Scheuermann's Ds

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    BRIEF DISCUSSIONKASTURBA MEDICAL COLLEGEScheuermann's Disease

    MODERATORS:DR.K.G.KAMATHDR.RONALD.MPRESENTED BY:

    DR.PRAVEEN PATILDT: 30-06-09

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    Synonyms:1. Scheuermann disease2. Juvenile kyphosis3. Scheuermann kyphosis4. Shermann’s disease5. Humpback’s disease

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    Introd !t"onS!#$ $r%&nn'( d"($&($ "( on$ o) t#$o(t$o!#ondro($( &*$!t"n+ t#$ t#or&!"! ort#or&!o, % &r ( "n$ "n &do,$(!$nt(/ !& ("n+"n!r$&($d 1 #o("(/ oor o(t r$ &nd o((" ,$

    &! &!#$.It "( t#$ %o(t !o%%on !& ($ o) (tr !t r&,

    1 #o("( "n &do,$(!$nt(.

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    Path !h"si # $" T#$r$ "( & d$)$!t "n t#$ ($!ond&r1 o(("2!&t"on!$ntr$( o) t#$ $rt$ r&, od"$(. A )$4

    $rt$ r&, od"$( %&1 $ "n o, $d or t#$ 4#o,$t#or&!o, % &r ( "n$.H$r$d"t&r1 )&!tor(:A to(o%&, do%"n&nt.In!r$&($d ,$ $,( o) +ro4t# #or%on$.

    M$!#&n"!&, )&!tor( &nd tr& %& #& $ &,(o$$n !"t$d &( o((" ,$ !& ($(.

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    5,&(("2!&t"onT"!ica#%

    . 7( &,,1 "n o, $( t#or&!"! ( "n$.8. In o, $( 3 !on($! t" $ $rt$ r&$/$&!#

    4$d+$d d$+r$$(

    . At"!ica#%. 7( &,,1 "n o, $( t#or&!o-, % &r ( "n$.

    8. 5#&r&!t$r"($d 1 $rt$ r&, $nd ,&t$!#&n+$(/d"(! ( &!$ n&rro4"n+ &nd &nt$r"or(!#%or, nod$(.

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    5,"n"!&, )$&t r$(A+$: 3- 6 1$&r(.S$;: %or$ !o%%on,1 "n o1(.

    Poor o(t r$ 4"t# "n!r$&($d 1 #o("(.P&"n "( & %or$ !o%%on r$($nt&t"on ") t#$d"($&($ &*$!t( t#$ , % &r ( "n$. P&"n "(

    ( &,,1 4or($ on &!t" "t1.

    N$ ro,o+"!&, (1% to%( %&1 r&r$,1 $ t#$r$($nt"n+ )$&t r$.

    5&rd"or$( "r&tor1 (1% to%( !&n &,(o r&r$,1o!! r.

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    E&aminati n

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    E&aminati nK1 #o("(

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    T#$r$ "( r$d !$d =$;" ","t1 o) t#$ ( "n$. T#$r$ %&1 $ t$nd$rn$(( & o $ &nd $,o4

    t#$ & $; o) t#$ 1 #o("(.S!o,"o("( %&1 &,(o $ r$($nt &nd "(&((o!"&t$d 4"t# S!#$ $r%&nn'( d"($&($.

    E&aminati n

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    In esti$ati ns AP &nd ,&t$r&, "$4( o) t#$ 4#o,$t#or&!o-, % &r ( "n$

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    In esti$ati ns Ant$r"or 4$d+"n+ d$+r$$( or %or$ "n &t,$&(t 3 &d>&!$nt $rt$ r&, od"$(? &t#o+no%on"! )or S!#$ $r%&nn'( d"($&($@H1 $r 1 #o("( ?

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    IMAGING

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    IMAGING:

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    Mana$ement Nono $r&t" $ tr$&t%$nt:Mi#( (isease%

    . A o"d&n!$ o) (tr$n o ( &!t" "t1 &nd 4$"+#t-$&r"n+.

    8. P#1("ot#$r& 1.3. NSAIDS.Se ere (isease%

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    Nono $r&t" $ tr$&t%$nt: M",4& $$ (

    r&!$ TLSO r&!$

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    O $r&t" $ %&n&+$%$nt:Ind"!&t"on(:. N$ ro,o+"!&, d$2!"t/

    8. 7n!ontro,,$d &"n/3. 7n&!!$ t& ,$ !o(%$t"! & $&r&n!$/

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    O $r&t" $ %&n&+$%$nt:• 5ord d$!o% r$(("on-n$ ro,o+"!&, d$2!"t• S "n&, ) ("on t$!#n" $( - 1 #o("( !orr$!t"on

    &"n !ontro,.

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    O $r&t" $ %&n&+$%$nt:

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    C m!#icati ns. 5#ron"! &! &!#$8. Pro+r$((" $ &nd $r%&n$nt d$)or%"t1

    3. N$ ro,o+"!&, d$2!"t

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    Pr $n sis D$ $nd( on t#$ d$+r$$ o) d$)or%"t1.M",d to %od$r&t$ d"($&($ r&r$,1 r$ "r$(r&!"n+ or ( r+$r1.

    A +r&d &, ,o(( o) !orr$!t"on !&n o!! r &)t$r &r&!$ "( r$%o $d.

    N$ ro,o+"!&, &nd !&rd"or$( "r&tor1

    !o% ,"!&t"on r"( ( &r$ $r1 ,o4.Ado,$(!$nt( 4"t# ($ $r$ d$)or%"t1 &nd(1% to%( #& $ #&d ("+n"2!&nt d$)or%"t1!orr$!t"on &)t$r ( r+$r1.

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    THANK YO7

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