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Query: UMLS:C0027121 (myositis)
 4,538 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Seventeen patients underwent open bone graft epiphyseodesis for slipped capital femoral epiphysis (SCFE); physeal fusion was achieved in 12 patients. Eight grafts either resorbed, moved, or fractured postoperatively (graft insufficiency). Graft insufficiency was statistically associated with failure of physeal fusion, (p = 0.009). Radiographic examination, using three different measurements, corroborated postoperative changes in femoral head position. One case of joint space narrowing and three cases of significant myositis ossificans occurred. Ten patients had anterolateral thigh hypesthesia. We conclude that fracture, movement, or resorption of a single bone graft is common, leading to an increase in slip severity and failure of physeal fusion.
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PMID:Open bone graft epiphyseodesis for slipped capital femoral epiphysis. 239 24

The use of MRI in the assessment of the musculoskeletal system in children has important differences from its use in adults. Growth in children has significant impact on the epiphysis and growth plate, which are important structures in the growing child, and there are radiological features that differ from those in adults: disease may alter structures during a period of growth; the pathologies themselves are a distinct group of diseases at variance with adult arthritis and myositis, with a different spectrum of differential diagnoses; and many technical issues are different when imaging a child. These are important considerations in choosing the appropriate imaging. MRI is a powerful and valuable imaging technique in pediatric musculoskeletal pathologies, with considerable potential for future developments to enhance its role in diagnosis, management, and therapeutic intervention for these children.
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PMID:MRI in juvenile idiopathic arthritis and juvenile dermatomyositis. 1925 Feb 31

Children with acute onset non-traumatic limp often present to emergency departments (EDs). The limp can occasionally be associated with medical emergencies such as septic arthritis and slipped upper femoral epiphysis but is often due to less severe conditions. This article discusses the common and self-limiting causes of acute onset of non-traumatic limp in children, such as transient synovitis, reactive arthritis, and benign acute childhood myositis. It also discusses more severe conditions, including septic arthritis, osteomyelitis, slipped upper femoral epiphysis, Perthes disease, malignancies and non-accidental injury. Management and prognosis of these conditions are discussed in the context of guidance from the National Institute for Health and Care Excellence. The article includes two case studies that illustrate different presentations and the challenges that nurses who manage children in EDs are likely to come across in clinical practice.
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PMID:Recognition and nursing management of children with non-traumatic limp. 2952 Oct 78