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https://www.readbyqxmd.com/read/29339848/habitual-patellar-dislocation-in-children-results-of-surgical-treatment-by-modified-four-in-one-technique
#1
Ravi Mittal, Avtar Singh Balawat, Vikrant Manhas, Amit Roy, Navin Kumar Singh
Background: Habitual patellar dislocation is a rare condition affecting children. The growth plates are open in children and any surgical intervention should take that in to consideration. We are describing a modified four in one technique for habitual patellar dislocation, which is a soft tissue procedure without the use of any implant. Method: In this study we included 6 children (4 females and 2 males) with open growth plates, which were diagnosed with habitual patellar dislocation...
November 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29322270/recent-developments-in-evaluation-and-treatment-of-lateral-patellar-instability
#2
REVIEW
Alexander Zimmerer, Christian Sobau, Peter Balcarek
Recent years have been characterized by an ongoing increase in knowledge about the different conditions associated with lateral patellar instability. This increase in knowledge provides differentiated approaches to the various pathologies of the patellofemoral joint. Though current guidelines consider medial patellofemoral ligament (MPFL) reconstruction the basic treatment for the unstable patella, medial soft tissue-stabilizing procedures should not be interpreted as stand-alone procedures in every case. The influence of different anatomical factors leading to patellar instability, as well as their impact on clinical outcome measures, is becoming increasingly apparent and deserves further attention...
January 10, 2018: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/29320338/healthy-behaviors-and-incidence-of-disability-in-community-dwelling-elderly
#3
Ryo Hotta, Hyuma Makizako, Takehiko Doi, Kota Tsutsumimoto, Sho Nakakubo, Keitaro Makino, Takao Suzuki, Hiroyuki Shimada
OBJECTIVES: In this paper and prospective study, we examine the number of healthy behaviors and the incidence of disability in community-dwelling older adults aged 65 years and older. METHODS: Participants (N = 4483) were residents of Obu, Japan who were asked about regular exercise, smoking status, and sleep duration. Demographic variables, history of disease, physi- cal function, and cognitive function were measured as confounders. Information about disabil- ity was obtained from the Obu City Office...
January 1, 2018: American Journal of Health Behavior
https://www.readbyqxmd.com/read/29303109/-protocols-related-to-food-allergies-and-intolerances-in-preschools-in-reykjavik-iceland
#4
Adalheidur Ran Thrastardottir, Frida Run Thordardottir, Johanna Torfadottir
INTRODUCTION: The aim of the study was to explore prevalence of food allergies and intolerances among children in preschools in Reykjavik, Iceland. Also, to investigate how well preschools maintain a safe environment for children with food allergies. MATERIALS AND METHODS: In 2014, a questionnaire designed specifically for this study, was sent to 65 preschools. Forty-nine participated (75%) representing a total of 4225 children. Prevalence of food allergy and intolerance was determined based on medical certificates from physi-cians delivered to the preschools...
January 2018: Læknablađiđ
https://www.readbyqxmd.com/read/29299655/medial-patellofemoral-ligament-reconstruction-in-children-do-osseous-abnormalities-matter
#5
Sebastien Pesenti, Matthieu Ollivier, Jean-Charles Escudier, Mathieu Cermolacce, Alexandre Baud, Franck Launay, Jean-Luc Jouve, Elie Choufani
PURPOSE: Management of post-traumatic patellar instability in children with osseous abnormalities is challenging because of the presence of an open physis. The aim of our study was to compare the rate of recurrence after isolated reconstruction of the medial patellofemoral ligament (MPFL) in children with or without osseous abnormalities. METHODS: The medical records of 25 children (27 knees) with recurrent patellar dislocation were reviewed. Each child underwent an isolated reconstruction of the MPFL using a hamstring graft...
January 4, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29227374/collateral-ligament-knee-injuries-in-pediatric-and-adolescent-athletes
#6
Dennis E Kramer, Patricia E Miller, Iman K Berrahou, Yi-Meng Yen, Benton E Heyworth
BACKGROUND: The majority of research on medial (MCL) and lateral (LCL) collateral ligament injuries has focused on adults and combined collateral/cruciate injuries. The purpose of this study was to determine characteristics associated with isolated collateral ligament injuries in adolescents, and assess timing for return to sports. METHODS: Electronic medical records were queried to identify patients aged below 17 years who sustained a magnetic resonance imaging-confirmed isolated MCL or LCL injury over an 8-year period...
December 8, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29226200/long-term-results-of-osteoarticular-allograft-reconstruction-in-children-with-distal-femoral-bone-tumors
#7
Khodamorad Jamshidi, Mehrdad Bahrabadi, Alireza Mirzaei
Background: There is no consensus regarding the best method of reconstruction in pediatric population following the wide resection of malignant bone tumors. More exploration of the complications of osteoarticular reconstruction leads to less existing controversy of this type of reconstruction, which is the main point of this article. Methods: Long-term outcomes and complications of osteoarticular allograft reconstruction of primary distal femoral bone sarcomas in 22 children with mean age of 10...
