keyword
Keywords Nonoperative + fractures + chi...

Nonoperative + fractures + children

https://read.qxmd.com/read/36706430/the-reliability-of-the-ao-spine-upper-cervical-classification-system-in-children-results-of-a-multi-center-study
#21
JOURNAL ARTICLE
Nora P O'Neill, Andrew Z Mo, Patricia E Miller, Michael P Glotzbecker, Ying Li, Nicholas D Fletcher, Vidyadhar V Upasani, Anthony I Riccio, David Spence, Sumeet Garg, Walter Krengel, Craig Birch, Daniel J Hedequist
BACKGROUND: There is no uniform classification system for traumatic upper cervical spine injuries in children. This study assesses the reliability and reproducibility of the AO Upper Cervical Spine Classification System (UCCS), which was developed and validated in adults, to children. METHODS: Twenty-six patients under 18 years old with operative and nonoperative upper cervical injuries, defined as from the occipital condyle to the C2-C3 joint, were identified from 2000 to 2018...
January 30, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/36522213/comparison-of-nonoperative-versus-operative-management-in-pediatric-gustilo-anderson-type-i-open-tibia-fractures
#22
JOURNAL ARTICLE
Anthony M Padgett, Timothy W Torrez, Ezan A Kothari, Michael J Conklin, Kevin A Williams, Shawn R Gilbert, Philip Ashley
BACKGROUND: Recent studies suggest pediatric Gustilo-Anderson type I fractures, especially of the upper extremity, may be adequately treated without formal operative debridement, though few tibial fractures have been included in these studies. The purpose of this study is to provide initial data suggesting whether Gustilo-Anderson type I tibia fractures may be safely treated nonoperatively. METHODS: Institutional retrospective review was performed for children with type I tibial fractures managed with and without operative debridement from 1999 through 2020...
February 2023: Injury
https://read.qxmd.com/read/36208888/the-insidious-effects-of-childhood-obesity-on-orthopedic-injuries-and-deformities
#23
REVIEW
Breann Tisano, Kendall Anigian, Nyssa Kantorek, Yves J Kenfack, Megan Johnson, Jaysson T Brooks
The current childhood obesity epidemic, affecting approximately 20% of American children and adolescents, is accompanied by unique orthopedic manifestations. The growing musculoskeletal system is susceptible to the endocrine effects of obesity, resulting in decreased bone mass and quality. As a result, obese children are at increased risk of musculoskeletal injury, fracture, and lower extremity deformities. The efficacy of nonoperative treatment such as casting or bracing may be limited by body habitus and surgical treatment is accompanied by increased risk of perioperative complications...
October 2022: Orthopedic Clinics of North America
https://read.qxmd.com/read/36167360/displaced-tibia-fractures-in-adolescents-closed-reduction-and-casting-versus-flexible-intramedullary-nails
#24
JOURNAL ARTICLE
Asdrubal E Rivera, Jason L Cummings, Daniel E Pereira, Afolayan K Oladeji, Andrew J Landau, Pooya Hosseinzadeh
INTRODUCTION: Although there has been a recent trend towards the operative intervention of pediatric diaphyseal tibial fractures, there is sparse literature that supports this trend. This study compares the outcomes in children between 10 and 18 years of age with diaphyseal tibial fractures who undergo nonoperative treatment with closed reduction and casting (CRC) to those who undergo operative treatment with flexible intramedullary nailing. METHODS: A retrospective chart review was performed of all patients between 10 and 18 years of age who underwent treatment for tibia fractures at the authors home institution between 2005 and 2018...
September 28, 2022: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/36044377/minimally-displaced-lateral-humeral-condyle-fractures-optimizing-follow-up-and-minimizing-cost
#25
JOURNAL ARTICLE
Denver B Kraft, Theresa J Moore, Carlos Pargas, Kenneth Rogers, Mihir M Thacker
BACKGROUND: Minimally displaced fractures of the lateral humeral condyle (LHC) may be treated nonoperatively in a long arm cast, but there is not a standardized evidence-based protocol. The aim of this study was to evaluate our nonoperatively treated LHC fractures, determine the risk of subsequent displacement, analyze our practice variability, and develop an evidence-based protocol to safely manage children with LHC fractures and to evaluate potential savings related to this analysis...
