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https://www.readbyqxmd.com/read/27886352/alterations-of-serum-osteocalcin-levels-in-patients-with-legg-calv%C3%A3-perthes
#1
Wen-Bo Wei, Sha-Jie Dang, Yong Li, Zong-Zhi Liu
BACKGROUND: Legg-Calvé-Perthes disease (LCPD) is a paediatric form of osteonecrosis that ultimately heals but will cause femoral head and acetabular deformities. The purpose of this study was to investigate the early serum measurement of osteocalcin in children with femoral head necrosis compared with that of healthy children. METHODS: 20 patients with LCPD (4 girls and 16 boys) and 20 healthy volunteers (5 girls and 15 boys) were enrolled. All patients did not have additional treatment...
November 14, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/27872768/hip-replacement-surgery-in-14-year-old-girl-with-factor-v-deficiency-haemostatic-treatment-and-thromboprophylaxis
#2
María Eva Mingot-Castellano, Josefina Pérez-Núñez, Lourdes Baeza-Montañez
Factor V (FV) is a pivotal coagulation factor present in plasma and platelets. It plays an essential role in secondary haemostasis acting as a cofactor in the prothrombinase complex, catalysing the conversion of prothrombin to thrombin. There is little evidence on the management of mayor orthopaedic surgery in paediatric or adolescents subjects with this coagulopathy and almost no information about thromboprophylaxis in these situations. We report a case of a hip replacement in a 14-year-old girl with moderate FV deficiency (0...
2016: Case Reports in Hematology
https://www.readbyqxmd.com/read/27646511/an-unusual-cause-of-neonatal-hip-dislocation-infantile-myofibromatosis-presenting-as-developmental-dysplasia-of-the-hip
#3
Timothy Woo, Thuzar Win
INTRODUCTION: Infantile myofibromatosis (IM) is a rare paediatric fibrous tumour also known as a desmoid tumour that occurs in around 1:150000 live births. It manifests as solitary or multicentric fibrous masses in the musculoaponeurotic soft tissues and can affect the visceral organs and bones. CASE DISCUSSION: We report a case of infantile myofibromatosis of the gluteus maximus muscle in an 18-day old neonate presenting atypically as a case of developmental dysplasia of the hip due to local involvement of the sciatic nerve...
September 7, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/27578377/treatment-of-pediatric-femoral-shaft-fractures-by-stainless-steel-and-titanium-elastic-nail-system-a-randomized-comparative-trial
#4
Tank Gyaneshwar, Rustagi Nitesh, Tomar Sagar, Kothiyal Pranav, Nitesh Rustagi
PURPOSE: Literature suggests that the lower modulus of elasticity of titanium makes it ideal for use in children compared with stainless steel. Better fracture stability was observed in association with titanium nails on torsional and axial compression testing. However, stainless steel nails are stiffer than titanium counterparts, which may provide a rigid construct when fixing paediatric femoral shaft fractures. Complications have been observed more frequently by various researchers when titanium nails are used for fracture fixation in patients with increasing age or weight...
August 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27412270/health-related-quality-of-life-questionnaire-for-women-with-polycystic-ovary-syndrome-a-chinese-translation-and-validation-study
#5
Jpw Chung, Ahw Kwan, Jwk Kwok, Ssc Chan
OBJECTIVE: To evaluate the reliability, validity, and responsiveness of the Chinese version of the polycystic ovary syndrome questionnaire (PCOSQ). DESIGN: Translation and validation study. SETTING: Gynaecology clinic and paediatric adolescent gynaecology clinic at the study institute. POPULATION: Chinese women, 16 years of age or older, with polycystic ovary syndrome (PCOS). METHODS: Women completed the Chinese version of the PCOSQ and the Short-Form Health Survey (SF-36)...
September 2016: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27401365/understanding-the-role-of-the-immune-system-in-adolescent-idiopathic-scoliosis-immunometabolic-connections-to-scoliosis-icons-study-protocol
#6
M Constantine Samaan, Paul Missiuna, Devin Peterson, Lehana Thabane
INTRODUCTION: Adolescent idiopathic scoliosis (AIS) affects up to 3% of children around the world. There is limited knowledge of AIS aetiopathogenesis, and this evidence is needed to develop new management strategies. Paraspinal muscle in AIS demonstrates evidence of differential fibrosis based on curve sidedness. Fibrosis is the hallmark of macrophage-driven inflammation and tissue remodelling, yet the mechanisms of fibrosis in paraspinal muscle in AIS are poorly understood. OBJECTIVES: The primary objective of this study is to determine the influence of curve sidedness on paraspinal muscle inflammation...
