keyword
https://read.qxmd.com/read/38392622/finite-element-analysis-of-various-osteotomies-used-in-the-treatment-of-developmental-hip-dysplasia-in-children
#21
JOURNAL ARTICLE
Zsuzsanna Incze-Bartha, Sandor Incze-Bartha, Zsuzsánna Simon-Szabó, Andrei Marian Feier, Vlad Vunvulea, Alin Ioan Nechifor-Boila, Ylenia Pastorello, Lorand Denes
Late-discovered developmental hip dysplasia deformities often necessitate complex surgical treatments and meticulous preoperative planning. The selection of osteotomies is contingent upon the patient's age and the specific structural deformity of the hip. In our anatomical hip model, derived from the data of a 12-year-old patient, we performed virtual osteotomies that are commonly recommended for such cases. We precisely constructed geometric models for various osteotomies, including the Dega, Pemberton, Tönnis, Ganz, Chiari pelvic, and Pauwels femoral osteotomies...
February 8, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/38390197/separating-the-effects-of-life-course-adiposity-on-diabetic-nephropathy-a-comprehensive-multivariable-mendelian-randomization-study
#22
JOURNAL ARTICLE
Han Zhang, QingYa Zhang, YiJue Song, LiJun Wang, MinChao Cai, JinFang Bao, Qing Yu
AIMS: Previous Mendelian randomization (MR) of obesity and diabetic nephropathy (DN) risk used small sample sizes or focused on a single adiposity metric. We explored the independent causal connection between obesity-related factors and DN risk using the most extensive GWAS summary data available, considering the distribution of adiposity across childhood and adulthood. METHODS: To evaluate the overall effect of each obesity-related exposure on DN (Ncase = 3,676, Ncontrol = 283,456), a two-sample univariate MR (UVMR) analysis was performed...
2024: Frontiers in Endocrinology
https://read.qxmd.com/read/38388968/continuous-age-and-sex-specific-reference-ranges-of-liver-enzymes-in-chinese-children-and-application-in-pediatric-non-alcoholic-fatty-liver-disease
#23
JOURNAL ARTICLE
Zhao-Yuan Wu, Si-Wei Chi, Liu-Jian Ouyang, Xiao-Qin Xu, Jing-Nan Chen, Bing-Han Jin, Rahim Ullah, Xue-Lian Zhou, Ke Huang, Guan-Ping Dong, Zhe-Ming Li, Ying Shen, Jie Shao, Yan Ni, Jun-Fen Fu, Qiang Shu, Wei Wu
BACKGROUND: Alanine aminotransferase (ALT) is widely used to screen patients with hepatic diseases. However, the current reference ranges (< 50 U/L) were developed by laboratories and have not been validated in populations with a large number of healthy individuals. METHODS: This study collected venous blood and anthropometric data from a total of 13,287 healthy children aged 3 months to 18 years who underwent routine physical examinations in the Department of Pediatric Healthcare...
February 22, 2024: World Journal of Pediatrics: WJP
https://read.qxmd.com/read/38385205/the-anterior-modified-san-diego-acetabuloplasty-does-not-increase-superior-anterior-coverage-in-patient-specific-3d-printed-models
#24
JOURNAL ARTICLE
Joshua C Tadlock, Garrett E Rupp, Christine L Farnsworth, James D Bomar, Jason P Caffrey, Vidyadhar V Upasani
BACKGROUND: Patients with developmental dysplasia of the hip may require pelvic osteotomies to improve acetabular coverage. The purpose of this study was to compare the changes in acetabular version, tilt, and regional coverage angles following the San Diego acetabuloplasty (SDA), the modified San Diego acetabuloplasty (mSDA), and the Pemberton acetabuloplasty (PA). METHODS: Fourteen patients with developmental dysplasia of the hip and computed tomography (CT) imaging were identified...
