keyword
https://read.qxmd.com/read/38277683/community-water-fluoridation-and-rate-of-pediatric-fractures
#21
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
January 1, 2024: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
https://read.qxmd.com/read/38274930/clinical-audit-of-manipulation-of-paediatric-forearm-fractures-in-the-emergency-department-at-a-district-general-hospital-a-quality-improvement-project
#22
JOURNAL ARTICLE
Omer Nasim, Roanna Norman, Rohit Gangadharan, Thet Paing Oo, Joanna Kalderon, Abdallah Alhamarsheh, Ashwin John, Nichola Kelsall
Background Early reduction of paediatric forearm fractures under procedural analgesia has the benefit of avoiding admission and general anaesthesia. In addition to lowering the risks of treatment and reducing the number of treatment episodes, this approach also reduces the psychological stresses on the child and the parents. British Orthopaedic Association Standards for Trauma and Orthopaedics (BOAST) and Getting It Right First Time (GIRFT) guidelines recommend that all units managing paediatric fractures should have protocols to facilitate procedural analgesia for manipulation of forearm fractures...
December 2023: Curēus
https://read.qxmd.com/read/38270173/inappropriate-pediatric-orthopaedic-emergency-department-transfers-a-burden-on-the-health-care-system
#23
JOURNAL ARTICLE
Lisa A Cao, Brandon Hull, Marilyn Elliott, Kevin J Orellana, Benjamin Schell, Anthony I Riccio
BACKGROUND: Though the importance of level 1 pediatric trauma has repeatedly been shown to lessen both morbidity and mortality in critically injured children, these same tertiary referral centers also receive numerous transfers of patients with less severe injuries. This not only leads to increased costs and use of limited facility resources but, oftentimes, frustration and unnecessary expense to those families for whom transfer was avoidable. Prior work has demonstrated that half of all inappropriate pediatric interfacility transfers are due to orthopedic injuries...
January 25, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38261781/a-comprehensive-review-of-bone-health-in-a-child-from-birth-to-adulthood
#24
JOURNAL ARTICLE
Sean A Tabaie, Alana E O'Mara, Evan D Sheppard, Laura L Tosi
Bone health is critical for growth and development during childhood. Although fractures are common in children, fractures occurring in the absence of trauma should prompt physicians to consider underlying bone health disorders. This article provides an overview of the current definition of osteoporosis in children, highlighting its limitations and the potential for underdiagnosis. It also discusses the timing of screening initiation and various techniques used to assess bone health, along with their respective benefits and limitations...
January 23, 2024: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/38261769/no-value-found-with-routine-early-postoperative-radiographs-after-implant-removal-in-pediatric-patients
#25
JOURNAL ARTICLE
M Tyrel Garner, Kristen Ibanez, Mehmet Erkilinc, Andrea Espina-Rey, Ryan M Ilgenfritz, John F Lovejoy, Jason B Malone
BACKGROUND: Implants are routinely removed in pediatric patients. Fracture through the prior implant site is a common worry after implant removal. Early post-implant removal radiographs are routinely used to evaluate the prior implant removal sites and to assess when a patient may return to normal activities. To our knowledge, the value of early, routine postoperative radiographs after elective implant removal in pediatric patients has not been studied. METHODS: A retrospective patient cohort of pediatric patients who had implant removal from an extremity from 2017 to 2019 was used in this study...
January 23, 2024: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/38255410/screening-of-developmental-dysplasia-of-the-hip-in-europe-a-systematic-review
#26
REVIEW
Wojciech Krysta, Patryk Dudek, Łukasz Pulik, Paweł Łęgosz
BACKGROUND: Developmental dysplasia of the hip (DDH) is a prevalent orthopaedic disorder in children, and screening methods vary across regions due to local health policies. The purpose of this review is to systematise the different ultrasound screening strategies for detecting DDH in newborns in Europe. METHODS: Eligible studies from the PubMed, Embase, and Scopus databases, published between 1 January 2018 and 18 March 2023, were included. The inclusion criteria specified a European origin, a focus on newborn human patients, and information on ultrasound for DDH detection...