2016: BMJ Open
https://www.readbyqxmd.com/read/27400675/subtraction-of-subcutaneous-fat-to-improve-the-prediction-of-visceral-adiposity-exploring-a-new-anthropometric-track-in-overweight-and-obese-youth
#7
H Samouda, C De Beaufort, S Stranges, J-P Van Nieuwenhuyse, G Dooms, O Keunen, S Leite, M Vaillant, M-L Lair, F Dadoun
BACKGROUND: The efficiency of traditional anthropometric measurements such as body mass index (BMI) or waist circumference (Waist C) used to replace biomedical imaging for assessing visceral adipose tissue (VAT) is still highly controversial in youth. HYPOTHESIS AND OBJECTIVES: We evaluated the most accurate model predicting VAT in overweight/obese youth, using various anthropometric measurements and their correlation with different body fat compartments, especially by testing, for the first time in youth, the hypothesis that subtracting the anthropometric measurement the most highly correlated with subcutaneous abdominal adipose tissue (SAAT) and less correlated possible with VAT from an anthropometric abdominal measurement highly correlated with visceral and total abdominal adipose tissue (TAAT), predicts VAT with higher accuracy...
July 12, 2016: Pediatric Diabetes
https://www.readbyqxmd.com/read/27239018/hip-arthrodiastasis-in-legg-calv%C3%A3-perthes-disease
#8
I Aguado-Maestro, J C Abril, A Bañuelos Diaz, M García Alonso
INTRODUCTION AND OBJECTIVE: Arthrodiastasis consists of the mobilisation of the hip while distracted by a hinged distractor. The aim of our study is to show the results of the treatment of late-onset Perthes disease with this technique in our institution. MATERIAL AND METHODS: Ambispective review of all the cases that underwent this surgery in our Department of Paediatric Orthopaedics between 2010 and 2014 with the following inclusion criteria: patients over 8 years old, with minimal deformity, and poor prognosis...
July 2016: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/27229168/nonunion-paediatric-femoral-neck-fracture-treatment-without-open-reduction
#9
Perajit Eamsobhana, Kamolporn Keawpornsawan
OBJECTIVES: Fractures of the proximal femur account for less than 1% of all children's fractures. Because of this, most orthopaedic surgeons lack enough experience in treating them. This adds to the rather high incidence of complications especially nonunion. At the time of this review there is no consensus on which method of treatment of the nonunion is the best. The objective of this study is to present our method of treatment to correct the nonunion without open reduction of the nonunion sites...
May 23, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/27084779/peripheral-eosinophilia-in-children-with-transient-synovitis-of-the-hip-7-year-experience-from-a-single-centre-in-new-zealand
#10
Yassar Alamri, Allen Cockfield
PURPOSE: Hip pain with limping is a common presentation in childhood. The most common diagnosis in young children is transient synovitis of the hip (TSH), a benign and self-limiting condition. In our clinical practice, we observed eosinophilia in children presenting with irritable hip more commonly than would otherwise be expected. The aims of this study were to assess the prevalence of eosinophilia in children with TSH, and to evaluate the clinical outcomes of this sub-group of patients...
June 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27072558/external-fixation-of-paediatric-subtrochanteric-fractures-using-calcar-rather-than-neck-pins
#11
Sherif Galal
UNLABELLED: Subtrochanteric femoral fractures in children are uncommon and have received limited attention in the literature. Its treatment is controversial, and different options are available: traction, spica casting, internal fixation and external fixation. The aim of this study is to present our results with external fixation of subtrochanteric femoral fractures in children using Ilizarov frame. Between January 2012 and January 2014, 14 patients with closed subtrochanteric femoral fractures were treated in Cairo University School of Medicine Teaching Hospital...
August 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27033707/one-operator-s-experience-of-ultrasound-guided-lumbar-plexus-block-for-paediatric-hip-surgery
#12
Yavuz Gürkan, Can Aksu, Alparslan Kuş, Kamil Toker, Mine Solak
Lumbar plexus block has been shown to be effective for providing postoperative analgesia after major hip surgeries in children. The goal of the study was to evaluate the feasibility of ultrasound guidance during lumbar plexus block in children undergoing hip surgery for congenital hip dislocation. After obtaining local institutional ethical committee approval and parental informed consent, ASA I or II, 1-6 years old children undergoing hip surgery were included into the study. Lumbar plexus block was performed after general anaesthesia using ultrasound guided Shamrock Method...
March 31, 2016: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/26996901/non-invasive-expandable-prosthesis-in-musculoskeletal-oncology-paediatric-patients-for-the-distal-and-proximal-femur-first-results
#13
Ferran Torner, Josep M Segur, Rosendo Ullot, Francisco Soldado, Pedro Domenech, Lydia DeSena, Jorge Knorr
PURPOSE: The non-invasive expandable prosthesis for skeletally immature patients is used after limb salvage surgery following tumor resection. The aim of the study was to assess the effectiveness of this treatment. METHODS: Seven paediatric patients with femoral tumors had resection and limb salvage with an uncemented non-invasive growing prosthesis. Mean age at the time of surgery was 9.8 (range 8-12) years. There were six distal femur osteosarcomas and one proximal femur Ewing sarcoma...
