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.

Avulsion fractures of the ischial tuberosity in the pediatric athlete: a systematic review and return to sport analysis
Apophyseal avulsion fractures of the ischial tuberosity (AFIT) in pediatric athletes are relatively uncommon injuries with treatment and return to sport (RTS) outcomes being largely unknown. The purpose of this review is to perform a systematic review analyzing RTS and predictors of successful RTS for pediatric athletes sustaining AFIT. Studies reporting on athletes strictly under the age of 18 years sustaining an AFIT with reported RTS status were included. RTS was analyzed based on injury acuity, mechanism, and management, whereas the incidence of any complications was recorded. A total of 33 studies comprising 90 cases ...
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Pelvis-Trauma Source Type: research

Pediatric pelvic fractures: an epidemiological analysis of a population-based database
Despite a high prevalence in the pediatric trauma population, there remains a lack of large population-based epidemiological studies on pediatric pelvic fractures. Using a de-identified national clinical registry, we investigated the epidemiological features of pediatric pelvic fractures. We performed a retrospective analysis of data obtained from the IBM Watson Health Explorys Platform (Armonk, NY). From all children ages 0-14, two cohorts were created, children diagnosed with a traumatic injury and children diagnosed with a fracture of the pelvis. We then calculated the overall incidence of pelvic fractures, mortality ra...
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Pelvis-Trauma Source Type: research

Open-wedge osteotomy for thumb radial angulation in Apert syndrome using a bone-graft substitute
This study aimed to assess the clinical and radiographic results of a surgical technique for the correction of a thumb radial angulation deformity: open-wedge osteotomy using a bone-graft substitute. Ten patients (18 thumbs) who underwent open-wedge osteotomy on the proximal phalange using a bone-graft substitute were evaluated retrospectively. The open-wedge osteotomies had been performed at the center of the proximal phalanx. Thumb radial angles and thumb lengths were measured on radiographs, and the clinical results were investigated, including bone union and complications. The median patient age at the time of surgery ...
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Upper Limb Miscellaneous Source Type: research

Diagnosis and treatment of focal fibrocartilaginous dysplasia of the distal ulna
This study reported our experience with 10 cases and it aimed to determine a reasonable strategy for diagnosis and treatment. Ten cases treated from 2010 to 2018 in our department were retrospectively reviewed. The diagnosis was based on imaging features. All patients underwent lesion excision in the early stage and five patients required ulna lengthening in the second stage. The radiographic and functional outcomes were analyzed and reported. The median age at diagnosis was 32 months (range, 6-36 months). The median age at the time of surgery was 34 months (range, 10-40 months). The median clinical and radiographic follow...
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Upper Limb Miscellaneous Source Type: research

Fixation of open, unstable tuft fractures in toddlers and preschool-aged children using a 25-gauge hypodermic needle
This study aimed to assess the treatment process of open, unstable tuft fractures occurring in toddlers and preschool-aged children treated using a 25-gauge hypodermic needle in the emergency department, and the cosmetic and functional results achieved by this treatment. This retrospective cohort study included a total of 72 patients. Children aged two to six years were included in the study. Van Beek classification was used for the evaluation of nail bed injuries. Cosmetic results were evaluated on the basis of Zook classification whereas functional results were evaluated according to the Buck-Gramko score simplified by N...
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Upper Limb Trauma Source Type: research

Clinical characteristics and distribution of paediatric hand fractures at a tertiary hospital in South China: a retrospective analysis
This study showed patterns of PHF in a tertiary hospital in South China. It illustrates the local variability across sex, age group, injury type and injury mechanism. Such demographic data will be valuable for optimally resourcing healthcare systems locally and help guide prevention policies. (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Upper Limb Trauma Source Type: research

Fractures of the proximal segments of the pediatric distal radial metaphysis exhibit less angular stability than fractures of the distal segments
The distal part of the forearm is divided into the physis, metaphysis, diaphyseal metaphyseal junction (DMJ) and diaphysis. The treatment of radial DMJ fractures is challenging because this region has diaphyseal characteristics. We speculated that the stability of metaphyseal fractures could vary depending on their proximity to the DMJ or physis. Our study aimed to investigate the stability of pediatric distal radius fractures in the physis, metaphysis and DMJ. Ninety-five patients were classified into three groups: group D, fracture line located within 1/2 of the width of the radius (WOR) from the physis; group M, fractur...
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Upper Limb Trauma Source Type: research

