Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 1, 100-103.
doi: 10.1302/0301-620X.88B1.16918  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow FrenchSpanishGermanItalianRomanianPolishRussianCzech
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Gordon, J. E.
Right arrow Articles by Uong, E. C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Gordon, J. E.
Right arrow Articles by Uong, E. C.

Obstructive sleep apnoea syndrome in morbidly obese children with tibia vara

J. E. Gordon, MD, Associate Professor1; M. S. Hughes, BS1; K. Shepherd, MD, Associate Professor1; D. A. Szymanski, RN, Nurse1; P. L. Schoenecker, MD, Professor, Chief Paediatric Orthopaedics1; L. Parker, RPSGT2; and E. C. Uong, MD, Director of Sleep Diagnostics Lab2

1 Washington School of Medicine, St. Louis Shriners Hospital for Children, 2001 S. Lindbergh Boulevard, St. Louis, Missouri 63131, USA.
2 St. Louis Children’s Hospital, One Children’s Place, St. Louis, Missouri 63110, USA.

Correspondence should be sent to Dr J. E. Gordon; e-mail: Gordone{at}msnotes.wustl.edu

Morbid obesity and its association with obstructive sleep apnoea syndrome have been increasingly recognised in children. Orthopaedic surgeons are often the primary medical contact for older children with tibia vara, which has long been associated with obesity, but are unfamiliar with the evaluation and treatment of sleep apnoea in children.

We reviewed all children with tibia vara treated surgically at one of our institutions over a period of five years. Thirty-seven patients were identified; 18 were nine years of age or older and 13 of these (72%) had morbid obesity and a history of snoring.

Eleven children were diagnosed as having sleep apnoea on polysomnography. The incidence of this syndrome in the 18 children aged nine years or older with tibia vara, was 61%. All these patients required pre-operative non-invasive positive-pressure ventilation; tonsillectomy and adenoidectomy were necessary in five (45%). No peri-operative complications related to the airway occurred.

There is a high incidence of sleep apnoea in morbidly obese patients with tibia vara. These patients should be screened for snoring and, if present, should be further evaluated for sleep apnoea before corrective surgery is undertaken.






(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General