keyword
https://read.qxmd.com/read/38148605/stabilisation-of-femoral-capital-physeal-fractures-using-transcervical-pinning-in-cats-19-cases-2014-2022
#21
JOURNAL ARTICLE
L De Vreught, R Fontenay, P H Berthelot, A Josens, T Coutant, P Méheust
OBJECTIVES: To report the short-term clinical and radiographic outcomes in cats with femoral capital physeal fractures stabilised with transcervical pinning. MATERIALS AND METHODS: Medical records of cats diagnosed with femoral capital physeal fractures and treated with transcervical pinning were reviewed. The collected data included signalment, weight, time from lameness to surgery, reported trauma, affected side, concomitant orthopaedic injuries, radiographs, osteoarthritis, femoral neck osteolysis, proximal femoral epiphysis to femoral neck ratio, fracture reduction, implants, complications and clinical evaluation results...
March 2024: Journal of Small Animal Practice
https://read.qxmd.com/read/38131336/the-creation-and-validation-of-an-ankle-bone-age-atlas-and-data-predicting-remaining-ankle-growth
#22
JOURNAL ARTICLE
Andrew T Pennock, James D Bomar, Jason M Pedowitz, Stephen L Carveth
BACKGROUND: The purpose of the current study was 2-fold: (1) to create and validate an ankle bone age atlas spanning the pediatric and adolescent years and (2) to utilize this atlas in conjunction with distal tibia/fibular growth data as measured on serial radiographs to develop a predictive growth model for the lower extremity. METHODS: Radiographs were surveyed to identify distinguishable, reproducible, radiographic features. Radiographic features of the tibia, fibula, hindfoot, and midfoot from 270 patients were identified and a "standard" for each age/sex was selected to create an atlas...
December 22, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38127811/strong-association-between-growth-hormone-therapy-and-proximal-tibial-physeal-avulsion-fractures-in-children-and-adolescents-a-case-control-study
#23
JOURNAL ARTICLE
Samuel A Beber, Preston W Gross, Erikson Nichols, Daniel W Green, Peter D Fabricant
BACKGROUND: Published literature describes slipped capital femoral epiphysis as a complication of recombinant human growth hormone (rhGH) therapy that may be related to decreased physeal strength. The purpose of the current investigation was to utilize a case-control study design to determine whether a greater proportion of pediatric patients sustaining physeal avulsion fractures of the proximal tibia were undergoing rhGH therapy at the time of injury compared with a cohort of matched controls...
December 21, 2023: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/38107361/clubfoot-deformity-treatment-with-ilizarov-apparatus-in-the-paediatric-population-without-corrective-osteotomies-and-soft-tissue-release-a-cross-sectional-study
#24
JOURNAL ARTICLE
H S Aslani, M B Athari, R Tavakoli-Darestani, A Pourmojarab, M Baroutkoub, M Zamani
INTRODUCTION: Neglected Club Foot deformity is not an uncommon limb anomaly encountered by orthopaedic surgeons. Many treatment methods have been proposed. Ilizarov apparatus is one of the techniques used to correct this deformity. MATERIALS AND METHODS: In this cross-sectional study 47 patients (56 feet) between the ages of 5 and 10 years with clubfoot deformity were treated using the Ilizarov external fixator. Age, sex, type of deformity, and radiographic parameters were measured on foot radiographs...
November 2023: Malaysian Orthopaedic Journal
https://read.qxmd.com/read/38091584/proximal-tibial-recurvatum-valgus-analysis-and-treatment
#25
JOURNAL ARTICLE
Andrew G Georgiadis, Nickolas J Nahm, Mark T Dahl
Genu recurvatum-valgus arises from the proximal tibia and poses challenges in its treatment. The etiology of the combined deformities can include physeal trauma (often unrecognized), iatrogenic injury, infection, tumor, Osgood-Schlatter syndrome, skeletal dysplasia, and ligamentous laxity. Both osseous and ligamentous contributions must be recognized for successful treatment. A graphical planning method identifies the true (oblique) plane of deformity. Surgical treatment options include epiphysiodesis to prevent progressive deformity, guided growth, opening-wedge proximal tibial osteotomy, and gradual correction with concomitant limb lengthening using external fixation or motorized internal lengthening...
