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https://read.qxmd.com/read/30875935/longitudinal-fibular-deficiency-a-cross-sectional-study-comparing-lower-limb-function-of-children-and-young-people-with-that-of-unaffected-peers
#1
Joshua W Pate, Mark J Hancock, Louise Tofts, Adrienne Epps, Jennifer N Baldwin, Marnee J McKay, Joshua Burns, Eleanor Morris, Verity Pacey
Longitudinal fibular deficiency (LFD), or fibular hemimelia, is congenital partial or complete absence of the fibula. We aimed to compare the lower limb function of children and young people with LFD to that of unaffected peers. A cross-sectional study of Australian children and young people with LFD, and of unaffected peers, was undertaken. Twenty-three (12 males) children and young people with LFD (74% of those eligible) and 213 unaffected peers, all aged 7⁻21 years were subject to the Knee Osteoarthritis Outcome Score (KOOS/KOOS-Child) and the Cumberland Ankle Instability Tool (CAIT/CAIT-Youth)...
March 15, 2019: Children
https://read.qxmd.com/read/30865146/functional-task-training-combined-with-electrical-stimulation-improves-motor-capacity-in-children-with-unilateral-cerebral-palsy-a-single-subject-design
#2
Rejane Vale Gonçalves, Sérgio Teixeira Fonseca, Priscila Albuquerque de Araújo, Thales Rezende Souza, Renan Alves Resende, Marisa Cotta Mancini
PURPOSE: Reduced propulsive capability can impact negatively on mobility activities of many children with spastic unilateral cerebral palsy (SUCP). This study investigated the effect of a task-oriented training program combined with functional electrical stimulation (FES) on the motor capacity of children with SUCP. METHODS: Single-case A-B design with follow-up. Gross motor function and biomechanical walking data of 4 children with SUCP were measured repeatedly across the baseline, intervention, and follow-up phases...
March 8, 2019: Pediatric Physical Therapy
https://read.qxmd.com/read/30719300/a-new-study-of-hindfoot-endoscopy-foreign-body-excision-from-the-hindfoot
#3
Meric Unal, Serdar Alfidan, Alper Gultekin, Aydin Budeyri, Sabriye Ercan
Residual foreign bodies are usually observed inside the body after foreign body penetration injuries. However, foreign bodies inside or near the joints are rarely encountered. In the case study included in this report, the case of a foreign body in the posterior ankle region of a 10-year-old child is presented, along with a new study highlighting the technique of its excision with hindfoot endoscopy. The visualization and capture of a foreign body within this region, and its relation to endoscopic excision, has been reported as being a support for hindfoot endoscopy...
2019: SAGE Open Medical Case Reports
https://read.qxmd.com/read/30675867/-identification-and-pathogenicity-prediction-of-a-novel-glb1-variant-c-101t-c-p-ile34thr-in-an-infant-with-gm1-gangliosidosis
#4
Xue-Rong Lan, Jian-Wu Qiu, Hua Li, Xiang-Ran Cai, Yuan-Zong Song
GM1 gangliosidosis is an autosomal recessive disorder caused by galactosidase beta1 (GLB1) gene variants which affect the activity of β-galactosidase (GLB). GLB dysfunction causes abnormalities in the degradation of GM1 and its accumulation in lysosome. This article reports the clinical and genetic features of a child with GM1 gangliosidosis. The girl, aged 2 years and 5 months, was referred to the hospital due to motor developmental regression for more than one year. Physical examination showed binocular deflection and horizontal nystagmus, but no abnormality was found on fundoscopy...
January 2019: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://read.qxmd.com/read/30656078/chromoblastomycosis-caused-by-phialophora-verrucosa-in-a-costa-rican-child-with-skin-sequelae-due-to-snake-bite
#5
Helena Brenes, Marco L Herrera, María L Ávila-Aguero
Chromoblastomycosis is an implantation mycosis occurring among adults working in farms or with soil in tropical and subtropical areas worldwide. Fonsecaea pedrosoi is the most important agent in the tropical areas, while Phialophora verrucosa , although not a predominant agent, is found in the lowlands under the same conditions as the  Fonsecae  species. We present the case of a 10-year-old aboriginal boy, belonging to a soil worker family, with a history of extensive leg lesions and lymphedema secondary to a snake bite five years earlier...
