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.

Results of the Italian Pediatric Orthopedics Society juvenile flexible flatfoot survey: diagnosis and treatment options
The objectives of this study were to collect and analyze current diagnosis and treatment options of symptomatic flexible flatfoot (FFF), as well as to identify treatment expectations, among the members of the Italian Pediatric Orthopedics Society (SITOP). Diagnosis and treatment preferences were recorded according to a web-based survey. The survey was divided into six main sections: (1) general clinical parameters; (2) foot aspects; (3) X-ray angles (or lines); (4) expectations; (5) standard clinical assessment; (6) treatment options. One hundred and ten out of 248 SITOP members answered to the questionnaire. Age (85.5%), ...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Foot Source Type: research

Preliminary results: continuous double luminal catheter drainage for the management of septic hip arthritis in children
Septic arthritis in children is considered an orthopedic surgical emergency, which requires prompt intervention to prevent later sequela. In the last decades, several minimal invasive techniques were suggested as an alternative to the standard treatment of septic arthritis in the pediatric hip via open arthrotomy. We aimed to investigate the efficacy and safety of a new minimal invasive technique—double luminal catheter drainage (DLDC)—in treating septic hip arthritis in children. Retrospective case series analysis was performed on all patients 1–18 years of age diagnosed with septic hip arthritis and treated by the ...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: HIP Source Type: research

The relationship between atlas hypoplasia and os odontoideum in children with Down syndrome: a preliminary case report
The purpose of this study was to evaluate the relationship of os odontoideum and the size of atlas among children with Down syndrome. Understanding the risk of developing myelopathy in asymptomatic cases is important in children with Down syndrome. Children with os odontoideum are considered to be at high risk of developing myelopathy because of instability; however, in cases that are complicated by atlas hypoplasia, the risk remains the same, regardless of instability. This retrospective case-control study assessed atlas hypoplasia in children with Down syndrome with or without os odontoideum. We retrospectively assessed ...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Spine Source Type: research

Rate of utilization of physical therapy after common pediatric elbow fractures
This study included patients under the age of 18 years and utilized International Classification of Diseases (ICD)-9, ICD-10 and Current Procedural Terminology codes to identify patients. Descriptive statistics, chi-square test and multivariate analyses were performed to compare differences between groups. This study included 2037 patients. Overall, 90 patients (4.4%) received a physical therapy referral at an average time of 90.1 (± 54.6) days between discharge and referral. The rate of physical therapy was 2.7% after nonoperative and 6.3% after operative treatment (P  (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Elbow Source Type: research

A note of thanks to our reviewers
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Thanks to Reviewers Source Type: research

Lumbar intervertebral disc degeneration, end-plates and paraspinal muscle changes in children and adolescents with low-back pain
The prevalence of low-back pain (LBP) in adolescents ranges from 7 to 72%. We aimed to define the radiologic characteristics of the lumbar spine in children and adolescents with LBP with/without leg pain. Two hundred and fourteen children and adolescents, who were born between 2001 and 2009 and had lumbar spine MRI for LBP with/without leg pain, were evaluated in terms of intervertebral disc degeneration (IVDD), end-plates and paraspinal muscle changes on lumbar spine MRIs. Severe IVDD was detected at all lumbar levels except for L2–L3. Modic changes were present in 4.2% of the patients. Modic changes were more common in...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Spine Source Type: research

Orthopaedic outcomes of prenatal versus postnatal repair of myelomeningocele
This study analyzes the relevant outcomes from a prospective RCT (Management of Myelomeningocele Study). Eligible women were randomized to prenatal or postnatal repair, and patients were evaluated prospectively. Outcomes of interest included rates of scoliosis, kyphosis, hip abnormality, clubfoot, tibial torsion, and leg length discrepancy (LLD) at 12 and 30 months. The need for orthopaedic intervention at the same time points was also evaluated. Statistical analyses included descriptive statistics and univariate analyses. Data for the full cohort of 183 patients were analyzed (91 prenatal, 92 postnatal). There were no d...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Spine Source Type: research

Preliminary evaluation of sagittal and transverse plane cross-sectional variations of the trunk during quiet and deep breathing by optical reflective motion analysis in patients with scoliosis
Trunk movements during quiet and deep breathing in untreated and in operated patients with scoliosis are not well defined. To evaluate sagittal and transverse plane cross-sectional variations of the trunk during quiet and deep breathing by optical reflective motion analysis (ORMA) in children with scoliosis. Twenty-one patients were divided into three groups: normal subjects (A; n = 6), subjects with untreated scoliosis>50° (B; n = 7) and operated patients (C; n = 8). Standing and sitting height, T1–T12 and L1–L5 length, arm span, chest perimeter, weight and BMI were recorded. Trunk movements of all patien...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Spine Source Type: research

