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Journal of Pediatric Orthopedics

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https://www.readbyqxmd.com/read/29419705/relationship-between-sever-disease-and-skeletal-maturity
#1
Mindy M Duong, Allen D Nicholson, Samuel Q Li, Allison Gilmore, Daniel R Cooperman, Raymond W Liu
BACKGROUND: Sever disease is a common condition in active, growing children. This condition presents as pain in the heel and is thought to be an overuse condition of the calcaneal apophysis. There are currently no defined radiographic diagnostic criteria for evaluation of Sever disease, with radiographs generally showing normal appearance of the calcaneal apophysis. A better understanding of the relationship of Sever disease and skeletal maturity may allow for improved interpretation of radiographs when trying to diagnose this condition...
February 6, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29401074/the-economic-burden-of-musculoskeletal-disease-in-children-and-adolescents-in-the-united-states
#2
Scott B Rosenfeld, Katherine Schroeder, Sylvia I Watkins-Castillo
BACKGROUND: Musculoskeletal conditions are among the most common and costly conditions suffered by Americans. In 2011, there was an estimated $213 billion in annual cost of direct treatment for and lost wages due to musculoskeletal disease in the United States. Data on economic burden, however, comes mostly from the adult population, with significantly less information regarding the burden of these conditions in young patients available. The purpose of this report is to provide data on the economic burden of musculoskeletal diseases in children and adolescents in the United States...
February 2, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29401073/growth-friendly-surgery-and-serial-cast-correction-in-the-treatment-of-early-onset-scoliosis-for-patients-with-prader-willi-syndrome
#3
Jonathan Oore, Braydon Connell, Burt Yaszay, Amer Samdani, Tricia St Hilaire, Tara Flynn, Ron El-Hawary
BACKGROUND: Prader-Willi syndrome (PWS) patients can present with scoliosis which can be treated with serial cast correction (SCC) or with growth friendly surgery (GFS). This study's purpose was to describe the results of SCC as well as GFS for PWS patients with early-onset scoliosis (EOS). METHODS: PWS patients were identified from 2 international multicenter EOS databases. Scoliosis, kyphosis, spine height (T1-S1), right/left hemithoracic heights/widths (RHTH, LHTH, RHTW, LHTW) were measured pretreatment, postoperation, and at 2-year follow-up...
February 2, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29389721/quantitative-assessment-of-knee-progression-angle-during-gait-in-children-with-cerebral-palsy
#4
Jon R Davids, Nina Q Cung, Robin Pomeroy, Brooke Schultz, Leslie Torburn, Vedant A Kulkarni, Sean Brown, Anita M Bagley
BACKGROUND: Abnormal hip rotation is a common deviation in children with cerebral palsy (CP). Clinicians typically assess hip rotation during gait by observing the direction that the patella points relative to the path of walking, which is referred to as the knee progression angle (KPA). Two kinematic methods for calculating the KPA are compared with each other. Video-based qualitative assessment of KPA is compared with the quantitative methods to determine reliability and validity. METHODS: The KPA was calculated by both direct and indirect methods for 32 typically developing (TD) children and a convenience cohort of 43 children with hemiplegic type CP...
January 31, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29389720/complication-severity-score-for-growth-friendly-surgery-has-strong-interrater-and-intrarater-agreement
#5
Nicole Michael, Claire Palmer, John T Smith, Zhaoxing Pan, Tricia St Hilaire, Jessica Morgan, Victoria Heagy, Sumeet Garg
BACKGROUND: Growth-friendly surgery has high complication rates. The Complication Severity Score for growth-friendly surgery was developed to maintain consistency while reporting complications as part of research in this rapidly evolving field. This study evaluates the interrater and intrarater reliability of this complication classification system. METHODS: After Institutional Review Board approval, complications during treatment for early onset scoliosis were identified from a prospectively collected database...
January 31, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29389719/results-of-casting-in-severe-curves-in-infantile-scoliosis
#6
Peter J Stasikelis, Ashley M Carpenter
BACKGROUND: Previous work has demonstrated best results for casting in infantile scoliosis when the curves are small and the child begins casting under 2 years of age. This study examines if casting can delay the need for growth friendly instrumentation in severe curves (50 to 106 degrees) and how the comorbidities of syrinx or genetic syndromes affected outcomes. METHODS: All children undergoing casting for scoliosis at a single institution over an 8-year period were examined...
January 31, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29389718/rectus-femoris-transfer-versus-rectus-intramuscular-lengthening-for-the-treatment-of-stiff-knee-gait-in-children-with-cerebral-palsy
#7
Matthew D Ellington, Allison C Scott, Judith Linton, Elroy Sullivan, Douglas Barnes
BACKGROUND: Rectus femoris transfer (RFT) is used to treat stiff knee gait in spastic cerebral palsy. Recently, rectus femoris lengthening has been reported as treatment for stiff knee gait. The purpose of this study was to compare short-term outcomes of 2 surgical procedures. METHODS: A retrospective chart review of 23 patients (42 limbs) with diplegic spastic cerebral palsy who had undergone rectus femoris intramuscular lengthening for treatment of stiff knee gait with a Gross Motor Function Classification System level I, II, or III was completed...
