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.

Network meta-analysis of management of trigger thumb in children
To estimate and rank cure and recurrence rates between conservative and operative treatments for trigger thumb in children. A systematic review was conducted by searching PubMed and Scopus. Eligible criteria were comparative studies included non-syndromic trigger thumbs, aged up to 10 years, reported at least 20 thumbs and followed up at least 12 months. Two assessors independently extracted data and appraised for cure, recurrence rates among observation, stretching, splinting, open surgery, and percutaneous surgery. We assessed the risk of bias in non-randomized studies of interventions. A network meta-analysis, and proba...
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Clinical results of splinting versus observation for pediatric trigger thumb
Patients with pediatric trigger thumb present with fixed contracture of the interphalangeal joint (IPJ) or snapping of the thumb. We applied a hand-based dynamic splint using coils at the IPJ. The aim of this study was to report the clinical outcomes of splint therapy versus observation. One hundred twenty-nine thumbs (112 patients and 57 boys) were examined retrospectively. At initial presentation, parents selected the treatment after explanation of pathology and consents were obtained. Treatment was concluded when full extension or resolution of the involved IPJ was achieved; alternatively, surgical treatment was offered...
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Femoral neck-shaft angle and bone age in 4- to 24-year-olds based on 1005 EOS three-dimensional reconstructions
The aim of the study was to assess the correlation between femoral neck-shaft angles (NSAs) and skeletal maturity in EOS reconstructions from a large population of children. Full-body three-dimensional (3D) reconstructions were generated from 1005 children and young adults (4–24 years old; 449 male, 556 female) using the EOS three-dimensional/3D scanner, with images taken during routine clinical practice. The true NSAs were measured and assessed for correlation with individuals’ chronological age and bone age, based on cervical vertebral morphology. Statistical analysis was performed using Spearman correlation, indep...
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Hip Source Type: research

Defining a new three-dimensional method for determining femoral torsional pathology in children
The purpose of this study was to compare 2D femoral torsional values to measurements made from 3D reconstructions, in pediatric patients with torsional pathology. Seventeen patients were included in this study. Femoral torsion was measured in 2D and 3D and compared using interclass correlation and Bland–Altman plots. The 2D and 3D measurements had excellent correlation (r> 0.79, P (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Hip Source Type: research

Age-related decrease in supratrochanteric torsion and increase in infratrochanteric torsion in healthy pediatric femurs: an MRI study
This study included 282 (164 males and 118 females) patients aged 1–18 years. The axial MRI of patients with benign tumoral lesions of the femur was retrospectively reviewed. The measurements were performed through axial images of contralateral healthy femurs. Femoral anteversion, STT, and ITT were measured twice by two orthopedic surgeons. The Pearson correlation coefficient was used to test for the correlation of age between STT, ITT, and femoral anteversion in children. All femoral anteversion, STT, and ITT measurements showed excellent intraobserver and interobserver reliability (P  (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Hip Source Type: research

Clinical presentation, imaging findings, and arthroscopic features in skeletally immature and mature adolescent hip patients: a comparative double-cohort retrospective study
The purpose of this study was to evaluate differences in clinical presentation and extent of surgery required based on skeletal maturity between two cohorts of adolescent hip arthroscopy patients. We hypothesized that skeletal immaturity would be associated with a lower frequency of pincer impingement and a decreased need for surgical acetabuloplasty. A database of 1481 hip arthroscopies performed by a single orthopaedic surgeon between 2008 and 2016 was queried. Patients ≤18 years of age with femoroacetabular impingement were divided into two groups based on Risser score: Risser 1–4 (skeletally immature) or Risser 5 (...
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Hip Source Type: research

Ellipsoidal process of the femoral head in Legg–Calvé–Perthes disease. Part I
In this study, we analysed the ellipsoidal process of the femoral head. This was a retrospective control case study involving 83 unoperated hips with LCPD and Stulberg stages III and IV outcome. The data were compared with those obtained for 49 healthy contralateral hips (control). The Ellipsoidal Index, the presence of a double epiphyseal reossification nucleus, physeal narrowing, intraphyseal angle, epiphyseal height, diameter of the head, and Reimer’s Index were determined. Measurements were performed at four-time points: the year the reossification stage was initiated, the final growth stage, and two equally spaced t...
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Hip Source Type: research

Microsurgery and infections in children
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - April 12, 2021 Category: Orthopaedics Tags: Letter to the Editor Source Type: research

Marfan syndrome in children: correlation between musculoskeletal features and cardiac Z-score
We investigated the correlation between the musculoskeletal features and the cardiovascular anomalies in pediatric patients affected by Marfan syndrome, in order to identify possible orthopedic deformities that could be a warning sign for severe aortic dilatation. Moreover, we analyzed the role of the orthopedic aspects in the early diagnosis of the disease in a pediatric population. Seventy-two patients from 3 to 14 years of age, underwent interdisciplinary evaluation that included an orthopedic and cardiological examination. At the orthopedic examination, we analyzed the musculoskeletal features included in the systemic ...
Source: Journal of Pediatric Orthopaedics B - April 12, 2021 Category: Orthopaedics Tags: Miscellaneous Source Type: research

