Journal of Pediatric Orthopedics. Part B | Page 2

Aiysha M C Puri, Katie P Hughes, Katherine M Stenson, Yael Gelfer, Peter J E Holt, Benjamin O Patterson
Variations in pedal circulation in congenital talipes equinovarus (CTEV) are well documented. There is a reported risk of vascular injury to the posterior tibial artery (PTA) during operative procedures for CTEV, potentially leading to necrosis and amputation. The aim of this systematic review was to identify the most common anomalies in arterial pedal circulation in CTEV and to determine the relevance of these to clinical practice. The systematic review was registered on PROSPERO and was carried out according to Preferred Reporting Items for Systematic Reviews and Meta Analyses guidelines by two independent reviewers...
March 16, 2020: Journal of Pediatric Orthopedics. Part B
Diogo Pascoal, Inês Balacó, Cristina Alves, Pedro Sá Cardoso, Tah Pu Ling, Gabriel Matos
Subungual exostosis is a rare benign osteocartilaginous tumor, of unknown etiology, that affects the subungual part of the distal phalanx and predominantly affects adolescent females. The objective of this study is to evaluate the results of surgical treatment of subungual exostosis in pediatric patients by means of surgical excision and nail preservation. We present a retrospective study, including pediatric patients with subungual exostosis who underwent surgical treatment in a single institution, over a 6-year period, We describe the surgical technique used, the characteristics of the patients and lesions, and evaluate the results obtained in terms of function, satisfaction and complications...
March 16, 2020: Journal of Pediatric Orthopedics. Part B
Huanhuan Gao, Zeqing Huang, Zhaoxu Jia, Hengli Ye, Fanyu Fu, Mengge Song, Yan Zhao, Weiheng Chen
The relationship between passive smoking and the onset of Legg-Calvè-Perthes disease is still controversial. Therefore, we concluded the study to systematically evaluate and analyze the relationship. A comprehensive search was conducted. Meta-analysis was performed with RevMan 5.3 software, with the odds ratio as the effect size. Eight English articles with a total of 1379 Legg-Calvè-Perthes disease patients were eventually included. Passive smoking type of family members smoking in indoor (odds ratio = 2...
March 4, 2020: Journal of Pediatric Orthopedics. Part B
A Graham Wilkinson, Sally Wilkinson, Robert A Elton, Joanna Davis
The aim of this study was to determine the relationship of tangent to the lateral roof angle (TLRA), Graf's alpha angle and percentage femoral head cover (PHC) and to observed stability, and to establish intraobserver and interobserver errors for measurement of alpha angle and TLRA. In total, 2235 babies referred to the hip review clinic over a period of 8  years. Intraobserver and interobserver errors were calculated from readings of 383 hip images by an experienced paediatric radiologist and a trainee...
May 2020: Journal of Pediatric Orthopedics. Part B
Sinan Yilar, Murat Topal, Kemal Zencirli, Mehmet Köse, Naci Ezirmik
Open reduction and Pemberton periacetabular osteotomy (PPO) is one of the most preferred techniques for the treatment of developmental hip dyslaplasia (DDH) after the walking age. Performing the surgery as a one-stage operation or two separate consecutive operations is a controversial issue. In this study, we aimed to compare the outcomes, length of hospitalization and total cost between the patients whom had single-stage open reduction and PPO or two consecutive operations due to bilateral DDH in the walking age children...
May 2020: Journal of Pediatric Orthopedics. Part B
Gregory B Firth, Matthew Foster, Carl Pieterse, Yammesh Ramguthy, Alane Izu, Joseph Bacarese-Hamilton, Manoj Ramachandran
Variation exists in the peak presentation of slipped capital femoral epiphysis (SCFE). The objective of this study was to compare two cohorts of children (South Africa and the UK) and explore similarities and differences regarding demographic and epidemiological features, incidence and seasonal variation in peak presentation. Patients presenting with SCFE at one of two hospitals were included in the study. A retrospective cohort was collected from hospital records. The following factors were recorded: duration of symptoms, chronicity, stability, seasonality, severity and prophylactic pinning...
May 2020: Journal of Pediatric Orthopedics. Part B
Jérôme Sales de Gauzy, Franck Fitoussi, Jean Luc Jouve, Alina Badina, Alain Charles Masquelet
No abstract text is available yet for this article.