January 31, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29369894/is-the-appropriate-use-criteria-for-type-ii-supracondylar-humerus-fractures-really-appropriate
#8
Mauricio Silva, Erin M Delfosse, Howard Park, Hemali Panchal, Edward Ebramzadeh
INTRODUCTION: The Appropriate Use Criteria for the treatment of supracondylar humerus fractures (SCHFs), developed by American Academy of Orthopaedic Surgeons, recommends pinning for all type II SCHFs. However, previous studies have suggested that, with close follow-up some of the less severe type II SCHF's can be successfully treated without surgery. Our purpose was to analyze data collected prospectively on a large cohort of type II SCHF's. METHODS: We reviewed clinical and radiographic information on all type II pediatric SCHF (n=1120) that were enrolled in a prospective registry and were followed for a minimum of 8 weeks...
January 24, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29309384/toe-walking-a-neurological-perspective-after-referral-from-pediatric-orthopaedic-surgeons
#9
Katherine B Haynes, Robert L Wimberly, Jonathan M VanPelt, Chan-Hee Jo, Anthony I Riccio, Mauricio R Delgado
BACKGROUND: Toe walking (TW) in children is often idiopathic in origin. Our purpose was to determine the incidence of a neurological etiology for TW in patients seen in the neurology clinic after referral from pediatric orthopaedic surgeons. METHODS: We performed an Institutional Review Board approved retrospective review of 174 patients referred to the neurology clinic from orthopaedic surgeons at an academic pediatric tertiary care center between January 2010 and September 2015...
January 24, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29360660/relationships-between-the-axial-derotation-of-the-lower-instrumented-vertebra-and-uninstrumented-lumbar-curve-correction-radiographic-outcome-in-lenke-1-adolescent-idiopathic-scoliosis-with-a-minimum-2-year-follow-up
#10
Saba Pasha, Patrick J Cahill, John M Flynn, Paul Sponseller, Peter O Newton
BACKGROUND: Preoperative spinal parameters are used to guide the fusion levels in adolescent idiopathic scoliosis (AIS) spinal surgery. However, the impact of the factors modifiable by the surgeon in varying levels of preoperative patient-specific variables is not fully explored. The goal of this study was to identify the association between axial rotation correction of the lower instrumented vertebra (LIV) and spontaneous correction of the uninstrumented lumbar spine as a function of preoperative 3 dimensional (3D) curve characteristics in Lenke 1 AIS...
January 22, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29360659/high-risk-of-mismatch-between-sanders-and-risser-staging-in-adolescent-idiopathic-scoliosis-are-we-guiding-treatment-using-the-wrong-classification
#11
Anas Minkara, Nicole Bainton, Masashi Tanaka, Justin Kung, Christopher DeAllie, Alexandra Khaleel, Hiroko Matsumoto, Michael Vitale, Benjamin Roye
BACKGROUND: Despite known limitations, Risser staging has traditionally been the primary marker of skeletal maturity utilized in decision-making for treatment of adolescent idiopathic scoliosis (AIS). The purpose of this study is to assess the incidence and factors associated with mismatch between Risser Staging and Sanders classification, and determine interobserver reliability. METHODS: We reviewed the medical records of consecutive patients aged 10 to 18 referred to our institution for evaluation of AIS from January to June 2016 with a closed triradiate cartilage...
January 22, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29356795/risk-factors-for-prolonged-postoperative-opioid-use-after-spinal-fusion-for-adolescent-idiopathic-scoliosis
#12
Scott Yang, Brian C Werner
BACKGROUND: Opioids are commonly used after posterior spinal instrumented fusion (PSIF) for adolescent idiopathic scoliosis (AIS). Prescription opioids use can potentially lead to misuse, abuse, dependence, and overdose death. Prolonged opioid use has not been extensively studied in the postoperative AIS population. The purpose of this study is to identify risk factors associated with prolonged opioid use after PSIF for AIS. METHODS: A large insurance database was queried for AIS patients undergoing PSIF...
January 19, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29356794/can-computed-tomography-accurately-measure-acetabular-anterversion-in-developmental-dysplasia-of-the-hip-verification-and-characterization-using-3d-printing-technology
#13
Zhencun Cai, Qun Zhao, Lianyong Li, Lijun Zhang, Shijun Ji
BACKGROUND: One of the important pathologic changes in developmental dysplasia of the hip (DDH) is increased acetabular version angle (AA). Reasonable correction for excessive AA is an important step in the treatment of DDH, making accurate AA measurement very crucial. However, the results of different AA measurement methods vary. Thus, this study aimed to compare the difference in AA measurements between 2-dimensional computed tomography (2D-CT) and 3-dimensional computed tomography (3D-CT) in children with DDH and to identify the AA degree in children with DDH to guide treatment...