November 12, 2018: Curēus
https://read.qxmd.com/read/30628476/evaluating-patients-for-elective-outpatient-foot-and-ankle-surgery-insurance-as-a-predictor-of-patient-outcomes
#6
Wajeeh Bakhsh, Sean Childs, Irvin Oh, Sam Flemister, Judy Baumhauer, John Ketz
BACKGROUND: Elective surgical procedures necessitate careful patient selection. Insurance level has been associated with postoperative outcomes in trauma patients. This study evaluates the relationship insurance level has with outcomes from elective foot and ankle surgery. METHODS: Retrospective chart review was performed on patients who underwent elective surgery at a single center with 1-year follow-up. Patients were classified by insurance: under-/uninsured (Medicaid, Option plans) versus fully insured...
January 10, 2019: Foot & Ankle Specialist
https://read.qxmd.com/read/30608302/effect-of-amputation-level-on-quality-of-life-and-subjective-function-in-children
#7
Jessica McQuerry, Lee Gammon, Aaron Carpiaux, Vishwas Talwalkar, Henry Iwinski, Janet Walker, Cale A Jacobs, Ryan Muchow
BACKGROUND: Our aim was to discern whether children with amputations have differences in subjective function based on amputation level. We hypothesized that children with more proximal amputations would report poorer function and quality of life. METHODS: An IRB-approved, retrospective chart review of patients aged 0 to 21 years old with lower extremity amputations was performed. Demographic information, type of amputation, type of prosthesis, and the Pediatric Outcomes Data Collection Instrument (PODCI) was collected from parents and children (above 10 y old)...
January 2, 2019: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/30558934/the-influence-of-maximum-isometric-muscle-force-scaling-on-estimated-muscle-forces-from-musculoskeletal-models-of-children-with-cerebral-palsy
#8
Hans Kainz, Marije Goudriaan, Antoine Falisse, Catherine Huenaerts, Kaat Desloovere, Friedl De Groote, Ilse Jonkers
BACKGROUND: Musculoskeletal models do not include patient-specific muscle forces but rely on a scaled generic model, with muscle forces left unscaled in most cases. However, to use musculoskeletal simulations to inform clinical decision-making in children with cerebral palsy (CP), inclusion of subject-specific muscle forces is of utmost importance in order to represent each child's compensation mechanisms introduced through muscle weakness. RESEARCH AIM: The aims of this study were to (i) evaluate if maximum isometric muscle forces (MIMF) in musculoskeletal models of children with CP can be scaled based on strength measurements obtained with a hand-held-dynamometer (HHD), (ii) evaluate the impact of the HHD based scaling approach and previously published MIMF scaling methods on computed muscle forces during gait, and (iii) compare maximum muscle forces during gait between CP and typically developing (TD) children...
September 2018: Gait & Posture
https://read.qxmd.com/read/30364530/evolution-of-chronic-recurrent-multifocal-osteomyelitis-in-a-child-shown-by-mri
#9
Brynna Pamplona Augusto Gonçalves, Michelle Gurgel Lima, Cleto Dantas Nogueira, Antonia Celia De Castro Alcantara, Claudio Regis Sampaio Silveira
Chronic recurrent multifocal osteomyelitis (CRMO) is a rare idiopathic inflammatory disease that mainly affects children and young adults. The clinical signs and symptoms are nonspecific, hindering and delaying the proper diagnosis. We report a case of CRMO in a child with chronic pain in the cervical and thoracic spine. Investigations of the pain revealed a diagnosis of osteomyelitis in the biopsy, indicating a course of antibiotic treatment. After a year, there was progressive worsening of the pain, and it soon spread to the left wrist and right ankle...
January 2019: Radiology Case Reports
https://read.qxmd.com/read/30329072/health-hazards-and-risks-for-musculoskeletal-problems-among-child-labourers-in-the-brickfield-sector-of-west-bengal-india
#10
Banibrata Das
Aims: The purpose of this study was to describe the health hazards among child labourers in brickfields, and to assess occupational health problems, together with physiological and respiratory stress, compared with child control subjects. Methods: A cross-sectional study was conducted on 112 child brickfield workers and 120 control subjects, and a modified Nordic Questionnaire was applied to assess the discomfort felt among both groups of workers. Physiological assessment of the workload was carried out by the measurement of heart rate, blood pressure and spirometry of the workers...
