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Journal of Children's Orthopaedics

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October 14, 2016: Journal of Children's Orthopaedics
Mohamed Mansour Elzohairy, Adel Mohamed Salama
INTRODUCTION: The purpose of this study was to evaluate shoulder function following minimally invasive subtotal subscapularis muscle and periarticular capsuloligamentous arthroscopic release in children with Erb's palsy. METHODS: A prospective study was conducted on 15 consecutive children who underwent subtotal subscapularis muscle and periarticular capsuloligamentous arthroscopic release to treat internal rotation contracture of the shoulder joint after Erb's palsy...
October 12, 2016: Journal of Children's Orthopaedics
Sanjay Chougule, John Dabis, Aviva Petrie, Karen Daly, Yael Gelfer
BACKGROUND: Reimer's migration percentage (MP) is the most established radiographic risk factor for hip migration in cerebral palsy (CP), and it assists surgical decision-making. The head-shaft angle (HSA) measures the valgus of the head and neck in relation to the shaft and may also be a useful predictor of hip migration at a young age. This study first defined normal values and investigated whether the head-shaft angle (HSA) is a continuous risk factor for hip migration in CP. METHODS: Three hundred and fifty AP pelvic radiographs of 100 consecutive children comprising the hip surveillance programme in our region were analysed for MP and HSA...
October 12, 2016: Journal of Children's Orthopaedics
Magdalena Lysenko, Peggy Law, James Jarvis, James G Wright
PURPOSE: Healthcare providers have limited time to spend with scoliosis patients who are considering surgery and their families. The purpose of this study was to evaluate an e-health strategy to increase knowledge and coping in patients with scoliosis who are surgical candidates and their families. METHODS: We enrolled patients with scoliosis who were candidates for surgery and their families. Patients and their families completed the scoliosis knowledge questionnaire, meaning of illness questionnaire, social support and coping questionnaires before and after access to a comprehensive evidence-based scoliosis website ( http://www...
October 6, 2016: Journal of Children's Orthopaedics
Kwong-Lee Wan, Rukmanikanthan Shanmugam, Kun-Yun Lee, Aik Saw
PURPOSE: The current technique of hip spica application is mostly based on a publication by Kumar (J Pediatr Orthop 1(1):97-99, 1981). We modified the technique of hip spica application in order to reduce the rate of breakage across the hip joint and designed this study to compare the strength between hip spica applied according to Kumar's technique and the new technique. METHODS: We created 12 hip spica casts with 24 hips according to Kumar's technique, and another 12 casts according to a new technique...
October 2016: Journal of Children's Orthopaedics
Nicholas D Fletcher, Bryan J Sirmon, Ashton S Mansour, William E Carpenter, Laura A Ward
PURPOSE: Outcomes are excellent following surgical management of displaced supracondylar humerus fractures. Short delays until surgical fixation have been shown to be equivalent to immediate fixation with regards to complications. We hypothesized that insurance coverage may impact access to care and the patient's ability to return to the operating room for outpatient surgery. METHODS: A retrospective review of supracondylar humerus fractures treated at a large urban pediatric hospital from 2008 to 2012 was performed...
October 2016: Journal of Children's Orthopaedics
Ashish Mittal, James D Bomar, Megan E Jeffords, Ming-Tung Huang, Dennis R Wenger, Vidyadhar V Upasani
PURPOSE: The purpose of this study was to analyze the variation in measuring the lateral center edge angle of Wiberg (LCEA) using the lateral edge of the sourcil (LCEA-S) compared to the lateral edge of the acetabulum (LCEA-E), and to correlate these measurements with three-dimensional computed tomography (3D-CT)-based analysis of the femoroacetabular articulation. METHODS: A retrospective analysis was performed on 24 patients (45 hips) treated for hip dysplasia at a single institution...
