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Journal of Pediatric Orthopedics. Part B

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https://www.readbyqxmd.com/read/27902637/bilateral-congenital-torticollis-a-case-report-with-25-years-of-follow-up
#1
Lukasz Matuszewski, Damian Pietrzyk, Grzegorz Kandzierski, Michal Wilczynski
Unilateral congenital sternocleidomastoid muscle (SCM) contracture causing torticollis is well known. Although the unilateral muscular torticollis is quite often recognized, a bilateral contracture of SCM muscle is very rare. A review of the literature showed only three cases of bilateral congenital torticollis reported over the last two decades. We present a case report of a boy with congenital bilateral torticollis with 25 years of follow-up. Bilateral tenotomies of the right SCM were performed and the child was immobilized in Schanz's cervical orthosis...
November 29, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27902636/risk-of-infection-and-secondary-displacement-in-pediatric-supracondylar-or-lateral-condyle-fractures-treated-with-unburied-kirchener-wires-removed-before-complete-bone-healing
#2
Sylvain Aubret, Thibaut Lecointe, Mounira Mansour, Marie Rousset, Antonio Andreacchio, Bruno Pereira, Yann Philippe Charles, Federico Canavese
This study evaluated the risk of infection and of secondary displacement among children with displaced lateral condyle or supracondylar fractures treated by surgery. The study included a consecutive sample of 84 supracondylar fractures and 21 lateral condyle fractures treated with closed reduction and percutaneous pinning. The mean time to Kirchener wire removal was 29 days (range: 25-37 days) postsurgery. Two out of 105 (1.9%) patients developed infectious complications and two of 105 (1.9%) patients had a secondary displacement...
November 29, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27902635/correlation-between-transverse-plan-kinematics-and-foot-progression-angle-in-children-with-spastic-diplegia
#3
Ana Presedo, Anne-Laure Simon, Cindy Mallet, Brice Ilharreborde, Keyvan Mazda, Georges-François Pennecot
In diplegic patients, the orientation of foot progression depends on multiple factors. We investigated the relationship between foot progression alignment, hip and pelvic rotations during gait, femoral anteversion, and tibial torsion. Kinematic and clinical parameters were evaluated for 114 children who walked independently and had not undergone previous surgery. Causes of intoeing presented combined in 72% of cases. Internal foot progression correlated with internal hip rotation and showed an inverse correlation with tibial torsion...
November 29, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27902634/the-surgical-treatment-of-spinal-deformity-in-children-with-myelomeningocele-the-role-of-personalized-three-dimensional-printed-models
#4
Lawrence Karlin, Peter Weinstock, Daniel Hedequist, Sanjay P Prabhu
This study was carried out to evaluate the benefits of personalized three-dimensional printing as an aid to the performance of surgery for the correction of spinal deformity in children with myelomeningocele. We performed a retrospective review to include all such children for whom personalized three-dimensional spine models were used for surgical planning (group A) and compared them through subjective and objective criteria to a similar group that had no models (group B). The seven children in group A were younger and had more complex deformities than the 10 children in group B...
November 29, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27846037/scapular-body-fracture-and-concomitant-inferior-angle-apophyseal-separation-with-intrathoracic-displacement-a-case-report
#5
Ho Youn Park, Hyuk Jin Jang, Yoo Joon Sur
A 10-year-old patient presented to the emergency room after a motor vehicle accident. The patient was diagnosed with left scapular body fracture and concomitant inferior angle apophyseal separation with intrathoracic displacement causing hemopneumothorax. The displaced scapular body was reduced surgically and separated apophysis of the inferior angle was fixed to the scapular body with absorbable suture. Postoperative 2-year follow-up showed a good result. A literature search found two pediatric cases of intrathoracic displacement of scapular body fracture...
November 11, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27832017/elastic-stable-intramedullary-nailing-in-paediatric-forearm-fractures-the-rate-of-open-reduction-and-complications
#6
Daoud Makki, Hosam E Matar, Mark Webb, David M Wright, Leroy A James, David M Ricketts
The aim of this study was to evaluate the rate of open reduction and complications of elastic stable intramedullary nailing (ESIN) in treating unstable diaphyseal forearm fractures in children. We performed a retrospective review of a consecutive series of 102 paediatric patients with a mean age of 9 years (range: 7-14 years) who underwent ESIN of unstable closed forearm fractures at three different centres. Closed reduction of one or both bones was achieved in 68 (67%) patients and open reduction was required in 34 (33%) patients...
November 9, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27832016/curve-progression-risk-in-a-mixed-series-of-braced-and-nonbraced-patients-with-idiopathic-scoliosis-related-to-skeletal-maturity-assessment-on-the-olecranon
#7
Yann Philippe Charles, Federico Canavese, Alain Diméglio
We aimed to determine the curve progression risk of idiopathic scoliosis in patients at the time of peak height velocity by plotting curve magnitudes against olecranon stages of skeletal maturation. Register data of 372 patients with juvenile or adolescent idiopathic scoliosis followed at 6-month intervals from onset of scoliosis to skeletal maturity were reviewed. At the onset of the pubertal growth spurt, curves greater than 30° have a 100% risk of progressing over 45° (P<0.0001). Curves 21-30° have a progression risk of 72...
