Neurology Medicine

Archive for the ‘Trauma’ Category

Trastonos posture:
- Kyphosis:
You see more in post-thelarche girls. There is increased kyphosis of the thoracic spine (most posterior convexity), which brings antepulsion shoulder and retraction of the anterior muscles of the shoulder girdle. There may be backache.
RX is studied in the column, in profile, and will show a section of it with greater convexity backward, the front of the vertebral bodies may be lower (D5-D8).

- Lordosis: there is increased physiological lordosis of the spine lum8mayor convexity forward) with retropulsion of the pelvis.

Both are treated with therapeutic fisioquinesica, and evaluates the use of corse.
Swimming is recommended.

2-Scoliosis
There are dishing the spine with rotation of the vertebral bodies.
It can be:
- Congenital: by default in the formation of the vertebrae (hemivertebras. etc).
- Idiopathic: are 80%.
Children can be (RN-3 years), Junior (4-9 years), adolescents (aged 10).
Is more frequent the right thoracic and lumbar curve left.
In the beginning do not feel pain, then yes.
In scoliosis is usually seen: one shoulder lower than the other, one shoulder prominet more than the other, non-symmetrical waist.

There is also no rotation scoliosis of the vertebral bodies is reversible, occurs due to poor posture. Da muscle pain, shorter leg.

In congenital scoliosis thoracic malformations of the digestive tract rule (esophageal atresia) and the circulatory system.
In congenital scoliosis lumbar rule altered urinary tree.

Rating:
- Anamnesis.
- Physical examination: height, measured both lower limbs, draw lines (bicrestilea, biescapular, biacromial), Adams maneuver (the patient leans forward, to better see the column)
- RX full spine standing and barefoot.

3-Epiphysiolysis of the hip:
It is the most common among adolescents. Occurs for downward displacement of the femoral head. S and associated with hormonal and mechanical factors.
It is seen in obese, tall and thin. General consultative groin pain in the knee or the gonads, weird walking (walking with a member in external rotation), can not place the affected limb behind healthy.
Diagnosis:
- Clinical.
- RX-profile hip, is widening and irregularity of the growth plate.

Early diagnosis can be done with the sign of bending extrarrotada, which consists of placing the child in the supine position, knees flexed and the patella should look to the nose, if you do it to the shoulder, is pathological.