Clinical assessment of generalized ligamentous laxity using a single test: is thumb-to-forearm apposition enough?
The complete Beighton criteria, commonly used to establish the diagnosis of generalized ligamentous laxity (GLL), include nine discrete examination maneuvers. However, busy examiners may perform only a single maneuver (e.g. passive apposition of the thumb to the forearm) as a rapid method of assessment. We hypothesize that the use of a single-joint hypermobility test does not reliably identify the presence of GLL. Healthy patients 2–18 years old presenting to a general pediatric orthopaedic clinic were screened for participation. Exclusion criteria included the presence of a systemic illness, neuromuscular disease, and...
Source: Journal of Pediatric Orthopaedics B - April 12, 2021 Category: Orthopaedics Tags: Miscellaneous Source Type: research

Development of a method to produce a valid and reliable foot mask for plantar pressure evaluation in children with clubfoot
The purposes of this article are to describe common masking inaccuracies, provide a standard methodology for correcting inaccuracies, and report intra/interclinician reliability when novice and experts mask foot pressures for children with clubfoot. Foot pressures from 26 children (ages 2.6–12.9 years) with unilateral clubfoot were utilized. Three raters were used for intra/interclinician reliability: one expert masker with 8 years of experience and two novice maskers. For children with unilateral clubfoot, automated masking was inaccurate in 4% of trials on the unaffected side and 24% of trails on the affected side....
Source: Journal of Pediatric Orthopaedics B - April 12, 2021 Category: Orthopaedics Tags: Foot & Ankle Source Type: research

Foot orthoses use for pediatric flexible flatfoot: comparative evaluation of quality of life for children and parents
This study aimed to comparatively evaluate the quality of life scores of patients with pediatric flexible flatfoot (PFF) according to the use of foot orthoses. We also aimed to compare quality of life scores of children and their parents. Nonobese children aged between 5 and 10 years old who were diagnosed as PFF according to physical and radiological examinations were included in this cross-sectional comparative study. All children and their parents completed the Turkish translation of Oxford ankle foot questionnaire (OxAFQ) which contains four domains (physical, school and play, emotional, and footwear). Patients were ...
Source: Journal of Pediatric Orthopaedics B - April 12, 2021 Category: Orthopaedics Tags: Foot & Ankle Source Type: research

Calcaneocuboid distraction arthrodesis for children with symptomatic pes planovalgus: does fixation improve outcomes?
Lateral column lengthening is a common surgical procedure for addressing symptomatic pes planovalgus foot deformity. For more severe cases, the use of a calcaneocuboid distraction arthrodesis (CCDA) can allow for more powerful correction. Previous reports have cited an increased risk of graft collapse with loss of correction when this procedure is performed without supplemental hardware fixation. The purpose of this study was to assess the outcomes of CCDA in children with and without supplemental locking fixation. A retrospective review from 2008 to 2016 of CCDA procedures with and without supplemental fixation was perfor...
Source: Journal of Pediatric Orthopaedics B - April 12, 2021 Category: Orthopaedics Tags: Foot & Ankle Source Type: research

Gross motor skill development is similar in children post Ponseti casting for congenital talipes equinovarus compared to typically developing children: a systematic review
This review aimed to investigate gross motor skill development in children with congenital talipes equinovarus (CTEV) following the Ponseti method of casting and bracing. Summary of evidence revealed through a systematic search of electronic databases completed in May 2019. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was used to report and conduct the study. The McMaster Critical Review Form was used to critically appraise included studies and a descriptive synthesis of the results is reported. Inclusion criteria for studies included participants aged above 4 years, with a diagnosis of ...
Source: Journal of Pediatric Orthopaedics B - April 12, 2021 Category: Orthopaedics Tags: Foot & Ankle Source Type: research

‘In-Out-In’ K-wires sliding in severe tibial deformities of osteogenesis imperfecta: a technical note
We describe an extramedullary technique: ‘In-Out-In’ K-wires sliding. We performed an anteromedial diaphysis approach. The periosteum was released while preserving its posterior vascular attachments. To obtain a straight leg, we did numerous osteotomies as many times as necessary. K-wires (‘In’) were introduced into the proximal epiphysis, and the medial malleolus (‘Out’) bordered the cortical and (‘In’) reach their opposite metaphysis. K-wires were cut, curved and impacted at their respective epiphysis ends to allow a telescopic effect. All tibial fragments are strapped on K-wires, and the periosteum was s...
Source: Journal of Pediatric Orthopaedics B - April 12, 2021 Category: Orthopaedics Tags: Knee & Leg Source Type: research