keyword
https://read.qxmd.com/read/38497851/the-top-100-most-cited-articles-on-intramedullary-nail-fixation-from-2018-2022-a-bibliometric-and-visualized-analysis
#1
JOURNAL ARTICLE
H Huang, F Yang, H-Q Zuo, L-J Dong
OBJECTIVE: Intramedullary nails are commonly used for the purposes of internal fixation in the repair of tubular bone fractures, allowing for optimal fixation while minimizing intraoperative bleeding, surgical incision size, and associated stress. These nails are thus often utilized to repair hip and peripheral fractures, femur fractures, tibial fractures, humerus fractures, and clavicle fractures. Recent life expectancy increases, rising economic standards, and technological innovations have led to the application of a wider range of materials and techniques in the context of orthopedic device production, further expanding the clinical indications for intramedullary nailing...
March 2024: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/38489682/the-outcome-of-early-screening-and-treatment-of-developmental-dysplasia-of-the-hip-in-infants-and-toddlers-in-the-northern-guizhou-region
#2
JOURNAL ARTICLE
Xin Lv, Song Yu, Tianjiu Zhang, Xiaohong Yang, Yanpeng Xu, Tangjiang Li
This study is an observation of the early screening and treatment effect of infant developmental dysplasia of the hip (DDH) in an area in China. From January 2016 to December 2017, we selected infants and toddlers with high-risk factors for DDH, such as asymmetric gluteal folds, unequal length of lower limbs, and limited hip joint abduction, who visited the Department of Child Health Care and the Outpatient Clinic of Pediatric Orthopedics at the Affiliated Hospital of Zunyi Medical University. In total, 1485 cases were divided into age groups, examined using Graf ultrasound and X-ray, and the results were analyzed...
March 15, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38481896/a-rare-case-report-on-postoperative-rehabilitation-in-hirschsprung-disease
#3
Shifa S Sheikh, H V Sharath, Nikita H Seth
Hirschsprung disease (HD) is characterized by the absence of ganglion cells in the myenteric and submucosal plexuses of the hindgut. Here, we report a case of an eight-year-old male child who had abdominal distension with a history of repetitive gas passage and a complaint of stool passage. In February 2023, the patient was diagnosed with Hirshsprung disease, for which a left-side colostomy was done. In November 2023, he underwent Hirshsprung stage 2 repair. He was operated on the 17th of December 2023 under general anaesthesia colostomy mobilization...
February 2024: Curēus
https://read.qxmd.com/read/38477355/treatment-of-hip-displacement-in-children-with-cerebral-palsy-a-5-year-comparison-of-proximal-femoral-osteotomy-and-combined-femoral-pelvic-osteotomy-in-163-children
#4
JOURNAL ARTICLE
Nikolaos Kiapekos, Johan von Heideken, Eva Broström, Gunnar Hägglund, Per Åstrand
BACKGROUND: This study compared the 5-year outcomes of isolated proximal femoral varus osteotomy (FO) and combined proximal femoral varus and pelvic osteotomy (FPO) for the treatment of hip displacement in children with cerebral palsy (CP) in Sweden, focusing on the number of reoperations and residual hip displacement. METHODS: The study included 163 children with a 5-year follow-up after FO or FPO in the national Swedish CP surveillance program, CPUP. Descriptive statistics and univariate and multivariate Cox regression analyses were used to identify whether the age at surgery, sex, Gross Motor Function Classification System level, CP dominant symptom, hip migration percentage (MP), type of surgery (unilateral/bilateral), and history of soft tissue hip surgery were related to the 5-year outcomes after surgery...
March 13, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38469367/pediatric-hip-dysplasia-surgery-outcomes-by-pediatric-versus-nonpediatric-orthopedists
#5
JOURNAL ARTICLE
Sarah Dance, Theodore Quan, Philip M Parel, Benjamin J Farley, Sean Tabaie
Objectives Developmental dysplasia of the hip (DDH) encompasses a spectrum of abnormalities in the immature hip. Surgical intervention is indicated if conservative management fails. Despite the increased supply of pediatric orthopedic surgeons (POSs) over the last few decades, there continues to be a maldistribution of surgeons. The purpose of this study is to determine outcomes following surgical management of hip dysplasia by POSs compared to non-pediatric orthopedic surgeons. Methods Pediatric patients who underwent surgical treatment for hip dysplasia from 2012 to 2019 were identified using a large national database...