August 2016: International Orthopaedics
https://www.readbyqxmd.com/read/26979895/is-adult-gait-less-susceptible-than-paediatric-gait-to-hip-joint-centre-regression-equation-error
#14
D Kiernan, J Hosking, T O'Brien
Hip joint centre (HJC) regression equation error during paediatric gait has recently been shown to have clinical significance. In relation to adult gait, it has been inferred that comparable errors with children in absolute HJC position may in fact result in less significant kinematic and kinetic error. This study investigated the clinical agreement of three commonly used regression equation sets (Bell et al., Davis et al. and Orthotrak) for adult subjects against the equations of Harrington et al. The relationship between HJC position error and subject size was also investigated for the Davis et al...
March 2016: Gait & Posture
https://www.readbyqxmd.com/read/26949416/gait-and-lower-limb-observation-of-paediatrics-gallop-development-of-a-consensus-based-paediatric-podiatry-and-physiotherapy-standardised-recording-proforma
#15
Simone Cranage, Helen Banwell, Cylie M Williams
BACKGROUND: Paediatric gait and lower limb assessments are frequently undertaken in podiatry and physiotherapy clinical practice and this is a growing area of expertise within Australia. No concise paediatric standardised recording proforma exists to assist clinicians in clinical practice. The aim of this study was to develop a gait and lower limb standardised recording proforma guided by the literature and consensus, for assessment of the paediatric foot and lower limb in children aged 0-18 years...
2016: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/26849545/effect-of-physical-activity-in-treatment-of-paediatric-obesity
#16
Dalibor Pastucha, Jana Malinčíková, Stanislav Horák, Jana Povová, Petr Konečný
The aim of the study was to compare the differences in anthropometric parameters, maximal oxygen uptake (VO₂max) and physical activity (PA) between groups of 146 obese boys and 128 obese girls. We tried to describe the relationships between changes in PA and changes in VO₂max, body fat, weight, waist circumference and hip circumference. We found statistically significant changes in VO₂max and waist circumference only in the group of boys and significant changes in VO₂max in the group of girls.
November 2015: Central European Journal of Public Health
https://www.readbyqxmd.com/read/26787538/the-most-relevant-diagnostic-criteria-for-developmental-dysplasia-of-the-hip-a-study-of-british-specialists
#17
Daniel Williams, Evangelia Protopapa, Kuldeep Stohr, James B Hunter, Andreas Roposch
BACKGROUND: Developmental dysplasia of the hip (DDH) is the most common orthopaedic disorder in newborns. Despite this considerable variation in practice exists. The aim of this study was to determine the clinical relevance and a ranking order for the diagnostic criteria in DDH amongst paediatric orthopaedic surgeons practicing in the UK. METHOD: One hundred members of the British Society of Children's Orthopaedic Surgery (BSCOS) were asked to rate the importance of 37 criteria useful in the diagnosis of DDH in newborns, using a 10 cm visual analogue scale...
January 19, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/26782927/lower-limb-mri-in-the-staging-and-re-staging-of-osteonecrosis-in-paediatric-patients-affected-by-acute-lymphoblastic-leukaemia-after-therapy
#18
D Ippolito, A Masetto, C Talei Franzesi, P A Bonaffini, A Sala, A Biondi, S Sironi
PURPOSE: To assess the diagnostic value of MRI examination in detecting and monitoring osteonecrotic lesions (ON) in childhood acute lymphoblastic leukaemia (ALL) after chemotherapy (CHT) and/or bone marrow transplantation (BMT). METHODS AND MATERIALS: Seventy-three patients (37 males, mean age 12.4 years old) with ALL after treatment underwent a lower-limb MR examination between November 2006 and March 2012. In 47 there was clinical suspicion of ON, 26 were asymptomatic...
April 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/26725213/arthroscopy-for-hip-septic-arthritis-in-children
#19
I Sanpera, D Raluy-Collado, J Sanpera-Iglesias
BACKGROUND: Hip arthroscopy for treatment of septic arthritis in children has previously been reported with excellent short-term results. The purpose of this study was to evaluate the long-term results of hip arthroscopy for hip septic arthritis (HSA) in paediatric patients. HYPOTHESIS: Arthroscopy still is a useful tool in the treatment of HSA, and may be superior to simple hip aspiration. MATERIALS AND METHODS: Twelve patients with a median age of 6 years, with community-acquired infections, were diagnosed as HSA...
February 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/26664830/the-value-of-tranexamic-acid-in-reducing-blood-loss-following-hip-reconstruction-in-children-with-cerebral-palsy
#20
I Majid, S Alshryda, B Somanchi, E Morakis, A Foster
This is a retrospective study of 51 consecutive hip reconstructions in children with cerebral palsy performed between 2011 and 2013. Tranexamic acid (TXA) was used in 14 hip reconstructions only. Transfusion rate was higher, postoperative Hb was lower, and patients stayed longer in the TXA group. This did not reach a statistical significance (P = 0.75, 0.5, and 0.71, resp.). More than half of the patients who had TXA underwent bilateral hip reconstructions in comparison with 27% only in the non-TXA group. Bilateral hip reconstructions mean more surgery, more blood loss, and more blood transfusion...
2015: Journal of Blood Transfusion
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