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 an elbow arthrogram change management after closed reduction of mildly displaced lateral condyle fractures in children?
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Letter to the Editor Source Type: research

The use of real-time sonography-assisted fracture reduction in children with displaced forearm fractures
In conclusion, the current study shows that real-time ultrasound-guided forearm fracture reduction is an effective and inexpensive method for correction of displaced forearm and wrist fractures in children, which does not involve any radiation exposure. (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Trauma Upper Limb Source Type: research

Dose reduction for minimizing radiation in displaced paediatric supracondylar humerus fractures: single vs. automated pulse mode
Conventional C-arm image intensifiers (CCA) are an essential and indispensable aid in modern orthopaedic surgery. CCAs are defaulted to auto-pulse mode which emit multiple pulses (or bursts) of radiation to obtain optimum image quality. The number of pulses per shot can be configured manually. The purpose of this study is to investigate the efficacy of the single pulse mode of CCA in reducing and fixing paediatric supracondylar humeral fractures (SCHF). A retrospective chart review of 99 paediatric patients who underwent closed reduction and percutaneous pinning of displaced SCHF was performed. Fifty-one consecutive cases ...
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Trauma Upper Limb Source Type: research

Factors determining loss of reduction in paediatric supracondylar humerus fractures treated by closed reduction and percutaneous pinning
Closed reduction and percutaneous pinning is the preferred surgical intervention for paediatric supracondylar humerus fractures (SCHF). Loss of reduction (LOR) is one of the infrequent complications associated with percutaneous pinning. We aim to analyse the various factors that could lead to LOR. We retrospectively reviewed records of all children with Gartland’s type III and IV SCHF who were operated at our institution between 2014 and 2016. A defined set of radiologic indices were measured on postoperative and follow-up radiographs. Correlation between LOR (as defined by Skaggs) and radiologic indices, was calculated....
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Trauma Upper Limb Source Type: research

Exposed versus buried K-wire fixation in paediatric lateral condyle humerus fractures: preliminary communication of a prospective comparative study
The objective of this study was to compare the outcomes of buried versus exposed K-wires for these fractures. This prospective comparative(nonrandomised) study was conducted from July 2016 to April 2020 at a tertiary care level I trauma centre on 80 children, (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Trauma Upper Limb Source Type: research

The Holstein–Lewis humerus shaft fracture in children: are they different from adults?
Spiral fractures in the distal third humerus shaft (Holstein–Lewis fracture pattern) have been associated with high risk of radial nerve palsy in adults and surgical treatment is recommended as the treatment of choice to remove the entrapped nerve from the fracture site. But this association and treatment approach has not been evaluated in pediatric humerus shaft fractures. In a retrospective study, 38 pediatric patients with Holstein–Lewis fracture configuration were identified after a review of radiographs of 1609 patients with humerus shaft fracture. Age at initial presentation, sex, mechanism of injury, side involv...
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Trauma Upper Limb Source Type: research

Radiographic pseudosubluxation of the shoulder in pediatric proximal humeral fractures
This study was undertaken to determine the incidence, need for intervention, and time to resolution of pseudosubluxation of the shoulder in pediatric proximal humerus fractures. One hundred and ninety-nine radiographs (199 x-rays) were analyzed for pseudosubluxation of the shoulder following pediatric proximal humeral fractures. Pseudosubluxation occurs when the center of the humeral head aligns with the inferior one-fourth of the glenoid. Fourteen patients met the inclusion criteria for pseudosubluxation. The nonoperative cohort consisted of 100 females and 93 males and the operative cohort consisted of 3 males and 3 fema...
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Trauma Upper Limb Source Type: research

Review of pediatric functional outcomes measures used to evaluate surgical management in pediatric patients with an upper extremity fracture
For two decades, many scores, questionnaires, and rating systems have been used to evaluate the functional outcome of children with an upper extremity fracture (UEF). However, only a few of these were created specifically for children, and many assess only elbow function. In the absence of any published review on this topic, we set out to identify and categorize different scores used to evaluate the clinical and functional outcomes of surgically treated pediatric UEFs. A literature search was performed, and 38 studies were identified. The scores used more often were the shortened version of the Disability of the Arm, Shoul...
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Trauma Upper Limb Source Type: research

