Journal of Pediatric Orthopaedics B This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Predictors of appointment adherence following operative treatment of pediatric supracondylar humerus fractures: which patients are not following up?
This study aims to identify characteristics associated with poor appointment adherence after surgical stabilization of supracondylar humerus fractures (SCHFX) in children. A retrospective review of 560 consecutive, surgically managed patients with SCHFX from 2010 to 2015 was performed. One missed follow-up appointment was classified as ‘low adherence’, whereas missing two or more appointments was classified as ‘very low adherence’. Demographics, insurance status, estimated family income and distance from clinic were analyzed to identify differences in variables between adherent and low-adherent groups. Of 560, 121 ...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Range of motion following percutaneous fixation of pediatric supracondylar humerus fracture is independent of anterior osseous fragment resorption
The objective of this study was to understand postoperative resorption of the anterior osseous fragment following closed reduction and percutaneous pinning (CRPP) of pediatric supracondylar humerus fractures and its effect on final range of motion (ROM). Eighty-six patients that underwent CRPP had sagittal and or axial plane deformities resulting in an anterior fragment. Humerocapitellar angle (HCA), anterior humeral line (AHL) and angle of rotation (AoR) were measured. A total of 11 (12.8%) patients failed to resorb the anterior fragment, 10 (90.9%) had satisfactory ROM. HCA initially was acceptable in 40 (46.5%) patients...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

The outcome of loose bone fragments in pediatric supracondylar humerus fractures: a retrospective study
We evaluated the clinical and imaging outcomes of loose bone fragments in children with supracondylar humerus fractures after closed reduction with percutaneous pin (CRPP) fixation. A retrospective review was conducted on 12 children with fragments on imaging after closed reduction of displaced humeral supracondylar fractures (Gartland III). Primary radiographic assessment included fragment outcome, postoperative Baumann angle, carrying angle and loss of reduction. Clinical outcome included the elbow range of motion (ROM), Flynn grade and other complications. Between January 2015 and January 2018, 460 children (2–14 ye...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Does an elbow arthrogram change management after closed reduction of mildly displaced lateral condyle fractures in children?
This study included 47 patients. The majority of patients were male (34 patients, 72%), and the mean age at time of injury was 5.5 ± 2.6 years. The mean radiographic displacement was 2.6 mm (range 0.8–6.9 mm). All fractures were managed by fellowship-trained pediatric orthopaedic surgeons with an average of 10.5 years of experience (range 0–32 years). Fractures were stabilized with percutaneous pins in 44 patients (94%) and percutaneous screws in three patients (6%). No patients had subsequent changes in management after an elbow arthrogram. There were no complications related to performance of the arthrogram. Closed ...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Plate osteosynthesis of midshaft clavicle fractures in adolescent contact sports athletes - adolescent clavicle fracture
Surgical treatment of mid-shaft clavicle fractures via anatomical plates in adult athletes is documented to be safe and effective. Functional and cosmetic outcomes in adolescent contact sports athletes have not been well documented. Adolescent athletes (age 11–19) surgically treated for mid-shaft clavicle fractures between 1 May 2011 and 30 October 2017 were included in this study. Twenty-one adolescent athletes with a mean follow-up of 44 months were reviewed. Retrospective chart reviews were performed. Functional and cosmetic outcomes, return to sports time/rate were analyzed using Nottingham Clavicle Scores and a ‘C...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Letter regarding ‘Results after treatment of congenital radioulnar synostosis: a systematic review and pooled data analysis’
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - October 8, 2021 Category: Orthopaedics Tags: Letter to the Editor Source Type: research