March 2020: Journal of Pediatric Orthopedics. Part B
Britt Barvelink, Joris J W Ploegmakers, Arjan G J Harsevoort, Martin Stevens, Cees C Verheyen, Ann M Hepping, Sjoerd K Bulstra
Forearm fractures are very common orthopaedic injuries in children. Most of these fractures are forgiving due to the unique and excellent remodelling capacity of the juvenile skeleton. However, significant evidence stating the limits of acceptable angulations and taking functional outcome into consideration is scarce. The aim of this study is, therefore, to get a first impression of the remodelling capacity in nonreduced paediatric forearm fractures based on radiological and functional outcome. Children aged 0-14 years with a traumatic angular deformation of the radius or both the radius and ulna, treated conservatively without reduction, were included in this prospective cohort study...
March 2020: Journal of Pediatric Orthopedics. Part B
Kelvin Y Kim, William Conaway, Ryan Schell, William L Hennrikus
The aim of this study is to report the rate and type of neurologic injury associated with flexion supracondylar fractures at a tertiary, university institution treated over a 10-year period. All supracondylar humerus fracture cases treated at our institution between January 2004 and January 2014 were retrospectively reviewed. Twenty-three flexion-type fractures were identified. Patient demographics as well as fracture classification, treatment modalities, and pre-and post-treatment neurologic status were analyzed...
March 2020: Journal of Pediatric Orthopedics. Part B
Lior Shabtai, Nina Lightdale-Miric, Alexis Rounds, Alexandre Arkader, J Lee Pace
Avascular necrosis (AVN) of the distal humerus is a known complication of lateral condyle fractures yet the specific rate of occurrence is unknown. The purposes of this study are to analyze the incidence, outcomes, and risk factors for AVN following lateral condyle fractures. A retrospective chart review of children diagnosed with a lateral condyle fracture between 2001 and 2014 at level-1 tertiary pediatric center was completed. Demographic data, Weiss classification, time from injury to surgery, operative vs...
March 2020: Journal of Pediatric Orthopedics. Part B
Christine A Ho, David A Podeszwa, Anthony I Riccio, Robert L Wimberly, Brandon A Ramo, Mary Yang, Surekha Patel
This pilot study was performed to describe changes in arterial flow in completely displaced neurovascularly intact Gartland III pediatric supracondylar humerus fractures using Duplex ultrasonography. This is a prospective study of 11 Gartland type III supracondylar humerus fractures with no cortical continuity but with palpable radial pulse and normal neurologic examination. Duplex ultrasonography was performed on injured and uninjured arms, both preoperatively and postpinning, and interpreted by a board-certified pediatric radiologist...
March 2020: Journal of Pediatric Orthopedics. Part B
Jue Cao, Brandon S Smetana, Patrick Carry, Kathryn M Peck, Gregory A Merrell
Medial epicondyle fractures are the 3rd most common pediatric elbow fractures. Regardless of treatment method, some degree of elbow motion loss has been reported. The purpose of our study was to determine the relationship between the amount of anterior fracture displacement and loss of elbow passive extension in an adult cadaveric medial epicondyle fracture model. Fifteen fresh frozen adult cadavers were procured to create fracture models at scenarios of 2, 5, 10 mm, and maximum displacement. Terminal elbow extension was recorded for each cadaveric model at each fracture scenario...
March 2020: Journal of Pediatric Orthopedics. Part B
Silvia Pierantoni, Flavia Alberghina, Mattia Cravino, Matteo Paonessa, Federico Canavese, Antonio Andreacchio
The management of Gartland type II supracondylar fractures remains controversial. This study aimed to evaluate the clinical, functional, and radiographic outcomes of Gartland type II supracondylar fractures treated by immediate closed reduction and casting in the emergency department using equimolar nitrous oxide as conscious sedation. All patients were treated non-operatively using equimolar nitrous oxide as conscious sedation during closed reduction and cast immobilization. Three out of 34 patients (three elbows; 8...
March 2020: Journal of Pediatric Orthopedics. Part B
Domenico Ravier, Ilaria Morelli, Valentina Buscarino, Chiara Mattiuz, Luca M Sconfienza, Andrea A Spreafico, Giuseppe M Peretti, Domenico Curci
Several radiological indices were introduced to evaluate cast adequacy for paediatric distal forearm fractures: cast, gap, padding, Canterbury (reflecting the cast shape and the amount of padding) and three-point indices, and second metacarpal-radius angle (measuring cast ulnar-moulding). The aim of this study is to define which index is most reliable in assessing cast adequacy and predicting redisplacements. Hundred twenty-four consecutive patients (age 5-18) affected by distal both-bone forearm or radius fractures treated with casting were included...
