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.

Outcomes of pediatric anterior cruciate ligament reconstructions in patients with and without bucket handle meniscus repairs
This study included 64 knees divided into two groups: 47 knees in group A and 17 knees in group B. There was a significant difference in the interval between ACL injury and surgery between groups A and B (69 vs. 150 days, respectively; P (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Knee & Leg Source Type: research

Co-occurrence of Blount’s disease and Legg-Calvé-Perthes disease: is obesity a factor?
Legg-Calvé-Perthes disease (LCPD) and Blount’s disease share a similar presenting age in addition to similar symptoms such as limp or knee pain. A little overlap is mentioned about both diseases. We sought to present cases of children having both conditions to discuss the implications of this co-occurrence on diagnosis and management. After institutional review board approval, we retrospectively reviewed records of four children who developed both Blount’s disease and LCPD. Patient details and outcomes were analyzed. Radiographs were evaluated for the lateral pillar classification, Stulberg classification, tibial meta...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Hip & Femur Source Type: research

One-year follow-up ultrasonographic study of the subchondral bone surface of the distal femoral epiphysis in children aged 9–11 years
The aim of this study was to investigate the subchondral bone surface of the distal femoral epiphysis and monitor the morphologic changes on ultrasonography (US) in growing children. A total of 160 football players aged 9–11 years underwent ultrasonographic examination of both knees. The regularity of the subchondral bone surface of the femoral condyles was classified as grade 0 (smooth), 1 (focal semilunar depression or indentation) or 2 (broad irregularity). The relationship between age and frequency of irregularity was analyzed. Children with a grade 2 were referred for radiography and MRI to check for osteochondritis...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Hip & Femur Source Type: research

The readability of online patient education materials for slipped capital femoral epiphysis
In this study of 53 unique websites about SCFE, we demonstrated that only one of the web pages was written at the recommended sixth-grade level, and the mean reading level of the online material was above the 10th-grade level. Post hoc testing showed that only websites associated with pediatric academic institutions were written at a significantly lower grade level than general health websites [P  (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Hip & Femur Source Type: research

Increased psoas tendon running angle in patients with Legg-Calvé-Perthes disease: a new theory for the aetiology of children with avascular femoral head necrosis
The cause of Legg-Calvé-Perthes disease (LCPD) remains unknown. We propose a new hypothesis that the iliopsoas muscle and/or tendon affects the progression of ischemic necrosis of the femoral head as an anatomical factor. The purpose of this study was to test this hypothesis by measuring the psoas major tendon angle (PMTA) and cross-sectional area (CSA) of the iliopsoas muscle on MRI. We selected three predetermined axial MRI scans at the level of the psoas major tendon origin, the femoral head, and the lesser trochanter. We calculated the proximal, distal, and combined PMTA and compared these angles between the LCPD grou...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Hip & Femur Source Type: research

Does the size of Thurston–Holland fragment have an effect on premature physeal closure occurrence in type 2 distal tibia epiphyseal fractures?
The purpose of this study was to investigate the possible effect of Thurston–Holland fragment (THF) size on the development of premature physeal closure (PPC) in distal tibia type 2 epiphyseal injuries. Fifty-eight fractures in 57 patients with a minimum follow-up period of 12 months were included. For statistical analysis, sex and age of the patient, number of reduction attempts, percentage of THF base relative to physis length on anteroposterior or lateral radiograph, maximal initial and postreduction displacement amount, presence of accompanying fibula fracture and trauma mechanism were evaluated. PPC was observed i...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Trauma Lower Limb Source Type: research

Outcomes of displaced adolescent distal third tibia fractures: can we do better?
Because adolescent distal third tibia fractures pose treatment challenges, we aimed to identify factors predictive of failure among common treatment methods: casting without manipulation, closed reduction and casting (CRC) and open treatment. Among displaced fractures, we compared outcomes between CRC versus open treatment. Skeletally immature individuals (10–17 years) with extra-articular distal third tibia fractures at a level 1 trauma center (2011–2017) were retrospectively reviewed. Patient demographics, injury and treatment characteristics and complications were recorded. Radiographs were evaluated for unacceptabl...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Trauma Lower Limb Source Type: research

Variability in evaluation and treatment of tibial tubercle fractures among pediatric orthopedic surgeons
The purpose of this study was to determine the variability in clinical management of tibial tubercle fractures among a group of pediatric orthopedic surgeons. Nine fellowship-trained academic pediatric orthopedic surgeons reviewed 51 anteroposterior and lateral knee radiographs with associated case age. Respondents were asked to describe each fracture using the Ogden classification (type 1–5 with A/B modifiers), desired radiographic workup, operative vs. nonoperative treatment strategy and plans for post-treatment follow-up. Fair agreement was reached when classifying the fracture type using the Ogden classification (kâ€...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Trauma Lower Limb Source Type: research

