journal
https://read.qxmd.com/read/37728131/anterior-cruciate-ligament-tears-in-the-adolescent-population-injury-demographics-and-risk-of-reinjury-among-high-school-athletes
#1
JOURNAL ARTICLE
Bhargavi Maheshwer, Andrew Paliobeis, Penelope Halkiadakis, Srinivas Konda, Jacob G Calcei, James E Voos
BACKGROUND: The incidence of anterior cruciate ligament (ACL) injuries is increasing among the adolescent population with a peak occurring in the high school age range. PURPOSE: To characterize recent epidemiologic trends of ACL injuries, ACL reconstruction (ACLR), and retear rates in high school adolescents based on age, participating sport, and mechanism of injury. STUDY DESIGN: Retrospective case series. METHODS: A prospectively maintained institutional database was retrospectively reviewed for all patients 18 or younger who underwent primary ACLR between 2015 and 2020...
September 20, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37728111/self-reported-health-related-quality-of-life-in-adolescents-with-cerebral-palsy
#2
JOURNAL ARTICLE
Nancy Lennon, Faithe Kalisperis, Chris Church, Tim Niiler, Freeman Miller, Isabel Biermann, Jennifer Davey, Julieanne P Sees, M Wade Shrader
BACKGROUND: Happiness, comfort, and motor function contribute to satisfaction with life for individuals with cerebral palsy (CP). Evidence-based medical care can improve motor function and physical health of youth with CP. Less is known about medical care and its relationship to health-related quality of life (HRQOL) in adolescents and young adults with CP. This study aimed to describe HRQOL among adolescents with CP to examine differences between adolescent (self) and parent (proxy) reports of HRQOL and to explore associations of pain, age, and gross motor function with HRQOL...
September 20, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37728109/outcome-prediction-model-following-proximal-femoral-osteotomy-in-legg-calv%C3%A3-perthes-disease-using-machine-learning-algorithms
#3
JOURNAL ARTICLE
Sungmin Kim, Jong-Keun Seon, Bonggyun Ko, Jun-Hyuk Lim, Woo-Chan Song, Gyo Rim Kang, Yonggwan Shin, Sung-Taek Jung
BACKGROUND: The purpose of the current study was (1) to analyze various factors that may be associated with the outcomes of Legg-Calvé-Perthes disease (LCPD), and (2) to develop and internally validate machine learning algorithms capable of providing patient-specific predictions of which patients with LCPD will achieve relevant improvement in radiologic outcomes after proximal femoral varus osteotomy (PFVO). We examined several variables, previously identified as factors, that may influence the outcome of LCPD and developed a machine learning algorithm based on them...
September 19, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37728108/the-pressure-is-on-dorsal-versus-volar-univalves-for-long-arm-casts
#4
JOURNAL ARTICLE
Dallyn Udall, Remy Zimmerman, Tracey Bastrom, John Schlechter
BACKGROUND: Fiberglass casts are routinely used to treat fractures of the upper extremity. When posttraumatic edema is anticipated, the cast is often valved to hopefully prevent potential complications, especially compartment syndrome. Due to volar forearm compartments being most involved with upper extremity compartment syndrome, volar skin surface pressures (SSP) are paramount. Despite past literature showing that a univalved cast will retain a 3-point mold better than a bivalved cast, there is a paucity of information analyzing the effects of univalving on the volar SSP...
September 19, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37728105/intraoperative-neuromonitoring-for-spines-at-risk-during-nonspine-surgery-a-9-year-review
#5
JOURNAL ARTICLE
Madeleine E Jackson, Amanda K Galambas, Jennifer M Bauer
BACKGROUND: Patients with certain spinal anomalies are at risk for rare but devastating spinal cord injuries under anesthesia. We created a Spine at Risk (SAR) program to evaluate and recommend precautions for such patients, including intraoperative neuromonitoring (IONM) use for the highest-risk patients. We aimed to review all monitored nonspine procedures to determine rate of potential spinal cord injuries avoided in those who would otherwise have been unmonitored. METHODS: We performed a retrospective review of our institutional SAR program from 2011 to 2019 to analyze the number of nonspine anesthetized procedures that were done under IONM, the characteristics of those that had an IONM alert; and the clinical outcomes...
September 19, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37728079/fracture-patterns-and-mortality-in-osteopetrosis-a-7-year-retrospective-analysis-from-t%C3%A3-rkiye-s-national-registry
#6
JOURNAL ARTICLE
Olgun Bingöl, Niyazi Erdem Yaşar, Güzelali Özdemir, Şenol Bekmez, Mehmet Salih Söylemez, Ebru Dumlupinar, Mustafa Okan Ayvali, Naim Ata, M Mahir Ülgü, Şuayip Birinci, İzzet Bingöl
BACKGROUND: The aim of this study is to determine the demographic data, fracture treatment methods, and medical treatments of patients diagnosed with osteopetrosis in the national registry. METHODS: Patients with International Classification of Diseases (ICD)-10 code Q78.2 for osteopetrosis between January 1, 2016 and April 11, 2023 were retrospectively reviewed. Data on sex, age at time of diagnosis, fracture history, mortality, and use of medications were evaluated for all patients...
