keyword
https://read.qxmd.com/read/38533533/prediction-of-the-labrum-shape-in-patients-with-developmental-dysplasia-of-the-hip-based-on-pelvic-radiography
#1
JOURNAL ARTICLE
Xinyan Huang, Xiang Cheng, Sijie Gao, Yinxin Liu, Yuxi Su, Chuan Feng
BACKGROUND: The shape of the labrum is strongly correlated with outcomes of developmental dysplasia of the hip (DDH). Magnetic resonance imaging (MRI) is the generally preferred imaging technique for observing the labrum. PURPOSE: We aimed to find a correlation between the labrum shape and anterior-posterior (AP) pelvic measurements in children with DDH. METHODS: Preoperative AP pelvic x-ray radiographs and MRI of patients with DDH from January 2019 to December 2021 were retrospectively collected and divided into three groups by labrum shape on MRI: everted, partly inverted, and inverted...
March 27, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38533522/a-current-review-in-the-orthopedic-management-of-osteonecrosis-of-the-knee-secondary-to-treatment-of-pediatric-hematologic-malignancy
#2
JOURNAL ARTICLE
Caleb P Gottlich, John C Fisher, Michel Diab
Acute Lymphoblastic Leukemia is the most prevalent pediatric hematologic malignancy. The treatment for this illness has advanced significantly, now touting a 90% cure rate. Although these patients often become disease free, treatment can leave devastating effects that last long after their disease burden is alleviated. A commonly experienced result of treatment is osteonecrosis (ON), often occurring in weight bearing joints. Uncertainty exists in the optimal treatment of this cohort of patients. In this review, we describe the etiology and suspected pathogenesis of ON, as well as treatment options described in the literature...
2024: Orthopedic Reviews
https://read.qxmd.com/read/38533323/equity-in-the-developmental-dysplasia-of-the-hip-ddh-diagnosis-and-treatment-a-retrospective-cohort-study-to-unravel-the-effect-of-area-deprivation-and-the-insurance-type
#3
JOURNAL ARTICLE
Samantha L Ferraro, Sarah Dance, Delara Rajabi, Ahmed Elabd, Sean Tabaie
Background Timely diagnosis of developmental dysplasia of the hip (DDH) is crucial for implementing less invasive treatment. However, socioeconomic barriers may lead to late diagnoses. The Area Deprivation Index (ADI) is an indicator of the socioeconomic challenges experienced by patients and their families. The primary objective is to investigate if the age at which DDH is diagnosed and the treatment protocol are influenced by the ADI or the insurance type. Materials and methods Using International Classification of Diseases-Tenth Edition (ICD-10) codes, newly diagnosed DDH patients (age under 10 years) from 2020 to 2023 were retrospectively identified at our pediatric tertiary center...
March 2024: Curēus
https://read.qxmd.com/read/38532718/advances-in-hand-therapy-best-practice-in-conservative-management-of-proximal-phalangeal-fractures-in-children
#4
JOURNAL ARTICLE
Rebecca Kilty, Sarah Baxter, Marnee J McKay, Claire E Hiller
BACKGROUND: Proximal phalangeal fractures are one of the most commonly treated hand injuries in children. Conservative management of these fractures is often to splint for 5 weeks post injury, despite children presenting as clinically healed at 3 weeks post injury. Therefore, we investigated the effect of splinting for only 3 weeks in children who present with clinically healed proximal phalangeal fractures at 3 weeks compared with usual care. METHODS: Participants (n=80, aged 10...
March 27, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38524543/single-nucleus-rna-and-multiomics-in-situ-pairwise-sequencing-reveals-cellular-heterogeneity-of-the-abnormal-ligamentum-teres-in-patients-with-developmental-dysplasia-of-the-hip
#5
JOURNAL ARTICLE
Zhenhui Zhao, Chuiqin Fan, Shiyou Wang, Haoyu Wang, Hansheng Deng, Shuaidan Zeng, Shengping Tang, Li Li, Zhu Xiong, Xin Qiu
Developmental dysplasia of the hip (DDH) is the most common hip deformity in pediatric orthopedics. One of the common pathological changes in DDH is the thickening and hypertrophy of the ligamentum teres. However, the underlying pathogenic mechanism responsible for these changes remains unclear. This study represents the first time that the heterogeneity of cell subsets in the abnormal ligamentum teres of patients with DDH has been resolved at the single-cell and spatial levels by snRNA-Seq and MiP-Seq. Through gene set enrichment and intercellular communication network analyses, we found that receptor-like cells and ligament stem cells may play an essential role in the pathological changes resulting in ligamentum teres thickening and hypertrophy...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38524521/treatment-of-bilateral-developmental-dysplasia-of-the-hip-joint-with-an-improved-technique-a-case-report
#6
Xing-Xing Yu, Jian-Ye Chen, Hong-Sheng Zhan, Ming-Da Liu, Yun-Fei Li, Yu-Yan Jia
BACKGROUND: Developmental dysplasia of the hip (DDH) is a common osteoarticular deformity in pediatric orthopedics. A patient with bilateral DDH was diagnosed and treated using our improved technique "(powerful overturning acetabuloplasty)" combined with femoral rotational shortening osteotomy. CASE SUMMARY: A 4-year-old girl who was diagnosed with bilateral DDH could not stand normally, and sought surgical treatment to solve the problem of double hip extension and standing...