September 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29223628/five-and-10-year-follow-up-of-nonvascularized-toe-phalanx-transfers
#8
Hidehiko Kawabata, Daisuke Tamura
PURPOSE: The purpose of this study was to evaluate long-term outcomes of nonvascularized toe phalanx transfer. METHODS: We retrospectively reviewed 54 nonvascularized toe phalanx transfers in 29 children with symbrachydactyly. Forty-seven transfers in 24 children were evaluated at 5-year follow-up and 27 transfers in 14 children were evaluated at 10-year follow-up. We recorded the incidence of the early physeal closure and the length of the transferred toe phalanx on plain radiographs at 5- and 10-year follow-up...
December 6, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29211202/uncited-articles-in-brazilian-public-health-journals
#9
Angela Maria Belloni Cuenca, Milena Maria de Araújo Lima Barbosa, Karoline de Oliveira, Fernanda Paranhos Quinta, Maria do Carmo Avamilano Alvarez, Ivan França
Here, we describe the percentage of non-citation in Brazilian public health journals, a field that, until now, had not been investigated nationally or internationally. We analyzed articles, published between 2008 and 2012, of eight public health journals indexed in the scopus database. The percentage of non-citation differs between journals (from 5.7% to 58.1%). We identified four statistically distinct groups: História, Ciência, Saúde - Manguinhos (58% uncited articles); Physis: Revista de Saúde Coletiva, Interface, and Saúde e Sociedade (32% to 37%); Ciência & Saúde Coletiva and Revista Brasileira de Epidemiologia (16% to 17%); and Cadernos de Saúde Pública and Revista de Saúde Pública (6%)...
December 4, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29210097/radiography-of-the-distal-extremity-of-the-manus-in-the-donkey-foal-normal-images-and-quantitative-characterization-from-birth-to-2%C3%A2-years-of-age-a-pilot-study
#10
B Van Thielen, I Willekens, A Van der Schicht, P Pestieau, F Verhelle, P Goossens, R Decoster, O Jacqmot, P Delperdange, V Busoni, G De Mol, N Buls, S Provyn, M Kichouh, J de Mey, R Murray
This study describes a radiographic survey of the anatomical development of the distal extremity of the manus in the donkey from 0 to 2 years of age. The right distal limb of 10 donkey foals, born in the spring of 2012, underwent radiographs every month for the first 6 months of age and every 3 months during the following 18 months. Latero-medial radiographs with and without barium marker at the coronary band and dorso-palmar radiographs with both front feet in weight bearing were obtained. The distal physis of the third metacarpal bone and the proximal physis of the proximal phalanx (phalanx proximalis) were closed at the mean age of 18...
December 6, 2017: Anatomia, Histologia, Embryologia
https://www.readbyqxmd.com/read/29206650/surgical-treatment-of-femoroacetabular-impingement-after-slipped-capital-femoral-epiphysis
#11
Jamil F Soni, Weverley R Valenza, Chistiano S Uliana
PURPOSE OF REVIEW: Femoroacetabular impingement (FAI) post slipped capital femoral epiphysis (SCFE) may lead to degenerative changes on the hip. We have reviewed the current procedures in the literature, aiming to correct the SCFE to prevent FAI and the ones that treat FAI post SCFE. RECENT FINDINGS: The trends of managing moderated or severe SCFE is to correct the displacement by reduction and fixation with articular hematoma decompression in unstable hips and Dunn modified procedure even for unstable and stable situations...
February 2018: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/29203221/distal-femoral-physeal-crush-injury-with-metaphyseal-comminution-a-report-of-two-cases-and-a-new-perspective-to-physeal-injury
#12
Prateek Behera, Nirmal Raj Gopinathan, Avinash Kumar, Balaji Saibaba, Pebam Sudesh, Rakesh John
The physis of a long bone may get 'sandwiched' and crushed between the metaphysis and the epiphysis if it is traumatically loaded along its long axis. Such a physeal injury may lead to complications like angular deformities and growth restrictions and hence, management of such injuries requires adequate planning and attentive execution. Two patients with distal femoral physeal crush injury were treated using a ring fixator such that one ring had the wires passing through the epiphysis and the other through the femoral shaft...
September 28, 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/29201929/evaluation-of-the-sch%C3%A3-ttle-technique-in-the-pediatric-knee
#13
Kellen L Huston, Ugochi C Okoroafor, Scott G Kaar, Christa L Wentt, Paul Saluan, Lutul D Farrow
Background: The Schöttle point is commonly used for anatomic femoral tunnel placement during medial patellofemoral ligament (MPFL) reconstruction. This technique has not been previously validated in the skeletally immature patient, in whom femoral tunnel placement may put the distal femoral physis at risk of iatrogenic injury. Hypothesis: Interobserver reliability for femoral tunnel placement will be higher in adult knees compared with pediatric knees. Study Design: Cross-sectional study (diagnosis); Level of evidence, 3...