January 1, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/35947459/comparative-effectiveness-of-nonoperative-versus-operative-treatment-of-completely-displaced-clavicle-shaft-fractures-among-children
#26
JOURNAL ARTICLE
Tyler D Ames, Charles T Mehlman, Robert Toy, Shital N Parikh
The goal of this study was to compare outcomes among children treated nonoperatively vs operatively for completely displaced clavicle fractures. This was a retrospective cohort study of nonoperative vs operative treatment of completely displaced clavicle fractures sustained between 2006 and 2015 among pediatric patients. Data were collected on patient demographics, fracture characteristics, time to return to full activities, treatment complications, and patient-reported outcome measures. Fifty-five patients were identified in the nonoperative group, with a mean age of 11...
2022: Orthopedics
https://read.qxmd.com/read/35882355/european-pediatric-surgeons-association-survey-on-the-use-of-splenic-embolization-in-blunt-splenic-trauma-in-children
#27
JOURNAL ARTICLE
Anne Dariel, Tutku Soyer, Jens Dingemann, Alessio Pini-Prato, Leopoldo Martinez, Alice Faure, Mamane Oumarou, Sophie Hassid, Alexia Dabadie, Paolo De Coppi, Ramon Gorter, Tkashi Doi, Sanja Sindjic Antunovic, Mohit Kakar, Francesco Morini, Nigel J Hall
INTRODUCTION:  This article assesses (1) access to splenic embolization (SE), (2) indications for SE, and (3) post-embolization management in high-grade splenic trauma in children. MATERIALS AND METHODS:  An online questionnaire was sent in 2021 to all members of European Pediatric Surgeons' Association. RESULTS:  There were a total of 157 responses (50 countries, 83% academic hospitals). Among them, 68% have access to SE (SE) and 32% do not (nSE)...
July 26, 2022: European Journal of Pediatric Surgery
https://read.qxmd.com/read/35856824/pediatric-mandible-fractures-mechanism-pattern-of-injury-fracture-characteristics-and-management-by-age
#28
JOURNAL ARTICLE
Megan V Morisada, Travis T Tollefson, Mena Said, Joshua Hwang, Tsung Yen Hsieh, Jamie L Funamura
Background: Development of the craniofacial skeleton and different mechanisms of injury warrant different treatment paradigms for younger children versus those at skeletal maturity. Objective: To characterize the mechanism, fracture patterns, and management of mandible fractures across the pediatric age spectrum. Methods: A 10-year retrospective review of <18-year-old children with mandible fractures at a level 1 trauma center. Characteristics were compared by age subgroup analysis. Results: Of 220 patients meeting inclusion criteria, motor vehicle collision ( n  = 53, 40...
2022: Facial plastic surgery & aesthetic medicine
https://read.qxmd.com/read/35793795/getting-the-message-the-declining-trend-in-opioid-prescribing-for-minor-orthopaedic-injuries-in-children-and-adolescents
#29
JOURNAL ARTICLE
Arielle R Krakow, Divya Talwar, Nishank N Mehta, Jigar S Gandhi, John M Flynn
BACKGROUND: Opioids constitute the fastest-growing drug problem among children and adolescents in the United States. Recent heavy media coverage on the opioid prescription epidemic has garnered increased attention from prescribers and policymakers. The purpose of this study was to analyze trends in opioid prescribing for nonoperatively managed pediatric fractures and dislocations in order to examine changes in opioid-prescribing patterns across various U.S. regions. METHODS: A retrospective review of the national Pediatric Health Information System (PHIS) database comprising 42 pediatric hospitals was performed to identify pediatric fractures and dislocations presenting to the emergency department (ED) or outpatient clinics from 2004 to 2017...
July 6, 2022: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/35793788/nonoperative-management-of-closed-displaced-tibia-shaft-fractures-in-patients-under-18-years-of-age-low-failure-rate
#30
JOURNAL ARTICLE
Jason L Cummings, Asdrubal E Rivera, Daniel E Pereira, Afolayan K Oladeji, Andrew J Landau, Pooya Hosseinzadeh
BACKGROUND: Tibial shaft fractures are the third most common pediatric long bone fracture pattern. Historically, these fractures have been initially treated with closed reduction and casting (CRC). Recently, there has been an increasing trend toward surgical intervention as an initial treatment for these injuries. In an effort to better understand whether this trend is warranted, this study seeks to characterize the clinical and radiographic outcomes of a large number of children who underwent nonoperative treatment with CRC as their initial treatment for pediatric tibial shaft fractures at a single tertiary care center...