December 8, 2023: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/38090676/delayed-presentation-of-popliteal-artery-injury-after-salter-harris-iii-proximal-tibia-fracture
#26
Alexandra H Seidenstein, Timothy W Torrez, Jacob A Garcia, Shadi K Awad, Henry Debell, Shawn R Gilbert, Kevin A Williams
INTRODUCTION: Proximal tibia physeal fractures in children are not very common but can be dangerous because they can harm popliteal fossa structures, especially the popliteal artery. Popliteal artery injuries (PAI) are most commonly the result of trauma to the lower extremity, including blunt force, hyperextension injuries, complex fractures, and knee dislocations that can compromise popliteal neurovascular structures. Case Presentation. A 14-year-old boy presents to the emergency department after being transferred from an outside hospital 24 hours after a left lower extremity hyperextension injury...
2023: Case Reports in Orthopedics
https://read.qxmd.com/read/38062866/physeal-fractures-of-the-distal-ulna-incidence-and-risk-factors-for-premature-growth-arrest
#27
JOURNAL ARTICLE
Julianna Lee, Pille-Riin Värk, Shaun D Mendenhall, Benjamin Chang, Eliza Buttrick, Apurva S Shah
BACKGROUND: The aim of this study is to assess the rate of distal ulnar growth arrest following physeal fracture and to identify specific risk factors for premature physeal closure. METHODS: A retrospective review of patients with a distal ulnar physeal fracture was performed at a single United States children's hospital. Patients without 6-month follow-up were excluded. Patient demographics, injury characteristics, treatment, and outcomes were abstracted. Fractures were classified by the Salter-Harris (SH) system...
December 8, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38052439/-extensor-pollicis-longus-rupture-in-a-pediatric-patient-case-report-and-a-literature-review
#28
JOURNAL ARTICLE
J Fernández-Mardomingo Gutiérrez, M Sánchez de León-Corral, D O Zambrano-Zambrano, L A Sanz-Ferrando
INTRODUCTION: the rupture of the extensor pollicis longus (EPL) tendon is a rare pathology and usually occurs in adult women in relation to distal radius fractures. MATERIAL AND METHODS: we present the case of an adolescent female patient who, after conservative treatment with splinting of a Peterson type I physeal fracture of the radius, suffered an acute extension deficit of the thumb at six weeks, diagnosed with clinical radiological examination as spontaneous rupture of the extensor pollicis longus (EPL)...
2023: Acta Ortopédica Mexicana
https://read.qxmd.com/read/38037678/a-modified-delphi-consensus-statement-on-patellar-instability-part-i
#29
JOURNAL ARTICLE
Eoghan T Hurley, Andrew J Hughes, Ian Savage-Elliott, David Dejour, Kirk A Campbell, Mary K Mulcahey, Jocelyn R Wittstein, Laith M Jazrawi, Michael J Alaia, Elizabeth A Arendt, Olufemi R Ayeni, Ashley J Bassett, Kevin F Bonner, Christopher L Camp, Cordelia W Carter, Jorge Chahla, Michael G Ciccotti, Andrew J Cosgarea, Cory M Edgar, Brandon J Erickson, João Espregueira-Mendes, Jack Farr, Lutul D Farrow, Rachel M Frank, Kevin B Freedman, John P Fulkerson, Alan Getgood, Andreas H Gomoll, John A Grant, Safa Gursoy, F W Gwathmey, Fares S Haddad, Laurie A Hiemstra, Betina B Hinckel, Jason L Koh, Aaron J Krych, Robert F LaPrade, Zachary I Li, Catherine A Logan, Guillem Gonzalez-Lomas, Brian J Mannino, Martin Lind, Bogdan A Matache, Elizabeth Matzkin, Thomas F McCarthy, Bert Mandelbaum, Volker Musahl, Philippe Neyret, Clayton W Nuelle, Sam Oussedik, J L Pace, Peter Verdonk, Scott A Rodeo, Fiachra E Rowan, Matthew J Salzler, Patrick C Schottel, Fintan J Shannon, Andrew J Sheean, Seth L Sherman, Sabrina M Strickland, Miho J Tanaka, Brian R Waterman, Michael Zacchilli, Stefano Zaffagnini
AIMS: The aim of this study was to establish consensus statements on the diagnosis, nonoperative management, and indications, if any, for medial patellofemoral complex (MPFC) repair in patients with patellar instability, using the modified Delphi approach. METHODS: A total of 60 surgeons from 11 countries were invited to develop consensus statements based on their expertise in this area. They were assigned to one of seven working groups defined by subtopics of interest within patellar instability...
