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Journal of Pediatric Orthopedics. Part B

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https://www.readbyqxmd.com/read/29035938/percutaneous-excision-of-difficult-osteoid-osteomas-using-intraoperative-airo-ct-navigation-a-preliminary-report
#1
Venkatadass Krishnamoorthy, Shanmuganathan Rajasekaran
Osteoid osteomas are well known for intraoperative technical difficulties for localization and adequate excision, especially when they are not clearly visualized on plain radiographs or when they occur in difficult and inaccessible situations. Localization in the radiology suite and shifting the patient to the operating room can be cumbersome, and can result in errors because of lack of real-time imaging. In these scenarios, intraoperative navigation will be useful. We report a technique of intraoperative computed tomography (CT) navigation for localization and excision of osteoid osteomas of the long bones...
October 13, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/29023265/radial-head-resection-and-hemi-interposition-arthroplasty-in-patients-with-multiple-hereditary-exostoses-description-of-a-new-surgical-technique
#2
Mark Flipsen, John S Ham, Arnard L van der Zwan, Konrad Mader
Multiple hereditary exostoses (MHE) are a rare disorder characterized by the growth of bony protrusions. Elbow involvement is found in a considerable number of patients and varies from the presence of a simple osteochondroma to severe forearm deformities and radial head dislocation. Patients encounter a variety of symptoms, for example, pain, functional impairment, and cosmetic concerns. Several types of surgical procedures, therefore, can be offered, ranging from excision of symptomatic osteochondromas to challenging reconstructions...
October 11, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28984681/functional-outcome-of-displaced-radial-head-fractures-in-children-treated-by-elastic-stable-intramedullary-nailing
#3
Clément Guyonnet, Antoine Martins, Lorenza Marengo, Mounira Mansour, Marie Rousset, Antoine Samba, Alain Dimeglio, Federico Canavese
The objectives of this study were to retrospectively investigate the clinical and radiological outcomes of displaced radial head fractures in children treated by elastic stable intramedullary nailing (ESIN) and evaluate the functional outcome of these injuries using the short version of the Disabilities of the Arm, Shoulder and Hand outcome questionnaire (Quick DASH). A total of 24 patients (nine males and 15 females) fulfilled the inclusion criteria. The mean age at the time of injury was 10.7±2.8 years (range: 9...
October 3, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28984680/pan-tibial-avascular-necrosis-in-a-12-year-old-boy-a-case-report
#4
Nirmal R Gopinathan, Balaji Saibaba, Siva S Santhanam, Kevin Syam
We report a unique case of post-traumatic avascular necrosis of tibia in a 12-year-old boy following a Salter-Harris type II physeal injury of the proximal tibia. The diagnosis was made on the basis of classical radiological findings. The only clinical symptom was diffuse shin pain. The patient was managed conservatively. At our 2-year follow-up, there was clinical and radiological evidence of spontaneous resolution of avascular necrosis, but with sequelae. The child developed a limb-length discrepancy and genu valgum...
October 3, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28957901/closed-reduction-of-congenital-dislocation-of-the-hip-prediction-factors-and-results
#5
Michal S Galek-Aldridge, Jan Jaap de Graeff, Peter A A Struijs
From 2009 to 2015, 15 infants with a congenital dislocation of the hip were treated with closed reduction under anaesthesia, after first being treated with Pavlik bandaging. A retrospective study was carried out with a minimum follow-up of 1 year to assess the success rate of the procedure and predictive factors. Twelve out of 15 (80%) patients achieved successful reduction. In the successful cases, the Barlow test was positive and the safe zone was 20° or more. In the unsuccessful cases, there was a negative Barlow present in the outpatient clinic and the safe zone was less than 20°...
September 27, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28953164/bony-reconstruction-of-hip-in-cerebral-palsy-children-gross-motor-function-classification-system-levels-iii-to-v-a-systematic-review
#6
Tamer A El-Sobky, Tamer A Fayyad, Ahmed M Kotb, Beshoy Kaldas
Hip dislocation is a common source of disability in cerebral palsy children. It has been remedied by various reconstructive procedures. This review aims at providing the best evidence for bony reconstructive procedures in cerebral palsy hip migration. The literature extraction process yielded 36 articles for inclusion in this review. There is fair evidence to indicate that the comparative effectiveness of femoral versus combined pelvifemoral reconstruction favours pelvifemoral reconstruction. All except one were retrospective articles with a significant degree of selection and performance bias and confounding variables that limited the validity and generalizability of the conclusions...
September 25, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28953163/the-effect-of-plantar-flexor-lengthening-on-foot-pressure-in-ambulatory-children-with-cerebral-palsy
#7
Oussama Abousamra, Joshua Schwartz, Chris Church, Nancy Lennon, John Henley, Tim Niiler, Freeman Miller
This study aimed to assess the effects of plantar flexor lengthening (PFL) on dynamic foot pressures of children with cerebral palsy using pedobarographs. Of 97 enrolled, 13 children with 18 legs had PFL. Age at surgery was 4.7 (2.8-8.8) years. A significant increase in ankle dorsiflexion and heel impulse was achieved postoperatively and was maintained at 5 years. The coronal plane pressure index increased postoperatively, but reverted to preoperative levels at the 5-year follow-up. Children tend to have more valgus after PFL...