January 13, 2024: Children
https://read.qxmd.com/read/38252550/increasing-value-in-subspecialty-training-a-comparison-of-variation-in-surgical-complications-for-pediatric-versus-other-fellowship-trained-american-board-of-orthopaedic-surgery-candidates-in-the-treatment-of-supracondylar-fractures
#27
JOURNAL ARTICLE
Taylor D Ottesen, Michael Amick, David S Kirwin, Michael R Mercier, Jordan Brand, David B Frumberg, Jonathan N Grauer, Lee E Rubin
INTRODUCTION: The effect of orthopaedic fellowship subspecialization on surgical complications for patients with supracondylar fracture is unknown. This study seeks to compare the effect of subspecialty training on supracondylar fracture complications. METHODS: The American Board of Orthopaedic Surgery Part II Examination Case List database was reviewed for all supracondylar fractures from 1999 to 2016. Procedures were divided by fellowship subspecialty (trauma, pediatric, or other) and case volume and assessed by surgeon-reported surgical complications...
January 1, 2024: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
https://read.qxmd.com/read/38243151/quantitative-skeletal-imaging-and-image-based-modeling-in-pediatric-orthopaedics
#28
REVIEW
Melissa R Requist, Megan K Mills, Kristen L Carroll, Amy L Lenz
PURPOSE OF REVIEW: Musculoskeletal imaging serves a critical role in clinical care and orthopaedic research. Image-based modeling is also gaining traction as a useful tool in understanding skeletal morphology and mechanics. However, there are fewer studies on advanced imaging and modeling in pediatric populations. The purpose of this review is to provide an overview of recent literature on skeletal imaging modalities and modeling techniques with a special emphasis on current and future uses in pediatric research and clinical care...
January 20, 2024: Current Osteoporosis Reports
https://read.qxmd.com/read/38226741/approximately-half-of-pediatric-or-adolescent-patients-undergoing-revision-anterior-cruciate-ligament-reconstruction-return-to-the-same-level-of-sport-or-higher-a-systematic-review
#29
REVIEW
Bryan Sun, Prushoth Vivekanantha, Hassaan A Khalik, David Slawaska-Eng, Jeffrey Kay, Jansen Johnson, Darren de Sa
PURPOSE: To summarise the surgical techniques and clinical outcomes in paediatric and adolescent patients undergoing revision anterior cruciate ligament reconstruction (r-ACLR). METHODS: Three databases (MEDLINE, PubMed and EMBASE) were searched from inception to 29 July 2023. The authors adhered to the PRISMA and R-AMSTAR guidelines as well as the Cochrane Handbook for Systematic Reviews of Interventions. Data on demographics, surgical details, patient-reported outcome measures (PROMs), rates of instability, rupture and return to sport (RTS) were extracted...
January 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38223427/quadriceps-tendon-autograft-is-promising-with-lower-graft-rupture-rates-and-better-functional-lysholm-scores-than-hamstring-tendon-autograft-in-pediatric-acl-reconstruction-a-systematic-review-and-meta-analysis
#30
REVIEW
Karthick Rangasamy, Vishnu Baburaj, Nirmal Raj Gopinathan, Mandeep Singh Dhillon, Shital N Parikh
PURPOSE: Graft rupture is the most prevalent complication following pediatric anterior cruciate ligament reconstruction (ACLR). The hamstring tendon (HT) autograft is frequently employed, while the quadriceps tendon (QT) autograft has garnered increased attention recently. This study aims to perform a systematic review to assess the complication rates and functional outcomes associated with these two widely used autografts in skeletally immature patients - comparing HT versus QT autografts...
March 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38213863/back-to-basics-pediatric-casting-techniques-pearls-and-pitfalls
#31
JOURNAL ARTICLE
Bridget K Ellsworth, Joshua T Bram, Heather S Haeberle, Christopher J DeFrancesco, David M Scher
Cast application is a critical portion of pediatric orthopaedic surgery training and is being performed by a growing number of non-orthopaedic clinicians including primary care physicians and advanced practice providers (APPs). Given the tremendous remodeling potential of pediatric fractures, correct cast placement often serves as the definitive treatment in this age population as long as alignment is maintained. Proper cast application technique is typically taught through direct supervision from more senior clinicians, with little literature and few resources available for providers to review during the learning process...
