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Pediatric upper extremity

Min Jeng Cho, Jihoon Kim, Sung Jeep Kim, Kyu Hyouck Kyoung, Min Ae Keum, Sung Kyun Park
Purpose: Several published policy statements have warned for risk of trampoline and have recommended safety guideline. However, few studies have focused on trampoline-related injuries in Korea. The aim of this study was to assess the incidence and characteristics of pediatric trampoline-related injuries presenting to our hospital. Methods: We retrospectively reviewed the medical record of children <16 years old with trampoline-related injuries who visited our emergency department from 2008 to 2017...
October 4, 2018: Korean Journal of Pediatrics
Eliana B Saltzman, Schneider K Rancy, Darryl B Sneag, Joseph H Feinberg Md, Dale J Lange, Scott W Wolfe
BACKGROUND: Acute flaccid myelitis is associated with enterovirus D68 induced inflammation and destruction of cervical anterior horn cells. To date, no medical intervention has altered the disease course. METHODS: We report two pediatric patients who were treated with nerve transfer in three limbs with sustained upper extremity neuropathy. Postoperative outcomes included muscle strength, graded on the British Medical Research Council (BMRC) scale, range of motion, and electromyography...
August 20, 2018: Pediatric Neurology
Joseph R England, Jordan S Gross, Eric A White, Dakshesh B Patel, Jasmin T England, Phillip M Cheng
OBJECTIVE: The purpose of this study is to determine whether a deep convolutional neural network (DCNN) trained on a dataset of limited size can accurately diagnose traumatic pediatric elbow effusion on lateral radiographs. MATERIALS AND METHODS: A total of 901 lateral elbow radiographs from 882 pediatric patients who presented to the emergency department with upper extremity trauma were divided into a training set (657 images), a validation set (115 images), and an independent test set (129 images)...
October 9, 2018: AJR. American Journal of Roentgenology
S Keisin Wang, Natalie A Drucker, Jodi L Raymond, Thomas M Rouse, Andres Fajardo, Gary W Lemmon, Michael C Dalsing, Brian W Gray
OBJECTIVE: The purpose of this investigation was to determine our limb-related contemporary pediatric revascularization perioperative and follow-up outcomes after major blunt and penetrating trauma. METHODS: A retrospective review was performed of a prospectively maintained pediatric trauma database spanning January 2010 to December 2017 to capture all level I trauma activations that resulted in a peripheral arterial revascularization procedure. All preoperative, intraoperative, and postoperative continuous variables are reported as a mean ± standard deviation; categorical variables are reported as a percentage of the population of interest...
October 3, 2018: Journal of Vascular Surgery
Derek Paul Axibal, Patrick Carry, Anne Skelton, Stephanie Watson Mayer
OBJECTIVE: Compare outcomes of operative and nonoperatively managed medial epicondyle fractures in upper-extremity athletes. DESIGN: Retrospective chart review and phone survey. SETTING: Level 1, tertiary-referral pediatric hospital. PATIENTS: Propensity scores (probability of operative treatment) were estimated from a logistic regression model that included sex, age, displacement, limb dominance, and injury severity (presence of an additional fracture, nerve injury, or elbow dislocation)...
October 1, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Ippei Takahashi, Masayuki Ishihara, Taku Oishi, Masaki Yamamoto, Mitsuo Narita, Mikiya Fujieda
A few pediatric cases with brain vasculitis most frequently affecting the middle cerebral artery have been reported in association with Mycoplasma pneumoniae infection, but involvement of the common carotid artery (CCA) before the bifurcation has not been reported to date. We report herein a case of 10-year-old boy with common carotid arteritis and polymyalgia associated with Mycoplasma pneumoniae infection. His fever and cough began 2 weeks before, and his right upper and lower extremity pains began 2 days before admission...
September 28, 2018: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
Ewa Misterska, Jakub Glowacki, Maciej Kołban, Maciej Glowacki
BACKGROUND: A small body of data exists concerning psychosocial issues in adolescent idiopathic scoliosis (AIS) subjected to soft braces. No study was yet performed on the detailed psychosocial implications in AIS patients. OBJECTIVE: To compare the psychosocial implications of the flexible SpineCor with the Cheneau orthosis in AIS females. METHODS: Patients (aged 10-18 years) deliberately assigned to undergo SpineCor (SC group, 30 patients) or Cheneau brace (Ch group, 41 patients) intervention completed the Scoliosis Research Society-22 (SRS-22), the Spinal Appearance Questionnaire (SAQ), the Brace Questionnaire (BrQ) and the Pediatric Outcomes Data Collection Instrument (PODCI)...