September 25, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28926487/the-frequency-of-nonaccidental-trauma-in-children-under-the-age-of-3-years-with-femur-fractures-is-there-a-better-cutoff-point-for-universal-workups
#8
Jochen P Son-Hing, Z Deniz Olgun
The purpose of this study was to evaluate narrower age groups in children aged 0-4 years to determine whether guidelines should be refined when investigating femur fractures for nonaccidental trauma (NAT). This was a retrospective review of the pediatric trauma database at our level 1 pediatric trauma center. The database was examined from 2009 to present. We examined rates of NAT in the less than or equal to 12-month, 13-24-month, 25-36-month, and 37-48-month age groups. χ was used to compare rates of NAT between these groups, and P less than 0...
September 18, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28914665/role-of-a-tendon-transfer-as-a-dynamic-checkrein-reducing-recurrence-of-equinus-following-distal-tibial-dorsiflexion-osteotomy
#9
Shahbaz S Malik, Richard Knight, Usman Ahmed, Hari Prem
Tibial dorsiflexion osteotomy for recalcitrant equinus in clubfeet is reported to have a high recurrence rate with growth. We present the results of closing wedge tibial dorsiflexion osteotomy and tendon transfers in 15 feet and 11 patients. The mean age at presentation was 7 (range: 3.98-12.38) years. At a mean follow-up of 4.16 (range: 2.09-6.87) years, 11 of the 15 feet remained corrected. Mean correction of the dorsiflexion was 24.5° and mean correction of anterior distal tibial angle was 10.9° at final review...
September 13, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28914664/three-dimensional-mri-analyses-of-prereduced-femoral-head-sphericity-in-patients-with-developmental-dysplasia-of-the-hip-after-pavlik-harness-failure
#10
Yuta Tsukagoshi, Hiroshi Kamada, Ryoko Takeuchi, Shogo Nakagawa, Yohei Tomaru, Makoto Kamegaya, Tomofumi Nishino, Yoshikazu Okamoto, Hajime Mishima, Masashi Yamazaki
We used three-dimensional (3D) MRI to assess the sphericity of the cartilaginous femoral head in developmental dysplasia of the hip. We assessed 21 children using 3D-MRI. The smallest sphere including the femoral head cartilage was drawn, the diameter was measured, and the center of the sphere was defined. We compared the diameters of the femoral heads between unaffected and diseased sides. The diameter of the affected side was smaller, with flattening at the posteromedial area and proximoposterior areas. 3D-MRI showed that the shape of the dislocated femoral head was aspherical with focal growth failure...
September 13, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28877051/presenting-features-of-extremity-necrotizing-fasciitis-in-the-pediatric-patient-a-case-control-analysis
#11
Thomas B Sullivan, Tracey P Bastrom, Nikolas Marino, Eric W Edmonds
This analysis sought to develop a tool for early differentiation between pediatric necrotizing fasciitis (NF) of the extremity and more benign infection. All diagnoses of extremity NF, cellulitis, and abscess from a single institution from 2009 to 2015 were included. Vitals and laboratory values were compared between cohorts using analysis of variance and decision tree analysis. NF was associated with thrombocytopenia, hyperthermia, tachycardia, and tachypnea. Decision tree analysis identified C-reactive protein more than 7...
September 4, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28817534/radius-regeneration-after-open-fracture-and-extrusion-a-case-report
#12
Kristopher B McCall, David Y Chong
A pediatric patient presenting with an open forearm fracture with segmental defect is rare, and the pediatric orthopedic literature to guide treatment is sparse. There are several described methods to treat the defect, including bone grafting and bone transport techniques. In addition, there are reports of fibular regeneration after resection if the periosteum is left intact. We present a case report of complete regeneration of over half of a pediatric radial shaft with an intact periosteum, after traumatic extrusion from an open fracture...
August 16, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28799981/guided-growth-for-angular-correction-in-children-a-comparison-of-two-tension-band-plate-designs
#13
Muayad Kadhim, Luke Gauthier, Karl Logan, Ron El-Hawary, Benjamin Orlik
This retrospective cohort study examined 20 patients (48 physes), 11 boys and nine girls, who were treated with hinge-plate or eight-plate. The mean age of the patients at surgery was 11.9±2.6 years. The mean follow-up duration was 13±2.7 months. The radiographic measurement of both distal femoral and proximal tibial deformity showed significant correction, with no difference between the hinge-plate and the eight-plate. Both screw divergence angle and the hinge angle showed significant changes at the last follow-up...
