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Journal of Children's Orthopaedics

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https://www.readbyqxmd.com/read/29707061/the-efficacy-of-16s-ribosomal-dna-sequencing-in-the-diagnosis-of-bacteria-from-blood-bone-and-synovial-fluid-samples-of-children-with-musculoskeletal-infections
#1
S Hashavya, I Gross, A Michael-Gayego, N Simanovsky, R Lamdan
Background: Musculoskeletal infections are among the most common bacterial infections in children leading to hospitalization, invasive procedures and prolonged antibiotic administration. Blood, synovial and sometimes tissue cultures are essential for the diagnosis and treatment of musculoskeletal infections; 16S ribosomal DNA (rDNA) sequencing is a novel diagnostic tool for the detection of bacteria.While the yield of 16S rDNA sequencing in synovial fluid was previously assessed, data regarding the efficacy of this method from blood samples or partially treated children with suspected musculoskeletal infections is lacking...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707060/patient-reported-mobility-function-and-engagement-in-young-adults-with-cerebral-palsy-a-cross-sectional-sample
#2
N Lennon, C Church, F Miller
Purpose: To describe self-reported life satisfaction and motor function of young adults with cerebral palsy (CP). Methods: A total of 57 young adults with spastic CP classified as levels I (seven), II (25), III (16), IV (nine) by the Gross Motor Function Classification System, followed from childhood by our CP clinic, returned at a mean age of 27 years two months (SD 3 years 4 months). Self-reported life satisfaction and mobility status were measured by the Pediatric Outcomes Data Collection Instrument (PODCI), Patient-Reported Outcomes Measurement Information System (PROMIS), Functional Mobility Scale (FMS) and a project questionnaire...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707059/posteromedial-bowing-of-the-tibia-a-benign-condition-or-a-case-for-limb-reconstruction
#3
J Wright, R A Hill, D M Eastwood, A Hashemi-Nejad, P Calder, S Tennant
Purpose: To review the initial deformity and subsequent remodelling in posteromedial bowing of the tibia and the outcome of limb reconstruction in this condition. Patients and Methods: In all, 38 patients with posteromedial bowing of the tibia presenting between 2000 and 2016 were identified. Mean follow-up from presentation was 78 months. A total of 17 patients underwent lengthening and deformity correction surgery, whilst three further patients are awaiting lengthening and deformity correction procedures...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707058/t1-weighted-mr-imaging-of-bone-marrow-pattern-in-children-with-adolescent-idiopathic-scoliosis-a-preliminary-study
#4
S I Shiran, L Shabtai, L Ben-Sira, D Ovadia, S Wientroub
Purpose: Distinct normal physiological patterns of fat conversion in vertebrae were described both for children and adults. Our aim was to evaluate the T1-weighted bone marrow pattern of the vertebral bodies in various sites along the scoliotic spine of children with adolescent idiopathic scoliosis (AIS). Methods: We retrospectively evaluated spine MRI studies of children with AIS. Scoliosis radiographs were assessed for type of curvature according to the Lenke classification...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707057/-propionibacterium-acnes-infections-in-patients-with-idiopathic-scoliosis-a-case-control-study-and-review-of-the-literature
#5
I Swarup, J Gruskay, M Price, J Yang, J Blanco, S Perlman, R Widmann
Purpose: Surgical site infection (SSI) caused by Propionibacterium acnes is an infrequent but devastating complication after spinal fusion. The purpose of this study was to identify risk factors for SSI with Propionibacterium acnes after spinal fusion for juvenile and adolescent idiopathic scoliosis (JIS and AIS). Methods: A case-control study was performed. Each case was matched 2:1 for age, gender and diagnosis. Retrospective chart review was performed to obtain relevant demographic, surgical and clinical data for all cases and controls...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707056/characterization-of-proximal-femoral-anatomy-in-the-skeletally-immature-patient
#6
B G Beutel, S J Girdler, J A Collins, N Y Otsuka, A Chu
Purpose: The morphology of the proximal femur has been extensively studied in the adult population. However, no literature providing a comprehensive evaluation of the anatomy in paediatric patients exists. The current study aims to characterize such anatomy in skeletally-immature patients, examine potential differences between genders, and analyze how these anatomical parameters change with age. Methods: Cadaveric femurs from the Hamann-Todd Osteological Collection were examined...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707055/diagnosing-slipped-capital-femoral-epiphysis-amongst-various-medical-specialists
#7
A Lam, S A Boenerjous, Y Lo, J M Abzug, J Kurian, M C Liszewski, D E Sanderson, J M Scholnick, B H Taragin, J A Gomez, N Y Otsuka, R Hanstein