March 6, 2024: World Journal of Clinical Cases
https://read.qxmd.com/read/38524360/comparative-analysis-of-surgical-outcomes-in-children-with-type-3-and-type-4-lateral-physeal-condylar-humerus-fractures-in-china-closed-reduction-percutaneous-pinning-crpp-vs-open-reduction-internal-fixation-orif
#7
JOURNAL ARTICLE
Md Fahim Muntasir Islam Sojib, Yan Song Wang
BACKGROUND: Lateral physeal condylar humerus fractures in pediatric patients aged 1-13 rank as the second most common elbow injury, occurring with a frequency ranging from 5% to 16.8%. There exists an ongoing debate regarding the surgical management of these fractures. This study aims to evaluate the efficacy of Open Reduction and Internal Fixation (ORIF) and Closed Reduction and Percutaneous Pinning (CRPP) as suitable surgical treatments for displaced unstable fractures of the lateral condyle physeal humerus in children...
August 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38523948/suture-anchor-repair-for-distal-patellar-tendon-avulsion-in-tibial-tubercle-fractures-a-technical-description-and-report-of-two-cases
#8
Robert Wood, Jacqueline Krumrey, Kathryn Palomino, Megan Hicks
Tibial tubercle avulsion fractures, though rare, pose a significant challenge in pediatric orthopedics, particularly in athletic adolescents. For nondisplaced fractures, conservative treatment involves the use of braces or casts, while displaced fractures necessitate operative intervention, often through screw fixation. Concomitant soft tissue injuries should also be identified and addressed operatively to ensure complete repair of the extensor mechanism. This paper introduces a method for open reduction and internal fixation (ORIF) of tibial tubercle fractures with suture anchor repair of the distal patellar tendon avulsion...
February 2024: Curēus
https://read.qxmd.com/read/38523414/is-the-child-opportunity-index-a-factor-in-surgical-outcomes-for-adolescent-idiopathic-scoliosis
#9
JOURNAL ARTICLE
Gabriel S Linden, Sydney Lee, Danielle Cook, Craig M Birch, Daniel J Hedequist, M Timothy Hresko, Grant D Hogue
BACKGROUND: Low socioeconomic status (SES) has been previously associated with delays in orthopaedic care. However, it is unclear how SES impacts patients with adolescent idiopathic scoliosis (AIS), particularly regarding preoperative major coronal curve angle or surgical outcomes. Utilizing the Child Opportunity Index (COI)-an address-driven measure of pediatric education, health/environment, and SES-we investigated whether COI is associated with differences in preoperative scoliosis magnitude, age at surgery, and AIS surgical outcomes...
March 25, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38520814/the-gartland-classification-for-expediting-supracondylar-humerus-fracture-triage-a-collaborative-approach-to-structured-reporting-between-pediatric-radiologists-and-orthopedists
#10
JOURNAL ARTICLE
Callie S Bridges, Tristen N Taylor, Albert Han, Aharon Z Gladstein, Brian G Smith, J Herman Kan
BACKGROUND: The modified Gartland classification is an important tool for evaluation of pediatric supracondylar humerus fractures (SCHF) because it can direct treatment decisions. Gartland type I can be managed outpatient, while emergent surgical consult occurs with type II and III. This study assesses the interobserver reliability of the Gartland classification between pediatric radiologists and orthopedic providers. METHODS: A retrospective review of 320 children diagnosed with a SCHF at a single tertiary children's hospital during 2022 was conducted...
