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.

‘Does compliance with BOAST guidelines matter for displaced supracondylar fractures in children?’: the experience of a tertiary referral major trauma centre over a 3.5-year period
Supracondylar fractures are the most frequently occurring paediatric fractures about the elbow and can be associated with neurovascular injury. For that reason, the British Orthopaedic Association has published the British Orthopaedic Association Standards for Trauma (BOAST) 11 guidelines, aiming to the best management of supracondylar fractures. The aim of this study was to assess adherence to the BOAST 11 guidelines for displaced supracondylar fractures at a Major Trauma Centre in London, UK between 2015 and 2018 and to see whether adherence to guidelines affected the outcomes. A retrospective review was carried out betw...
Source: Journal of Pediatric Orthopaedics B - January 30, 2021 Category: Orthopaedics Tags: Upper Limb Trauma Source Type: research

Capsulorrhaphy using suture anchors in open reduction of developmental dislocation of hip: technical note
We describe a new technique of using titanium alloy anchors to perform internally rotating capsulorrhaphy during open reduction and stabilization procedure and obliteration of pseudoacetabulum when one exists. We routinely use anterior approach via bikini incision (modified Smith-Peterson approach) to perform open reduction and internally rotating capsulorrhaphy. We describe the technique of using barbed titanium alloy anchors preloaded with nonabsorbable sutures and two needles, to accomplish a secure and easy capsulorrhaphy, in selected cases. We have used this technique in 21 hips, since 2008. None of the hips redisloca...
Source: Journal of Pediatric Orthopaedics B - January 30, 2021 Category: Orthopaedics Tags: Hip Source Type: research

Improving resident education through unstable chicken hips: a novel way to teach an infant hip examination
Current clinical screening for infantile hip dysplasia relies on combined Ortolani and Barlow maneuvers, which have a quoted sensitivity and specificity of 74–98 and 84–99%, respectively. Teaching this delicate physical examination maneuver is difficult as it requires a distinct tactile feel. The purpose of this study is to validate a benchtop learning grocery-bought chicken simulator model of newborn hip instability through a pre- and post-test surveys. This model of hip dysplasia uses whole chickens. A posterior capsulotomy of the chicken’s hip joint was performed to create instability. Provocative maneuvers to dis...
Source: Journal of Pediatric Orthopaedics B - January 30, 2021 Category: Orthopaedics Tags: Hip Source Type: research

The presence of the ossific nucleus and its relation to avascular necrosis rates and the number of secondary procedures in late-presenting developmental dysplasia of the hip
This study aims to investigate the relationship between the ossific nucleus (ON) presence and AVN in late-presenting DDH. This is a retrospective study of prospectively collected data over a 24-year period, at a single UK centre. Late-presenting DDH who were treated surgically with a closed or open reduction were included in the series. The presence of ON was monitored, and outcomes measured included AVN and whether delaying surgery affected the number of secondary procedures. Seventy-six patients with 79 hips (mean age at presentation 13.8 months) were included in the analysis. The mean age at presentation was 13.8 mont...
Source: Journal of Pediatric Orthopaedics B - January 30, 2021 Category: Orthopaedics Tags: Hip Source Type: research

Proposal of a novel predictive radiological method to assess the possibility of closed reduction in late presenting developmental dysplasia of the hip: the femoro-acetabular zones
Late presentation of developmental dysplasia of the hip (DDH) remains a major orthopedic problem. However, existing management is not standardized and is highly surgeon dependent. (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - January 30, 2021 Category: Orthopaedics Tags: Hip Source Type: research

Impact of presence of ossific nucleus on results of closed reduction in treatment of developmental dysplasia of the hip (302 hips)
In this study, we investigated the results of closed reduction and Outcomes of 302 hips of 218 patients treated with closed reduction have been analyzed retrospectively. One hundred fifty-two hips that had ossific nucleus [ossific nucleus (+)] during reduction have been compared with 150 hips that had no ossific nucleus [ossific nucleus (−)] during reduction. Also, the patients have been divided into two groups, the patients treated with closed reduction before the sixth month and the patients treated with closed reduction after the sixth month. Groups have been compared between themselves in terms of avascular necrosis ...
Source: Journal of Pediatric Orthopaedics B - January 30, 2021 Category: Orthopaedics Tags: Hip Source Type: research

Technical note: bone marrow aspirate needle to assist in-situ screw fixation of slipped capital femoral epiphysis
Slipped capital femoral epiphysis (SCFE) is characterized by posterior and inferior displacement of the capital femoral epiphysis in relationship to the metaphysis. Although universally accepted as a treatment modality for SCFE, in-situ pinning may be technically challenging in obese adolescents with large body habitus. Adequate screw position is important to achieve stabilization of the epiphysis and to allow closure of the growth plate. During the surgical procedure of in-situ pinning, it is crucial to obtain not only a perfect starting point but also an appropriate trajectory. However, creating a perfect entry point in ...
Source: Journal of Pediatric Orthopaedics B - January 30, 2021 Category: Orthopaedics Tags: Hip Source Type: research