December 1, 2023: Bone & Joint Journal
https://read.qxmd.com/read/37989809/outcomes-of-physeal-sparing-posterior-cruciate-ligament-reconstruction-for-adolescents-with%C3%A2-an-open-physis
#30
JOURNAL ARTICLE
Xu Liu, Haibo Yang, Zhong Jun, Lingzhi Li, Zhaojun Wang, Zhong Li, Juncai Liu
PURPOSE: The posterior cruciate ligament (PCL) rupture rarely occurs, especially in skeletally immature adolescents, and poses a dilemma in appropriately managing the open physis with its vast growth potential. However, although many epiphyseal-protecting techniques for anterior cruciate ligament (ACL) reconstruction have been reported, a similar problem in PCL reconstruction has received scant attention and needs more relevant research. So, this study aims to evaluate the short-term clinical and imaging results of the arthroscopic physeal-sparing reconstruction program...
November 22, 2023: International Orthopaedics
https://read.qxmd.com/read/37981969/adolescent-displaced-lateral-end-clavicle-fractures-are-not-comparable-to-the-adult-variant-epidemiology-fracture-patterns-and-outcome-of-non-operative-management
#31
JOURNAL ARTICLE
L D Baxendale-Smith, R Teed, J A Nicholson
BACKGROUND: The primary aim of this study was to determine the epidemiology of lateral-end clavicle fractures in adolescents. The secondary aim was to assess the outcome following non-operative management. METHODS: A retrospective review of all adolescent clavicle fractures over a 10-year period was undertaken. Fracture classification, demographics, management, and complications were analysed. Functional outcomes were undertaken with the Quick Disabilities of Arm, Shoulder and Hand and EuroQol five-dimension at mean 8...
December 2023: Shoulder & Elbow
https://read.qxmd.com/read/37959403/how-does-age-affect-injury-characteristics-in-young-elite-footballers-a-prospective-cohort-study-of-a-german-youth-academy
#32
JOURNAL ARTICLE
Johannes Weishorn, Ayham Jaber, Raphael Trefzer, Severin Zietzschmann, Ralph Kern, Jan Spielmann, Tobias Renkawitz, Yannic Bangert
BACKGROUND: Little is known about age-related changes in injury characteristics and burden, and existing data are inconsistent, highlighting the need for new studies on this topic. This study aimed to describe age-related injury risk, severity and burden in a German elite youth football academy. METHODS: A prospective cohort study was conducted in the 2012/2013 season, reporting 109 time-loss injuries among 138 young athletes playing at an elite football academy in Germany...
November 5, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37915984/physeal-bar-resection-by-modified-arthroscopically-assisted-surgery-in-a-closed-osteocavity
#33
JOURNAL ARTICLE
Han Xiao, Miao Li, Qian Tan, Weihua Ye, Jiangyan Wu, Haibo Mei, Guanghui Zhu, An Yan
BACKGROUND: Physeal bar resection has been used for partial growth arrest treatment for a decade while removing the bony bar minimally invasively and accurately is challenging. This research aims to illustrate a modified arthroscopically assisted surgery, by which all the procedure was under all-inside visualization, without the constant exchange between burring under fluoroscopy, followed by irrigation, suction, and arthroscopy of the canal. METHODS: We retrospectively reviewed the patients who sustained physeal bar resection under direct all-inside visualization of the arthroscope during 2016-2021...
2023: Frontiers in Pediatrics
https://read.qxmd.com/read/37908530/avulsion-fracture-of-the-tibial-tuberosity-in-an-adolescent-case-report
#34
JOURNAL ARTICLE
Giovani Manhabusqui Pacífico Júnior, Marcel Lobato Sauma, Lauro Augusto Veloso Costa, Luiz Fabiano Presente Taniguchi, Francesco Camara Blumetti
The present study reports a rare case of avulsion fracture of the tibial tuberosity in an adolescent. A 14-year-old male patient sprained his left knee during a soccer match. At the first emergency-room visit, he presented pain in his left knee, 2 +/4+ edema, and inability to walk and flex the affected knee, but no neurovascular changes or signs of compartment syndrome. Radiographs revealed a physeal fracture at the left proximal tibia, classified by Ogden, Tross and Murphy, and modified by Ryu and Debenham, as type IV, and complemented by Aerts et al...
