The Brooklyn-based mom of two children with disabilities was chatting with her son Buster's doctor about his clunky, "frightening-looking" orthotics — inserts for "adults and children with malalignment originating from feet," per the Mayo Clinic — when she wondered aloud why the gear couldn't look more like something a superhero would wear.
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Malalignment of the nail plate is a congenital malalignment of the nail of the great toe, and is often misdiagnosed although it is a common condition.Freedberg, et al. (2003). Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill. .
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Its cause is thought to be due to environmental or genetic factors or a combination. It is associated with chromosome 22 deletions and DiGeorge syndrome. Specific genetic associations include: JAG1, NKX2-5, ZFPM2, VEGF, NOTCH1, TBX1, and FLT4. Embryology studies show that it is a result of anterior malalignment of the aorticopulmonary septum, resulting in the clinical combination of a VSD, pulmonary stenosis, and an overriding aorta.
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The Lakers came into training camp with no serious injuries. All players were expected to be healthy enough to play in the season opener. After having surgery on his knee last season, Andrew Bynum was told that he has ligamentous laxity, which required him to wear a knee brace for the entire season. During training camp, D. J. Mbenga was not able to participate fully in practice due to a "malalignment of his hips/hip flexors".
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Melnick–Needles syndrome (MNS), also known as Melnick–Needles osteodysplasty, is an extremely rare congenital disorder that affects primarily bone development. Patients with Melnick–Needles syndrome have typical faces (exophthalmos, full cheeks, micrognathia and malalignment of teeth), flaring of the metaphyses of long bones, s-like curvature of bones of legs, irregular constrictions in the ribs, and sclerosis of base of skull. In males, the disorder is nearly always lethal in infancy. Lifespan of female patients might not be affected.
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Many orthopaedists have challenged these contraindications and have advocated meniscal transplantation, in conjunction with cartilage repair, ACL reconstruction or osteotomy in patients with evidence of arthritic deterioration, instability or malalignment. One paper demonstrated that results of meniscus transplantation in patients with arthritic changes were similar to that of previous reports of meniscus transplantation in patients without arthritic changes, so long as articular cartilage defects were addressed at the time of surgery. In the same paper, the success of meniscus transplantation was not affected by mal-alignment.
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Patients with Crouzon syndrome sometimes exhibit malformations of the external ear and/or the middle ear, such as malalignment of the pinna (Peterson-Falzone et al., 2001). Literature has suggested that persons with Crouzon syndrome typically have conductive hearing loss caused by middle ear effusion (or fluid in the middle ear) and perforation to ossicular fixation (ossicles), intratympanic bony masses (tympanic membrane), ossicular anomalies and closure of the oval window. Patients with a sensorineural hearing loss have also been reported but are less likely to occur.
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The optimal time for treatment of acute injuries is within the first 3 weeks to avoid complications caused by scar tissue and the body's repair mechanisms. Chronic PLC injuries are less likely to be amenable to repair due to complications from scar tissue and limb malalignment; these injuries will likely necessitate reconstruction. Knees in varus alignment and which have chronic injuries (evaluated by long leg standing radiographs) will require a staged procedure that starts with an opening wedge osteotomy. This procedure lessens the constraint on the knee and prevents the reconstruction grafts from stretching out.
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The glenopolar angle (GPA) is a measure for the rotational malalignment of the glenoid about an anteroposterior (front-to-back) axis perpendicular to the scapular plane. The glenopolar angle is defined as the angle between the line connecting the most cranial with the most caudal point of the glenoid cavity and the line connecting the most cranial of the glenoid cavity with the most caudal point of the scapular body. A glenopolar angle ranging from 30° to 45° is considered normal. The glenopolar angle is mainly used within the field of scapular surgery (for example, due to a scapular neck fracture).
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The recall came after data from a study indicated that the five year failure rate of this product is approximately 13%, or 1 in 8 patients. Even if the defective device is replaced, it can leave behind dangerous, possibly deadly fragments that may not be discovered for years. DePuy identified reasons for the failure of the hip replacement system as component loosening, component malalignment, infection, fracture of the bone, dislocation, metal sensitivity and pain. Additional complications from the hip replacement system may include increased metal ion levels in the blood, bone staining, necrosis, swelling, nerve damage, tissue damage and/or muscle damage.
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This loss of height causes laxity of the longitudinal ligaments, which may allow anterior, posterior, or lateral shifting of the vertebral bodies, causing facet joint malalignment and arthritis; scoliosis; cervical hyperlordosis; thoracic hyperkyphosis; lumbar hyperlordosis; narrowing of the space available for the spinal tract within the vertebra (spinal stenosis); or narrowing of the space through which a spinal nerve exits (vertebral foramen stenosis) with resultant inflammation and impingement of a spinal nerve, causing a radiculopathy. DDD can cause mild to severe pain, either acute or chronic, near the involved disc, as well as neuropathic pain if an adjacent spinal nerve root is involved. Diagnosis is suspected when typical symptoms and physical findings are present; and confirmed by x-rays of the vertebral column. Occasionally the radiologic diagnosis of disc degeneration is made incidentally when a cervical x-ray, chest x-ray, or abdominal x-ray is taken for other reasons, and the abnormalities of the vertebral column are recognized.
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