March 2020: Journal of Pediatric Orthopedics. Part B
David Segal, Leah Cobb, Kevin J Little
Supracondylar humeral fractures in older children have different biomechanical characteristics and surgical outcomes when compared to the same fractures in younger children. We aimed to analyze the fracture's architecture in a large group of older children and investigate the correlation between patients' variables, fracture patterns, fixation techniques and the rate of loss of reduction (LOR). A retrospective review study was conducted. We collected the records of 240 consecutive patients aged 8-14 years that sustained Gartland type 2/3 supracondylar humeral fractures between 2004 and 2014 and were operated at our hospital...
March 2020: Journal of Pediatric Orthopedics. Part B
Soroush Baghdadi, S M Javad Mortazavi, Kamel Dastoureh, Alireza Moharrami, Taghi Baghdadi
Idiopathic genu valgum is a common deformity in children. Guided growth is the treatment of choice in severe or symptomatic cases, although long-term results are mostly unknown. The purpose of this study was to determine the middle- to long-term results and complications of tension band plating in the treatment of idiopathic genu valgum, and the association between obesity and idiopathic genu valgum. A retrospective review of patients with idiopathic genu valgum treated by tension band plating between January 2007 and September 2017 was performed...
February 8, 2020: Journal of Pediatric Orthopedics. Part B
Kenji Kawashima, Nobuo Terabayashi, Hiromi Asano, Haruhiko Akiyama
Stress fractures of the first rib occur infrequently in adolescent athletes; therefore, there have been few case reports. Initial radiographs do not always lead to the diagnosis of first rib stress fractures. This study proposed a classification system and a possible mechanism for stress fractures of the first rib using three-dimensional computed tomography (3D-CT). The data of 10 stress fractures of the first rib in adolescent athletes obtained using 3D-CT between 2007 and 2018 were reviewed. Fractures of the first rib were classified according to the location and type of the fracture line...
February 8, 2020: Journal of Pediatric Orthopedics. Part B
Kousuke Iba, Shinichiro Takayama, Hidehiko Kawabata, Emiko Horii, Kenichi Kazuki
The functional dexterity test (FDT) is a timed pegboard test based on the manipulation of each peg and suitable for young children as it is both simple and quick to perform. We assessed the postoperative FDT values for children with Blauth type 2 hypoplastic thumbs after opponensplasty. We evaluated hand function using FDT for 12 hands of 11 patients with Blauth type 2 hypoplastic thumbs. Opponensplasty was performed in all hands following by Huber's procedure. All patients were evaluated from 6 to 12 months after surgery for hand function using three types of FDT scores: time in seconds to complete the test (FDT time), combined total time with penalty seconds added to the initial time (FDT total), and the number of pegs per second to complete the task as a percentage against normative values (FDT speed)...
February 8, 2020: Journal of Pediatric Orthopedics. Part B
Rohit Garg, James Ho, Prasad V Gourineni
Septic arthritis of the pediatric hip is a surgical emergency that requires adequate lavage to decompress the hip, reduce degradative cartilage insult, and prevent coxarthrosis. In this report, we describe a simplified arthroscopic technique that may be performed using a single portal based on fluoroscopy and surface landmarks and without regular use of traction. We present results of a series of patients who underwent the simplified arthroscopic method for the management of pediatric septic hip. Data were obtained by a retrospective chart review of 13 consecutive patients (14 hips) with pediatric septic hip treated with arthroscopic lavage from 2010 to 2015...
February 8, 2020: Journal of Pediatric Orthopedics. Part B
Leon Moscona, Pablo Castañeda, Karim Masrouha
The purpose of this study is to determine the highest-cited articles on developmental dysplasia of the hip (DDH) and analyze their bibliometric characteristics. We searched the Web of Science (WoS) for articles with the highest number of citations on DDH and recorded their number of citations in WoS, Scopus, and Google Scholar (GS). We ranked and selected the top 100 cited articles. The average number of citations in WoS was 148 (range 66-638). The most-cited article in all databases was Crowe's total hip replacement cohort on DDH...
January 8, 2020: Journal of Pediatric Orthopedics. Part B
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