October 2016: Journal of Children's Orthopaedics
Alexander Broom, Mathew D Schur, Alexandre Arkader, John Flynn, Alex Gornitzky, Paul D Choi
PURPOSE: To study the cause, diagnosis, treatment and outcome of acute compartment syndrome in infants and toddlers aged <3 years. METHODS: Fifteen patients aged <3 years with acute compartment syndrome were identified from two large pediatric trauma centers over a fifteen-year period. All children underwent fasciotomy. The mechanism of injury, time of injury, time to diagnosis, compartment pressures, time to fasciotomy, and outcome at the time of the latest follow-up were recorded...
October 2016: Journal of Children's Orthopaedics
Mohammad M Alzahrani, Saad M Alqahtani, Michael Tanzer, Reggie C Hamdy
INTRODUCTION: Forceful and repetitive maneuvers constitute the majority of pediatric orthopedic surgical tasks, thus subjecting surgeons to the risk of musculoskeletal (MSK) injuries during their years in practice. The aim of this study was to assess the prevalence, characteristics and impact of MSK disorders among pediatric orthopedic surgeons. METHODS: A modified version of the physical discomfort survey was sent to surgeons who were members of the Pediatric Orthopedic Society of North America (POSNA) via e-mail...
October 2016: Journal of Children's Orthopaedics
Laura A Leaman, William L Hennrikus, James J Bresnahan
No abstract text is available yet for this article.
October 2016: Journal of Children's Orthopaedics
M J Rivlin, J H Kan, E K Schallert, S P Jadhav, W Zhang, S B Rosenfeld
PURPOSE: Spica magnectic resonance imaging (MRI) is an established technique for postoperative determination of hip reduction in patients treated for developmental dysplasia of the hip (DDH). A hip abduction angle >55° is considered excessive and has been associated with epiphyseal osteonecrosis. Our purpose was to establish objective criteria for measuring hip abduction angles on MRI after hip reduction and spica casting in patients with DDH, and evaluate reproducibility and reliability of angle measurement using these criteria...
October 2016: Journal of Children's Orthopaedics
Christine M Goodbody, Ivor B Asztalos, Wudbhav N Sankar, John M Flynn
PURPOSE: Bracing is a common treatment for patients with adolescent idiopathic scoliosis (AIS) and is recommended for most skeletally immature patients with a curve of 25-45° in order to prevent or delay curve progression. The aim of this study was to determine at which body habitus orthotic management for AIS becomes less effective. We hypothesize that overweight children are more likely to fail brace treatment. METHODS: This was a retrospective cohort study involving consecutive patients with AIS treated with a thoracolumbosacral orthosis at a large pediatric tertiary care center...
October 2016: Journal of Children's Orthopaedics
Ozgur Dede, Peter F Sturm
PURPOSE: Body casts have a long history in the treatment of spinal deformity. Currently the use of body casts is limited to early onset scoliosis. Here, we aim to provide a brief narrative of the evolution of cast application for the management of spinal deformity. METHODS: A history of cast application is provided with a brief review of the orthopedic literature. The current indications for cast application and the authors' preferred technique are described. RESULTS: Serial casting is an effective treatment method for early onset scoliosis...
October 2016: Journal of Children's Orthopaedics
Amanda T Whitaker, Martin G Gesheff, Julio J Jauregui, John E Herzenberg
PURPOSE: There are over 500 medically related applications (apps) for mobile devices. Very few of these applications undergo testing and peer-review for accuracy. The purpose of this study is to assess the accuracy of limb deformity measurements on the Bone Ninja app compared to PACS and to determine the intra- and inter-observer variability among different orthopaedic practitioners. METHODS: Four participants (attending, senior and junior resident, and physician assistant) measured the leg length (LL), the lateral distal femoral angle (LDFA), and the medial proximal tibial angle (MPTA) of 48 limbs (24 patients), twice with both Bone Ninja and PACS...
