Related Experiment Videos
Acquired bone dysplasia secondary to catheter-related complications in the neonate
Pediatric Radiology
|January 1, 1986
Insights
Neonatal leg-length discrepancy can result from physeal growth arrest. Indwelling catheters may cause aseptic emboli, leading to bone growth disturbances in neonates.
Area of Science:
- Pediatric Orthopedics
- Neonatology
- Vascular Biology
Background:
- Leg-length discrepancy is a significant orthopedic concern in pediatric patients.
- Neonatal intensive care often requires indwelling catheters, posing potential risks.
- Physeal growth arrest can lead to limb length inequalities.
Purpose of the Study:
- To investigate the potential link between indwelling catheters and physeal growth arrest in neonates.
- To identify embolic phenomena as a cause of leg-length discrepancy in early life.
Main Methods:
- Case series review of four neonates with leg-length discrepancy.
- Analysis of postnatal medical histories, including catheter use and complications.
- Radiographic and clinical evaluation of physeal growth arrest.
Main Results:
- Four neonates presented with leg-length discrepancy due to physeal growth arrest.
- All cases had complicated postnatal periods with indwelling catheters.
- Three cases suggested aseptic emboli from catheters as the cause of growth disturbance.
- Two cases showed evidence of nonseptic embolic phenomena.
Conclusions:
- Indwelling arterial and/or hyperalimentation catheters in neonates may lead to aseptic emboli.
- These embolic events can cause physeal growth arrest and subsequent leg-length discrepancy.
- Early identification and management of catheter-related complications are crucial in neonates.
Abstract:
Four neonates presented with leg-length discrepancy in the first and second year of life, secondary to physeal growth arrest. All four had stormy postnatal periods, requiring indwelling arterial and/or hyperalimentation catheters. One had documented osteomyelitis. In the last three cases, the growth disturbance may have been secondary to aseptic emboli to the bones from the indwelling catheters. In two cases, there was evidence of other nonseptic embolic phenomena.