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Journal of Pediatric Orthopedics

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https://www.readbyqxmd.com/read/29672436/is-the-appropriate-use-criteria-for-type-ii-supracondylar-humerus-fractures-really-appropriate
#1
Robert H Quinn, Gregory A Brown, Kevin G Shea, Antonia F Chen, Deborah S Cummins, Kaitlyn S Sevarino
No abstract text is available yet for this article.
April 18, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29672435/outcomes-in-early-versus-late-presentation-of-focal-fibrocartilaginous-dysplasia-affecting-the-upper-extremity-a-review-of-4-cases
#2
Grigory Gershkovich, David Kahan, Scott Kozin, Daniel Zlotolow
BACKGROUND: Focal fibrocartilaginous dysplasia (FFCD) is a rare disorder of the upper and lower extremities. In the distal ulna, a ligamentous tether emerging from the metaphysis crosses the physis and restricts growth, leading to deformity. Lesion excision before radiocapitellar subluxation has been shown to restore growth and allow remodeling. We review the outcomes of 4 patients with FFCD of the distal ulna after the occurrence of radiocapitellar incongruity. METHODS: This retrospective review examined 4 patients diagnosed with FFCD of the distal ulna from 2007 to 2015...
April 18, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29672434/assessment-of-cartilage-growth-after-biopsy-of-osteochondral-loose-bodies-in-adolescent-knees-for-use-in-autologous-chondrocyte-implantation
#3
Sean Robinson, Jonathan Kramer, Trevor Shelton, Jarrad Merriman, Brian Haus
BACKGROUND: The goal of this study is to determine whether harvested cartilage from an osteochondral loose body maintains the same viability for implantation as cartilage harvested from the traditional locations within the adolescent knee for autologous chondrocyte implantation (ACI). METHODS: A retrospective study was performed on all ACI procedures performed from 2014 to 2017 at a single institution. Biopsies were derived from 2 groups: osteochondral loose body verses the intercondylar notch...
April 18, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29672433/risk-factors-for-prolonged-postoperative-opioid-use-after-spinal-fusion-for-adolescent-idiopathic-scoliosis
#4
Scott Yang, Brian C Werner
No abstract text is available yet for this article.
April 18, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29668497/surgical-treatment-of-venous-malformations-of-the-knee-treatment-outcomes-for-35-patients
#5
Claude Laurian, Claudine Masonni, Michel Wassef, Emmanuel Houdart, Francesca Toni, Veronique Marteau, Nikos Paraskevas, Stephanie Lenck, Annouk Bisdorff
BACKGROUND: The place of open surgery in venous malformations (VMs) of knee joint is still discussed. The aim of this study was to evaluate the benefits of surgery in terms of pain, function, and quality of life. DESIGN: This was a retrospective observational study. METHODS: Thirty-five consecutive young patients undergoing surgery for VMs of the knee between 2011 and 2014 were included. Data collection was performed using a prospective database by reviewing patient records...
April 17, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29668496/risk-factors-for-prolonged-postoperative-opioid-use-after-spinal-fusion-for-adolescent-idiopathic-scoliosis
#6
Mark C Kendall, Lucas J Castro Alves
No abstract text is available yet for this article.
April 17, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29664879/surgical-treatment-of-supracondylar-humeral-fractures-in-a-freestanding-ambulatory-surgery-center-is-as-safe-as-and-faster-and-more-cost-effective-than-in-a-children-s-hospital
#7
Carson M Rider, Victor Y Hong, Timothy J Westbrooks, Jiajing Wang, Benjamin W Sheffer, Derek M Kelly, David D Spence, John M Flynn, Jeffrey R Sawyer
BACKGROUND: Despite an 88% increase in the number of pediatric fractures treated in ambulatory surgery centers (ASCs) over a 10-year period, few studies have compared outcomes of fracture treatment performed in a freestanding ASC compared with those performed in the hospital (HOSP) or hospital outpatient department (HOPD). The purpose of this study was to compare clinical and radiographic outcomes, treatment times, and costs for treatment of Gartland type II supracondylar humeral (SCH) fracture in the ASC, HOSP, and HOPD...
April 16, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29664878/c2-translaminar-screw-fixation-in-children
#8
Brian W Yang, Michael P Glotzbecker, Michael Troy, Mark R Proctor, Michael T Hresko, Daniel J Hedequist
BACKGROUND: Axis (C2) screw fixation has been shown to be effective in treating disorders that necessitate cervical stabilization. Although translaminar C2 screws have demonstrated clinical efficacy in adults, this technique has not yet been thoroughly investigated in children. This study describes the indications, technique, and results of translaminar C2 screw fixation in a case series of pediatric cervical spine disorders. METHODS: We searched the orthopaedic database at our institution for patients who had undergone a cervical spinal fusion that encompassed C2 between 2007 and 2017...