Tibial tubercle avulsion fractures in adolescents: impact on function and quality of life
The objective of the study was to assess functional outcomes and quality of life of patients treated for tibial tubercle avulsion fractures (TTAFs). Retrospective study of patients under 18 years of age treated from June 2011 to May 2018. Demographic data included age, gender, mechanism of injury, side, fracture classification, associated injuries, predisposing factors, and type of treatment. Clinical results included knee range of motion, pain, return to sports, overall satisfaction, functional outcomes, and complications. At final follow-up, Tegner Lysholm Knee Scoring Scale, and Kidscreen-10 were applied. Ten patients...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Trauma Lower Limb Source Type: research

Effect of rotational deformities after pediatric femoral fracture on clinical outcome
Femoral shaft fractures are the most common pediatric injuries that require hospitalization. Early closed reduction and spica casting are one of the most popular treatment options. One of the significant complications of spica casting is rotational deformities of the fracture. The present study aimed to determine the potential effects of rotational deformities in pediatric patients who underwent early spica casting after a femoral shaft fracture. Pediatric patients who underwent early spica casting following femoral shaft fractures were screened retrospectively. Radiological measurements were made on the patients’ initia...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Trauma Lower Limb Source Type: research

Elastic stable intramedullary nailing versus submuscular plating in pediatric diaphyseal femur fractures: a randomized controlled trial among children in South India
Elastic stable intramedullary nailing (ESIN) is the current preferred method for treating diaphyseal femur fractures in children. Introduction of the submuscular locked plate (SMP) fixation construct has opened the debate on treatment options for pediatric diaphyseal femur fractures in the older children and adolescents. A randomized controlled trial (RCT) protocol was designed to compare ESIN and SMP for diaphyseal femur fractures in children. An open-labelled RCT comparing SMP with ESIN was conducted from January 2013 to June 2016, for children aged 6–15 years with closed, acute femoral diaphyseal fractures. Randomizat...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Trauma Lower Limb Source Type: research

Patterns of femoral neck fracture and its treatment methods in patients with osteogenesis imperfecta
We present three types of FNF in osteogenesis imperfecta and their characteristics, treatment methods and outcomes. Cases of FNF followed for more than 2 years were selected from the osteogenesis imperfecta database. Medical records and radiographs were reviewed to obtain demographic information and to determine ambulatory status, mode of injury, location of the fracture line, presence of preexisting implants, treatment methods and complications. Outcomes were evaluated according to the radiographic results and ambulatory function. The study investigated 15 FNFs in 10 patients including 1 Sillence type I, 1 type III and ...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Trauma Lower Limb Source Type: research

Complications of intrathecal baclofen pump treatment in children with spastic cerebral palsy. A comparative analysis of patients weighing over or under 20 kg at the time of implantation
The purpose of this study was to investigate the incidence of complications in pediatric spastic cerebral palsy (CP) patients weighing less than 20 kg at the time of intrathecal baclofen (ITB) pump implantation and to compare it with spastic CP patients heavier than 20 kg. Twenty-seven patients with spastic CP (14 males) treated with ITB implantation at our institution between January 2002 and January 2018 were retrospectively reviewed. Eight of the 27 patients had a bodyweight below 20 kg (group A) and 19 had weight above 20 kg (group B). Group A had a significantly more important proportion of patients with the G...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Cerebral Palsy Source Type: research

Intraoperative neuromonitoring during distal femoral extension osteotomy in children with cerebral palsy
The most common treatment method for a fixed knee flexion contracture more than 10 degrees in cerebral palsy (CP) is distal femoral extension osteotomy (DFEO). However, a serious complication after a DFEO is neurological impairment. Its rates were reported as 5– 40%. Intraoperative neuromonitoring (IONM), widely used in spinal surgery and in other fields, is a valuable tool to define any neurological injury during operation. The aim of our study was to determine surgical steps with risk of neurological injury and to report if precautions would be effective in recovering signal loss. We performed IONM during DFEO of 23 ...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Cerebral Palsy Source Type: research

What happens to the patella height in patients with cerebral palsy as they age
We aimed to investigate the progression of patella alta (PA) in patients with cerebral palsy (CP) using the Koshino–Sugimoto (KS) index and assess associated risk factors. Participants in our retrospective study met the following inclusion criteria: patients with CP who visited our institute from May 2003 to December 2019, were ≤18 years of age, were followed up for>2 years and had at least two lateral knee radiographs. KS indices of both knee radiographs were measured for each patient. A linear mixed model was implemented. Our participants included 222 CP patients. KS index values were measured via 652 knee radiograph...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Cerebral Palsy Source Type: research