Retrospective analysis: risk factors predicting failure of closed reduction in pediatric diaphyseal forearm fractures treated with elastic stable intramedullary nails (ESINs)
This study aims to determine certain risk factors that would point toward a greater likelihood of open reduction, and thus help surgeons avoid too many unnecessary endeavors at closed reduction. A total of 144 cases of forearm fractures fixated using ESINs between 2014 and 2019 were retrospectively identified in the institution of study. Patient factors, fracture characteristics and surgery details were also gathered from the institution’s database. Statistical analysis was performed using SPSS and comparison was then done between the two groups of patients who underwent closed and open reductions. Results showed that th...
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Upper Limb Trauma Source Type: research

Cast revision is effective for critical three-point index values in paediatric forearm fractures: a prospective study
Three-point index (TPI) has been reported to be effective in predicting the displacement of forearm fractures. The aim of this prospective study was to investigate the clinical efficacy of recasting critical but acceptable casts according to three-point index (0.6 (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Upper Limb Trauma Source Type: research

Open anatomical reduction by anterior transverse mini approach for the treatment of distal humeral epiphyseal separation in young children
In this study, we aimed to introduce and evaluate open reduction using an anterior transverse mini approach in the treatment of DHES in young children. We retrospectively analyzed the clinical data of patients diagnosed with DHES at our hospital between January 2015 and December 2019. After applying the inclusion and exclusion criteria, 70 patients were included in this study. The fracture type was classified using DeLee’s classification. The conservative group (14 patients; group A) underwent closed reduction and cast immobilization. Open surgery was performed using an anterior mini-transverse approach, and K-wires were...
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Upper Limb Trauma Source Type: research

Using the radiocoronoid line for diagnosis of elbow dislocation
This study also observes factors affecting accuracy of the radiocapitellar line. The radiographs of 50 normal and 17 laterally dislocated elbows were obtained. An unbiased independent reviewer drew the radiocoronoid and radiocapitellar line (RCL). Four other blinded independent reviewers drew the RCL and the radiocoronoid line for 20 radiographs and repeated the process a week later. The accuracy of the RCL was assessed using distance away from bisection point of capitellum, and ratio (distance from the point where line crosses capitellum to lateral aspect of capitellum over the total width of capitellum). The relationship...
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Upper Limb Trauma Source Type: research

A comparison of cone beam computed tomography, standard computed tomography and plain radiographs in the evaluation of medial epicondyle humerus fractures
This study compares the radiation exposure and accuracy of displacement measurements of the four-view X-ray examination (XR), computed tomography (CT) and in-clinic cone-beam CT (CBCT). A cadaveric humerus underwent medial epicondyle osteotomy. The fragment was fixed to the humerus at clinically relevant displacements (6 to 18 mm). Dosimeters were placed around the distal humerus and simulating thyroid location. XR, CT and CBCT were performed at each displacement. Four pediatric orthopedists measured the maximum linear displacement on each XR and 3D reconstruction of the CT and CBCT images. Focal (elbow location) and thyro...
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Upper Limb Trauma Source Type: research

Unsuccessful mid-term results for distal humeral hemiepiphysiodesis to treat cubitus varus deformity in young children
Cubitus varus is the most common complication following a pediatric humeral supracondylar fracture. No reports are available on the result of hemiepiphysiodesis to correct this deformity. (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Upper Limb Trauma Source Type: research

The trochlear physeal line angle: a novel method to assess coronal plane alignment of the paediatric distal humerus
Supracondylar humeral fractures account for 60% of elbow fractures in childhood, with cubitus varus being its most common complication. It can be avoided by accurate assessment of distal humeral alignment after fracture reduction, and the Baumann angle is the usual measurement for this purpose. However, several reports demonstrate an inconsistency of this angle, and our hypothesis is that reliability could be improved with angles drawn between the trochlear physeal line and the humeral longitudinal axis. The aim of the study was to compare intra- and interobserver reliability between the Baumann angle and angles drawn betw...
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Upper Limb Trauma Source Type: research

Medial clavicle shaft fractures in children and adolescents: differences from adults and management
The objective of this study is to evaluate demographic and injury characteristics, management options and clinical outcomes of medial clavicle fractures in children and adolescents and differentiate them from those in adults. A retrospective review was performed at a single institution to identify patients with medial clavicle shaft fractures. Radiographs, clinical features and patient-reported outcomes (QuickDASH) were analyzed. Eight patients were identified with medial clavicle fractures. Two fractures could not be diagnosed on anteroposterior radiographs. Both operative (four patients) and nonoperative (four patients) ...
Source: Journal of Pediatric Orthopaedics B - August 4, 2022 Category: Orthopaedics Tags: Upper Limb Trauma Source Type: research