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Torsion of the testis in childhood
ABSTRACTS
glandular
4.11
hypospadias,
54
penile.
15 peno-
scrotal. and IO perineoscrotal. More than half of the serious forms of hypospadias were asbociated with significant urinary tract malformation. There were six ectopic kidneys, ten unilateral cases with pyelocaliectasis, and I5 cases of double ureters. This high incidence (21”“) of associated malformations suggests that an accurate urologic study should be made of all patients affected with hypospadias.D. Szolder
lorrion of the Testis in Childhood. Br. J. Surg. 61:905-908, 1974.
M. F. Mocnicol.
This is a retrospective review of 60 cases of clmically diagnosed “torsion of the testis” admitted to the Royal Hospital for Sick Children in Edinburgh over a period of 25 yr. Diagnosis was confirmed operatively in only 42 cases. Of the remaming 18. one was thought to be inoperable because of a 6-day history and the other 17 were presumed to have torsion on clinical grounds and all of these settled down spontaneously.-R. E. Zachary
of Penis
Transposition with
Multiple
and Scrotum
Anomalies.
Associakd
J. Lib, J. &es,
Gy. Gor&z. Orv. Hetil. 115:2299-2302,
ond
1974.
The authors describe the case hlstory of a newborn infant whose penis was found to be located between the scrotum and anus. The neonate, due to other congenital defects such as the Khppel-Feil syndrome, severe congenital heart disease with abnormalities of the great vessels, as well as a number of urologic anomalies, died on the 5th day of life. No chromosomal aberrations were found. A survey of the literature (23 similar cases have been published so far), embryology, and potential surgical correctlons are also given.-- Andrew Pinzt?r
MUSCULOSKELETAL Obsletrical
Epiphysiolysis
in Newborn
Traumatic Epiphyseal Louis, and 1383-l 390
Separation of the Distal Femoral Cartilage Plate. D. C. Stephens, D. S. E. Louis. J. Bone Joint Surg. (Am.) 56: (October), 1974.
Twenty patients with fractures of the distal femoral epiphysis were studied, including 17 males and three females. Seventeen injuries were closed and three were open. Follow-up ranged from 14 mo to I I yr 8 mo. The average patient age was 11 yr 11 mo. Distribution of the fractures included 15 Salter II type, two Salter V type, and one each of the other Salter types. Treatment was conservative without open surgery in all cases. A very high incidence 01 shortening, premature growth arrest, residual knee joint laxity, and varus and valgus deformities were documented. The report documents specifically a premature closure, in the Salter 11 injuries, of the epiphysis. usually not seen with this type of injury. This article stimulates a new look at the hitherto considered benign fracture of the distal femoral epiphysls. -Anrhonv H. Aiter
Congenital
Kypho-Scoliosis of the Tibia. J. M. Rothgeb, P. 1. Ramsey, and H. R. Cowell. Clin. Orthop. 103:178-190 (September), 1974.
This is a review of the literature with a study of I8 patients with this condition. A classification system has been evolved. with a thorough review of diagnostic, prognostic, and treatment considerations.Anthony H. Alrer
Congenital
Aplasia
of the Fibula.
and C. Bourn. Ann. (March/April), 1974.
SYSTEM
S. Bumbic, R. Lokoc, and Z. Najdonovic. Infant. 15:135-148 (March/April), 1974.
From the results available so far, the authors conclude that epiphysiolysis has severe effects on growth and form of the affected limb G. Egli
Infants.
Ann. Chir.
Ten cases of obstetric epiphysiolysis are reported. The infants are usually brought to a pediatric surgeon late and with a wrong diagnosis. Most of the children show epiphysiolysls Type I (Salter and Harris). The importance of radiologlc signs and, if they are uncertain, puncture of the joint and bacteriologic examination of the articular fluid, is stressed.
Chir.
Infont.
H. Bensohei
15:103-l
14
The cases of 16 children with peroneal agenesis are reported. The different anatomic forms are described. In four children associated malformations were Dresent. Several methods ot treatment have been proposed, none of them giving good results. Orthopedic treatment alone never leads to success but may initially be the treatment of choice. Surgical treatment is vsery difficult and unsatisfactory considering the long-term results. Nonetheless, the authors propose a therapeutic program which may result in avoidance of amputation.-G. Egli
glandular
4.11
hypospadias,
54
penile.