March 2024: Curēus
https://read.qxmd.com/read/38469000/a-case-report-can-prioritizing-sensory-integration-therapy-help-improve-gross-motor-function-in-a-rare-case-of-neurogenic-arthrogryposis-multiplex-congenita
#6
Nikita Sawant, Asmita Karajgi
Arthrogryposis multiplex congenital (AMC) is a congenital disorder diagnosed with extremity contractures, restricted joint range of motion, foot abnormalities, and hip dislocation. The current literature emphasizes medical and surgical management, but very few studies provide insight into physiotherapy management for AMC. We reported the case of a 16-month-old male diagnosed with AMC, operated on both hips for teratologic dislocation. Physiotherapy examination was conducted, and treatment was planned based on the principles of Sensory Integration Therapy (SIT) and neurodevelopmental technique (NDT) with orthosis to assist in functional recovery...
February 2024: Curēus
https://read.qxmd.com/read/38462889/free-vascularized-proximal-fibular-epiphyseal-transfer-for-hip-reconstruction-following-septic-necrosis-in-children
#7
JOURNAL ARTICLE
Tarek Abdalla El-Gammal, Amr El-Sayed Ali, Mohamed Mostafa Kotb, Waleed Riad Saleh, Yasser Farouk Ragheb, Omar Ahmed Refai, Mohamed Mohamed Morsy, Yousif Tarek El-Gammal
BACKGROUND: Septic necrosis of the femoral head and neck in children represents a challenging problem. Several reconstructive techniques have been described but with disappointing long-term results. Vascularized epiphyseal transfer utilizing the proximal fibula have been successfully used for reconstruction of the proximal humerus and distal radius and only scarcely used for hip reconstruction. This cohort represents the largest reported series of epiphyseal transfer for hip reconstruction following septic necrosis in children...
March 11, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38454629/acetabular-fleck-sign-outcomes-of-surgical-repair
#8
JOURNAL ARTICLE
Stephanie Chen, Kirsten Tulchin-Francis, Dan Gaines, Allen Kadado, Craig Smith, Kevin Klingele
BACKGROUND: Traumatic, posterior hip dislocations in the pediatric population are typically managed by closed reduction to achieve a concentric hip joint. The presence of an acetabular "fleck" sign, despite concentric reduction, has been shown to signify significant hip pathology. The purpose of this study was to evaluate the outcomes of open labral repair through a surgical hip dislocation (SHD) in a consecutive series of patients with an acetabular "fleck" sign associated with a traumatic hip dislocation/subluxation...
March 8, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38451811/quality-of-life-in-adult-patients-with-developmental-dysplasia-of-the-hip-who-were-treated-for-hip-dislocation-during-childhood
#9
JOURNAL ARTICLE
Kenta Sawamura, Hiroshi Kitoh, Masaki Matsushita, Kenichi Mishima, Yasunari Kamiya, Shiro Imagama
Developmental dysplasia of the hip (DDH) can lead to premature loss of hip function if not properly treated; however, few studies have focused on the long-term outcomes of DDH. We conducted a survey of health-related quality of life in adult patients with DDH who were treated for hip dislocation during childhood. We sent a questionnaire to 287 adult patients with DDH who were treated for hip dislocation during childhood in our institutions. We examined patient demographics, disease-specific medical history, and health-related quality of life using the short form-36...
February 26, 2024: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/38450657/hemiepiphysiodesis-for-genu-valgum-in-patients-with-multiple-hereditary-exostoses
#10
JOURNAL ARTICLE
Joshua T Bram, Don T Li, Olivia C Tracey, Emilie Lijesen, Danielle E Chipman, Roger F Widmann, Emily R Dodwell, John S Blanco, Daniel W Green
BACKGROUND: Genu valgum is a well-known feature of multiple hereditary exostoses (MHE). Though prior reports have demonstrated successful treatment with hemiepiphysiodesis, details regarding the correction rate and comparison to an idiopathic population are lacking. This study aimed to detail our institution's experience with guided growth of the knee in patients with MHE and compare this to an idiopathic population. METHODS: All pediatric patients (age 18 and younger) with MHE who underwent lower extremity hemiepiphysiodesis at a tertiary care medical center between January 2016 and December 2022 were retrospectively reviewed...