September 19, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37702286/abduction-bracing-following-anterior-open-reduction-for-developmental-dysplasia-of-the-hip-does-not-improve-residual-dysplasia-or-reduce-secondary-surgery
#7
JOURNAL ARTICLE
Arnav Kak, William Z Morris, Laura M Mayfield, Chan-Hee Jo, Harry K W Kim
BACKGROUND: Abduction bracing is commonly used following open reduction and spica casting of developmental dysplasia of the hip. However, there is little evidence to support or refute this practice that carries associated cost and burden for families. The purpose of this study was to determine the efficacy of abduction bracing after open reduction in improving the acetabular dysplasia and reducing the rate of secondary surgery for residual dysplasia. METHODS: This is a retrospective study of patients treated with open reduction at a single tertiary referral center...
September 13, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37702278/management-of-pediatric-and-adolescent-sublime-tubercle-injuries-isolated-and-complex-patterns-demonstrate-distinct-etiologies-and-radiographic-outcomes
#8
JOURNAL ARTICLE
Brendon C Mitchell, Sarah A Fogleman, Alyssa N Carroll, Bryan T Leek, Eric W Edmonds, Jan Fronek, Andrew T Pennock
BACKGROUND: The aim of this study was to assess the patient demographics, epidemiology, mechanism of injury, and natural history of sublime tubercle avulsion injuries. METHODS: A multicenter retrospective study was performed in which sublime tubercle avulsion injuries were identified by surgeon records and database query of radiology reports. Demographic data and imaging were reviewed for each case, and injuries were classified as type 1 (isolated injuries with a simple bony avulsion or periosteal stripping) or type 2 (complex injuries with an associated elbow fracture or dislocation)...
September 13, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37694695/do-children-with-medicaid-insurance-have-increased-revision-rates-5-years-after-posterior-spinal-fusions
#9
JOURNAL ARTICLE
Harold G Moore, Sahiti D Patibandla, Anna M McClung, Jonathan N Grauer, Daniel J Sucato, Carol A Wise, Megan E Johnson, Karl E Rathjen, Amy L McIntosh, Brandon A Ramo, Jaysson T Brooks
BACKGROUND: Socioeconomic disparities in musculoskeletal care are increasingly recognized, however, no studies to date have investigated the role of the insurance carrier on outcomes after posterior spinal fusion (PSF) with segmental spinal instrumentation for adolescent idiopathic scoliosis (AIS). METHODS: A US insurance dataset was queried using the PearlDiver Mariner software for all patients aged 10 to 18 undergoing PSF for a primary diagnosis of AIS between 2010 and 2020...
September 11, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37694614/is-there-a-benefit-to-rigid-fixation-in-calcaneal-lengthening-osteotomy-in-painful-pediatric-idiopathic-flatfoot-deformity-comparing-results-of-kirschner-wire-versus-plate-fixation
#10
JOURNAL ARTICLE
Abhishek Tippabhatla, Beltran Torres-Izquierdo, Matthew William, Daniel Pereira, Zachary Meyer, Pooya Hosseinzadeh
INTRODUCTION: Flexible flatfoot (FF) is a common pediatric condition that is mostly asymptomatic, and surgical intervention is only considered when painful FF is refractory to conservative treatment. Calcaneal lengthening osteotomy (CLO) is one of the most commonly used procedures to address painful FF. Traditionally, Kirschner wires (K-wires) were used for fixation, but there has been a recent increase in the use of plates. We compared the clinical and radiographic outcomes of these 2 fixation methods...
September 11, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37694557/how-often-do-patients-presenting-with-severe-adolescent-idiopathic-scoliosis-have-underlying-hip-dysplasia
#11
JOURNAL ARTICLE
Tristen N Taylor, Callie S Bridges, Anthony T Duruewuru, Andrew C Sher, Scott B Rosenfeld, Brian G Smith, J Herman Kan
INTRODUCTION: Adolescent idiopathic scoliosis radiographic screening will often include the hips. The purpose of this study is to evaluate the prevalence of hip dysplasia by lateral center edge angle (LCEA) on scoliosis radiographs in patients presenting with severe range (>45 deg) idiopathic curves. METHODS: We reviewed 200 consecutive patients (400 hips) with idiopathic scoliosis with major coronal curves ≥45 degrees between October 2009 and October 2022...
September 11, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37694552/reliability-of-gordon-lateral-rotation-percentage-and-prabhakar-percentage-of-metaphyseal-overhang-for-pediatric-supracondylar-humerus-fracture-is-it-clinically-reliable-for-john-hopkins-classification-coronal-fracture-subtypes
#12
JOURNAL ARTICLE
Yavuz Şahbat, Gülnaz Nural Bekiroğlu, Görkem Çat, Mert Gündoğdu, Yücel Ağirdil, Hüseyin Çayir, Tolga Onay, Ahmet Hamdi Akgülle
BACKGROUND: Rotational malalignment is a common problem in pediatric supracondylar humerus fractures (SCHF). Several techniques have been described to evaluate the true rotation value. Although the Prabhakar and Gordon techniques are used frequently, their superiority to each other in terms of measurement quality is unknown. QUESTIONS/PURPOSES: The aim of this study was to investigate the clinical compatibility of the 2 techniques and to evaluate whether they are suitable for all subtypes...
