Document Detail

Angular deformity of the ankle with sparing of the distal fibula following meningococcal septicaemia: a case series involving 14 ankles in ten children.
MedLine Citation:
PMID:  21768642     Owner:  NLM     Status:  MEDLINE    
Progressive angular deformity of an extremity due to differential physeal arrest is the most common late orthopaedic sequela following meningococcal septicaemia in childhood. A total of ten patients (14 ankles) with distal tibial physeal arrest as a consequence of meningococcal septicaemia have been reviewed. Radiological analysis of their ankles has demonstrated a distinct pattern of deformity. In 13 of 14 cases the distal fibular physis was unaffected and continued distal fibular growth contributed to a varus deformity. We recommend that surgical management should take account of this consistent finding during the correction of these deformities.
F P Monsell; A R T McBride; J R Barnes; R Kirubanandan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  93     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-19     Completed Date:  2011-10-24     Revised Date:  2011-12-09    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  1131-3     Citation Subset:  AIM; IM    
Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol BS2 8BJ, UK.
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MeSH Terms
Ankle Joint / pathology*,  radiography
Child, Preschool
Disease Progression
Fibula / growth & development
Foot Deformities, Acquired / microbiology*,  pathology,  radiography
Growth Plate / growth & development,  radiography
Meningococcal Infections / complications*
Sepsis / complications*

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