The analysis of conservative and surgical treatment results of more than 200 children with systemic diseases of loco-motor system showed that complications and deformity recurrence were mainly caused by the inadequate treatment tactics as well as the use of traditional orthopaedic techniques with no account of the systemic nature of the pathology. The most common mistakes in conservative treatment included the prolonged use of plaster cast, attempts to perform one-step reposition of joint dislocations and underestimation of osteoporosis severity. In surgical treatment the typical mistakes were the attempts to restore the joint function to the detriment of the joint stability and weight bearing function of the extremity, use of tenoligamentocapsulotomy in cases when either correction of bone deformities or the application of flizarov device were indicated. The rate of complications was significantly lower when the deformity correction was followed by additional joint stabilization using transposition of muscles and plasty of ligamentous system.
Snapping scapula syndrome: current concepts review in conservative and surgical treatment