Limited trunk motion and posterior pelvic tilting in ambulatory children treated with bilateral rib to pelvis implants for spinal deformity control
In young children, growth-friendly spinal implants with bilateral rib to pelvis fixation are used to control progressive spinal deformity. Whereas curve progression, complications and side-effects have been extensively studied in this patient population, no data are available on gait pattern changes and postural body adjustments. Our study evaluates whether gait pattern changed for ambulatory children treated with bilateral rib to pelvis implants compared to age-matched healthy children. In this small cohort study, gait analysis was performed using spatiotemporal and kinematic parameters of four ambulatory children with se...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Spine Source Type: research

Effects of posterior hemivertebra resection and short segment fusion on the evolution of sagittal balance in children with congenital scoliosis
This study aimed to evaluate the effects of posterior HV resection on spine sagittal alignment in children with CS. This is a retrospective analysis of 31 children with CS (mean age at surgery: 49.61 ± 10.21 months; range, 39–72; mean follow-up time: 5.16 ± 1.21 years; range: 3–7) treated at our Institution. Only patients with single thoracic or single lumbar, fully segmented HV managed by posterior HV resection and two segments fusion with four screws and two robs were included. According to the anatomical location of the HV, patients were divided into two groups: thoracic (group A) and lumbar (group B). Thoracic ky...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Spine Source Type: research

Is the numerical rating scale an adequate predictor for assessing MRI underlying pathologies among painful adolescent idiopathic scoliosis patients?
The use of constant pain and night pain as clinical markers for predicting the presence of underlying pathology in painful adolescent idiopathic scoliosis (AIS) patients has been questioned. Pain intensity has been recognized as an important domain in pain assessment. The numerical rating scale (NRS) is one of the most commonly validated tools to assess pain intensity in children above 8 years of age. The aim of this study was to assess the NRS as a predictor of underlying pathologies found by MRI in painful AIS patients. A cross-sectional study comprising of all AIS patients with back pain lasting>4 weeks from April 2...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Spine Source Type: research

Physeal sparing distal radio-ulnar joint ligament reconstruction in children
We present a physeal sparing ligamentoplasty for chronic DRUJ instability and describe the outcomes in two patients. Two consecutive children with chronic DRUJ instability were treated using physeal sparing ligamentoplasy. After the failure of triangular fibrocartilage complex repair, reconstruction was done using palmaris longus tendon graft that was tunnelled through the distal radius epiphysis and wrapped subperiosteally around the ulnar neck. Graft was tied in a neutral forearm position. DRUJ stability was achieved in both patients. Grip strength averaged 90% of the healthy side. Prono-supination range of motion (ROM) ...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Prognostic factors for postoperative complications after K-wire fixation for paediatric forearm fractures: a multivariate analysis
Although osteosynthesis using K-wires is a commonly performed procedure, the outcome is not always preferable. We aimed to identify the prognostic factors for postoperative complications in paediatric patients with both-bone forearm fractures. We reviewed 160 paediatric patients who underwent K-wire osteosynthesis for either distal or diaphyseal forearm fractures. We defined the occurrence rate of postoperative complications as the primary outcome and performed a multivariate logistic regression analysis. Variables such as age, sex, mechanism of injury, presence of an open fracture, ulnar or radial fracture and the associa...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Closed reduction by trans-physealantegrade elastic stable intramedullary nailing in acute pediatric Monteggia fractures: a report of 22 cases
Treatment of acute pediatric Monteggia fractures is still debated. The aim of this study was to assess the efficacy of strategy based on closed reduction by trans-physeal antegrade elastic stable intramedullary nailing (ESIN) of the ulnar fracture. Retrospective analysis of 22 patients (13 boys and nine girls) treated for acute Monteggia fractures between May 2008 and August 2018 was performed. Mean age at injury was 6.6 years. Mean follow-up was 4.5 years. On the basis of the Bado classification, 15 lesions were of type I, three types III and four types IV. All the patients were managed with closed reduction and ESIN of t...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Post-traumatic cubitus varus: long-term follow-up of corrective osteotomy using the Ilizarov method of compression distraction osteogenesis
The objectives were to study the impact of this method on the ROM, the Humerus Elbow Wrist (HEW) angle as well as the Lateral Prominence Index. A total of 32 patients who presented with a cubitus varus deformity of ≥10° at the elbow were retrospectively analyzed using data retrieved from a computerized hospital database. All patients had undergone a mini-incision subperiosteal osteotomy followed by application of an Ilizarov frame. Cinico-radiological follow-up was carried out at regular intervals until union was achieved and yearly thereafter. The mean time to union was 11 weeks. The mean follow-up period ranged from...
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research