September 14, 2018: Journal of Back and Musculoskeletal Rehabilitation
David E Kurlander, Shirley Shue, Graham S Schwarz, Amir M Ghaznavi
BACKGROUND: Vascularized fibula epiphysis transfer for pediatric extremity reconstruction intends to preserve growth potential. However, few cases are reported, and outcomes are poorly characterized. METHODS: Systematic review was performed through a MEDLINE search using keywords "pediatric" or "epiphyseal" and "vascularized fibula." Patients were divided into upper extremity or lower extremity groups. Functional and growth outcomes were assessed, and indications, pedicle, complications, and need for secondary surgery were recorded...
September 20, 2018: Annals of Plastic Surgery
Omeshwar Singh, Sanjeev Gupta, Mohammad Azhar Ud Din Darokhan, Shakeel Ahmad, Sumeet Singh Charak, Anuradha Sen
Background: Trauma is emerging as an epidemic and a leading cause of morbidity and mortality in children. Children <15 years of age comprise about 32.8% or about 1/3rd of the total Indian population. In India, up to one fourth of hospital admissions and approximately 15% of deaths in children are due to injury. This study presents the epidemiology, various causes and pattern of musculoskeletal injuries in pediatric population of North India. Materials and Methods: This is an observational, prospective hospital-based study conducted in a tertiary care center of North India for 6 months from July to December 2016...
September 2018: Indian Journal of Orthopaedics
Ugochi C Okoroafor, William Gerull, Melissa Wright, Jason Guattery, Brinkley Sandvall, Ryan P Calfee
PURPOSE: Although social deprivation is acknowledged to influence physical and mental health in adults, it is unclear if and how social deprivation influences perceived health in children. This study was conducted to evaluate the impact of social deprivation on Patient-Reported Outcomes Measurement Information System (PROMIS) scores in children presenting for treatment of upper extremity fractures. METHODS: This cross-sectional evaluation analyzed data from 975 new pediatric patients (8-17 years old) with upper extremity fractures presenting to a tertiary orthopedic center between June 1, 2016, and June 1, 2017...
October 2018: Journal of Hand Surgery
Heidi L Pottinger, Mary Rahlin, Jessiemarie Voigt, Michele E Walsh, Charlene M Fregosi, Burris R Duncan
PURPOSE: The purpose of this pilot study was (1) to evaluate feasibility of attendance and parent satisfaction with an intensive outpatient physical and occupational therapy program for young children with spastic cerebral palsy (CP) and (2) to examine changes in motor function. METHODS: Sixteen children with CP, age range 18-36 months (mean 24.3 ± 6.3 months), received physical and occupational therapy sessions (30 minutes each) 5 days per week for 12 weeks...
September 10, 2018: Physiotherapy Theory and Practice
Barak Rinat, Eytan Dujovny, Noam Bor, Nimrod Rozen, Guy Rubin
Objective High-grade pediatric supracondylar humerus fractures are commonly treated with closed reduction and internal fixation with percutaneous pinning. When this fails, open reduction followed by internal fixation is the widely accepted procedure of choice. Use of a lateral external fixator was recently described as an optional procedure, but evidence is scarce. Methods We investigated the outcomes of upper limbs treated by either open reduction with internal fixation or closed reduction and external fixation...
September 10, 2018: Journal of International Medical Research
Eun Seok Choi, Jae Ho Jang, Jae Hyug Woo, Ji Uk Choi, Jin Seong Cho, Hyuk Jun Yang
PURPOSE: Trampoline-related injuries are steadily increasing. To our knowledge, there have been very few studies on trampoline injuries in Asia. The purpose of this study is to report the characteristics of pediatric trampoline injuries in Korea. MATERIALS AND METHODS: We conducted a nationwide retrospective cohort study. Data were collected from prospective nationwide databases (Emergency Department-based Injury In-depth Surveillance databases of the Korea Centers for Disease Control and Prevention) for patients who visited emergency departments (EDs) after injuries during 2011-2016...
