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J Clin Diagn Res. 2014 Dec;8(12):LC01-3. doi: 10.7860/JCDR/2014/9979.5274. Epub 2014 Dec 5.

A prospective hospital based study of childhood orthopaedic problems - a case series.

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Associate Professor, Department of Orthopaedics & Trauma, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences (NEIGRIHMS) , Shillong, Meghalaya, India .



Children may present to an orthopaedic surgeon with congenital bone diseases, nutritional disorders like rickets, infective or traumatic due to fall etc of bones and joints.


To know the percentage, common orthopaedic problems and demographic profile of paediatric orthopaedic problem in patients attending the orthopaedic OPD of NEIGRIHMS.


The prospective study was conducted for the duration of one year from May'2012-May'2013 in the Department of Orthopaedics in North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences (NEIGRIHMS), Shillong, India.


In our study majority of the patients were in the age group of 11-15 y (37.4%), followed by the group of 0-5 y (25.6%). Majority of the paediatric orthopaedic patients came from the group of Rs.10,000/- to 30,000/- monthly income families (56.2%). The study showed that in majority (51.6%) of the cases trauma was the major cause for bringing the child to the medical center. Male children were most commonly affected, with playing as the most common mode of injury especially outdoor (60.3%) and fractures especially of upper limb were the most common form of presentation.


Our study here has given the bird's eye view of various pediatric orthopedic disorders as may be found in a tertiary health care setting. This may help in formulating training modules for the medical students in the subspecialty of pediatric orthopedics. However, more community based cross-sectional studies may be required to be undertaken to determine the prevalence & incidence of the various disorders found in our patients.


Bone & joint infections; North-east India; Paediatric orthopaedic problems; Paediatric trauma; Rickets

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