November 9, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27832015/intramedullary-nailing-with-supplemental-plate-and-screw-fixation-of-long-bones-of-patients-with-osteogenesis-imperfecta-operative-technique-and-preliminary-results
#8
Jeanne M Franzone, Richard W Kruse
Although intramedullary fixation is the standard form of surgical fixation of the long bones of children with osteogenesis imperfecta (OI), it remains fraught with complications. Implant breakage, implant cut out, long bone fracture, nonunion, and rod bending have all been described as complications of intramedullary long bone fixation in children with OI. Supplemental fixation techniques represent an attempt to decrease these risks of surgical implant failure of intramedullary devices. A supplemental plate and screw construct at a fracture or an osteotomy site in addition to an intramedullary device in the long bone segment is one such form of supplemental fixation...
November 9, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27832014/proximal-femoral-osteotomy-in-legg-calv%C3%A3-perthes-disease-using-a-monolateral-external-fixator-surgical-technique-outcome-and-complications
#9
Kwang-Won Park, Ishani P Shah, Ashok K Ramanathan, Tae-Jin Lee, Hae-Ryong Song
: Although external fixation methods have been described for proximal femoral osteotomy for various etiologies, none are dedicated to a single disease entity. Our study introduces a technique of proximal femoral osteotomy and fixation with a monolateral external fixator system in Legg-Calvé-Perthes disease (LCPD). Twenty-three patients (19 males, four females) with LCPD underwent surgery at our institute between 2004 and 2012. Varus osteotomy (group A, 11 hips) and valgus osteotomy (group B, 12 hips) were performed and the monolateral external fixator system was used...
November 9, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27832013/surgical-resection-of-osteoid-osteoma-and-osteoblastoma-of-the-spine
#10
Muayad Kadhim, Odion Binitie, Patrick O'Toole, Emmanouil Grigoriou, Camila B De Mattos, John P Dormans
: Intraoperative radiographic guidance has traditionally been utilized in orthopedic surgery through 2-D navigation with the C-arm and recently with 3-D navigation with the O-arm. The aim of this study was to describe the outcome of surgical treatment of spinal osteoblastoma and osteoid osteoma with the utilization of the O-arm and conventional C-arm guidance. This is a retrospective cohort study of patients with spinal osteoid osteoma and or osteoblastoma who were treated at our institution between 2002 and 2011...
November 9, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27832012/paediatric-lower-limb-deformity-correction-with-the-eight-plate-adverse-events-and-correction-outcomes-of-126-patients-from-an-international-multicentre-study
#11
Alexander Joeris, Leonhard Ramseier, Micha Langendörfer, Michael von Knobloch, Sandeep Patwardhan, Jonathan Dwyer, Theddy Slongo
No large multicentre studies have yet been published on tension-band-like implants such as the Eight Plate to treat limb-length discrepancies and varus valgus deformities in children. Therefore, we carried out a retrospective international multicentre study including 126 patients to assess outcomes and to reliably quantify the incidence of implant-related and growth-plate related adverse events (AEs). Correction was achieved in 66% of varus valgus deformities and in 59% of limb-length discrepancies and maintained in 85%...
November 9, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27832011/mri-assessment-of-the-importance-of-the-acetabular-labrum-a-comparative-radiographic-and-mri-study-in-children-s-hips
#12
P Gutiérrez Carbonell, M Ojeda Peña
: To study the correlation between radiograph [acetabular index (AI)] and MRI measurements of the angles of children's hips and the percentage of coverage that labrum provides to the acetabulum in healthy hips of children. The healthy hips of 38 children, of a mean age of 7.7 years, were studied using anteroposterior radiographs and coronal plane MRI. We used picture archiving and communication systems software to measure the AI in hip radiographs and the acetabular bone index (ABI) and acetabular labrum index (ALI) in hip MRIs...
November 9, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27792040/variation-in-pediatric-orthopedic-case-volume-among-residents-an-assessment-of-accreditation-council-for-graduate-medical-education-case-logs
#13
Richard M Hinds, Donna Phillips, Kenneth A Egol, John T Capo
The aim of this investigation was to examine graduating orthopedic resident case logs to evaluate trends in performing pediatric orthopedic procedures and compare pediatric orthopedic case volume among residents in the 90th, 50th, and 10th percentiles (by case volume) to identify caseload variation. Accreditation Council for Graduate Medical Education orthopedic resident case logs were examined for graduating years 2007-2013. Linear regression analyses were carried out to assess temporal trends in pediatric orthopedic case volume...
