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.

A simple approach for determining tendon limb length in open Achilles lengthening: technical note
Estimating the appropriate tendon length and associated skin incision needed to achieve a plantigrade foot without compromising function are essential steps in open Achilles tendon lengthening. Here we describe a technique using basic surgical instruments referencing anatomic landmarks without the need for radiographs. The center of ankle rotation in the sagittal plane is found referencing the tip of the medial malleolus. This point is translated to the plantar surface of the foot, and a straight instrument in line with the foot is used to make a mark at the posterior calcaneal fat pad. The straight instrument is then rota...
Source: Journal of Pediatric Orthopaedics B - June 2, 2020 Category: Orthopaedics Tags: Leg & Foot Source Type: research

Pediatric acute leg compartment syndrome after peroneus longus rupture: a case series
We present the case of three pediatric patients who presented with non-fracture acute lateral compartment syndrome after ‘minor trauma’. All patients were male and sustained the inciting event during football. Two of the patients were able to resume play after their injury. All patients sustained intramuscular proximal avulsion ruptures of the peroneus longus muscle. At final follow-up, all but one patient had documented full neurologic recovery. A seemingly innocuous event may cause acute compartment syndrome in the adolescent male. Compartment syndrome in the absence of fracture should be promptly recognized to preve...
Source: Journal of Pediatric Orthopaedics B - June 2, 2020 Category: Orthopaedics Tags: Leg & Foot Source Type: research

In-toeing gait in children with clubfoot and the effect of tibial rotation osteotomy
In-toeing gait is common after treatment for clubfoot deformity and is often secondary to residual internal tibial torsion. The purpose of the current study was to characterize the gait pattern in children with an intoeing gait pattern associated with talipes equinovarus (TEV) deformity, identify secondary changes at the hip that occur with intoeing, and determine if these secondary effects resolve after correction of tibial torsion. Patients with a diagnosis of TEV deformity, in-toeing gait secondary to residual internal tibial torsion corrected with tibial rotation osteotomy (TRO) and complete preoperative and postoperat...
Source: Journal of Pediatric Orthopaedics B - June 2, 2020 Category: Orthopaedics Tags: Leg & Foot Source Type: research

Congenital pseudarthrosis of the tibia: the outcome of a pathology-oriented classification system and treatment protocol
Congenital pseudarthrosis of the tibia is defined as a non-union of a tibial fracture that develops in a dysplastic bone segment of the tibial diaphysis. Pathologically, a fibrous hamartoma surrounds the bone at the congenital pseudarthrosis of the tibia site. The cases of 25 children, who have congenital pseudarthrosis of the tibia, were included in this study. Their ages ranged from 15 months to 15 years at the time of treatment. Neurofibromatosis-1 was present in 24 children. They were managed according to our classification system and treatment protocol. The treatment for mobile pseudarthrosis (types 1 and 2) included ...
Source: Journal of Pediatric Orthopaedics B - June 2, 2020 Category: Orthopaedics Tags: Leg & Foot Source Type: research

Insight into the possible aetiologies of Blount’s disease: a systematic review of the literature
The objective of this study is to provide an overview of the available hypotheses on the aetiology of Blount’s disease since its first description and assessment of the available level of evidence, the quality of evidence and the occurrence of bias supporting these individual hypotheses. A systematic search according to the PRISMA statement was conducted using PubMed, MEDLINE, EMBASE and the Cochrane Library using a broad combination of terminology to ascertain a complete selection. Proper MESH search criteria were formulated and the bibliographic search was limited to English and Dutch language articles. Articles with n...
Source: Journal of Pediatric Orthopaedics B - June 2, 2020 Category: Orthopaedics Tags: Leg & Foot Source Type: research