September 11, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37681305/a-novel-method-for-assessing-the-3-dimensional-morphology-of-cartilaginous-acetabulum-via-childhood-magnetic-resonance-imaging
#13
JOURNAL ARTICLE
Tomoyuki Nakamura, Akifusa Wada, Takahiro Natori, Kengo Kawaguchi, Kazuyuki Takamura, Haruhisa Yanagida, Toru Yamaguchi
BACKGROUND: Periarticular cartilage is abundant in children, making evaluations of 3-dimensional (D) cartilaginous acetabular morphology using x-ray or computed tomography (CT) difficult. The study aimed to visualize the 3D cartilaginous acetabular morphology in normal children and patients with pediatric developmental dysplasia of the hip (DDH). METHODS: Magnetic resonance imaging (MRI) of 17 female children without acetabular dysplasia at 7.5 years and CT of 33 normal female adolescents with mature bones at 14...
September 8, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37681304/a-biomechanical-evaluation-of-casting-technique-and-cast-core-size-effect
#14
JOURNAL ARTICLE
Trenton P Sprenkle, Alexander C M Chong, Jordan D Shearer, Brandon T Fisher, Brian R Sauer
BACKGROUNDS: The goals of this study were to (1) compare the effect of casting technique on biomechanical function with different casting materials and different cast core diameters, and (2) compare the strength of a cast based on the number of layers in relation to the core diameter. METHODS: Two standardized cylindrical cast model sizes were used to simulate forearm and short leg casts (core diameter: 60 mm, 100 mm) with 2 different casting techniques (non-smoothing vs...
September 8, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37678342/to-bury-or-not-to-bury-the-k-wires-after-fixation-of-both-bone-forearm-fractures-in-patients-younger-than-11-years-old-a-randomized-controlled-trial
#15
JOURNAL ARTICLE
Mohamed Khaled, Amr A Fadle, Ahmed A A Hassan, Ahmed A Khalifa, Andrew Nabil, Abdelkhaleak Hafez, Nariman Abol Oyoun
PURPOSE: The primary objective was to compare the re-fracture incidence of both radius and ulna fracture in 2 groups treated using intramedullary Kirschner wires (K-wires) where the wires were exposed in group I and buried in group II. The secondary objective was to compare the final functional outcomes and complications incidence. METHODS: Between March 2019 and February 2021, 60 pediatric patients with unstable radius and ulna fractures amenable to surgical intervention using intramedullary K-wires were randomized into group I (K-wires were exposed above the skin by 2 cm) or group II (K-wires were buried under the skin)...
September 7, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37678341/k-wire-versus-screw-fixation-in-displaced-lateral-condyle-fractures-of-the-humerus-in-children-a-multicenter-study-of-762-fractures
#16
JOURNAL ARTICLE
Andreas Rehm, Rachael Clegg, Pinelopi Linardatou Novak, Ramy Shehata, Elizabeth Ashby
No abstract text is available yet for this article.
September 7, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37678156/establishing-the-role-of-inflammatory-markers-in-the-diagnosis-and-treatment-of-acute-hand-infections-in-the-pediatric-population
#17
JOURNAL ARTICLE
John Schutz, Andy Lalka, Morgan A Williams, Sarah E Sibbel, Micah K Sinclair
INTRODUCTION: Distinguishing the severity of the diagnosis and an appropriate treatment plan in pediatric hand infections can be complex due to the variable amount of information available at the presentation. Inflammatory blood markers, including white blood cell count, erythrocyte sedimentation rate, and C-reactive protein are reported to aid in determining the severity of infection and response to treatment in adult hand infections. The purpose of this study was to identify the relevance of inflammatory marker levels in pediatric patients with hand and wrist infections and to determine their utility in diagnosis and treatment...
September 6, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37661844/does-liposomal-bupivacaine-injectable-suspension-peripheral-nerve-block-further-aid-in-decreasing-at-home-narcotic-utilization-in-children-and-adolescents-after-anterior-cruciate-ligament-reconstruction
#18
JOURNAL ARTICLE
Jingzhi Wang, Caining Wen, Yuanmin Zhang
No abstract text is available yet for this article.
September 4, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37661838/response-to-letter-to-the-editor-regarding-grauberger-et-al-2020-and-sullivan-et-al-2023
#19
JOURNAL ARTICLE
Mikaela H Sullivan, Brian D Wahlig, Samuel E Broida, Annalise N Larson, William J Shaughnessy, Anthony A Stans, Todd A Milbrandt
No abstract text is available yet for this article.
September 4, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37642470/pediatric-fractures-does-vitamin-d-play-a-role-concerns-that-message-may-be-misleading
#20
JOURNAL ARTICLE
Barbara Minkowitz, Christopher A Iobst
No abstract text is available yet for this article.
August 30, 2023: Journal of Pediatric Orthopedics
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