February 22, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38379613/autologous-and-synthetic-pediatric-iliofemoral-reconstruction-a-novel-technique-for-pediatric-iliofemoral-artery-reconstruction
#25
Donna C Koo, P Nina Scalise, Jonathan M Durgin, Eliza J Lee, Khashayar Vakili, Heung Bae Kim
Pediatric lower extremity arterial catheterization-related injuries can result in significant long-term morbidity. Revascularization is challenging due to concerns for long-term patency and growth accommodation with synthetic grafts. We describe a novel technique for iliofemoral revascularization using common iliac artery transposition and bridging polytetrafluoroethylene grafts. We treated two children who underwent femoral catheterization resulting in lifestyle-limiting claudication. Both patients experienced immediate resolution of symptoms...
April 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38373109/low-osteotomy-cut-of-dega-procedure-for-older-children-with-developmental-dysplasia-of-the-hip
#26
JOURNAL ARTICLE
Ming-Hua Du, Rui-Jiang Xu, Wen-Chao Li, Hai-Yan Zhu
The effect on acetabular management in developmental dysplasia of the hip (DDH) patients aged 7 or older with modified low Dega osteotomy procedure was evaluated. Patients between 7 and 14 years old were managed with modified low Dega osteotomy and open reduction and concomitant procedures to evaluate whether low level osteotomy improved the clinical and radiologic outcomes after treatment. Clinical status was assessed using the modified McKay's criteria; radiologic evaluations were assessed for the modified Severin classification, the mean acetabular index (AI), Sharp angle and center-edge (CE) angle...
February 19, 2024: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/38366676/transient-synovitis-of-the-hip-development-and-validation-of-a-new-diagnostic-algorithm
#27
JOURNAL ARTICLE
Justine Benoit, Siham El Khalifi, Colin Saoudi, Claire De Jorna, François Dubos
AIM: To develop and validate an algorithm to rapidly distinguish transient synovitis (TS) of the hip from differential diagnoses without additional tests. METHODS: This retrospective cohort study included all children admitted for non-traumatic limping in the emergency department at Lille University-Hospital between 2016 and 2020. The gold standard was a definitive diagnosis at follow-up visit. All variables associated with acute limping in children were analysed in univariate and multivariable analyses...
February 17, 2024: Acta Paediatrica
https://read.qxmd.com/read/38364754/bone-tumors-in-children-round-cell-sarcoma-of-the-thigh-a-case-report
#28
Bugashane Bwa Mihigo Elie, Chasinga Baharanyi Tshass, Balagizi Ganywamulume, Patrick Musimwa, Nfundiko Kaguku, Alumeti Munyali Désiré
INTRODUCTION AND IMPORTANCE: Bone tumor in children is a very large pathology and represents about 5% of pediatric cancers located mainly in the limbs. This is a case of a rare form of bone tumor of the round cell sarcoma type of the right femur in an 18-month-old female infant whose diagnosis and therapeutic decision are specific. CASE PRESENTATION: We present an 18-month-old girl, admitted to the panzi general reference hospital and presenting a painful swelling of the right thigh evolving for more than a month and which gradually increased in size in a febrile context with ipso-lateral inguinal adenopathy; Bone biopsy revealed round cell sarcoma and immunohistochemistry was not available...
February 11, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38355440/orthopedic-manifestations-in-children-with-prader-willi-syndrome
#29
JOURNAL ARTICLE
Miao Miao, Guo-Qiang Zhao, Qiong Zhou, Yun-Qi Chao, Chao-Chun Zou
BACKGROUND: Prader-Willi syndrome (PWS) is a rare genetic disease often associated with bone problems, mainly scoliosis and hip dysplasia (HD). This study aimed to analyze the clinical characteristics of orthopedic deformities in patients with PWS. METHODS: A retrospective study was conducted on 175 patients up to March 2023. The Cobb angle(CA) of the spine, the alpha angle of the hip joint, and the acetabular index (AI) were measured. This study aimed to evaluate the relationship between demographic parameters and bone deformities...
February 14, 2024: BMC Pediatrics
https://read.qxmd.com/read/38348898/response-to-commentary-on-failure-of-hip-reconstruction-in-children-with-cerebral-palsy-what-are-the-risk-factors
#30
JOURNAL ARTICLE
Pooya Hosseinzadeh
No abstract text is available yet for this article.
