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 British Orthopaedic Association Standards for Trauma and Orthopaedics guidelines matter for displaced supracondylar fractures in children?: the experience of a tertiary referral major trauma centre over a 3.5-year period
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Letter to the Editor Source Type: research

Rate of orthopedic resident and medical student recognition of nonaccidental trauma: a pilot study
This study assesses the ability of 13 orthopedic residents and 11 medical students to diagnose child abuse. Participants had the option to explain their reasoning for a given case. To evaluate decision-making reasoning, we split responses into three cohorts, encompassing objective evidence, subjective evidence, or social evidence. Twenty-four participants completed the survey; 203 out of 240 (85%) included the rationale for the diagnosis of child abuse. The observed diagnostic odds ratio was 0.83 for medical students, 0.93 for junior residents, and 0.96 for senior residents. There was no statistically significant differenc...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Miscellaneous Source Type: research

Three-dimensional gait analysis in children with recurrent idiopathic clubfoot undergoing complete tibialis anterior tendon transfer
This study was aimed to evaluate the kinetics and kinematics of the foot and ankle using three-dimensional gait analysis in children with recurrent clubfoot treated with tibialis anterior tendon transfer (TATT). Three-dimensional gait analysis of 17 children with dynamic supination (24 feet; 12 males; mean age: 6.34 years) was performed pre- and post-TATT. Spatial, temporal and kinematic parameters, as well as the gait deviation index (GDI), were recorded for all patients. Moreover, to evaluate the severity of dynamic supination during walking, we also measured the angle between the plane of the foot and the X-axis during ...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Foot & Ankle Source Type: research

Correlation between baropodometric parameters and functional evaluation in patients with surgically treated congenital idiopathic clubfoot
The study aimed to investigate the correlation between baropodometric parameters and the functional score in the evaluation of the results of surgery in patients with clubfoot. Fifty-one patients (77 feet) underwent surgical treatment, with a mean follow-up of 9.58 years (5–15 years), and a mean age of 10.2 years (7–16 years). A total of 39 males and 12 females were included, with 25 unilateral cases and 26 bilateral cases. The patients underwent a functional evaluation and an assessment of plantar pressure distribution using computerized baropodometry. The functional evaluation results were statistically analyzed to i...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Foot & Ankle Source Type: research

20 years of functional treatment for clubfoot: advantages and limitations compared with the Ponseti method
Currently, the Ponseti method has become the most popular technique for the management of congenital clubfoot. Besides this treatment, the functional method or the ‘French method’ (FFM) represents another treatment option. Throughout our study, we will describe this method, based on the ‘Saint Vincent de Paul’ protocol with some modifications that we bring progressively. Carried out over the last 20 years at our institution. In total 145 children (210 clubfeet) were treated using FFM. Our technique is based on the ‘Saint Vincent de Paul’ protocol from Paris. This method consists of daily manipulations of the ...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Foot & Ankle Source Type: research

Donor site changes in early months following nonvascularized fibular harvest in children: a prospective radiological analysis
The exact timing of non regeneration and ankle valgus in post fibular harvest donor limbs remain elusive. The study examined the serial radiographs post harvest to better understand the transitions occurring in the ankle and leg region. We specifically focused on the noncontinuity of fibular regenerate, lateral distal tibial angle (LDTA), fibular length (fibular/tibial ratio, F/T ratio) and fibular station in the donor leg. Completeness of longitudinal fibular regeneration was documented at 6 months and accordingly two groups, with (R+) and without complete longitudinal regeneration (R−), were available for comparisons. ...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Knee & Leg Source Type: research

Outcomes of surgical treatment of symptomatic bipartite patella in teenage athletes
This study reports the outcomes of fragment excision with or without lateral release in teenage athletes with symptomatic bipartite patella. The study was approved by the College of Medicine Institutional Review Board. A retrospective review was performed. Patients were excluded if age>18 or had prior knee surgery. Data collected included age, gender, BMI, sports played, Saupe classification, conservative and surgical treatment, advanced imaging used, duration of follow-up, Lysholm Score and postoperative complications. Five teenage patients were studied. The average age was 15.6 years and BMI was 23. Sports played inclu...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Knee & Leg Source Type: research

Potential influence of factors for genu valgus with hereditary multiple exostoses
Genu valgus is one of the most common limb deformities in hereditary multiple exostoses (HME). However, it is easily concealed and may account for subsequent osteoarthritis of the knee. The knees of 56 patients (33 men and 23 women) with HME were investigated bilaterally. Knee valgus was described by the mechanical axis deviation (MAD), mechanical lateral distal femoral angle (LDFA), and medial proximal tibial angle (MPTA). We investigated sex, age, BMI, total number of palpable osteochondromas, number of radiographic osteochondromas around the knee, forearm deformities, morphology and distribution of lesions, and correlat...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Knee & Leg Source Type: research