March 7, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38445098/children-with-bilateral-cerebral-palsy-use-their-hip-joint-to-complete-a-step-up-task
#11
JOURNAL ARTICLE
Vatsala Goyal, Keith E Gordon, Theresa Sukal-Moulton
Performance in stair-climbing is largely associated with disruptions to mobility and community participation in children with cerebral palsy (CP). It is important to understand the nature of motor impairments responsible for making stairs a challenge in children with bilateral CP to clarify underlying causes of impaired mobility. In pediatric clinical populations, sensitive measurements of movement quality can be captured during the initial step of stair ascent. Thus, the purpose of this study was to quantify the lower limb joint moments of children with bilateral CP during the stance phases of a step-up task...
2024: Frontiers in Human Neuroscience
https://read.qxmd.com/read/38435883/avascular-necrosis-of-the-femoral-head-following-intramedullary-nailing-of-a-femoral-shaft-fracture-in-a-skeletally-mature-adult-a-case-report
#12
Hamza R Gomaa, Ali A Buanq, Ahmed M Hazeem, Salma M Daoud, Ali H Almajed
Avascular necrosis (AVN) of the femoral head is a well-documented complication that occurs following femoral neck fractures in both adults and pediatrics. Incidence of AVN following intramedullary nailing (IMN) for femoral shaft fractures is relatively rare. We are reporting an exceptional case of a 28-year-old skeletally mature adult, with no risk factors, who developed stage 3 AVN following trochanteric entry-point IMN for a traumatic femur shaft fracture. Our case contributes to the existing literature by adding to the limited number of reported cases available...
January 2024: Curēus
https://read.qxmd.com/read/38430274/clinical-impact-of-diagnostic-image-guided-injections-for-musculoskeletal-pain-work-up-in-adolescent-and-adult-patients-at-a-children-s-hospital-initial-results
#13
JOURNAL ARTICLE
Evelyn Tran, Scott Rosenfeld, Esther Ngan, J Herman Kan
OBJECTIVE: To assess the clinical impact of diagnostic musculoskeletal (MSK) injections on treatment decision-making in adolescent and adult patients at a children's hospital. MATERIALS AND METHODS: Retrospective study in patients who underwent diagnostic MSK injections by fluoroscopy or ultrasound (US) between 8/2020 and 3/2023 at a children's hospital. Patients received ropivacaine and triamcinolone acetonide at pain site, reporting quantitative FACES pain score prior to, immediately following, and 2-3 days following injection...
March 2, 2024: Skeletal Radiology
https://read.qxmd.com/read/38421417/morphometric-and-clinical-comparison-of-mri-based-synthetic-ct-to-conventional-ct-of-the-hip-in-children
#14
JOURNAL ARTICLE
Jade Iwasaka-Neder, M Alejandra Bedoya, James Connors, Simon Warfield, Sarah D Bixby
BACKGROUND: MRI-based synthetic CT (sCT) generates CT-like images from MRI data. OBJECTIVE: To evaluate equivalence, inter- and intraobserver reliability, and image quality of sCT compared to conventional (cCT) for assessing hip morphology and maturity in pediatric patients. MATERIALS AND METHODS: We prospectively enrolled patients <21 years old with cCT and 3T MRI of the hips/pelvis. A dual-echo gradient-echo sequence was used to generate sCT via a commercially available post-processing software (BoneMRI v1...
February 29, 2024: Pediatric Radiology
https://read.qxmd.com/read/38415747/a-role-for-thyroid-testing-in-slipped-capital-femoral-epiphysis-32-rate-of-abnormal-values-in-tested-patients
#15
JOURNAL ARTICLE
Ena Nielsen, Braeden Leiby, Todd J Blumberg
BACKGROUND: Hypothyroidism is a known risk factor for slipped capital femoral epiphysis (SCFE), and prior studies of hypothyroid-associated SCFE have demonstrated an incidence of up to 6%. However, there is limited evidence and no formal practice guidelines regarding whether patients presenting with SCFE should undergo screening for endocrine disorders. This study aims to investigate the incidence of abnormal thyroid function studies in patients presenting with SCFE. METHODS: This was a retrospective review of all patients aged 0 to 18 years treated for SCFE at a single pediatric hospital from January 2015 to July 2022...