Angulated Salter osteotomy in the treatment of developmental dysplasia of the hip
We reported our results of ASO and compared it with that of Salter osteotomy performed previously by us. We retrospectively reviewed 41 unilateral hips that underwent ASO, with no other accompanying procedures, between 2012 and 2018. We investigated the radiographic measurements included the preoperative values of the acetabular index and center-edge angle (CEA), immediate postoperative values of distance d (lateral displacement of the distal fragment), lateral rotation angle (LRA), the ratio of the obturator height (ROH), pelvic height increase percentage (PHIP) and the values of acetabular index and CEA during the last f...
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Hip Source Type: research

Acetabular volume and femoral coverage change following Dega-like osteotomy in treatment of developmental dysplasia of the hip
Although Dega’s acetabuloplasty has become a commonly used osteotomy, there is still an ongoing debate regarding its impact on the volume and depth of the acetabulum. The purpose of our study was to assess the postoperative images of the transverse acetabular plane and version obtained from developmental dysplasia of the hip (DDH) patients after a modified Dega osteotomy. We performed a retrospective study of the morphologic indices obtained from the pelvic X-rays and computer tomography (CT) scans of patients with DDH, who were operated in our institution between July 2005 and October 2013, using the modified Dega osteo...
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Hip Source Type: research

Femoral osteotomy is not recommended for children aged 2–3 years with Tönnis grade III developmental dysplasia of the hip
The objective of this study was to compare outcomes following open reduction with and without femoral shortening when treating patients aged 2–3 years with Tönnis grade III developmental dysplasia of the hip (DDH). In this prospective study, 78 patients (6 boys and 72 girls; mean age: 27.8 months; age range: 24–35 months) with Tönnis grade III DDH at our hospital from January 2014 to August 2017 were included. There were 34 hips in the without femoral shortening group and 44 hips in the femoral shortening group. Clinical outcomes were rated using the modified McKay criteria, and the hips were graded using the Severin...
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Hip Source Type: research

Evaluation of avascular necrosis risk factors after closed reduction for developmental dysplasia of the hip before walking age
This study aims to put forth the impact of closed reduction age and other factors which can cause AVN. Inclusion criteria of the study were: closed reduction and spica cast application before walking age (12 months) and minimum 2 years duration of follow-up. The presence of femoral head ossific nucleus, International Hip Dysplasia Institute (IHDI) score, acetabular indices and AVN were evaluated from radiographies. Hip abduction angles were evaluated on CT images. The absence of the ossific nucleus at the closed reduction time and preoperative IHDI grade were not significant risk factors for AVN (respectively OR = ...
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Hip Source Type: research

Predictivity of International Hip Dysplasia Institute classification in Pavlik harness treatment and correlation with Graf ultrasonographic classification
Hip ultrasonography applied according to Graf’s criteria is frequently used in early diagnosis and monitoring of developmental dysplasia of the hip (DDH). Recently, the International Hip Dysplasia Institute (IHDI) classification has been proposed to be a prognostic indicator for patients with walking-age DDH. The purpose of this study is to evaluate the reliability of IHDI classification in the follow-up of patients with DDH diagnosed by ultrasonography scanning. A total of 69 hips of 38 patients (10 men, 28 women; mean age 59.9 ± 19.8 days, range 29–90 days) were diagnosed with DDH younger than 90 days of age. The AP...
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Hip Source Type: research

Telescoping screw fixation compared to traditional in situ screw fixation for slipped capital femoral epiphysis: clinical, radiographic and patient-reported outcomes
This study compares clinical, radiographic and patient-reported outcomes among telescoping and traditional screws for the treatment of slipped capital femoral epiphysis (SCFE). We hypothesized that telescoping screws would prevent slip progression and result in preserved femoral neck growth and improved patient-reported outcomes. Traditional screws were compared to telescoping screws in a 2:1 matched cohort based on age at initial surgery, length of radiographic follow-up and whether or not the hip was pinned prophylactically or as a treatment for SCFE. Neck length and telescoping screw length were measured. The patient-re...
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Hip Source Type: research

Proximal femoral changes related to obesity: an analysis of slipped capital femoral epiphysis pathoanatomy
Recent research has revealed the importance of the femoral epiphyseal tubercle and cupping height in the stability of the physis and its association with capital femoral slippage. To better understand the connection between the pathogenesis of slipped capital femoral epiphysis and obesity, we performed a retrospective analysis of proximal femur and acetabular anatomies using computed tomography (CT) scans in the hips of normal weight and obese pediatric patients. We measured morphologic characteristics of the proximal femur and acetabulum in developing hips of 31 obese adolescent patients and age-matched and sex-matched co...
Source: Journal of Pediatric Orthopaedics B - April 4, 2022 Category: Orthopaedics Tags: Hip Source Type: research