bracing

Management

Observation

 

Curves < 20o observation only at 3-6 month intervals depending on growth rate 

 

Non Operative Management / Bracing 

 

Never brace curves if patient Risser 4 or 5 

 

Indications

 

1.  Risser 0-2 (growth potential)

 

2.  Curve >30o adolescent

 

3.  Curve >25o with progression (5o in six months)

Congenital scoliosis

Definition

 

Lateral curvature of the spine 2° to vertebral anomaly

- causes an imbalance in longitudinal spine growth

 

Epidemiology

 

True incidence unknown

 

F > M

 

Typically Thoracic

 

Inheritance

 

No association in twins / suggests not inherited

5% risk in family if complex multi-level

 

Aetiology

 

Acute lateral ankle sprain

Definition

 

Partial or complete rupture of one or parts of lateral ligaments of ankle

- common ankle sprain

 

Epidemiology

 

Lateral ligaments sprains are the most common ligamentous injuries of the human body

- account for approximately 15% of all athletic injuries

- it is estimated that there is one ankle inversion injury per day per 10,000 people

 

Most common young males

- average age 27

Scheuermann's kyphosis

Definition 

 

Structural kyphosis of thoracic or thoracolumbar spine

- characterised by vertebral wedging & subsequent growth disturbance of vertebral end plate

 

X-ray Diagnostic Criteria Sorensen 1964

 

1.  Kyphosis > 45°

 

2. > 5° wedging 3 or more adjacent apical vertebrae

 

Other features

- Schmorl nodes