October 27, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27792039/operative-treatment-of-congenital-pseudarthrosis-of-the-clavicle-a-single-centre-experience
#14
Kathrin Studer, Markus P Baker, Andreas H Krieg
: Congenital pseudarthrosis of the clavicle (CPC) is a very rare condition with a predilection for the right clavicle. Young children are often only symptomatic with activities and as they grow. Operative management in an asymptomatic child is debatable, with various techniques reported in the literature. This is a retrospective, single-centre case series study. All children with CPC treated surgically by resection, bone grafting (nonvascular iliac crest) and plate fixation between 2004 and 2012 at our centre were included...
October 27, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27787459/are-the-appropriate-use-criteria-for-the-management-of-pediatric-supracondylar-humerus-fractures-useful-in-clinical-practice
#15
Cemal Kazimoglu, Ali Turgut, Ali Reisoglu, Önder Kalenderer, Burak Önvural, Haluk Agus
The aim of this study was to evaluate our treatment modalities in pediatric supracondylar humerus fractures according to the recently published Appropriate Use Criteria (AUC) by the American Academy of Orthopaedic Surgeons. A total of 991 patients with supracondylar humerus fractures were included. After reviewing medical records, 38 different clinical scenarios described in the AUC were observed. Of the 991 patients, 127 were type I, 423 were type II, and 405 were type III fractures according to the Gartland classification...
October 26, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27782937/comparison-of-daytime-and-after-hours-surgical-treatment-of-supracondylar-humeral-fractures-in-children
#16
Suavi Aydoğmuş, Tahir Mutlu Duymuş, Tolga Keçeci, Levent Adiyeke, Adnan B Kafadar
: Reports on different types of surgical procedures show that night-time surgeries are often associated with a high number of complications than daytime surgeries. However, there are no data, and hence evidence that relate the outcome of supracondylar humeral fractures in children to the time of the day when the respective surgical procedure is implemented. In this study, we analyze the clinical and radiological outcomes of pediatric supracondylar humeral fractures surgically treated during daytime and night-time hours...
October 25, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27782936/the-lateral-wedge-augmentation-trochleoplasty-in-a-pediatric-population-a-5-year-follow-up-study
#17
Sébastien Pesenti, Benjamin Blondel, Gregory Armaganian, Sébastien Parratte, Gérard Bollini, Franck Launay, Jean-Luc Jouve
Patellofemoral instability in children requires surgery when recurrent dislocation occurs. The aim of this study is to report the 5-year clinical and radiographic outcomes following lateral wedge augmentation trochleoplasty of the femoral trochlea. This is a review of 23 (mean age: 12.5 years) patients who underwent surgery for recurrent patellar dislocations related to a flat trochlea. In every case, a lateral wedge augmentation trochleoplasty was performed with preservation of the growth plate. This surgery was consistently associated with a soft tissue procedure...
October 25, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27782935/sporadically-occurred-bilateral-osteochondritis-dissecans-on-the-trochlea-of-the-femur-case-report
#18
Nobuyuki Kumahashi, Akinori Matsumoto, Suguru Kuwata, Masaru Kadowaki, Yuji Uchio
We report the case of a 13-year-old boy with bilateral osteochondritis dissecans in the lateral femoral trochlea of the knees. They were classified as grade 3 in the right knee and grade 1 in the left knee on the basis of the Nelson classification within 1 year after first diagnosis. In the right knee, the fragment was surgically fixed, but the left knee healed with conservative treatment. This case indicates the possibility that osteochondritis dissecans of the lateral femoral trochlea may develop bilaterally at different times and present at different stages...
October 25, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27782934/proximal-femoral-focal-deficiency-associated-with-fibular-duplication-and-diplopodia-and-complete-agenesis-of-the-tibia-a-case-report
#19
Vivek S Chawathe, Anil K Gaur, Badrinath D Athani, Shefali Gupta
A 14-year-old boy reported with congenital deformity of the left lower limb, with gross shortening, hip and knee flexion deformities, ankle with equinus deformity, and polydactyly of the left foot. Radiologic examination showed proximal femoral focal deficiency, double fibula, and duplication of the tarsal bones, and a diagnosis of 'proximal femoral focal deficiency associated with fibular duplication and diplopodia with complete agenesis of tibia' was made. Such association of deformities is very rare and poses difficulties in rehabilitation of the case...
October 25, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27748677/percutaneous-multiplanar-subtrochanteric-osteotomy-with-external-fixation-for-developmental-coxa-vara-preliminary-results
#20
Sherif Galal
: Developmental coxa vara (DCV) develops during early childhood between the age of independent walking and 6 years. The deformity includes a decrease in the neck-shaft angle and femoral retroversion. Recently, good results have been reported using external fixator systems for the correction of proximal femoral deformities secondary to slipped capital femoral epiphysis, Perthes' disease in children, and percutaneous proximal femoral osteotomy for coxa vara. This preliminary study was performed to evaluate the results of percutaneous subtrochanteric osteotomy in restoring the normal alignment and orientation (radiographic outcome), thereby restoring the normal mechanics of the hip joint, overcoming shortening of the limb, and re-establishing the length-tension relationship of the abductor muscles (functional outcome)...
September 29, 2016: Journal of Pediatric Orthopedics. Part B
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