February 29, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38411144/intraoperative-epiphyseal-perfusion-monitoring-does-not-reliably-predict-osteonecrosis-following-treatment-of-unstable-scfe
#16
JOURNAL ARTICLE
Bridget K Ellsworth, Julianna Y Lee, Morgan G Batley, Wudbhav N Sankar
BACKGROUND: Avascular necrosis (AVN) remains the most dreaded complication of unstable slipped capital femoral epiphysis (SCFE) treatment. Newer closed reduction techniques (with perfusion monitoring) have emerged as a technically straightforward means to address residual SCFE deformity while still minimizing the risk of osteonecrosis. However, limited data exists regarding the reliability of intraoperative epiphyseal perfusion monitoring to predict the development of AVN. The purpose of this study was to evaluate its reliability...
February 27, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38404032/association-of-hepatokines-with-markers-of-endothelial-dysfunction-and-vascular-reactivity-in-obese-adolescents
#17
JOURNAL ARTICLE
David Stein, Daniela Ovadia, Stuart Katz, Preneet Cheema Brar
OBJECTIVES: Obesity-induced insulin resistance (IR) is known to influence hepatic cytokines (hepatokines), including fibroblast growth factor (FGF-21), fetuin-A, and chemerin. This study aimed to investigate the association between hepatokines and markers of endothelial dysfunction and vascular reactivity in obese adolescents. METHODS: A total of 45 obese adolescents were categorized into three groups based on glucose tolerance: normal glucose tolerance (NGT), prediabetes (PD), and type 2 diabetes (T2D)...
February 26, 2024: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://read.qxmd.com/read/38398334/the-medium-to-long-term-results-of-vascular-sparing-subcapital-osteotomy-vassco-for-pediatric-patients-with-chronic-slipped-capital-femoral-epiphysis
#18
JOURNAL ARTICLE
Cesare Faldini, Alberto Di Martino, Matteo Brunello, Niccolò Stefanini, Nicole Puteo, Federico Pilla, Giuseppe Geraci, Francesco Traina
Background: In patients affected by chronic slipped capital femoral epiphysis (C-SCFE), the performance of a subcapital osteotomy is an effective procedure to correct the deformity at the proximal femur. However, the rate of postoperative complications is very high, with iatrogenic avascular necrosis of the femoral head (AVN) being the most bothersome. To overcome the risk of AVN, the modified Dunn procedure according to Ganz and, more recently, the Vascular Sparing Subcapital Osteotomy (VASSCO) technique have been proposed; however, only short-term follow-up studies are available on the latter technique being used...
February 10, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38397369/bone-deformities-through-the-prism-of-the-international-classification-of-functioning-disability-and-health-in-ambulant-children-with-cerebral-palsy-a-systematic-review
#19
REVIEW
Rodolphe Bailly, Christelle Pons, Anne-Charlotte Haes, Lisa Nguyen, Matthias Thepaut, Laëtitia Houx, Mathieu Lempereur, Sylvain Brochard
(1) Aim: The aim of this study was to determine the relationship between lower limb bone deformities and body functions, activity, and participation in ambulant children with CP and whether changing bone morphology affects outcomes in these domains. (2) Methods: A systematic literature search (PROSPERO CRD42020208416) of studies reporting correlations between measures of lower limb bone deformities and measures of body function, activity or participation, or post-surgical outcomes in these domains was conducted from 1990 to 2023 in Medline, Scopus, and Cochrane Library...
February 16, 2024: Children
https://read.qxmd.com/read/38397297/atraumatic-limping-child-a-challenge-for-pediatricians-an-observational-age-related-study-in-a-pediatric-emergency-department
#20
JOURNAL ARTICLE
Sebastian Cristaldi, Alessandra Boni, Valentina Ferro, Antonio Musolino, Nicoletta Della Vecchia, Elena Boccuzzi, Elena Bellelli, Francesco Saverio Biagiarelli, Angelo Gabriele Aulisa, Marco Cirillo, Umberto Raucci, Alberto Villani
BACKGROUND: Atraumatic limping is a frequent cause of consultation in Pediatric Emergency Departments (PED) and often represents a challenge for pediatricians for its variability in etiology ranging from benign causes to potential crippling conditions. The aims of this research are to illustrate the clinical features of acute limping children (LC) and to identify the possible red flags that could help to make a diagnosis of severe pathologies. METHODS: We carried out a retrospective study about non-traumatic limping children referred to the PED of Bambino Gesù Children's Hospital over a 2-year period...
February 2, 2024: Children
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