October 2018: Yonsei Medical Journal
Anne G Copay, Blake Eyberg, Andrew S Chung, Kenneth S Zurcher, Norman Chutkan, Mark J Spangehl
BACKGROUND: The minimum clinically important difference (MCID) attempts to define the patient's experience of treatment outcomes. Efforts at calculating the MCID have yielded multiple and inconsistent MCID values. The purposes of this review were to describe the usage of the MCID in the most recent orthopaedic literature, to explain the limitations of its current uses, and to clarify the underpinnings of the MCID calculation, so as to help practitioners to understand and utilize the MCID and to guide future efforts to calculate the MCID...
September 2018: JBJS Reviews
Anne G Copay, Andrew S Chung, Blake Eyberg, Neil Olmscheid, Norman Chutkan, Mark J Spangehl
BACKGROUND: The minimum clinically important difference (MCID) attempts to define the patient's experience of treatment outcomes. Efforts at calculating the MCID have yielded multiple and inconsistent MCID values. The purposes of this review were to describe the usage of the MCID in the most recent orthopaedic literature, to explain the limitations of its current uses, and to clarify the underpinnings of MCID calculation. Subsequently, we hope that the information presented here will help practitioners to better understand the MCID and to serve as a guide for future efforts to calculate the MCID...
September 2018: JBJS Reviews
Dafna Guttman, Etzyona Ezinstien, Tamar Yissar, Sharon Barak
INTRODUCTION: Lower limb deficiency in childhood has an impact on acquisition of motor skills. Information regarding the characteristics of this population was examined in several countries but not in Israel. AIMS: To provide demographics, clinical and functional characteristics of children with lower limb deficiency in a pediatric rehabilitation department. METHODS: Children with lower limb deficiency participated in this study. The study variables included demographics, and clinical and functional characteristics...
August 2018: Harefuah
Wesley N Sivak, M Asher Schusterman, Lorelei J Grunwaldt
Background: Pediatric plastic surgeons perform reconstructive surgeries for various congenital, oncologic, and traumatic injuries. Methods: Our Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center (UPMC) Plastic Surgery team was tasked to care for a young man who suffered a proximal humeral amputation of his dominant upper extremity. Results: A multidisciplinary team collaborated throughout his entire acute care and postoperative course, guiding treatment and care in effort to maximize function of his replanted extremity...
July 2018: Plastic and Reconstructive Surgery. Global Open
Sue V McDiarmid
PURPOSE OF REVIEW: This review will focus on the lessons learned over several decades of solid organ transplantation in children, and their relevance to the emerging field of pediatric VCA. Particular attention will be focused on the risk-benefit ratio of immunosuppression as it applies to children receiving a life-enhancing transplant as compared with a life-saving transplant. Potential indications for pediatric VCA will be considered. RECENT FINDINGS: The report in 2015 of the first child to receive a VCA, bilateral upper extremity grafts from a nonrelated deceased donor, is a seminal event...
October 2018: Current Opinion in Organ Transplantation
Felicity G Fishman, Jarrad Barber, Gary M Lourie, Allan E Peljovich
BACKGROUND: Triangular fibrocartilage complex (TFCC) tears have been treated with increasing frequency in pediatric and adolescent patients over the past decade. There is little information on these injuries in young athletes and a scarcity of data regarding their ability to return to preinjury levels of athletic participation. The purpose of this study was to review the outcomes of pediatric and adolescent athletes with operatively treated TFCC tears with or without a concurrent ulnar shortening osteotomy and to determine their ability to return to their preoperative level of activity...
November 2018: Journal of Pediatric Orthopedics
Branislav Kollar, Sotirios Tasigiorgos, Miguel I Dorante, Matthew J Carty, Simon G Talbot, Bohdan Pomahac
In the past 20 years, reconstructive transplantation (RT) has emerged as a viable reconstructive option for carefully selected patients. More than 100 upper extremity and 40 face transplants have been performed worldwide to date. Concomitantly, the portfolio of reconstructive transplantation has been extended by additional procedures such as lower extremities, abdominal wall, neck, uterus, genitourinary, and pediatric transplants. In the present review article, we aim to summarize the current state of knowledge about this exciting field...
October 2018: Journal of Surgical Oncology
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