Purpose: To evaluate sensitivity, specificity and accuracy of a radiographic slipped capital femoral epiphysis (SCFE)-diagnosis among medical specialists. Methods: Three paediatricians, three paediatric radiologists and three paediatric orthopaedic surgeons completed two rounds of a survey of anteroposterior and frog-leg lateral radiographs of patients with a diagnosis of SCFE (25), femoroacetabular impingement (four), Legg-Calvé-Perthes (11) or no hip pathology (ten)...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707054/age-and-gender-specific-variations-of-the-epiphyseal-tilt-and-epiphyseal-angle-in-adolescents-without-hip-pathology
#8
E N Novais, K-P Kienle, P E Miller, G Bowen, Y-J Kim, S D Bixby
Purpose: To determine age-and gender-dependent variation of epiphyseal tilt and epiphyseal angle using CT in adolescents without hip pathology. Methods: Pelvic CT scans were obtained in 132 adolescents for evaluation of abdominal pain. Radially oriented planes around the femoral neck were reformatted and the epiphyseal tilt and angle were measured in the anterior, anterosuperior and superior planes. Variations in the tilt angle and epiphyseal angle were assessed by age group from 12 to 18 years and gender by using a linear mixed model analysis...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707053/reliability-and-efficiency-of-three-methods-of-calculating-migration-percentage-on-radiographs-for-hip-surveillance-in-children-with-cerebral-palsy
#9
V A Kulkarni, J R Davids, A D Boyles, N Q Cung, A Bagley
Purpose: Hip surveillance programmes for children with cerebral palsy (CP) utilize the migration percentage (MP) measurement to initiate referrals and recommend treatment. This study assesses the reliability and efficiency of three methods of MP measurement on anteroposterior (AP) pelvis radiographs. Methods: A total of 20 AP pelvis radiographs (40 hips) of children with CP were measured by three raters on two occasions using three methods: digital measurement (DM) on a Picture Archiving and Communication System monitor, computer-aided measurement (CA) using a digital templating tool and mobile device application measurement (MA) using a freely available MP measurement tool...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707052/systematic-review-of-spica-casting-for-the-treatment-of-paediatric-diaphyseal-femur-fractures
#10
R T Tisherman, J S Hoellwarth, S A Mendelson
Purpose: Paediatric femur fractures are commonly encountered and often successfully managed with spica casting. Despite spica casting's long history there is little formal guidance for optimal outcomes and no consolidation of existing literature. The purpose of this study is to review the available literature regarding the use of spica casting for the management of paediatric diaphyseal femur fractures. Methods: The PubMed database was queried for all research articles including the phrase "spica"...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707051/treatment-strategy-and-long-term-functional-outcome-of-traumatic-elbow-dislocation-in-childhood-a-single-centre-study
#11
G Nussberger, S Schädelin, J Mayr, D Studer, P Zimmermann
Purpose: Traumatic elbow dislocation (TED) is the most common injury of large joints in children. There is an ongoing debate on the optimal treatment for TED. We aimed to assess the functional outcome after operative and nonoperative treatment of TED. Methods: We analysed the medical records of patients with TED treated at the University Children's Hospital, Basel, between March 2006 and June 2015. Functional outcome was assessed using the Mayo Elbow Performance Score (MEPS) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Sport and Music Module score...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707050/buckling-down-on-torus-fractures-has-evolving-evidence-affected-practice
#12
B A Williams, C A Alvarado, D C Montoya-Williams, R C Matthias, L C Blakemore
Purpose: The purpose of this study was to evaluate the management of paediatric torus fractures of the distal forearm in current practice in light of growing evidence supporting a 'minimalist' approach with splint immobilization and limited follow-up. We hypothesized that 'traditional' cast-based management has persisted despite alternative evidence. Methods: A retrospective review was performed of a consecutive series of paediatric patients diagnosed with torus fractures of the distal forearm between 2011 and 2014...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707049/rate-of-displacement-for-jakob-type-1-lateral-condyle-fractures-treated-with-a-cast
#13
C Zale, Z A Winthrop, W Hennrikus
Purpose: The aim of this retrospective study is to report the rate of displacement of Jakob Type 1 lateral condyle fractures that were initially treated in a cast. Methods: We performed a retrospective review of all patients that were treated for a non-displaced (Jakob Type 1 < 2 mm) lateral condyle fracture of the humerus at our institution between 2002 and 2015. Results: A total of 59 patients were initially treated with casting. Five fractures displaced and were converted to a closed pinning treatment plan with a conversion rate of 8...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707048/inpatient-surgical-treatment-of-paediatric-proximal-humerus-fractures-between-2000-and-2012
#14
A I Cruz, J E Kleiner, J A Gil, A D Goodman, A H Daniels, C P Eberson