October 17, 2018: International Health
https://read.qxmd.com/read/30255853/estimation-of-effective-doses-from-mdct-and-cbct-imaging-of-extremities
#11
John B Ludlow, Brandon K Johnson, Maria Ivanovic
Little research has been published on the radiation burden of cone beam computed tomography (CBCT) in comparison with multi-row detector computed tomography (MDCT) for extremity imaging. This manuscript reports effective doses produced by standard and reduced dose imaging protocols for a 128-slice MDCT unit and a dedicated extremity imaging device using CBCT technology. Anthropomorphic phantoms with x-ray attenuation characteristics simulating adult hand-wrist, foot-ankle, and knee areas were modified to receive optically stimulated luminescent dosimeters (OSL)...
December 2018: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
https://read.qxmd.com/read/30233961/single-leg-spica-cast-application-for-treatment-of-pediatric-femoral-fracture
#12
M Catherine Sargent
Use of a single-leg spica cast for femoral fractures in ambulatory children 1 to 5 years of age facilitates care and mobilization of the patient. It may allow a shorter duration of cast treatment than is possible with a traditional one and one-half-leg spica cast, particularly in patients 1 to 3 years of age. The single-leg spica is indicated for children who are small enough to be lifted safely in the cast and who have an isolated, closed, low-energy femoral shaft fracture. The procedure consists of the following steps:Step 1: Obtain adequate sedation...
September 28, 2017: JBJS Essential Surgical Techniques
https://read.qxmd.com/read/30229941/hand-wrist-knee-and-foot-ankle-dosimetry-and-image-quality-measurements-of-a-novel-extremity-imaging-unit-providing-cbct-and-2d-imaging-options
#13
John B Ludlow
PURPOSE: Radiation dose is a general concern in diagnostic imaging and a special concern for children who are at greater risk from radiation effects. This study evaluates effective doses (E) produced during 2D and volume imaging with a novel cone beam computed tomography (CBCT) based extremity imaging device. The device's compact size and protocol options offer image choices that enhance the potential for reduced dose and improved diagnostics when evaluating sports injuries. METHODS: Hand-wrist, foot-ankle, and knee phantoms were developed for use with optically stimulated luminescent dosimeters (OSL)...
September 19, 2018: Medical Physics
https://read.qxmd.com/read/30199459/transepiphyseal-type-vii-ankle-fracture-versus-os-subfibulare-in-pediatric-ankle-injuries
#14
Michelle T Sugi, Kali Tileston, Jeffery E Krygier, James Gamble
BACKGROUND: Pediatric ankle injuries are common, giving rise to ∼17% of all physeal injuries. An os subfibulare in a child with an ankle sprain may be confused with a type VII transepiphyseal fracture. Here, we evaluate the clinical and radiographic features of type VII transepiphyseal fractures to those of os subfibulare presenting with acute ankle trauma with the hypothesis that radiographs are necessary for final diagnosis and neither clinical history nor examination would be diagnostic...
November 2018: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/30141462/intraspinal-intramedullary-primitive-neuroectodermal-tumor-in-a-young-girl-a-case-report-from-bsmmu-bangladesh
#15
K J Shyamaly, M Mutanabbi, M K Talukder, N Farzana, R Riaaz, C A Kawser
Primitive neuroectodermal tumors are malignant tumor of pluripotent cells of neural crest. It has diverse clinical presentation and aggressive clinical behaviour. Clinical features may provide some clue but imaging studies such as MRI of brain; tissue histopathology, immune histochemistry and cytogenetic are essential to confirm the diagnosis. Here we describe a girl of 4½ years age admitted with the complaints of, low back pain for 2 months, gradually worsening weakness in both lower limbs for the same duration along with urinary incontinence and constipation for 1 month...
