How diagnostic tests are carried out, as well as the treatment of congenital limb injuries in children in Israel, patient reviews and other useful information can be found on the Top Ichilov website or ask our consultants after filling out the application.
Treatment of congenital limb injuries in children in Israel
At Top Ichilov Clinic, experienced orthopedic surgeons successfully perform correction of various congenital anomalies of the limbs in children. Surgeons perform hundreds of surgeries each year, correcting complex defects and treating serious injuries to the arms and legs. They are supported by a state-of-the-art diagnostic department, which enables a thorough examination of the symptoms, and innovative surgical equipment, which allows them to carry out trauma-friendly operations according to the current international protocols.
Accompanied by an international employee, you can only concentrate on the treatment of your child - he will take care of all domestic and organizational matters for you.
How Top Ichilov corrects the mistakes of nature
All congenital anomalies of the limbs can be divided into two groups:
- Hand malformations (hand malformations) – Joint malformations, thumb malformations, club hand, polydactyly (multiple fingers), adactyly (absence of fingers), brachydactyly (short fingers), syndactyly (fusion of fingers), absence of hand or hand cleft, etc.
- Abnormal development of the legs - Hip dysplasia (malformation of the hip socket when it is thickened and the femoral head is underdeveloped), dislocations (of the hip, collarbone, hip joint), clubfoot, etc.
Doctors have not yet determined the exact causes of congenital limb injuries in children in Israel. However, possible factors include hereditary predisposition, prenatal abnormalities, exposure of the fetus to negative factors, injuries sustained during childbirth, etc.
Signs of congenital limb injuries in children in Israel are recognized by doctors at an early stage of pregnancy and are professionally and quickly eliminated using all available modern medical methods.
- therapeutic exercises are effective in the treatment of joint deformities, underdevelopment of the big toe, clubfoot and other pathologies. Doctors select an individual exercise program to maximize effectiveness.
- massages are also used in the complex treatment of underdevelopment of the big toe, congenital clubfoot, joint deformities, etc. They help increase functional muscle activity. They are part of the rehabilitation phase after an operation.
- Leg fixators for the correct positioning of the legs. Doctors recommend using special devices for hip dysplasia. The Free Pillow is a soft orthopedic aid characterized by minimal inconvenience when using it and absolute safety. Pavlik stirrups – a system of straps that fix the legs in an extended and flexed position. Splint – a metal device that straightens and fixes the child's legs in the correct position, which helps the child form the hip joint properly.
- The 'Ponseti' method is used to treat one of the most difficult birth defects - clubfoot. The treatment begins on the 7th to 14th day of life when the tendons and ligaments are still flexible. It consists of three phases: fixation by plastering the foot in the right position; if the desired effect is not achieved, an achillotomy is performed by cutting the heel tendon to restore the flexion of the sole of the foot; Finally, the last phase consists in the consolidation of the effect by an orthosis (orthosis with shoe).
Spastic diplegia (spastic diplegia)
This is the most common cerebral palsy and is diagnosed in ¾ of all cerebral palsy cases. Causes include prematurity, low birth weight, or perinatal trauma. The diagnosis is usually made in the first six months of the child's life.
The characteristic features of this form of the disease include:
- Spastic tetraparesis with impaired function of the lower limbs;
- delayed motor development;
- Characteristic gait – hips turned in, knees together;
- Oculomotor disorders - squinting, decreased visual acuity;
- deafness;
- delayed speech development – 80 % of the patients have this form of cerebral palsy.
Mental development is less impaired in this form of cerebral palsy than in other cases. Oligophrenia occurs in 20 % of children with spastic diplegia.
Treatment includes medication, physical therapy, massage, a psychologist and a defectologist in case of delayed speech development (dysarthria).
The prognosis in the motor area is not very favorable. Only one in four patients can move independently, and in severe tetraparesis, the patient is confined to a wheelchair. As long as mental functions remain intact, those affected can learn just as well as normal children.
hemiplegia
Half of the body is affected in this form of cerebral palsy. In terms of frequency, it is the second most common form after spastic diplegia. It occurs most commonly in preterm infants or in infants who have suffered intracranial head trauma during delivery.
The risk of hemiplegia is increased by abnormal placental perfusion, placental detachment, and fetal-maternal immune conflict. Severe gait abnormalities, physical and intellectual disability, and seizures are not uncommon in hemiplegia.
Cerebral palsy - what is it?
Medical professionals have combined theoretical and practical knowledge and developed different forms of cerebral palsy based on different symptoms.
Russian doctors are more guided by the international classification developed by KA Smirnov. A. Smirnov. She distinguishes three main forms of cerebral palsy in children and mixed forms of the disease, which also occur in newborns.
Spastic diplegia
Spastic diplegia is also known as 'little disease'. It is considered the most common form, being diagnosed in three quarters of cases.
The main causes of this condition are described below:
Spastic cerebral palsy can be diagnosed in a child's first months of life.
Specific symptoms of spastic diplegia include the following:
- Poor bone and muscle development.
- Abnormal gait where the child's hips point in and the knees touch.
- Poor auditory development, accompanied by hearing impairment.
- Visual disturbances leading to strabismus and visual impairment.
- involvement of the legs.
The disease affects the lower limbs more than the upper limbs, leading to mobility problems in these children.
Mental developmental disabilities are common with this form of cerebral palsy, so the child needs psychological support. Mental retardation can go unrecognized in a child.
When a child suffers from this condition, special medications must be taken to help the condition. Therapy also includes physiotherapy and massage to maintain muscle tone and promote musculoskeletal development. Regular consultations with a psychologist will help the child deal with anxiety, uncontrollable aggression, and other problems that arise from the condition. Classes with a speech therapist and a speech-language pathologist are also recommended to promote speech delay.
Conclusions
Cerebral palsy is a disease that limits a child's motor skills and impairs their development. It is caused by brain abnormalities that can occur during pregnancy or in the first few weeks of a child's life.
There are several forms of this condition, each with their own symptoms and risk factors. Symptoms affecting the musculoskeletal system occur in the various forms of cerebral palsy, but to different degrees.
Doctors can diagnose a specific form of the disease in the first few months of a child's life through a series of tests.
forms of cerebral palsy are accompanied by medication and comprehensive therapy to support the child throughout his life and improve his quality of life.
Doctors can make a prognosis for rehabilitation. This varies from case to case as it depends on a number of factors, e.g. B. on the form of the disease, its course, the symptoms and the affected brain regions. Supportive therapy is helpful to alleviate the child's condition.
Read more:- Lower spastic paraparesis.
- Equino valgus.
- Legs of different lengths in a child.
- X-shaped legs photo.
- Why does a child develop clubfoot?.
- How to correct a clubfoot in a child.
- Paraparesis - what is it?.
- The child walks with feet wide apart.
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