January 19, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29356793/fracture-patterns-differ-between-osteogenesis-imperfecta-and-routine-pediatric-fractures
#14
Kranti V Peddada, Brian T Sullivan, Adam Margalit, Paul D Sponseller
BACKGROUND: It is important to estimate the likelihood that a pediatric fracture is caused by osteogenesis imperfecta (OI), especially the least severe type of OI (type 1). METHODS: We reviewed records of 29,101 pediatric patients with fractures from 2003 through 2015. We included patients with closed fractures not resulting from motor vehicle accidents, gunshot wounds, nonaccidental trauma, or bone lesions. Patients with OI of any type were identified through International Classification of Diseases-9 code...
January 19, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29356792/mri-is-better-than-ct-scan-for-detection-of-structural-pathologies-after-traumatic-posterior-hip-dislocations-in-children-and-adolescents
#15
Songkiat Thanacharoenpanich, Sarah Bixby, Michael A Breen, Young-Jo Kim
BACKGROUND: Traumatic posterior hip dislocations in children and adolescents requires emergent closed reduction. Postreduction imaging is necessary to assess the concentricity of reduction and structural injuries to the hip. There is no a consensus for which imaging is a modality of choice in such condition. The purposes of this study are to describe magnetic resonance imaging (MRI) findings of traumatic posterior hip dislocations and to compare the effectiveness of MRI with computerized tomography (CT) in detecting structural abnormalities of the hip that impact patient management...
January 19, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29329145/orthopaedic-management-of-leg-length-discrepancy-in-proteus-syndrome-a-case-series
#16
Molly M Crenshaw, Cara G Goerlich, Lauren E Ivey, Julie C Sapp, Kim M Keppler-Noreuil, Allison C Scott, Leslie G Biesecker, Laura L Tosi
INTRODUCTION: Proteus syndrome (PS) is a rare mosaic disorder comprising asymmetric bony and soft tissue overgrowth leading to significant morbidity. Placement of growth inhibition hardware with subsequent epiphyseal arrest improves leg-length and angular deformities in pediatric patients without PS. The purpose of this study was to review the surgical approach and present outcomes, complications, and recommendations in 8 patients with PS and leg-length discrepancy (LLD). METHODS: We conducted a retrospective chart review of 8 patients with PS whose primary reason for surgery was LLD...
January 11, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29324531/response-to-a-letter-to-the-editor
#17
Shaleen Vira, Qasim Husain, Cyrus Jalai, Justin Paul, Gregory W Poorman, Caroline Poorman, Richard S Yoon, Christopher Looze, Baron Lonner, Peter G Passias
No abstract text is available yet for this article.
January 10, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29324530/early-results-of-single-plug-autologous-osteochondral-grafting-for-osteochondritis-dissecans-of-the-capitellum-in-adolescents
#18
Donald S Bae, Eitan M Ingall, Patricia E Miller, Katherine Eisenberg
BACKGROUND: Osteochondral autologous transplantation surgery (OATS) has been advocated for unstable osetochondritis dissecans (OCD) lesions of the adolescent capitellum, though limited information is available regarding clinical and radiographic results in North American patients. We hypothesize that single-plug OATS is safe and effective in alleviating pain and restoring function in unstable OCD. METHODS: Twenty-eight patients with unstable OCD treated with single-plug OATS were evaluated...
January 10, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29324529/inappropriately-timed-pediatric-orthopaedic-referrals-from-the-emergency-department-result-in-unnecessary-appointments-and-financial-burden-for-patients
#19
Taylor J Jackson, Todd J Blumberg, Apurva S Shah, Wudbhav N Sankar
BACKGROUND: Musculoskeletal injuries are among the most common reasons for emergency department (ED) visits in the pediatric population. Many such injuries can be managed with a single follow-up outpatient visit. However, untimely (ie, premature) referrals by emergency physicians to orthopaedic surgeons are common and may inadvertently create need for a second visit, generating unnecessary expenditures. We sought to elucidate the cost of premature musculoskeletal follow-up visits to the patients, families, and the health care system...
January 10, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29324528/titanium-elastic-nailing-has-superior-value-to-plate-fixation-of-midshaft-femur-fractures-in-children-5-to-11-years
#20
Jerad D Allen, Kevin Murr, Ferras Albitar, Cale Jacobs, Eric S Moghadamian, Ryan Muchow
BACKGROUND: American Academy of Orthopaedic Surgeons (AAOS) Clinical Practice Guidelines for pediatric femoral shaft fractures indicate titanium elastic nails (TENs) for children 5 to 11 years old. Growing evidence suggests these fractures may also be treated with open or submuscular plating. The purpose of this study was to compare estimated blood loss (EBL), operative time, fluoroscopy time, cost, and subjective and objective pain scores between TENs and plating techniques used in 5- to 11-year-old children with midshaft femur fractures based on length stability...
January 10, 2018: Journal of Pediatric Orthopedics
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