December 2023: Iowa Orthopaedic Journal
https://read.qxmd.com/read/38213854/traumatic-irreducible-pediatric-radial-head-dislocations-a-unique-case-and-review-of-the-literature
#32
JOURNAL ARTICLE
Danny Lee, Arya Minaie, Zachary Donato, Joseph Yunga Tigre, Monica Payares-Lizano
BACKGROUND: Irreducible radial head dislocations are uncommon injuries and blocks to reduction typically result from interposed soft tissue. We report the case of a pediatric patient who sustained an irreducible radial head dislocation with a concomitant posterior elbow dislocation and coronoid process fracture. To the author's knowledge, irreducible radial head dislocations presenting as part of a terrible triad like constellation of injuries have not been previously reported. A case-based review of the literature was also performed...
December 2023: Iowa Orthopaedic Journal
https://read.qxmd.com/read/38193578/a-systematic-review-of-tourniquet-use-in-paediatric-orthopaedic-surgery-can-we-extrapolate-from-adult-guidelines
#33
JOURNAL ARTICLE
Valeria Pintar, Charlotte Brookes, Alex Trompeter, Anna Bridgens, Caroline Hing, Yael Gelfer
PURPOSE: Tourniquets are commonly used intraoperatively in orthopaedic surgery to control bleeding and improve visibility in the surgical field. Recent evidence has thrown into question the routine use of tourniquets in the adult population resulting in a British Orthopaedic Association standard for intraoperative use. This systematic review evaluates the evidence on the practice, benefits, and risks of the intraoperative use of tourniquets for trauma and elective orthopaedic surgery in the paediatric population...
January 9, 2024: EFORT Open Reviews
https://read.qxmd.com/read/38188621/association-of-lateral-extra-articular-tenodesis-with-improved-graft-maturity-on-mri-2%C3%A2-years-after-acl-reconstruction-with-quadriceps-tendon-autograft-in-skeletally-immature-athletes
#34
JOURNAL ARTICLE
Julia S Retzky, Danielle E Chipman, Douglas N Mintz, Frank A Cordasco, Daniel W Green
BACKGROUND: Quadriceps tendon autograft (QTA) has recently gained popularity in the treatment of anterior cruciate ligament (ACL) ruptures in pediatric patients. The addition of lateral extra-articular tenodesis (LET) to an ACL reconstruction (ACLR) has been found to reduce the risk of ACL retear in high-risk patients. PURPOSE: To (1) compare ACL graft maturity using signal intensity ratios (SIRs) on magnetic resonance imaging (MRI) scans in skeletally immature patients undergoing ACLR with QTA either with or without concomitant LET and (2) evaluate LET safety by calculating the physeal disturbance-related reoperation rate in the ACLR+LET group...
January 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38188190/pediatric-orthopaedic-venous-thromboembolism-a-systematic-review-investigating-incidence-risk-factors-and-outcome
#35
JOURNAL ARTICLE
Neha Mulpuri, Ryan M Sanborn, Pratik Pradhan, Patricia E Miller, Maria F Canizares, Benjamin J Shore
BACKGROUND: There is growing evidence of increased venous thromboembolism (VTE) incidence in children with trauma or infection. The purpose of this study was to conduct a systematic review of existing literature related to VTE in the pediatric orthopaedic population, to estimate the overall incidence of VTE and identify risk factors associated with this condition. METHODS: A systematic review of the available literature was performed to identify articles that described VTE in pediatric orthopaedic surgery or admission...