April 16, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29664877/juvenile-osteochondritis-dissecans-of-the-trochlea-a-cohort-study-of-34-trochlear-lesions-associated-with-sporting-activities-that-load-the-patellofemoral-joint
#9
Meghan J Price, Maria Tuca, Joseph Nguyen, Jason Silberman, Eva Luderowski, Tyler J Uppstrom, Daniel W Green
BACKGROUND: Juvenile osteochondritis dissecans (JOCD) lesions are rarely located in the trochlea and few studies have focused on the causes and outcomes of JOCD lesions in this part of the knee. The purpose of this study is to (1) evaluate the clinical characteristics and outcomes of patients who undergo surgery for JOCD in this unusual location as well as (2) assess the association between trochlear JOCD and participation in sporting activities that load the patellofemoral joint. METHODS: We conducted a retrospective cohort study of 34 trochlear JOCD lesions in 30 patients...
April 16, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29664876/what-factors-influence-union-and-refracture-of-congenital-pseudarthrosis-of-the-tibia-a-multicenter-long-term-study
#10
Hitesh Shah, Benjamin Joseph, Binu V S Nair, Devaki B Kotian, In Ho Choi, Benjamin Stephens Richards, Charles Johnston, Vrisha Madhuri, Matthew B Dobbs, Mark Dahl
OBJECTIVE: To identify factors influencing union of congenital pseudarthrosis of the tibia (CPT), refractures, and integrity of the tibia at maturity. METHODS: Data of 119 children operated for Crawford-type IV CPT and followed-up till skeletal maturity were analyzed. Logistic regression and recursive partitioning analyses were used to test associations between several variables and the outcome. RESULTS: Primary union occurred in 86% of children...
April 16, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29554020/what-s-new-in-pediatric-hip
#11
Matthew R Schmitz, Todd J Blumberg, Susan E Nelson, Julieanne P Sees, Wudbhav N Sankar
BACKGROUND: Developmental dysplasia of the hip (DDH), which encompasses a wide spectrum of disease from mild dysplasia to frank dislocation, is one of the most common developmental deformities of the lower extremities and one of the leading causes of future osteoarthritis and hip arthroplasty. Legg-Calvé-Perthes disease (LCPD) results from a vascular insult to the growing femoral epiphysis, which in turn can create permanent morphologic changes to the hip joint. Slipped capital femoral epiphysis (SCFE) occurs when the proximal femoral physis fails allowing the epiphysis to displace in relation to the metaphysis...
March 17, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29529005/who-gets-compartment-syndrome-a-retrospective-analysis-of-the-national-and-local-incidence-of-compartment-syndrome-in-patients-with-supracondylar-humerus-fractures
#12
Alysia K Robertson, Erica Snow, Theodora S Browne, Sha'Tia Brownell, Ifeoma Inneh, Jaclyn F Hill
PURPOSE: Although acute compartment syndrome (ACS) is associated with pediatric supracondylar humerus (SCH) fractures, there are limited data describing its incidence and risk factors. The purpose of our study was to report the local and national incidence of ACS with SCH and floating elbow (concomitant SCH and forearm) fracture patterns and the associated risk factors. METHODS: We retrospectively queried data for SCH fracture patients over a 4-year period from our institution (a level I pediatric trauma center) and the National Trauma Data Bank (NTDB)...
March 9, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29529004/one-brace-one-visit-treatment-of-pediatric-distal-radius-buckle-fractures-with-a-removable-wrist-brace-and-no-follow-up-visit
#13
Megan H M Kuba, Byron H Izuka
BACKGROUND: Previous studies have showed the efficacy of removable brace treatment for distal radius buckle fractures in children, whereas others have independently suggested that these injuries do not require additional radiographic imaging. However, no study has sought to collectively determine whether treating pediatric distal radius buckle fractures with a removable brace and no follow-up visit or imaging after the initial visit is a safe and satisfactory protocol. METHODS: In total, 42 consecutive patients with a distal forearm buckle fracture seen by a single fellowship trained pediatric orthopaedic surgeon were eligible to participate...
March 9, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29521938/the-growth-of-trochlear-dysplasia-during-adolescence
#14
Shital N Parikh, Neil Rajdev, Qin Sun
BACKGROUND: Femoral trochlear dysplasia is a known risk factor for patellar instability. The growth pattern of the normal trochlea is known, but there have been no studies investigating the growth and development of the dysplastic trochlea. The purpose of this study was to assess the growth pattern of trochlear dysplasia in adolescents. METHODS: In a retrospective analysis, magnetic resonance images of adolescents with patellar instability and trochlear dysplasia were evaluated...
