Minimally displaced pediatric humerus lateral condyle fractures: risk factors for displacement and outcomes of delayed surgery – Edmonds EW, Bland DC, Bastrom TP, Smith MM, Upasani VV, Yaszay B, Pennock AT. J Pediatr Orthop B 2021; 30:167–173
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Letter to the Editor Source Type: research

The effect of COVID-19 on children with congenital talipes equinovarus in a tertiary service in the United Kingdom
This study reviewed the patients who commenced their Ponseti treatment between March and September 2020, representing the cohort who received hands-on care during the first wave of the COVID-19 pandemic. Equivalent 6-month periods were searched in 2019 and 2018 as control cohorts. This study included a total of 45 children (72 affected feet) presenting for treatment of clubfoot. Twenty-three babies were seen with CTEV in 2020. For the same time period in 2018 and 2019, 11 babies were treated each year. The distance commuted to by families was higher in 2020 compared to 2019 and 2018, although the difference did not reach s...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Short communications Source Type: research

Challenges with Fassier–Duval rod exchanges in congenital pseudarthrosis of the tibia: explant roadblock and solution
We present our experience treating CPT with the Fassier–Duval rod and a novel technique for Fassier–Duval exchange that was developed after extraction failed in one patient. Patients were identified who underwent treatment with Fassier–Duval rods for CPT between 2007 and 2016 and had undergone their first rod exchange. Medical records were reviewed, and complications were classified using the system of Cherkashin. Four patients had an average age at the initial insertion of 6 years 4 months (4–9 years). The average follow-up duration after initial Fassier–Duval implantation was 5.4 years (2.7–8.1 year...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Short communications Source Type: research

Intra-articular acetabular osteochondroma in patients with multiple hereditary exostoses
We report three additional cases of intra-articular acetabular osteochondroma in multiple hereditary exostoses patients in order to raise the awareness of this rare location, to prompt early diagnosis, and to present various treatment options according to the patient’s condition. A 2.5-year-old boy presenting with an out-toeing gait had a large acetabular osteochondroma causing lateral displacement of the femoral head and acetabular dysplasia. Mass excision through hip subluxation via anterior approach and concomitant Dega osteotomy resulted in a congruent, well-developed, and well-covered hip joint at 11-year follow-up....
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Short communications Source Type: research

Maximizing length with precice nail: a novel technique
This report presents a novel technique to achieve lengthening beyond the initial reach of the nail, in a simple and quick procedure, without the need of implanting any additional devices. (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Short communications Source Type: research

MRI changes in calf muscles of two children with cerebral palsy following Botulinum Toxin Type A injections: a preliminary report
Intramuscular injections of Botulinum Toxin Type A (BoNT-A) in children with spastic cerebral palsy (CP) have been introduced in clinical practice with the aim of reducing muscle tone, preventing muscle contractures and, ultimately, improving function. The aim of this study was to evaluate prospectively the MRI changes in the calf muscles, gastrocnemius (GN) and soleus (S) of two children with unilateral spastic CP (US-CP), prior and more than 1-year following BoNT-A injections. Two male patients with US-CP were injected at the level of the GN and S muscles. Patients underwent a first lower extremity MRI prior to the first...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Short communications Source Type: research

Telemedicine for pediatric orthopedic visits: evaluating usability and satisfaction
The purpose of this study is to evaluate usability and patient satisfaction with telemedicine in pediatric orthopedics using validated questionnaires and to identify demographic and clinical factors that may impact these ratings. All caregivers of patients who had telemedicine visits with a single fellowship-trained pediatric orthopedic surgeon between 23 March 2020 and 3 June 2020 were eligible to participate. Patient Satisfaction Questionnaire (PSQ) and the Telehealth Usability Questionnaire (TUQ) rated on a 4-point Likert scale (1 = poor, 2 = fair, 3 = good and 4 = excellent) were used. Additional inform...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Miscellaneous Source Type: research

Evaluating paediatric orthopaedic teleradiology services at a tertiary care centre
Telehealth services are innovative healthcare strategies that utilize communication technologies to improve healthcare access for patients. Teleradiology is a form of telehealth service that involves the transmission of radiological images, such as x-rays, CTs and MRIs, from one location to another to share patient information with other physicians. The purpose of this study was to assess teleradiology consultations for orthopaedic patients at a paediatric tertiary care centre. A retrospective review was conducted of patients who received teleradiology consultations with a single orthopaedic surgeon from 2015 to 2018 throu...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Miscellaneous Source Type: research