February 13, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38324643/medium-long-term-follow-up-of-slipped-capital-femoral-epiphysis-treated-with-in-situ-fixation-and-patient-acceptable-symptom-state-evaluation
#31
JOURNAL ARTICLE
Daniele Priano, Nicolò De Pascali, Valerio Caccavella, Francesco Puglia, Paolo Trezza, Antonio Memeo
This study evaluates the Patient Acceptable Symptom State (PASS) in patients with slipped capital femoral epiphysis (SCFE) treated with in situ fixation, focusing on medium to long-term outcomes and quality of life. Its primary goal is to establish a subjective well-being cutoff, using subjective methods and the iHOT33 scale, for assessing patients in future studies. Additionally, it explores functionality differences between mild and moderate-severe SCFE, case series epidemiology and potential complications...
February 5, 2024: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/38323400/what-do-we-really-know-about-the-natural-history-of-spastic-hip-dysplasia-and-pain-in-total-involvement-cerebral-palsy-a-systematic-review
#32
JOURNAL ARTICLE
Alexa J Karkenny, Catherine Mackey, Melinda S Sharkey
BACKGROUND: Hip surveillance protocols and surgery for spastic hip dysplasia have become standard of care for children with cerebral palsy (CP) out of concern for long-term sequelae, including pain. It is unclear if available data support that spastic hip dysplasia/dislocation independently correlates with pain in total-involvement CP. A better understanding of this correlation may help guide decision-making for these medically complex patients. METHODS: We undertook a systematic literature review to assess published data on the association of spastic hip dysplasia and pain in total-involvement CP using PubMed (which includes the MedLine databases) and EMBASE databases...
February 7, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38322233/a-case-report-osteomyelitis-of-the-ischiopubic-synchondrosis-with-abscess-formation
#33
Huda AlSahlawi, Noor Shamlooh
Osteomyelitis of the ischiopubic synchondrosis is an uncommon condition with high morbidity rates that present with nonspecific symptoms in the pediatric population. In this article, we report a case of a 10-year-old female who presented with right hip pain and fever following a trivial trauma. Laboratory tests revealed leukocytosis and elevated inflammatory markers. Despite negative blood culture and deceptively normal plain radiographs, magnetic resonance imaging demonstrated osteomyelitis of the ischiopubic synchondrosis with intra-osseous and intra-muscular abscess which was managed surgically by incision and drainage...
April 2024: Radiology Case Reports
https://read.qxmd.com/read/38307777/characteristics-of-femoral-neck-fractures-in-osteogenesis-imperfecta-series-of-four-teen-consecutive-hips-in-twelve-patients
#34
JOURNAL ARTICLE
Arman Vahabi, Hüseyin Kaya, Zeynep Çağıran, Murat Celal Sözbilen, Cengizhan Kurt, Hüseyin Günay
INTRODUCTION: While long bone fractures are commonly seen in individuals with Osteogenesis Imperfecta (OI), femoral neck fractures (FNF) are exceedingly rare. There is a lack of comprehensive data regarding the etiology of FNFs, their characteristics, and the treatment protocols. Our aim was to determine the characteristics of femoral neck fractures in children with OI. MATERIALS AND METHODS: This study was conducted as retrospective series covering period of January 2011-December 2022...
January 29, 2024: Injury
https://read.qxmd.com/read/38306313/every-move-counts-to-improve-bone-health-at-clinical-sites-in-young-pediatric-cancer-survivors-the-ibonefit-project
#35
JOURNAL ARTICLE
Andres Marmol-Perez, Jairo H Migueles, Esther Ubago-Guisado, Jose J Gil-Cosano, Andrea Rodriguez-Solana, Andrés Redondo-Tébar, Francisco J Llorente-Cantarero, Idoia Labayen, Francisco B Ortega, Jonatan R Ruiz, Luis Gracia-Marco
PURPOSE: We aimed to examine the associations of 24-hour movement behaviors (moderate-to-vigorous physical activity [MVPA], light physical activity [LPA], sedentary behavior [SB] and sleep) with age-, sex- and race-specific areal bone mineral density (aBMD) Z-score parameters at clinical sites in young pediatric cancer survivors. METHODS: This cross-sectional multicenter study was carried out within the iBoneFIT framework in which 116 young pediatric cancer survivors (12...