2024: JB & JS Open Access
https://read.qxmd.com/read/38183855/what-is-the-diagnostic-accuracy-of-fluorescence-guided-surgery-for-margin-assessment-in-appendicular-bone-and-soft-tissue-tumors-a-systematic-review-of-clinical-studies
#36
REVIEW
Erhan Okay, Marcos R Gonzalez, Joseph O Werenski, Alisha Sodhi, Korhan Ozkan, Marcus Brookes, Maniram Ragbir, Kenneth Rankin, Anand Tn Kumar, Santiago A Lozano-Calderon
BACKGROUND: Fluorescence-guided surgery (FGS) is a novel technique to successfully assess surgical margins intraoperatively. Investigation and adoption of this technique in orthopaedic oncology remains limited. METHODS: The PRISMA guidelines were followed for this manuscript. Our study was registered on PROSPERO (380520). Studies describing the use of FGS for resection of bone and soft tissue sarcomas (STS) on humans were included. Diagnostic performance metrics (sensitivity, specificity, positive predictive value [PPV], negative predictive value [NPV] and accuracy) and margin positivity rate were the outcomes assessed...
December 22, 2023: Surgical Oncology
https://read.qxmd.com/read/38162372/delayed-presenting-radial-neck-epiphysiolysis-managed-with-open-reduction-and-internal-fixation-with-k-wires-a-case-report-and-review-of-literature
#37
Sachin M Khemkar, Shaswat Mishra, Ashish M Naktode, Tapas Mohanty
INTRODUCTION: Radial neck fractures in the pediatric age group account for 1% of all fractures in children. A completely displaced fracture with an angle >30° requires operative intervention. CASE REPORT: An 11-year-old boy with Judet IVb radial neck epiphysiolysis 4 weeks old was managed by open reduction and internal fixation with K-wires. CONCLUSION: Anatomic reduction must be achieved in radial neck fractures to restore their function...
December 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/38162352/permanent-subluxation-of-the-lateral-meniscus-in-a-10-year-old-boy-a-case-report-with-short-literature-review
#38
Deven R Kuruwa, Renato Andrade, João Espregueira-Mendes
INTRODUCTION: Locking of the knee attributed to non-discoid lateral meniscus in an atraumatic setting is a rare phenomenon. One such cause is permanent subluxation of lateral meniscus (PSLM). In the entire literature, there is only one documented case of a 37-year-old female. CASE REPORT: We present a case of a 10-year-old boy who suffered two episodes of knee locking reported radiologically as a bucket handle tear of the lateral meniscus. No tear was found during arthroscopy...
December 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/38145391/study-characteristics-and-impact-of-pediatric-orthopaedic-society-of-north-america-annual-meeting-s-best-papers-from-2009-to-2019
#39
JOURNAL ARTICLE
Guillermo Marquez, Caroline Granger, Justin A Cline, Charles A Goldfarb, Lindley B Wall
OBJECTIVE: Award-winning abstracts are selected every year at the Pediatric Orthopaedic Society of North America (POSNA) annual meeting as "best paper" or poster. It is unknown how many achieve publication in peer-reviewed journals and the impact they have. We sought to determine the characteristics, including the level of evidence (LoE), publication rates, and the impact of award-winning abstracts on pediatric orthopaedic surgery practice from 2009 to 2019. METHODS: Award-winning abstracts or "best papers" from 2009 to 2019 were retrospectively reviewed from the POSNA website from abstract publication to manuscript publication...
December 25, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38144240/a-systematic-review-of-techniques-for-step-cut-osteotomy-in-cubitus-varus-a-comprehensive-analysis
#40
REVIEW
Ankit Khurana, Nitin Kumar, Vandana Chugh, Kirubakaran Pattabiraman, Jujhar Singh, Gyanendra Verma
BACKGROUND: Cubitus varus, a common post-traumatic deformity of the elbow in children, poses challenges for both patients and surgeons. Step cut osteotomy has emerged as a reasonable surgical technique to address this condition, offering multiple approaches and modifications. METHODS: We present a comprehensive systematic review of techniques for step cut osteotomy in cubitus varus, analyzing 13 studies that meet our inclusion criteria. These studies encompass diverse patient populations, including pediatric and adult cases, and span different geographical regions...
March 2024: Journal of Orthopaedics
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