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    LLD - Limb Length Discrepancy, Hemihypertrophy and associated Syndromes

    Limb Length Discrepancy

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    What are the causes of Limb length Discrepancy?
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    What Invx?
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    What are the complications of LLD?
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    What is the scoliosis direction for LLD?

    GENERAL MX OF LLD

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    Why should we strive to equalize limb length?
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    How do you manage this patient with LLD?
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    Options of Surgical equalisation?
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    Lengthening principles and options?
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    Complications of lengthening?
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    What is the principle behind epiphysiodesis?
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    Principles of shortening?

    Hemihypertrophy

    image
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    Pathophysiology of hemihypertrophy?
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    How will you approach this patient with hemihypertrophy?
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    Hemihypotrophy vs hemihypertrophy?
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    What investigations will you do? Any other organs?
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    What are the causes of hemihypertrophy?

    Beckwith-Wiedemann syndrome

    • Diagnosis based on clinical findings - macroglossia, defects of anterior chest wall, mental retardation
    • A/w embryonal tumors e.g. Wilm’s tumor, hepatoblastoma
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    Klippel Trenaunay Syndrome (KTS)

    • A form of rare VASCULAR disorder
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    What is the triad associated with KTS?
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    What examination finding in KTS?
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    Management of KTS?
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    Orthopaedic Management of KTS?

    Proteus syndrome

    • Named after greek God who could change shape
    • Presence of hemangiomas and lymphangiomas
    • Rare disorder characterised by overgrowth due to disorder in AKT1 gene
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