húmero (o fracturas de la paleta humeral) representan una parte importante de la actividad traumatológica pediátrica. Casi siempre están causadas por una caída con recepción sobre la mano. La fractura supracondílea es la más frecuente con gran diferencia (dos tercios de los casos). La evolución del aspecto radio...
El propósito de este artículo es trazar las grandes líneas del diagnóstico, de la clasificación y de los principios terapéuticos de las patologías ortopédicas adquiridas del niño. Por definición, se excluyen todas las patologías congénitas o las malformaciones (luxación de cadera, deformaciones congénitas del pie, etc.). En cambio, se consideran la...
Résumé
Introduction
Le traitement des épiphysiolyses fémorales supérieures à grand déplacement (EGD) demeure controversé. De nombreux traitements sont décrits dans la littérature avec des résultats variés. Les travaux récents insistent sur la responsabilité des défauts de réduction des EGD dans l’apparition des lésions du cartilage articulaire et...
The treatment of severe slipped capital femoral epiphysis (SCFE) remains controversial. Despite numerous treatments being available, the outcome of published studies has been variable. Recent studies emphasize that poor reduction of the severe SCFE is responsible for the appearance of joint cartilage lesions and progression towards early osteoarthr...
Nous rapportons le cas d’un garçon de 13 ans ayant consulté pour une raideur et une douleur du coude apparues en plusieurs années. Il avait pour seul antécédent une fracture supracondylienne (FSC) fermée non déplacée survenue 7 ans auparavant et d’évolution favorable. Les examens ont montré l’existence d’une hypoplasie de la joue latérale de la tro...
The treatment of slipped capital femoral epiphysis (SCFE) in adolescents remains controversial. The goal of initial treatment is to prevent further slippage of the epiphysis. In mild forms, both stable and unstable, in situ fixation is widely accepted as the reference treatment. In contrast, several techniques are available for stable moderate-to-s...
Le traitement de l'épiphysiolyse fémorale supérieure de l'adolescent est controversé. L'objectif du traitement initial est d'éviter la poursuite du glissement épiphysaire.
Lyme disease incidence is diverse in France. It is rare in many regions but very frequent in Central and Eastern France. Arthritis is a late manifestation of Lyme disease. In children, the clinical and biological picture often resembles that of septic arthritis and juvenile rheumatoid arthritis, which are more frequent. This explains why diagnosis...
Introduction
Le diagnostic précoce des fractures du rachis thoracolombaire est difficile chez l’enfant, car la symptomatologie inquiète peu et les vertèbres encore cartilagineuses sont incomplètement visualisées sur les radiographies. Il est souvent retardé ou non fait.
Hypothèse
La recherche d’une sensation de « souffle coupé » au moment du traum...
Introduction:
Early detection of spine fractures in children is difficult because the clinical examination does not always raise worrisome symptoms and the vertebrae are still cartilaginous, and consequently incompletely visualized on routine X-rays. Therefore, diagnosis is often delayed or missed.
Hypothesis:
The search for a "breath arrest" se...
IntroductionFollow-up of motor impaired children is particularly complicated and difficult. The use of a computerized medical recording filing system specially designed for motor impaired children must improve completeness and reproducibility of clinical examination, ease data exchange between clinicians and help to appreciate the evolution of orth...
We report the case of a 13-year-old boy with a traumatic elbow dislocation, open stage 2 (Cauchoix and Duparc), with distal ischemia. Exposure of the neurovascular humeral bundle through the wound accentutated the clinical emergency. This clinical observation consisted of elbow dislocation with all severity criteria: (i) opening of the skin, (ii) a...
We report the case of a 13-year-old boy with a traumatic elbow dislocation, open stage 2 (Cauchoix and Duparc), with distal ischemia. Exposure of the neurovascular humeral bundle through the wound accentutated the clinical emergency. This clinical observation consisted of elbow dislocation with all severity criteria: (i) opening of the skin, (ii) a...