January 31, 2024: Medicine and Science in Sports and Exercise
https://read.qxmd.com/read/38298014/follow-up-value-of-hip-medial-ultrasound-in-infants-and-children-with-developmental-dysplasia-of-the-hip-treated-with-reduction-and-spica-casting
#36
JOURNAL ARTICLE
Jingmiao Yu, Tao Chen, Gang Fu, Xuemin Lyu, Chao Wang, Yukun Wang, Zheng Yang, Wen Guo
OBJECTIVE: Closed or open reduction and spica casting are common treatments for children aged 6 to 18 months, as well as infants aged 0 to 6 months whose harness treatment for developmental dysplasia of the hip (DDH) was unsuccessful. The study aimed to quantify the distance between the femoral head and the acetabulum after closed or open reduction and evaluate the dynamic docking progression of the femoral head using serial hip medical ultrasound. METHODS: We retrospectively reviewed the medical records and hip medial ultrasound images of a consecutive series of patients with DDH who underwent spica casting after reduction and compared images obtained immediately after reduction and at follow-up...
February 1, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38289399/musculoskeletal-injections-for-palliative-treatment-of-neuromuscular-hip-dysplasia-patients-how-i-do-it
#37
REVIEW
Jason Zarahi Amaral, Rebecca J Schultz, Scott B Rosenfeld, J Herman Kan
This review describes our institution's standardized technique as well as potential pitfalls for therapeutic steroid injections in children with symptomatic neuromuscular hip dysplasia. Symptomatic, painful neuromuscular hip dysplasia can dramatically affect quality of life. Steroid injections are used to identify the source of perceived pain, temporarily treat pain while awaiting surgical intervention, or for therapeutic management for nonoperative hip joints.
January 30, 2024: Pediatric Radiology
https://read.qxmd.com/read/38270343/treatment-of-delbet-ii-iii-pediatric-femoral-neck-fractures-with-proximal-femoral-locking-plate-versus-cannulated-screws
#38
JOURNAL ARTICLE
Shamrez Haider, Timothy J Harris, Alexander C Turner, David A Podeszwa, Courtney A Hartman, William Z Morris
INTRODUCTION: Complications following operative treatment of pediatric femoral neck fractures include nonunion, coxa vara, and avascular necrosis (AVN). Proximal femoral locking plates (PFLPs) provide a fixed-angle construct that may reduce the rates of coxa vara, but their use in pediatric femoral neck fractures has not been studied. The purpose of this study was to evaluate rates of union, coxa vara, and AVN in traumatic pediatric femoral neck fractures treated with PFLP or cannulated screws (CS)...
January 25, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38255410/screening-of-developmental-dysplasia-of-the-hip-in-europe-a-systematic-review
#39
REVIEW
Wojciech Krysta, Patryk Dudek, Łukasz Pulik, Paweł Łęgosz
BACKGROUND: Developmental dysplasia of the hip (DDH) is a prevalent orthopaedic disorder in children, and screening methods vary across regions due to local health policies. The purpose of this review is to systematise the different ultrasound screening strategies for detecting DDH in newborns in Europe. METHODS: Eligible studies from the PubMed, Embase, and Scopus databases, published between 1 January 2018 and 18 March 2023, were included. The inclusion criteria specified a European origin, a focus on newborn human patients, and information on ultrasound for DDH detection...
January 13, 2024: Children
https://read.qxmd.com/read/38255388/-superhip-reconstruction-treatment-in-patients-with-congenital-femoral-deficiency-of-paley-s-classification-type-1b
#40
JOURNAL ARTICLE
Francisco Hélio Violante Júnior, Fernando Farcetta Júnior, Douglas Manuel Carrapeiro Prina, Monica Paschoal Nogueira
BACKGROUND: Congenital femoral deficiency (CFD) is a challenging and complex condition that causes limb lengthening. We focused on the clinical and radiographic results of SUPERhip procedures in patients with congenital femoral deficiency type 1b, according to Paley's classification, prior to femoral lengthening. METHODS: We reviewed all records and radiographs of patients who underwent this procedure between 2005 and 2020. We included 26 patients, with clinical and radiographic assessments performed during pre- and post-operative evaluations...
January 9, 2024: Children
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