Motion laboratory gait analysis and orthopedic resident education: preliminary results
This study found improved knowledge of gait patterns amongst orthopedic residents with formal education. Even though the residents with formal education fared better than their counterparts, the overall percent correct was still low (51%). Evidence: Level 3: Prospective Cohort Study. (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Miscellaneous Source Type: research

Multi-day delay to care identified in pediatric trauma cases during COVID-19
This study aims to establish how pediatric fracture patterns were altered at a level 1 trauma center in a state that implemented a shutdown during the initial height of COVID-19. After IRB approval, we identified 2017 patients treated at a pediatric institution for definitive management of a fracture between 26 March and 31 May 2018, 2019, or 2020. Dates were chosen based on statewide stay-at-home orders for Colorado. Patients were excluded for treatment at another institution (n = 148), no fracture noted in clinic (n = 18), or other (n = 13). Data were retrospectively collected from the remaining 1838 patients regarding d...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Trauma Source Type: research

Management of Salter-Harris II distal femur fractures – what is the state of practice? A survey of Pediatric Orthopaedic Society of North America membership
This study aimed to assess the current state of management of these fractures on the basis of the Pediatric Orthopaedic Society of North America (POSNA) membership experience. POSNA members were surveyed via an emailed REDCAP survey. Questions included respondent demographics, experience, practice environment and clinical questions regarding preferred treatment and postoperative management based, in part, on an illustrative case of a nighttime presentation of a displaced SH-II distal femur fracture. Descriptive statistics were performed to summarize the preferred management among POSNA members. Twenty-eight percent (376/13...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Trauma Source Type: research

Golf cart injuries in children: the experience of trauma centers in a single state in the USA
Golf carts remain a source of morbidity in children. We aimed to establish the incidence and injury characteristics of pediatric patients injured due to golf cart usage over an 11-year period. This is a retrospective study using a single state trauma database of patients ages 0–17 years admitted to a trauma center and who sustained injures while a golf cart was in use. Thirteen Pediatric and Adult Trauma Centers within the state of Pennsylvania were evaluated from 1 January 2004 to 31 December 2014. The inclusion criteria were met by 108 patients. The mean annual incidence of injuries was 0.35/100 000. The median age o...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Trauma Source Type: research

The single portal percutaneous epiphysiodesis technique for treatment of leg length inequality stops growth as expected
This study demonstrates that a single-incision percutaneous epiphysiodesis technique reliably arrests the growth as expected. Surgeons can confidently and accurately employ this technique to successfully treat leg length inequality. (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Growth Modulation Source Type: research

The efficacy of two-hole tension band plates in the treatment of lower extremity limb length discrepancy
The main purpose of our study was to investigate the efficacy of dual two-hole tension band plates in the treatment of lower extremity limb length discrepancy (LLD). We retrospectively reviewed patients who underwent epiphysiodesis utilizing dual two-hole tension band plates due to lower extremity LLD between January 2012 and June 2018. The efficacy of epiphysiodesis was defined as the inhibited percentage of the expected growth of the physis between two time intervals and was calculated between 0–6 months and 6–18 months as the primary outcome. The relationship of efficacy of epiphysiodesis with time intervals, bo...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Growth Modulation Source Type: research

The investigation of foot structure within children who have attention-deficit hyperactivity disorder: a case-controlled study
This study aimed to investigate the foot structure and its relationships between disease severity, physical activity and psychiatric traits in children with ADHD. Children with ADHD (n = 50; mean age: 12.02 ± 1.83 years) and typically developing peers (n = 30; mean age: 12.86 ± 2.56 years) were included. The static footprint analysis was collected by using digital images. The ImageJ program was used to calculate Clarke’s angle, Staheli arch index (SAI) and Chippaux–Smirak index (CSI). The Turgay DSM-IV disruptive behavior disorders rating scale (T-DSM-IV-S), physical activity questionnaire for older children (PQ-C), ...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Foot Source Type: research