15 peno-
scrotal. and IO perineoscrotal. More than half of the serious forms of hypospadias were asbociated with significant urinary tract malformation. There were six ectopic kidneys, ten unilateral cases with pyelocaliectasis, and I5 cases of double ureters. This high incidence (21”“) of associated malformations suggests that an accurate urologic study should be made of all patients affected with hypospadias.D. Szolder
lorrion of the Testis in Childhood. Br. J. Surg. 61:905-908, 1974.
M. F. Mocnicol.
This is a retrospective review of 60 cases of clmically diagnosed “torsion of the testis” admitted to the Royal Hospital for Sick Children in Edinburgh over a period of 25 yr. Diagnosis was confirmed operatively in only 42 cases. Of the remaming 18. one was thought to be inoperable because of a 6-day history and the other 17 were presumed to have torsion on clinical grounds and all of these settled down spontaneously.-R. E. Zachary
of Penis
Transposition with
Multiple
and Scrotum
Anomalies.
Associakd
J. Lib, J. &es,
Gy. Gor&z. Orv. Hetil. 115:2299-2302,
ond
1974.
The authors describe the case hlstory of a newborn infant whose penis was found to be located between the scrotum and anus. The neonate, due to other congenital defects such as the Khppel-Feil syndrome, severe congenital heart disease with abnormalities of the great vessels, as well as a number of urologic anomalies, died on the 5th day of life. No chromosomal aberrations were found. A survey of the literature (23 similar cases have been published so far), embryology, and potential surgical correctlons are also given.-- Andrew Pinzt?r
MUSCULOSKELETAL Obsletrical
Epiphysiolysis
in Newborn
Traumatic Epiphyseal Louis, and 1383-l 390
Separation of the Distal Femoral Cartilage Plate. D. C. Stephens, D. S. E. Louis. J. Bone Joint Surg. (Am.) 56: (October), 1974.
Twenty patients with fractures of the distal femoral epiphysis were studied, including 17 males and three females. Seventeen injuries were closed and three were open. Follow-up ranged from 14 mo to I I yr 8 mo. The average patient age was 11 yr 11 mo. Distribution of the fractures included 15 Salter II type, two Salter V type, and one each of the other Salter types. Treatment was conservative without open surgery in all cases. A very high incidence 01 shortening, premature growth arrest, residual knee joint laxity, and varus and valgus deformities were documented. The report documents specifically a premature closure, in the Salter 11 injuries, of the epiphysis. usually not seen with this type of injury. This article stimulates a new look at the hitherto considered benign fracture of the distal femoral epiphysls. -Anrhonv H. Aiter
Congenital
Kypho-Scoliosis of the Tibia. J. M. Rothgeb, P. 1. Ramsey, and H. R. Cowell. Clin. Orthop. 103:178-190 (September), 1974.
This is a review of the literature with a study of I8 patients with this condition. A classification system has been evolved. with a thorough review of diagnostic, prognostic, and treatment considerations.Anthony H. Alrer
Congenital
Aplasia
of the Fibula.
and C. Bourn. Ann. (March/April), 1974.
SYSTEM
S. Bumbic, R. Lokoc, and Z. Najdonovic. Infant. 15:135-148 (March/April), 1974.
From the results available so far, the authors conclude that epiphysiolysis has severe effects on growth and form of the affected limb G. Egli
Infants.
Ann. Chir.
Ten cases of obstetric epiphysiolysis are reported. The infants are usually brought to a pediatric surgeon late and with a wrong diagnosis. Most of the children show epiphysiolysls Type I (Salter and Harris). The importance of radiologlc signs and, if they are uncertain, puncture of the joint and bacteriologic examination of the articular fluid, is stressed.
Chir.
Infont.
H. Bensohei
15:103-l
14
The cases of 16 children with peroneal agenesis are reported. The different anatomic forms are described. In four children associated malformations were Dresent. Several methods ot treatment have been proposed, none of them giving good results. Orthopedic treatment alone never leads to success but may initially be the treatment of choice. Surgical treatment is vsery difficult and unsatisfactory considering the long-term results. Nonetheless, the authors propose a therapeutic program which may result in avoidance of amputation.-G. Egli