Valgus slipped capital femoral epiphysis: a systematic review
Valgus slipped capital femoral epiphysis (SCFE) is a rare entity which leads to a proximolateral displacement of the hip epiphysis. The literature on valgus SCFE consists of case reports or case series. Since no evidence synthesis has been conducted, a systematic review on all published cases of valgus SCFE was conducted. The search strategy located 27 studies comprising 74 subjects with 96 hips. Demographic results were as follows: female/male ratio was of 1.65, and the mean age at presentation was 13.0 ± 2.54 years. Bilateral cases were recorded in 31.1%. Hip pain was the most frequent symptom followed by limping. The m...
Source: Journal of Pediatric Orthopaedics B - January 30, 2021 Category: Orthopaedics Tags: Hip Source Type: research

Valgus slipped capital femoral epiphysis: presentation, treatment, and clinical outcomes using patient-reported measurements
This study describes the diagnosis, treatment and outcome of valgus SCFE in Uruguay. The medical records and radiographs were reviewed in eight consecutive children [mean age 11.9 years (range 9–13; six female)] with valgus SCFE between 1997–2017. In 2018–2019, all patients were reexamined clinically, new radiographs obtained, and patient-reported outcomes completed using the international tool of hip results (iHOT-12). The prevalence of clinical femoroacetabular impingement (FAI), avascular necrosis, and surgical complications were also studied. There were 11 valgus SCFEs in eight patients; two had primary bilateral...
Source: Journal of Pediatric Orthopaedics B - January 30, 2021 Category: Orthopaedics Tags: Hip Source Type: research

Patients’ delay is the major cause for late diagnosis of slipped capital femoral epiphysis
Early diagnosis of slipped capital femoral epiphysis (SCFE) is essential in order to reduce slip severity and subsequent risk of sequelae. The aims of this study were to evaluate patients’ and doctors’ delay in SCFE diagnosis and to identify possible factors leading to delay. We performed a retrospective review of medical charts and a personal interview with 54 consecutive patients admitted with a diagnosis of stable SCFE at three hospitals in Sweden between 2001 and 2009. Data on symptom duration, symptomatology, medical visits and type of medical contacts were retrieved. Slip angle (Southwick head-shaft angle) was me...
Source: Journal of Pediatric Orthopaedics B - January 30, 2021 Category: Orthopaedics Tags: Hip Source Type: research

Prospective study of paediatric medial humeral epicondyle fractures nonoperatively treated. Clinical, radiologic, and functional evaluation at long term
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Letters to the Editor Source Type: research

One-third of postoperative pediatric orthopedic patients pursue a career path in the healthcare field: a multicenter study
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Letters to the Editor Source Type: research

Assessing the effect of physeal biopsy on angular deformity in a rabbit model
Obtaining a biopsy of the physis in a pediatric/juvenile could provide the ability to diagnose and manage children with physeal abnormalities. However, it has not yet been determined whether a physeal biopsy procedure affects angular deformity. We employed a rabbit model to collect biopsies of the distal femoral and proximal tibial physes on anesthetized, 8-week old New Zealand rabbits. The contralateral limb served as a control. At 8 (n = 5) and 16 (n = 5) weeks postbiopsy, animals were euthanized. Micro-computed tomography (CT) was employed to estimate percentage of the physis biopsied and assess structural abnormalities...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Basic Science Source Type: research

Clinicoradiological outcomes following single-stage treatment using external fixator, copious bone grafting and high dose antibiotics for infected postosteomyelitic nonunion of femoral shaft
We aimed to study clinical and radiological outcomes following a ‘single-stage protocol’ in postosteomyelitic-infected nonunion of the femur in children. The report is based on a retrospective chart review (2010–2018) of 10 children below 12 years of age presenting with nonunion following a pathological fracture after osteomyelitis of hematogenous origin treated with above-mentioned operative modality. All patients were grade A (normal host) on the basis of the physiological classification. Patients with posttraumatic or surgical osteomyelitis were excluded. All patients were treated with a combination of debridement...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Infections Source Type: research

Intracapsular pressure in children with septic arthritis of the hip
Elevated intracapsular pressure in the hip causes occlusion of the retinacular vessels and may result in avascular necrosis of the proximal femoral epiphysis (ANPFE) and growth disturbances. Our goal is to study intraarticular pressure in children with septic arthritis of the hip and its potential correlation with body weight, systemic blood pressure and the volume of synovial fluid aspirated from the joint. Thirteen septic arthritis of the hip were studied. Inclusion criteria: pain, limping, fever, leukocytosis, elevated C-reactive protein and ultrasonographic effusion>5 mm. Traumatic, inflammatory, rheumatic or tumoral...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Infections Source Type: research