Controlled repositioning and primary osteoplasty as a treatment option for the management of unstable slipped capital femoral epiphysis
We present the results of our technique of controlled re-positioning (CRP) with primary osteoplasty in which the epiphysis is repositioned to the preacute slip stage and a mini-open osteoplasty is done in the same sitting to avoid later femoro-acetabular impingement. We had 27 unstable slips which presented to our institution between 2015 and 2019, of which nine were treated with the above technique, and the rest 18 were treated with MDP. All of them were followed up for a minimum of 1 year. The mean intraoperative flexion-internal rotation before osteoplasty was −21.1° (−5° to −40°), which improved to +22.8° (...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Hip Source Type: research

Validation of the height–width measurement in Perthes disease among interpreters of different experience levels
The epiphyseal height and metaphyseal width ratio estimated lateral pillar involvement with limited generalizability among various interpreters. The aim of the study was to evaluate the reliability and the validity of height–width ratio measurement in Perthes disease among interpreters of different experience levels. A cross-sectional study was conducted between 2019 and 2020. We included four groups of interpreters: orthopaedic residents, orthopaedic fellows, radiology residents and radiology fellows who were unaware of radiographic study materials. Each interpreter blindedly evaluated Perthes hip radiographs twice at 1...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Hip Source Type: research

T1ρ and T2 MRI show hip cartilage damage in adolescents with healed Legg-Calvé-Perthes disease
Legg-Calvé-Perthes disease (LCPD) is a juvenile hip disorder associated with residual femoral head deformity, cartilage degeneration and a high risk of early onset hip osteoarthritis. Assessing management of LCPD in the healed phase requires an understanding of when and where hip cartilage damage happens. While it has been shown that cartilage is degenerated in healed LCPD hips in adults, it is not clear when this degeneration begins. Our research question was: Are the MR markers of cartilage degeneration T1ρ and T2 increased in healed LCPD hips in adolescents? Twelve adolescents [10–17 years old (mean 14); 3 female 9 ...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Hip Source Type: research

Anthropometric measurements of the pediatric hip using CT-based simulated anteroposterior radiographs of the pelvis
Normal anatomical variants and pathological deformities of the pediatric hip can only be differentiated after a prior definition of normal ranges for anthropometric parameters with increasing age. Aim of the present study was to provide reliable reference values of the pediatric hip morphometry, using computed tomography (CT)-based rotation-corrected summation images of the pelvis that simulate the widely available plain radiograph-based measurements, but offer the higher precision of the CT technique. This retrospective study included 85 patients (170 hips) under 15 years of age (0–15). The measured anthropometric par...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Hip Source Type: research

Acetabular remodeling after graft extrusion, rotation or impaction in Dega and Pemberton acetabuloplasties for developmental dysplasia of the hip
This study was performed to assess the acetabular remodeling by conservative management of graft displacement among patients with DDH. This was a retrospective study of 20 patients 17 (85%) women and 3 (15%) men; mean age 22.90 ± 6.96 months with DDH who underwent Pemberton and Dega acetabuloplasties at King Khalid University Hospital, Riyadh between January 2013 and January 2018. All patients after losing acetabular correction during immediate postoperative period were treated by conservative management. The management involved application of Spica cast for 6 weeks that was trimmed to broomstick cast for an extended peri...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Hip Source Type: research

Avascular necrosis under different treatment in children with developmental dysplasia of the hip: a network meta-analysis
The objective of this study was to evaluate the incidence of avascular necrosis (AVN) of the femoral head in children less than 3 years of age with developmental dysplasia of the hip (DDH) treated with closed reduction, open reduction alone and open reduction combined with osteotomy. We reviewed clinical trials from the PubMed, EMBASE and Cochrane Library databases (up to November 2020) that were related to closed reduction, open reduction alone and open reduction combined with osteotomy for the treatment of children under 3 years of age with DDH. The screening and quality evaluation of the literature were performed in...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Hip Source Type: research

Twelve-week standard of care protocol longer than median time to normalization among IIc hips treated with Pavlik harness
This study estimates the time to normalization among Graf IIc hips undergoing Pavlik harness treatment. Following institutional review board approval, patients referred for DDH evaluation at a pediatric institution between 2009 and 2018 (n = 1424 hips/712 patients) were identified. We isolated all Graf IIc hips that underwent Pavlik harness treatment (n = 132 hips/n = 106 patients). Demographic and outcome measures were collected. Normalization was defined as alpha angle greater than or equal to 60° and femoral head coverage greater than or equal to 50%. Kaplan–Meier and Cox proportional hazards regression analyses mode...
Source: Journal of Pediatric Orthopaedics B - May 31, 2022 Category: Orthopaedics Tags: Hip Source Type: research