October 2016: Journal of Children's Orthopaedics
Jolanda J de Poorter, Tom J Beunder, Barzi Gareb, Hubert J Oostenbroek, Gert H J M Bessems, Joris C T van der Lugt, Patrick G M Maathuis, Michiel A J van der Sande
PURPOSE: Slipped capital femoral epiphysis (SCFE) is the commonest hip disorder in adolescents. In situ pinning is commonly performed, yet lately there has been an increase in procedures with open reduction and internal fixation. These procedures, however, are technically demanding with relatively high complication rates and unknown long-term outcomes. Nevertheless, reports on long-term results of in situ fixation are not equivocal. This study evaluates the possible higher risk of worse outcome after in situ pinning of SCFE...
October 2016: Journal of Children's Orthopaedics
Christian Sætersdal, Jonas M Fevang, John Asle Bjørlykke, Lars B Engesæter
PURPOSE: Despite few studies comparing Ponseti treatment and traditional treatment of clubfoot (talipes equinovarus), the Ponseti method is now accepted as standard treatment for this deformity. The Ponseti method was introduced in Norway in 2003 and the purpose of this multicenter-study was to compare the results of Ponseti treatment with the results of the previous treatment for clubfoot in Norway. METHODS: 90 children (134 clubfeet) treated with previous treatment (pre-Ponseti group), were compared to 115 Ponseti treated children (160 clubfeet) (Ponseti group)...
October 2016: Journal of Children's Orthopaedics
Arvind Kumar, Sahil Gaba, Alok Sud, Pushpvardhan Mandlecha, Lakshay Goel, Mayur Nayak
PURPOSE: To compare two commonly used methods of temporary hemiepiphysiodesis (staples and figure of eight plate) in the management of coronal plane deformities of the knee in skeletally immature children. METHODS: This prospective study was conducted between November 2012 and November 2015. A total of 40 patients with 67 affected knee joints, having at least 1 year of skeletal growth remaining, were included in the study. Angular correction was measured by recording the mechanical lateral distal femoral angle (mLDFA), mechanical medial proximal tibial angle (mMPTA), and anatomical tibio-femoral angle (TFA) (for the overall alignment of lower limbs)...
October 2016: Journal of Children's Orthopaedics
Matthew Stepanovich, Tracey P Bastrom, John Munch, Joanna H Roocroft, Eric W Edmonds, Andrew T Pennock
PURPOSE: Long-term functional results remain equivocal between operative fixation and closed management of displaced humeral medial epicondyle fractures. The purpose of this study was to determine whether a functional difference exists between treatment types. METHODS: One hundred and forty patients with a displaced medial epicondyle fracture between 2007 and 2014 met the inclusion criteria. Of this large cohort, only 12 patients agreed to return to clinic at a mean follow-up of 3 years for prospective evaluation...
October 2016: Journal of Children's Orthopaedics
Gavin Mills, Scott Nelson
PURPOSE: The multiplier method is a technique to predict limb length discrepancy (LLD) at maturity in pediatric patients. Various tools have been developed for performing the multiplier calculations to predict LLD and timing of epiphysiodesis. These include multiplier/growth applications (apps) and a spreadsheet which have helped to facilitate LLC calculations in an efficient and easy manner. We have updated the spreadsheet to improve features for making LLD calculations and facilitate pasting data into electronic medical records (EMRs)...
August 2016: Journal of Children's Orthopaedics
Virginie Mas, Brice Ilharreborde, Cindy Mallet, Keyvan Mazda, Anne-Laure Simon, Pascal Jehanno
PURPOSE: Functional results of index pollicisation are usually assessed by the clinical score of Percival. This score is based on elementary hand movements and does not reflect the function of the neo thumb in daily life activities. The aim of this study was to develop a new video-assisted scoring system based on daily life activities to assess index pollicisation functional outcomes. METHODS: Twenty-two consecutive children, operated between 1998 and 2012, were examined with a mean of 77 months after surgery...
August 2016: Journal of Children's Orthopaedics
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