Purpose: To estimate the rate of surgical treatment of paediatric proximal humerus fractures over time utilizing a large, publicly available national database. Methods: The Healthcare Cost and Utilization Project Kids' Inpatient Database was evaluated between the years 2000 and 2012. Proximal humerus fractures were identified using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9 CM) diagnosis codes. ICD-9 CM procedure codes were used to identify patients who received surgical treatment...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29707047/flexible-intramedullary-nailing-versus-nonoperative-treatment-for-paediatric-displaced-midshaft-clavicle-fractures
#15
I A Mukhtar, K M Yaghmour, A F Ahmed, T Ibrahim
Purpose: The treatment of displaced midshaft clavicle fractures in children remains controversial. The purpose of our study was to compare the outcome of displaced midshaft clavicle fractures in children who were managed operatively by flexible intramedullary nailing (FIN) with nonoperative treatment. Methods: A prospective review of 31 children (mean age 10.5 years) with displaced midshaft clavicle fractures treated either by FIN or nonoperatively and with at least a six-month follow-up was undertaken...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29456761/effects-of-a-telescopic-intramedullary-rod-for-treating-patients-with-osteogenesis-imperfecta-of-the-femur
#16
D L Rosemberg, E O Goiano, M Akkari, C Santili
Purpose: To introduce a new model of telescopic intramedullary rod (TIR), evaluate its effects on treating patients presenting with moderate and severe osteogenesis imperfecta (OI) and to compare the findings with those of other telescopic rods. Methods: A total of 21 patients (nine girls and 12 boys; mean age at first operation, 6.6 years, 1.52 to 13.18) who underwent 52 femoral operations were monitored during a mean of 9.96 years (3.39 to 14.54). Patient characteristics, telescoping rod capability and its complications were examined...
February 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29456760/guided-growth-preliminary-results-of-a-multinational-study-of-967-physes-in-537-patients
#17
B Danino, R Rödl, J E Herzenberg, L Shabtai, F Grill, U Narayanan, E Segev, S Wientroub
Background: Guided growth by tension band plating is commonly used to correct coronal plane deformity. The purpose of this study was to measure the effect and further define parameters that influence results in coronal plane deformity around the knee. Methods: The retrospective multicentre study included data on 967 physes in 537 patients, with an average follow-up of 16 months after plate insertion. Alignment analysis was compared preoperatively and in at least two measurements postoperatively, as well as with parameters that influence the rate and amount of correction...
February 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29456759/ossification-of-the-phalanges-of-the-foot-and-its-relationship-to-peak-height-velocity-and-the-calcaneal-system
#18
M R Garcia, A D Nicholson, A M Nduaguba, J O Sanders, R W Liu, D R Cooperman
Purpose: There are multiple skeletal maturity grading systems, but none of them utilizes the phalanges of the foot. To minimize radiation, it would be ideal if one could assess the skeletal maturity of a foot based on bones seen on routine foot radiographs, if guided growth is being considered as a treatment option. We developed a system that correlates changes of the appearance of the foot phalanges to peak height velocity (PHV) and the recently described calcaneal apophyseal ossification grading system...
February 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29456758/binary-and-analogue-markers-of-skeletal-maturity-clinical-utility-of-the-thenar-and-plantar-sesamoids
#19
A D Nicholson, J O Sanders, R W Liu, D R Cooperman
Purpose: We investigate the thenar and plantar sesamoids as markers of skeletal maturity, and grade appearance using two scales, a binary system (absent or present), and an analogue system that relies upon judging regular changes in morphological appearance. Methods: We studied 94 healthy children (49 female and 45 male patients) between ages three and 18 years who had approximately 700 serially acquired sets of radiographs and physical examinations. The children had at least annual radiographs taken of the left hand and left foot...
February 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29456757/the-natural-history-of-spinal-deformity-in-patients-with-coffin-lowry-syndrome
#20
M Welborn, S Farrell, P Knott, E Mayekar, S Mardjetko
Purpose: Little is known about the natural history of spinal deformities in Coffin-Lowry syndrome (CLS). Our goal was to evaluate the spinal deformity progression and clinical impact. Methods: In this institutional review board-approved study, we performed a multinational retrospective review of six male CLS patients, aged 13 to 22 years at final follow-up, for a mean of 7.25 years (3 to 13). Results: All showed delayed skeletal maturity. Three had calcifications of their lower cervical ligamentum flavum, all experienced neural axis abnormalities, including lower extremity weakness, numbness and tingling and in one, quadriparesis...
February 1, 2018: Journal of Children's Orthopaedics
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