November 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29195102/impact-of-alkali-cations-on-properties-of-metakaolin-and-metakaolin-slag-geopolymers-microstructures-in-relation-to-sorption-of-134cs-radionuclide
#14
M R El-Naggar, M Amin
Radio-cesium constitutes major environmental threats. Sorption of hazardous species onto geopolymeric sorbents is relatively recent and may give information about the retention mechanisms when geopolymers are applied to immobilize radwastes. Here, Na-MK, K-MK, Na-MKBFS, and K-MKBFS geopolymeric sorbents were synthesized from metakaolin (MK) and blast furnace slag (BFS) and were characterized using XRD, XRF, FT-IR, DTA/TGA and SEM. FT-IR/XRF results clarified the impact of mono-valent alkali cation (M+) in dividing the sorbents into Al-rich (sodium-based) and Si-rich (potassium-based)...
November 27, 2017: Journal of Hazardous Materials
https://www.readbyqxmd.com/read/29189535/torsional-growth-modulation-of-long-bones-by-oblique-plating-in-a-rabbit-model
#15
David E Lazarus, Christine L Farnsworth, Megan E Jeffords, Nikolas Marino, Jericho Hallare, Eric W Edmonds
BACKGROUND: There is evidence that oblique tension band plating can affect torsional growth in long bones. This study sought to determine if the torsional growth could be modulated based on the angles of the tension band plating and whether or not oblique plating affected overall longitudinal growth. METHODS: New Zealand White rabbits (10.5 wk old) had one screw placed on the metaphyseal side and one on the epiphyseal side of both medial and lateral sides of the right knee distal femoral physis...
November 16, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29189533/experimental-induction-of-physeal-injuries-by-fracture-drill-and-ablation-techniques-analyses-of-immunohistochemical-findings
#16
Helen E Gruber, Nomaan Ashraf, Michael D Cox, Jane A Ingram, Megan Templin, John Michael Wattenbarger
BACKGROUND: Although physeal fractures and physeal bars can result in significant clinical consequences to growth and development of the injured physis, little orthopaedic research has focused upon this topic. Our objective was to extend a previously developed rat model to examine the immunohistochemical features following surgical application of techniques disrupting the physis. METHODS: Physes were surgically disrupted using fracture (control), epiphyseal scrape (ES), or epiphyseal drill (ED)...
November 16, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29182121/primary-epiphyseal-and-metaepiphyseal-tubercular-osteomyelitis-in-children-a-series-of-8-case
#17
A Agarwal, N Gupta, M Mishra, N Agrawal, D Kumar
Clinical series of primary epiphyseal and metaepiphyseal tubercular osteomyelitis are few. The purpose of our study was to retrospectively review the presentation, healing response and functional results of 8 such cases in children. MATERIAL AND METHODS: The patients were evaluated for pain, deformity, range of motion, limb length discrepancy (if any) and recurrence. Serial radiographs of the region were studied to see remineralization, obliteration of radiological lesions, status of physis and remodeling of the growth plate...
December 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29174472/the-influence-of-biodegradable-magnesium-implants-on-the-growth-plate
#18
Tanja Kraus, Stefan Fischerauer, Stefan Treichler, Elisabeth Martinelli, Johannes Eichler, Anastasia Myrissa, Silvia Zötsch, Peter J Uggowitzer, Jörg F Löffler, Annelie M Weinberg
Mg-based biodegradable materials are considered promising candidates in the paediatric field due to their favourable mechanical and biological properties and their biodegrading potential that makes a second surgery for implant removal unnecessary. In many cases the surgical fixation technique requires a crossing of the growth plate by the implant in order to achieve an adequate fragment replacement or fracture stabilisation. This study investigates the kinetics of slowly and rapidly degrading Mg alloys in a transphyseal rat model, and also reports on their dynamics in the context of the physis and consecutive bone growth...
November 23, 2017: Acta Biomaterialia
https://www.readbyqxmd.com/read/29157992/complications-associated-with-the-techniques-for-anterior-cruciate-ligament-reconstruction-in-patients-under-18-years-old-a-systematic-review
#19
W Tovar-Cuellar, F Galván-Villamarín, J Ortiz-Morales
OBJECTIVE: Determine the complications related to the different techniques for anterior cruciate ligament reconstruction in patients under 18 years old. METHODOLOGY: Systematic review using the databases Medline, Cochrane Database of Systematic Reviews and Embase (until July 2016), additional studies were included conducting a search of the references of previous studies. The terms included in the search were: «cruciate», «ligament», «anterior», «immature», «complications», «outcome», «acl reconstruction»,« cruciate ligament anterior reconstruction», «children», «child», «infants», «adolescent», «open physis», «growth plate» and «skeletally immature»...
November 17, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29145286/bilateral-discoid-medial-meniscus-associated-with-meniscal-tears-and-hypoplasia-of-the-medial-femoral-condyle-a-case-report
#20
Hong-De Wang, Shi-Jun Gao
RATIONALE: Bilateral discoid medial menisci is an extremely rare abnormality of the knee joint. The presence of a discoid medial meniscus has been associated with magnetic resonance imaging (MRI) and radiographic changes in the tibial region, such as cupping of the medial tibial plateau and tibial physis collapse. While discoid medial meniscal tears with hypoplasia of the femoral medial condyles have not been previously reported. Herein, we report a case of bilateral discoid medial menisci associated with meniscal tears and femoral bone changes...
November 2017: Medicine (Baltimore)
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