October 2023: Revista Brasileira de Ortopedia
https://read.qxmd.com/read/37907243/use-of-a-modified-intramedullary-pinning-technique-for-distal-femoral-physeal-salter-harris-type-i-and-ii-fracture-management-a-retrospective-study-of-31-cats
#35
JOURNAL ARTICLE
Laura Bondonny, Maxime Jacqmin, François-Xavier Ferrand, Mathieu Taroni, Pablo Rivier
OBJECTIVE:  To report a modified intramedullary pinning technique, and associated outcomes, for distal femoral physeal Salter-Harris type I and II fracture management in cats. STUDY DESIGN:  Retrospective study including client-owned cats presented between November 2014 and February 2022 with distal femoral physeal fractures treated with an intramedullary pin and one antirotational pin inserted in the lateral femoral condyle. Collected data included signalment, fracture characteristics according to the Salter-Harris classification, surgical data (intramedullary and antirotational pin sizes), and outcome data (radiographic and functional outcomes and complications)...
October 31, 2023: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://read.qxmd.com/read/37900479/k-wire-based-external-fixator-for-management-of-salter-harris-type-ii-distal-femur-physeal-injury
#36
Siddhartha Sinha, Neel Aggarwal, Arvind Kumar, Lokendra Singh, Asif Iqbal, Owais A Qureshi, Sandeep Kumar, Javed Jameel
We present a case of a 16-year-old male with a Salter-Harris type II physeal slip of the distal femur managed with closed reduction and K wire and clamp-based external fixator. Knee range of motion exercises were initiated after one week. The union was observed at 10 weeks, and implant removal was done on an outpatient basis. At one year follow-up, the patient had good clinical and radiological outcomes. The K-wire-based external fixator frame is an effective fixation method for distal femur physeal slips in older children, providing favorable radiological and functional outcomes...
September 2023: Curēus
https://read.qxmd.com/read/37885628/digital-physeal-arrest-following-dactylitis-in-a-child
#37
Nadya Liyana Ow, Matthew Nottage, Peter Bale, Pranai Buddhdev
INTRODUCTION: Following trauma, premature growth arrest is a common outcome when the injury affects the pediatric growth plate. Dactylitis describes global inflammation affecting one or more digits in the hand or foot. It occurs in various seronegative arthropathies and septic arthritis. Physeal fusion following dactylitis is uncommon and is not described in the current literature. CASE REPORT: We report the case of a 12-year-old boy, whose minor non-penetrating injury resulted in circumferential edema of his left third upper limb digit, typical of dactylitis...
October 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/37883870/bilateral-floating-knee-injury-in-a-child-with-down-syndrome-a-case-report
#38
Reza Zandi, Farsad Biglari, Saber Barazandeh Rad, Amir Sabaghzadeh, Farshad Farzanegan, Meisam Jafari Kafiabadi
INTRODUCTION AND IMPORTANCE: Floating knee injury is a rare injury that involves a simultaneous fracture of the femur and tibia. It is more common among young men and is generally caused by high-speed blows. Down syndrome is a chromosomal disorder associated with various musculoskeletal conditions. Children with Down syndrome have generalized ligamentous laxity, joint hypermobility, and hypotonia, leading to musculoskeletal conditions such as atlantoaxial instability, hip instability, and patellar instability...
October 24, 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37867312/ipsilateral-healthy-segment-response-to-leg-length-discrepancy
#39
JOURNAL ARTICLE
John G Birch, Marina R Makarov, Chan-Hee Jo
BACKGROUND: Few studies address frequency or magnitude of healthy lower-extremity segment response to ipsilateral companion segment shortening. We sought to document and quantify this occurrence in a variety of pediatric etiologies. METHODS: We reviewed the medical record and radiographs of patients undergoing epiphysiodesis to manage leg length discrepancy. Inclusion criteria for this study were leg length discrepancy of a single lower-extremity segment by identifiable cause and adequate scanograms to allow accurate measurement of all 4 lower-extremity segments before any surgical treatment for the discrepancy...
October 23, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37853920/minimally-invasive-percutaneous-leverage-reduction-in-the-treatment-of-pediatric-salter-harris-iv-and-v-distal-femoral-physeal-fractures
#40
JOURNAL ARTICLE
Wen Shu, ZiXuan Ou, QiYuan Feng, Haobo Zhong, Xin Tang
OBJECTIVE: Distal femoral physeal fractures (DFPF) are rare but severe injuries in children, and there is no consensus on treatments for Salter-Harris (S-H) IV and V type of DFPF yet. This study aimed to introduce a minimally invasive technique using percutaneous leverage reduction combined with Kirschner wires fixation in treating pediatric DFPF with S-H IV and V type of injury and evaluate the clinical results. METHODS: From July 2008 to June 2018, the authors' institute (Union Hospital, Tongji Medical College) retrospectively reviewed all patients diagnosed with pediatric DFPF...
October 19, 2023: Orthopaedic Surgery
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