September 1, 2022: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/35667055/treatments-and-sequelae-of-pediatric-pathologic-proximal-femur-fractures-due-to-benign-bone-cyst
#31
JOURNAL ARTICLE
Adrian J Lin, Ali A Siddiqui, Bensen Fan, James T Bennett, Kenneth D Illingworth, Lindsay M Andras, David L Skaggs, Vernon T Tolo, Curtis D VandenBerg
BACKGROUND: The proximal femur is a common location for pathologic fractures in children, yet there is little published information regarding this injury. The purpose of this study was to investigate the outcomes of pediatric pathologic proximal femur fractures due to benign bone tumors. METHODS: A retrospective review of patients treated for pathologic proximal femur fractures from 2004 to 2018 was conducted. Inclusion criteria were age below 18 years and pathologic proximal femur fracture secondary to a benign bone tumor...
July 1, 2022: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/35528993/fracture-separation-of-the-medial-humeral-epicondyle-caused-by-arm-wrestling-a-systematic-review
#32
REVIEW
Kiyohisa Ogawa, Atsushi Yoshida, Noboru Matsumura, Wataru Inokuchi
Background: Arm wrestling is a popular sport in which various injuries have occurred, even in children. Purpose: To analyze reported fracture-separation of the medial humeral epicondyle (MHE) caused by arm wrestling to determine its mechanism and provide a current overview. Study Design: Systematic review; Level of evidence, 4. Methods: The PubMed and Web of Science databases were searched using the terms "arm wrestling" and "humeral fracture" or "medial humeral epicondyle fracture"; and "sports" and "humeral fracture" or "medial humeral epicondyle fracture," following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines...
May 2022: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/35494287/the-incidence-of-pediatric-tibial-spine-fractures-is-greater-and-peaks-later-in-male-patients
#33
JOURNAL ARTICLE
Christopher J DeFrancesco, Alexandra Tananbaum, Drake G LeBrun, Peter D Fabricant
Purpose: To use government-curated databases to produce incidence estimates for pediatric tibial spine fractures (TSFs) by age and sex. This study also describes the relative frequency of operative versus nonoperative management for TSFs by age and sex. Methods: US Healthcare Cost and Utilization Project databases were used to identify cases of TSF among patients aged 7 to 18 years in the year 2016. Patient-linked deidentified data from New York, Maryland, and Florida were gathered from state databases, and repeat visits by the same patient were collapsed into individual records...
April 2022: Arthroscopy, sports medicine, and rehabilitation
https://read.qxmd.com/read/34986594/poorly-controlled-pediatric-fracture-pain-requiring-unplanned-medical-assistance-or-advice
#34
JOURNAL ARTICLE
Tara M Kopp, Theresa M Frey, Mark Zakrajsek, Jennifer Nystrom, Gena N Koutsounadis, Kelly S Falcone, Yin Zhang, Eric Wall, Terri Byczkowski, Matthew R Mittiga
OBJECTIVES: This study aimed to define the proportion of children who seek assistance for poorly controlled fracture pain, identify factors associated with requesting help, and explore caregivers' opioid preferences. METHODS: We enrolled 251 children and their caregivers in the orthopedic surgery clinic of a tertiary care children's hospital. Children 5 to 17 years old presenting within 10 days of injury for follow-up for a single-extremity, nonoperative long bone fracture(s) were eligible...
January 1, 2022: Pediatric Emergency Care
https://read.qxmd.com/read/34731118/patient-reported-outcomes-after-operative-versus-nonoperative-treatment-of-pediatric-lateral-humeral-condyle-fractures
#35
JOURNAL ARTICLE
Ijezie A Ikwuezunma, Krishna V Suresh, Derek T Nhan, Barry R Bryant, Ronak N Kotian, R Jay Lee
Lateral humeral condyle fractures in children are treated with several approaches, yet it is unclear which has the best treatment outcomes. We hypothesized that functional outcomes would be equivalent between treatment types, reduction approaches, and fixation types. Our purpose was to assess patient-reported outcomes and complications by treatment type (operative versus nonoperative), reduction approach (open versus percutaneous), and fixation type (cannulated screws versus Kirschner wires).We retrospectively reviewed data from acute lateral humeral condyle fractures treated at our level-1 pediatric trauma center from 2008 to 2017...