July 2018: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30075411/the-influence-of-maximum-isometric-muscle-force-scaling-on-estimated-muscle-forces-from-musculoskeletal-models-of-children-with-cerebral-palsy
#16
Hans Kainz, Marije Goudriaan, Antoine Falisse, Catherine Huenaerts, Kaat Desloovere, Friedl De Groote, Ilse Jonkers
BACKGROUND: Musculoskeletal models do not include patient-specific muscle forces but rely on a scaled generic model, with muscle forces left unscaled in most cases. However, to use musculoskeletal simulations to inform clinical decision-making in children with cerebral palsy (CP), inclusion of subject-specific muscle forces is of utmost importance in order to represent each child's compensation mechanisms introduced through muscle weakness. RESEARCH AIM: The aims of this study were to (i) evaluate if maximum isometric muscle forces (MIMF) in musculoskeletal models of children with CP can be scaled based on strength measurements obtained with a hand-held-dynamometer (HHD), (ii) evaluate the impact of the HHD based scaling approach and previously published MIMF scaling methods on computed muscle forces during gait, and (iii) compare maximum muscle forces during gait between CP and typically developing (TD) children...
September 2018: Gait & Posture
https://read.qxmd.com/read/30027989/paediatric-septic-arthritis-in-a-nigerian-tertiary-hospital-a-5-year-clinical-review
#17
D D Mue, M N Salihu, W T Yongu, M Ochoga, J N Kortor, I C Elachi
BACKGROUND: Septic arthritis is a relatively common condition in the paediatric population. It is both a medical and a surgical emergency with potential high morbidity. This disabling disease requires early diagnosis and prompt management for optimal outcome. OBJECTIVE: This study determined the epidemiological pattern of septic arthritis and analysed factors affecting morbidity and mortality in the paediatric population. MATERIALS AND METHODS: Retrospective data was obtained over a 5-year period in NKST rehabilitation hospital, Mkar, Nigeria...
May 2018: West African Journal of Medicine
https://read.qxmd.com/read/29770150/effect-of-cathodal-transcranial-direct-current-stimulation-on-a-child-with-involuntary-movement-after-hypoxic-encephalopathy
#18
Mayumi Nagai, Naofumi Tanaka, Yutaka Oouchida, Shin-Ichi Izumi
The aim of the study was to investigate the effect of cathodal transcranial direct current stimulation to the supplementary motor area to inhibit involuntary movements of a child. An 8-year-old boy who developed hypoxic encephalopathy after asphyxia at the age of 2 had difficulty in remaining standing without support because of involuntary movements. He was instructed to remain standing with his plastic ankle-foot orthosis for 10 s at three time points by leaning forward with his forearms on a desk. He received cathodal or sham transcranial direct current stimulation to the supplementary motor area at 1 mA for 10 min...
2018: Case Reports in Medicine
https://read.qxmd.com/read/29731369/tailored-frequency-escalated-primary-prophylaxis-for-severe-haemophilia-a-results-of-the-16-year-canadian-hemophilia-prophylaxis-study-longitudinal-cohort
#19
Brian M Feldman, Georges E Rivard, Paul Babyn, John K M Wu, MacGregor Steele, Man-Chiu Poon, Robert T Card, Sara J Israels, Nicole Laferriere, Kulwant Gill, Anthony K Chan, Manuel Carcao, Robert J Klaassen, Stephanie Cloutier, Victoria E Price, Saunya Dover, Victor S Blanchette
BACKGROUND: Severe haemophilia A has high morbidity, and treatment, while effective, is very expensive. We report the 16-year follow-up of the Canadian Hemophilia Prophylaxis Study, which examined the effectiveness of tailored frequency-escalated primary prophylaxis with a focus on health outcomes within the domains of body structures and functions, and activities and participation (according to the WHO International Classification of Functioning, Disability and Health [WHO-ICF] framework) and a view to reducing consumption of costly clotting factor, which accounts for more than 90% of the cost of care of severe haemophilia...
June 2018: Lancet Haematology
https://read.qxmd.com/read/29714626/factors-associated-with-enhanced-gross-motor-progress-in-children-with-cerebral-palsy-a-register-based-study
#20
Gunfrid V Størvold, Reidun B Jahnsen, Kari Anne I Evensen, Ulla K Romild, Grete H Bratberg
AIM: To examine associations between interventions and child characteristics; and enhanced gross motor progress in children with cerebral palsy (CP). METHODS: Prospective cohort study based on 2048 assessments of 442 children (256 boys, 186 girls) aged 2-12 years registered in the Cerebral Palsy Follow-up Program and the Cerebral Palsy Register of Norway. Gross motor progress estimates were based on repeated measures of reference percentiles for the Gross Motor Function Measure (GMFM-66) in a linear mixed model...
May 1, 2018: Physical & Occupational Therapy in Pediatrics
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