March 8, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29521937/intraoperative-traction-may-be-a-viable-alternative-to-anterior-surgery-in-cerebral-palsy-scoliosis-%C3%A2-100-degrees
#15
Taylor J Jackson, Burt Yaszay, Joshua M Pahys, Anuj Singla, Firoz Miyanji, Suken A Shah, Paul D Sponseller, Peter O Newton, John M Flynn, Patrick J Cahill
BACKGROUND: For large scoliosis, 2 strategies to maximize correction include intraoperative traction and/or anterior release. It is unclear which patients will benefit the most form either approach. The purpose of our study is to compare the radiographic, perioperative clinical outcomes, and health-related quality of life (HRQoL) outcomes of 2 approaches when used in severe neuromuscular scoliosis in the setting of cerebral palsy (CP). METHODS: In total, 23 patients with minimum 2-year follow-up, major curves ≥100 degrees, and in whom treatment included posterior spinal fusion were evaluated...
March 8, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29521936/quantifying-the-location-of-the-radial-nerve-in-children-for-intraoperative-use
#16
Ena Nielsen, Lindsay M Andras, David L Skaggs
BACKGROUND: In adults, a relative "safe zone" for lateral approaches to the elbow has been well described in efforts to reduce iatrogenic injury, typically a minimum of 6 cm proximal to the lateral epicondyle. To avoid iatrogenic injury to the radial nerve intraoperatively, we investigated the distance of the nerve from the distal humeral physis in children. METHODS: All patients who had axial and coronal T1-weighted magnetic resonance imagings of the humerus and elbow between 2005 and 2015 were eligible...
March 8, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29521935/molding-spica-casts-to-maintain-alignment-of-femur-fractures
#17
Ena Nielsen, David L Skaggs, Deirdre Ryan, Lindsay M Andras
BACKGROUND: Femur fractures in young children are frequently treated with spica casting. Texts recommend molding spica casts into valgus and recurvatum to counter deforming muscular forces, but how much overcorrection to aim for has not been evaluated. Our goal was to determine how much valgus and recurvatum is optimal at the time of casting to end up with anatomic alignment. METHODS: Patients 1 to 6 years old with femur fractures treated with spica casts between January 1, 2008 and January 31, 2014 who were followed until radiographic union were included in the study...
March 8, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29509609/using-the-medial-and-lateral-humeral-lines-as-an-adjunct-to-intraoperative-elbow-arthrography-to-guide-intraoperative-reduction-and-fixation-of-distal-humerus-physeal-separations-reduces-the-incidence-of-postoperative-cubitus-varus
#18
Andrew Chia Chen Chou, Ho Yin Kevin Wong, Sumanth Kumar, Arjandas Mahadev
BACKGROUND: Distal humerus physeal separations are rare pediatric elbow fractures that are often misdiagnosed and difficult to treat. Adequate reduction is often technically challenging and up to 71% of children develop postoperative cubitus varus. We propose using the medial and lateral humeral lines as an adjunct to elbow arthrography in order to guide intraoperative fixation of distal humerus physeal separations to reduce the incidence of postoperative cubitus varus. METHODS: From 2009 to 2014, all pediatric patients under the age of 3 diagnosed with a distal humerus physeal separation and treated surgically at our institution were included for analysis...
March 5, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29509608/revision-acl-reconstruction-in-children-and-adolescents
#19
Melissa A Christino, Frances A Tepolt, Dai Sugimoto, Lyle J Micheli, Mininder S Kocher
BACKGROUND: Revision anterior cruciate ligament (ACL) reconstruction in pediatric patients has not been well studied. The purpose of this study was to assess the demographics, technique, and results of ACL revision surgery in children and adolescents. METHODS: This was a retrospective case series with outcomes assessment of patients 18 years old and younger who underwent revision ACL surgery over a 16-year period at a single institution. Medical records were reviewed for demographics, clinical and operative data, and patients were contacted for outcomes at a minimum of 1 year after revision surgery...
March 5, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29509607/subspecialty-training-among-graduates-of-pediatric-orthopaedic-fellowships-an-11-year-analysis-of-the-database-of-american-board-of-orthopaedic-surgery
#20
Pooya Hosseinzadeh, Craig Louer, Jeffrey Sawyer, John Flynn, Stephen Albanese
BACKGROUND: The field of pediatric orthopaedic surgery is evolving with a reported increase in the number of pediatric orthopaedic fellows being trained as well as an increase in the number of fellows completing additional fellowship training in another subspecialty. The purpose of this study was to examine the historic trends of trainees seeking multiple fellowships within pediatric orthopaedics over an 11-year period using the database of the American Board of Orthopaedic Surgery (ABOS)...
March 5, 2018: Journal of Pediatric Orthopedics
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