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Giant-cell tumor of the tendon sheath (GCTTS) is part of the pigmented villonodular synovitis spectrum. The most common sites involved by GCTTS are the feet and the hands. We report the case of a 10-year-old boy referred for a painful tumefaction of the sole of the right foot. A combination of X-ray, ultrasonography and MRI explorations suggested t...
El propósito de este artículo es trazar las líneas generales del diagnóstico, la clasificación y los principios terapéuticos de las enfermedades ortopédicas adquiridas del niño. Por definición, se excluyen todas las enfermedades congénitas o las malformaciones (luxación de cadera, deformaciones congénitas del pie). En cambio, se opta por el estudio...
The surgical treatment of spasticity in non-walking child with cerebral palsy with the use of a pump of intrathecal baclofen completes the existing therapeutic arsenal (Baclofen per os or local injections of botulinum toxin). The aim of this prospective study was to evaluate the improvement reached (benefit in comfort and reduction of the spasticit...
Holt-Oram syndrome, the major "heart-hand" syndrome is defined by the association of radial defects or triphalangeal thumbs and septal heart defects. The transmission is autosomal dominant and the causative gene has been shown to be TBX5, located on 12q24.1, which encodes a transcription factor. Genetic heterogeneity has been suggested by several r...
Purpose of the studyThe purpose of this study was to evaluate a diagnostic and management protocol for osteoarticular infection in children which was developed at the Rouen University Hospital in 1993. We studied the technical aspects of the protocol allowing improved certain diagnosis and bacteriological documentation as well as the reduction in i...
Real-time ultrasonography has been used for diagnosis and screening of developmental dysplasia of the hip for several years. If diagnostic criteria are well established, the use of sonography in follow-up of treated infants remains extremely variable. The aims of this study were (a). to describe the normal sonographic anatomy of the infant abducted...
The incidence of wrist fractures is increasing in children. We undertook an epidemiological survey in western France to determine characteristic features.
A prospective multicentric study was conducted over one year in five university hospital centers in western France. The survey included 839 wrist fractures in children aged 6 to 16 years. The fol...
Primary management of developmental dislocation of the hip involves a series of events (clinical screening and detection, choice and interpretation of imaging studies, indication and proper execution of treatment). Each event has an important effect on outcome and failure may result from inadequate attention to any one. We analyzed the causes of fa...
Fracture of the atlas vertebra is rare in children. We report two paediatric cases of bifocal pedicular fracture of the posterior arch of C1. Evaluation was performed by nonenhanced computed tomography scan, which successively confirmed both diagnosis and healing. In both cases, nonoperative management was successful.
Kingella kingae is a Gram-negative bacillus which belongs to the Neisseriaceae family. Its involvement in osteoarticular infections is relatively recent.
We report eight cases of Kingella kingae osteoarticular infections that have been diagnosed at the paediatric surgical centre of Rouen University Hospital since October 1995. Six boys and two girl...
Kingella kingae osteoarticular infections in children: eight new cases.Kingella kingae is a Gram-negative bacillus which belongs to the Neisseriaceae family. Its involvement is osteoarticular infections is relatively recent.Methods and results. - We report eight cases of Kingella kingae osteoarticular infections that have been diagnosed at the paed...
Early detection and low-risk treatment are the two main objectives of the management of developmental dislocation of the hip. The best way to evaluate neonatal hips is to perform clinical and ultrasound examinations at the same time, and to confront their results. Early diagnosis allows to restrict treatment to infants with neonatal dislocation who...
Early detection and low-risk treatment are the two main objectives of the management of developmental dislocation of the hip. The best way to evaluate neonatal hips is to perform clinical and ultrasound examinations at the same time, and to confront their results. Early diagnosis allows to restrict treatment to infants with neonatal dislocation who...
The authors report their experience with congenital dislocation of the hip. Emphasis is put on the complementary role of clinical examination and sonography in postnatal diagnosis and management. Technique and results of the coronal view are described as well as pathologic patterns and differential diagnosis. At least, the interest of combined exam...