Preoperative angulation as a predictor for operations of Wassel type IV polydactyly
The aim of this study was to find the degree of preoperative metacarpophalangeal (MCP) joint angulation that determines the need for corrective osteotomy and to compare the result for Wassel type IV thumb polydactyly operated by soft tissue reconstruction alone or with corrective osteotomy. The surgical options for correction of the angular deformity of the MCP joint in Wassel type IV thumb polydactyly were retrospectively reviewed. The preoperative angular deformity of the MCP joint and the last postoperative residual deformity at MCP joint were measured from the radiograph of thumb posteroanterior view. The cut-off point...
Source: Journal of Pediatric Orthopaedics B - October 8, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Temporary epiphysiodesis in adolescent patients with ulnocarpal impaction syndrome: a preliminary case series of seven wrists
Adolescents with ulnar positive variance can develop ulnocarpal symptoms due to ulnocarpal impaction syndrome. Common treatment methods are conservative therapy, distal ulna epiphysiodesis or eventually ulnar shortening osteotomy. The aim of this preliminary case series was to investigate a recently described, new therapeutic approach using a reversible, temporary epiphysiodesis technique, following the principles of guided growth. Seven cases with the diagnosis of a painful ulnar positive variance, which underwent a temporary epiphysiodesis, were retrospectively evaluated. These cases consisted of four individual patients...
Source: Journal of Pediatric Orthopaedics B - October 8, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Results after treatment of congenital radioulnar synostosis: a systematic review and pooled data analysis
Congenital radioulnar synostosis (CRUS) is one of the most common congenital disorders affecting the elbow and forearm, with the forearm being fixed in a range of positions usually varying from neutral rotation to severe pronation. The aim of this study, apart from a systematic review of all surgical procedures described for CRUS, is to derive any correlation between various influencing factors, outcomes and complications. This review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses format by an electronic literature search of Ovid, MEDLINE and the Cochrane Library dat...
Source: Journal of Pediatric Orthopaedics B - October 8, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Modified Woodward’s procedure confers functional improvement in Sprengel’s deformity
We report cosmetic and functional outcomes in Sprengel’s deformity treated with modified Woodward’s procedure. Children aged 12 years and under, who underwent Modified Woodward’s procedure from January 2006 to December 2014 were included in the prospective study. Improvement in Cavendish grade, Rigault scale, and shoulder movements was noted. Pediatric outcomes data collection instrument (PODCI) and simple shoulder test (SST) scores were assigned at the final follow-up. Statistical analysis was conducted with paired T-test and Wilcoxon signed-rank tests. Fourteen patients (one bilateral) with a mean follow-up of 4.5 ...
Source: Journal of Pediatric Orthopaedics B - October 8, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Pediatric osteoarticular infection: trend in surgically treated patients and association of methicillin-resistant Staphylococcus aureus with requirement of secondary procedures
Acute pediatric osteoarticular infection demonstrates variability in both presentation and response to treatment. Many respond to antibiotics ± single operation, while some require multiple surgeries. Currently, it is difficult to predict who may require additional procedures. Infections due to methicillin-resistant Staphylococcus aureus (MRSA) have been associated with more complications. The purpose of this study is to determine MRSA trends and degree of association with the occurrence of multiple procedures. We performed a retrospective analysis of surgically treated pediatric (1 month–18 years) patients for ...
Source: Journal of Pediatric Orthopaedics B - October 8, 2021 Category: Orthopaedics Tags: Infection Source Type: research

Protrusio acetabulae as a sequel to septic arthritis of the hip with obturator internus pyomyositis
Pyomyositis is defined as a pyogenic infection of skeletal muscles principally caused by Staphylococcus aureus. It can present either primarily without any associated soft tissue or bone infection or secondary to any surrounding or distant infection focus. Hip pericapsular pyomyositis is one of the most common types of primary pyomyositis. Although many cases are increasingly being described both in tropical and temperate climates, there is no published study regarding the sequelae of untreated pericapsular pyomyositis around the hip joint. The purpose of this study is to describe the sequelae of unaddressed obturator inte...
Source: Journal of Pediatric Orthopaedics B - October 8, 2021 Category: Orthopaedics Tags: Infection Source Type: research

Septic sequelae of hip in children: long-term clinicoradiological outcome study
The presented retrospective study is a report of 18 patients (23 hips) with infantile post sepsis hip sequelae. There were two groups of patients. The observation group comprised of 6 patients (8 hips). The intervention group included 12 patients (15 hips) of which 12 hips had been surgically intervened for the sequelae and 3 contralateral hips which were again serially observed. The sequelae hips were classified by Choi’s radiological types. The clinical evaluation was done by modified Moon’s criteria. The average patient age at follow-up was 9.3 years. There were 3 type I (13%), 10 type II (43%), 2 type III (8%), and...
Source: Journal of Pediatric Orthopaedics B - October 8, 2021 Category: Orthopaedics Tags: Infection Source Type: research

False-negative joint aspiration of septic arthritis of the hip in neonates
This study aimed to investigate clinical course of neonates with septic arthritis of the hip despite initial negative findings on joint aspiration. The neonates who surgically treated for septic arthritis of the hip between 2003 and 2013 for septic arthritis of the hip despite initial negative joint aspiration were retrospectively reviewed. Clinical presentations, MRI, intraoperative findings, functional and radiographic outcomes were evaluated. Six neonates were included with a mean follow-up of 12 years (range 5–15 years). All patients showed negative results on joint aspirations performed with ultrasound guidance or f...
Source: Journal of Pediatric Orthopaedics B - October 8, 2021 Category: Orthopaedics Tags: Infection Source Type: research

Acetabular labral tears in the adolescent athlete: results of a graduated management protocol from therapy to arthroscopy
This study sought to determine outcomes of a graduated management protocol from therapy to arthroscopy for adolescents presenting with hip pain and an associated acetabular tear. Thirty-seven hips with an MRI confirmed labral tear were prospectively enrolled in a graduated management protocol created for adolescents. The protocol began with activity modification and focused physical therapy. Patients with persistent symptoms were offered an intraarticular corticosteroid injection. Those with continued symptoms were treated with arthroscopic surgery. The modified Harris hip score (mHHS) and nonarthritic hip score (NAHS) wer...
Source: Journal of Pediatric Orthopaedics B - October 8, 2021 Category: Orthopaedics Tags: Hip Source Type: research