March 11, 2024: Clinical Imaging
https://read.qxmd.com/read/38516353/global-trends-in-the-research-on-legg-calve-perthes-disease-in-web-of-science
#11
JOURNAL ARTICLE
Wenbao Qin, Mingwei He, Hongsheng Qin, Qingjun Wei, Haiwei Yan
BACKGROUND: Legg-Calve-Perthes disease (LCPD) is a form of idiopathic femoral head necrosis that can lead to permanent femoral head deformities and premature osteoarthritis in children under the age of 15. Its pathogenesis is utterly and remains to be clarified. Although many research publications on LCPD have emerged during the last few decades, few systematic bibliometric analyses of these articles have been reported. METHODS: A bibliometric analysis was performed to investigate the development processes and hotspots, as well as the collaboration and influence among countries, institutions, authors, journals, and keywords of papers relevant to LCPD from the Web of Science Core Collection (WoSCC) during the period from 1 January 2000 to 30 June 2023...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38515604/prevalence-and-predictors-of-concomitant-meniscal-surgery-during-pediatric-and-adolescent-acl-reconstruction-analysis-of-4729-patients-over-20-years-at-a-tertiary-care-regional-children-s-hospital
#12
JOURNAL ARTICLE
James A Pruneski, Nazgol Tavabi, Benton E Heyworth, Mininder S Kocher, Dennis E Kramer, Melissa A Christino, Matthew D Milewski, Yi-Meng Yen, Lyle Micheli, Martha M Murray, Rafael A Garcia Andujar, Ata M Kiapour
BACKGROUND: The rate of concomitant meniscal procedures performed in conjunction with anterior cruciate ligament (ACL) reconstruction is increasing. Few studies have examined these procedures in high-risk pediatric cohorts. HYPOTHESES: That (1) the rates of meniscal repair compared with meniscectomy would increase throughout the study period and (2) patient-related factors would be able to predict the type of meniscal operation, which would differ according to age...
March 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38515131/posttraumatic-cubitus-varus-respect-the-columns
#13
JOURNAL ARTICLE
Adam M Schlauch, Mary Claire Manske, Holly B Leshikar, Jon R Davids
Posttraumatic cubitus varus is a multiplanar deformity that results from an improperly reduced supracondylar humerus fracture. The prevention of posttraumatic cubitus varus hinges on the stable restoration of all 3 columns of the distal humerus while avoiding malrotation. The collapse of any column leads to varying degrees of deformity in the coronal, sagittal, and/or axial plane. The purpose of this article is to explain the pattern of the deformity and use this to summarize preventative tactics for avoiding its described sequelae...
March 22, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38513152/intercalary-resection-of-the-tibia-for-primary-bone-tumors-are-vascularized-fibula-autografts-with-or-without-allografts-a-durable-reconstruction
#14
JOURNAL ARTICLE
Domenico Andrea Campanacci, Roberto Scanferla, Mariagrazia Marsico, Federico Scolari, Guido Scoccianti, Giovanni Beltrami, Luca Delcroix, Marco Innocenti, Rodolfo Capanna
BACKGROUND: Reconstruction with vascularized fibula grafts (VFG) after intercalary resection of sarcoma may offer longevity by providing early graft-host union and fracture healing. The ability of the fibula to hypertrophy under mechanical stress, as well as vascularized bone in the area, may also be advantageous, given that soft tissues may be compromised because of resection, chemotherapy, or radiation therapy. VFG with a massive allograft combines the primary mechanical stability of the graft with the biological potential of the vascularized fibula; however, complications and the durability of this combined reconstruction are not well described...