August 9, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28777161/lack-of-joint-hypermobility-increases-the-risk-of-surgery-in-adolescent-idiopathic-scoliosis
#14
Gabe Haller, Hannah Zabriskie, Shelby Spehar, Timothy Kuensting, Xavier Bledsoe, Ali Syed, Christina A Gurnett, Matthew B Dobbs
Generalized joint hypermobility (GJH) is a risk factor for developing adolescent idiopathic scoliosis (AIS); however, it is not known whether joint hypermobility influences the risk of progression to surgery. Beighton joint hypermobility scores were assessed in 570 female AIS patients. Multivariate analysis was carried out to determine whether Beighton hypermobility scores were predictors of surgical intervention. In this female AIS cohort, 24.7% (141/570) had GJH (Beighton score ≥4). Multivariate analysis showed that GJH did not influence the risk of surgery, although having no joint hypermobility (Beighton score=0) increased risk (odds ratio: 1...
August 2, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28777160/factors-that-predict-instability-in-pediatric-diaphyseal-both-bone-forearm-fractures
#15
Jeffrey I Kutsikovich, Christopher M Hopkins, Edwin W Gannon, James H Beaty, William C Warner, Jeffrey R Sawyer, David D Spence, Derek M Kelly
The aim of this study was to determine the factors that may predict failure of closed reduction and casting of diaphyseal forearm fractures in children. Demographic and radiographic data of children with closed reduction and casting of these fractures in the emergency department were evaluated. Of 174 patients with adequate follow-up to union, 19 (11%) required a repeat procedure. Risk factors for repeat reduction included translation of 50% or more in any plane, age more than 9 years, complete fracture of the radius, and follow-up angulation of the radius more than 15° on lateral radiographs or of the ulna more than 10° on anteroposterior radiographs...
August 2, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28763373/comparison-of-two-radiological-methods-in-the-determination-of-skeletal-maturity-in-the-indian-pediatric-population
#16
Swapnil M Keny, Dhiraj V Sonawane, Eknath Pawar, Akash A Saraogi, Vikram Singh, Feroz Khan, Pravin P Bande, Ajay Chandanwale
To determine a more precise and reliable method between Greulich-Pyle (GP) and MacKay's (MK) method for the determination of skeletal age in an Indian pediatric population. We carried out a cross sectional study for the assessment of skeletal age on the basis of examination of hand and wrist radiographs of 106 patients (1-15 years of age) who presented with soft tissue injury to hand by the GP and the MK method. These radiographs were evaluated by a radiologist and an orthopedic surgeon independently. In girls, the mean age difference between chronological and skeletal age was 8 months by the GP method, whereas it was 17 months by MK method...
July 31, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28945698/regarding-a-limb-with-pffd-fibular-dimelia-and-mirror-foot-deformity
#17
David R Hootnick, Neil Vargesson, John Birch
No abstract text is available yet for this article.
November 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28857958/is-there-a-role-for-a-child-life-specialist-during-orthopedic-cast-room-procedures-a-prospective-randomized-assessment
#18
John A Schlechter, Anna L Avik, Stephanie DeMello
Pediatric anxiety during cast room procedures is common and various methods to manage distress may be used. Certified Child Life Specialists (CCLS) are formally trained professionals with proficiency in helping children during taxing events. The utilization of a CCLS has not been well documented in a pediatric orthopedic cast room. The aim of this study was to assess the impact of a CCLS in this setting through a prospective randomized trial. 86 children, age range 2-10 years, who underwent cast room procedures were randomized: group I (42 children) had a CCLS present during their procedure...
November 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28230613/osteoid-osteoma-of-the-acetabulum-diagnosis-and-medical-treatment
#19
Nikolaos A Laliotis, Antonia S Bindoudi, Ioannis A Tsitouridis, Iordanis G Petrakis, John M Kirkos
We describe the medical management of an acetabular osteoid osteoma in an 11-year-old girl. There was a 2-year delay until proper diagnosis of the patient's pathology was made. Accurate localization of the nidus in the subchondral bone, involving the cartilage, is difficult on the basis of plain radiographs. All imaging methods, including computed tomography, MRI, and bone scintigraphy, were used to confirm the diagnosis. We proposed medical treatment to avoid possible severe complications from surgical intervention...
November 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28230612/nationwide-survey-of-pediatric-acute-osteomyelitis-in-the-usa
#20
Yusuke Okubo, Kotaro Nochioka, Marcia Testa
The epidemiology of pediatric acute osteomyelitis in the USA, such as annual hospitalization rates and disparities with respect to age, sex, race/ethnicity, and socioeconomic status, remains unknown. We obtained discharge records of hospitalized patients with acute osteomyelitis younger than 20 years of age from the Kids Inpatient Database for 2006, 2009, and 2012. We weighted the records to estimate the number of hospitalizations in the USA and calculated the annual rates of hospitalization because of acute osteomyelitis...
November 2017: Journal of Pediatric Orthopedics. Part B
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