October 15, 2021: Medicine (Baltimore)
https://read.qxmd.com/read/34714810/cozen-s-phenomenon-after-repair-of-a-medial-collateral-ligament-periosteal-avulsion-in-a-pediatric-athlete-a-case-report
#36
JOURNAL ARTICLE
Taylor E Hobson, Alexander J Mortensen, Allan K Metz, Stephen K Aoki
CASE: A 13-year-old boy sustained an acute, grade III medial collateral ligament (MCL) distal periosteal avulsion injury while playing noncontact football. Treatment consisted of diagnostic knee arthroscopy with open physeal-sparing MCL repair. At approximately 1-year follow-up, new development of genu valgum in the operative extremity was noted. After 8 months of nonoperative treatment with deformity progression, the patient underwent correction with proximal medial tibial hemiepiphysiodesis...
October 27, 2021: JBJS Case Connector
https://read.qxmd.com/read/34523826/-proximal-humeral-fractures-in-children-large-remodeling-capacity-conservative-treatment
#37
JOURNAL ARTICLE
Boris A de Cort, Kaj Ten Duis, Geertje A M Govaert, Frank F A IJpma
Proximal humeral fractures affect 1.5-3% of all childhood fractures. Usually, these fractures can be treated conservatively depending on age and fracture displacement. The proximal growth plate has a great potential for remodeling. The aim of this article is to clarify which degree of displacement can be accepted in case of non-operative treatment. A 12-year-old girl and a 13-year-old boy presented at the ER after falling from a pony and a climbing frame, respectively. Both had a severely displaced proximal humeral fracture with 80-90 degrees angulation of the humeral head relative to the shaft...
August 12, 2021: Nederlands Tijdschrift Voor Geneeskunde
https://read.qxmd.com/read/34396025/outcomes-of-nonoperatively-treated-pediatric-supracondylar-humeral-fractures-at-the-nkhotakota-district-hospital-malawi
#38
JOURNAL ARTICLE
Elijah Mlinde, Lahin M Amlani, Collin J May, Leonard N Banza, Linda Chokotho, Kiran J Agarwal-Harding
Displaced supracondylar humeral fractures (SCHFs) benefit from closed reduction and percutaneous pinning. In Malawi, many SCHFs are treated nonoperatively because of limited surgical capacity. We sought to assess clinical and functional outcomes of nonoperatively treated SCHFs in a resource-limited setting. Methods: We retrospectively reviewed all patients with SCHFs treated at Nkhotakota District Hospital (NKKDH) in Malawi between January 2014 and December 2016. Patients subsequently underwent clinical and functional follow-up assessment...
July 2021: JB & JS Open Access
https://read.qxmd.com/read/34380986/radiographic-pseudosubluxation-of-the-shoulder-in-pediatric-proximal-humeral-fractures
#39
JOURNAL ARTICLE
Timothy William Torrez, Alexandra Seidenstein, Henry A Debell, Michael Conklin, Gerald McGwin, Shawn R Gilbert
This study was undertaken to determine the incidence, need for intervention, and time to resolution of pseudosubluxation of the shoulder in pediatric proximal humerus fractures. One hundred and ninety-nine radiographs (199 x-rays) were analyzed for pseudosubluxation of the shoulder following pediatric proximal humeral fractures. Pseudosubluxation occurs when the center of the humeral head aligns with the inferior one-fourth of the glenoid. Fourteen patients met the inclusion criteria for pseudosubluxation. The nonoperative cohort consisted of 100 females and 93 males and the operative cohort consisted of 3 males and 3 females...
August 9, 2021: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/34354028/treatment-choice-of-complete-distal-forearm-fractures-in-8-to-14-years-old-children
#40
JOURNAL ARTICLE
Ya Liu, Fu-Yong Zhang, Yun-Fang Zhen, Lun-Qing Zhu, Zhi-Xiong Guo, Xiao-Dong Wang
BACKGROUND: New surgical techniques have challenged traditional guidelines for nonsurgical treatment in pediatric and adolescent distal forearm fractures. This study was performed to compare outcomes and costs between closed reduction with percutaneous pinning (CRPP) and closed reduction with casting in the treatment of complete distal forearm fractures in children 8 to 14 years old. METHODS: A retrospective cohort study was performed of 175 displaced distal forearm fractures treated with 2 different methods in the emergency department of a children's trauma center...
October 1, 2021: Journal of Pediatric Orthopedics
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