March 21, 2024: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38512252/postconcussive-symptoms-after-early-childhood-concussion
#15
MULTICENTER STUDY
Dominique Dupont, Ken Tang, Cindy Beaudoin, Fanny Dégeilh, Isabelle Gagnon, Keith Owen Yeates, Sean C Rose, Jocelyn Gravel, Brett Burstein, Antonia S Stang, Rachel M Stanley, Roger L Zemek, Miriam H Beauchamp
IMPORTANCE: Research on postconcussive symptoms (PCS) following early childhood concussion has been hindered by a lack of measures suitable for this age group, resulting in a limited understanding of their evolution in young children. OBJECTIVE: To document PCS in the first 3 months after early childhood concussion using a developmentally appropriate measure. DESIGN, SETTING, AND PARTICIPANTS: This cohort study used data collected at 3 Canadian and 1 US urban pediatric emergency departments (EDs) and 8 Canadian daycares from December 2018 to December 2022 as part of the Kids' Outcomes and Long-Term Abilities (KOALA) project, a prospective, multicenter, longitudinal cohort study...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38512220/utility-of-follow-up-radiographs-in-type-1-supracondylar-humerus-fractures
#16
JOURNAL ARTICLE
Shrey Nihalani, Adele Bloodworth, Katie Frith, Philip Ashley, Kevin A Williams, Michael J Conklin
OBJECTIVE: Supracondylar humerus (SCH) fractures are common among pediatric patients, with the severity categorized using the Gartland classification system. Type 1 SCH fractures are nondisplaced and treated with immobilization, while more displaced fractures require surgery. The need for follow-up radiographs, particularly for type 1 fractures, is an area where evidence is lacking. This study investigates the clinical value and financial implications of follow-up radiographs for type 1 SCH fractures, hypothesizing that they do not alter clinical management and, therefore, represent an unnecessary expense...
March 21, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38512171/telehealth-potential-in-pediatric-orthopaedics-and-sports-medicine-care-is-comparable-to-in-person-care-but-disparities-remain
#17
JOURNAL ARTICLE
Grant D Hogue, David S Liu, Shankar G Kaushal, Nazgol Tavabi, Lanna Feldman, Andrea Stracciolini, Benjamin Shore, Daniel Hedequist, Donald Bae, William Meehan, Young-Jo Kim, Mininder Kocher, Martha M Murray, Ata M Kiapour
BACKGROUND: Understanding the challenges and potential of telehealth visits (THVs) in a large population can inform future practice and policy discussion for pediatric orthopaedic and sports medicine (OSM) care. We comprehensively assess telehealth challenges and potential in a large pediatric OSM population based on access, visit completion, patient satisfaction, and technological challenges. METHODS: Demographics, address, insurance, visit information, patient feedback, experience with video visits, and technical challenges of all 2019 to 2020 visits at our hospital were assessed (3,278,006 visits)...
March 21, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38506396/the-role-of-surveillance-in-predicting-fracture-in-pediatric-patients-with-incidentally-discovered-nonossifying-fibromas-and-fibrous-cortical-defects-is-it-worth-it
#18
JOURNAL ARTICLE
Rohan R Patel, Timothy A Damron
BACKGROUND: Nonossifying fibroma (NOF) and fibrous cortical defect (FCDs), the most common benign pediatric bone lesions, are usually incidental x-ray findings. Surveillance of characteristic lesions has been recommended to monitor for enlargement and assess fracture risk. However, no accepted fracture risk prediction guidelines exist, so indications for prophylactic surgery are unclear. The study's purposes were to (1) characterize the timing of NOF/FCD-associated fractures, (2) quantify the resources devoted to surveillance, and (3) evaluate the potential for surveillance to prevent pathologic fracture...
March 20, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38506352/does-size-really-matter-incidence-of-periprosthetic-fractures-after-femoral-osteotomy-in-patients-with-cerebral-palsy
#19
JOURNAL ARTICLE
Sam P Wimmer, Tishya A L Wren, Susan A Rethlefsen, Oussama N Abousamra, Robert M Kay
OBJECTIVE: Of children, 30% to 35% with cerebral palsy (CP) develop hip subluxation or dislocation and often require reconstructive hip surgery, including varus derotation osteotomy (VDRO). A recent literature review identified postoperative fractures as the most common complication (9.4%) of VDROs. This study aimed to assess risk factors for periprosthetic fracture after VDRO in children with CP. METHODS: A total of 347 patients (644 hips, 526 bilateral hips) with CP and hip subluxation or dislocation (129 females; mean age at index VDRO: 8...
March 20, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38506233/distal-femoral-stress-fractures-has-high-operation-rates-in-adolescent-and-young-adult-athletes
#20
JOURNAL ARTICLE
Mikalyn T DeFoor, Edmund P Mullin, Rachel A Cuenca, Sarah N Pierrie
BACKGROUND: Although stress fractures of the distal femur are rare, symptoms can overlap with other peri-articular knee pathology, delaying diagnosis. Untreated stress fractures have the potential to progress into completed fractures with a higher likelihood for requiring surgery and longer recovery times in otherwise healthy adolescents and young adults. This case series represents the largest cohort of adolescent athletes with distal femoral stress fractures who presented with activity-related knee pain...
March 20, 2024: Journal of Pediatric Orthopedics
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