Response: Letter to the Editor of Prevalence of Cozen’s Phenomenon of the Proximal Tibia
No abstract available (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Letters to the Editor Source Type: research
Prevalence of Cozen’s Phenomenon of the Proximal Tibia
No abstract available (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Letters to the Editor Source Type: research
Collins, Bruegel, and the Games They Play
William Collins and Pieter Bruegel the Elder in their respective paintings, “Happy as a King” and “Children’s Games” show children playing outdoors. The types of injuries these children could sustain in the 16th and 19th centuries are contrasted with sports related pediatric fractures in the present day. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Selected Topics Source Type: research
Publication Rates of Abstracts Presented at Pediatric Orthopaedic Society of North America Meetings Between 2013 and 2016
This study reviewed 4 years of abstracts presented at POSNA to assess trends in poster and podium presentation publication rates and associated metrics and the impact of academic presentations on the pediatric orthopaedic literature.
Methods:
All abstracts presented at POSNA annual meetings from 2013 to 2016 were analyzed for presentation type, subspeciality, level of evidence, study design, peer-reviewed publication within 4 years of presentation, 1-year publication rates, journal impact factors, number of authors, and citations of the final publication. χ2, analysis of variance, and t tests were conducted to meas...
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Selected Topics Source Type: research
Study Groups and POSNA: A Review of Podium Presentations From 2006 to 2020
Background:
Study groups are multicenter collaborations aimed at improving orthopaedic decision-making through higher-powered, more generalizable studies. New research is disseminated through peer-reviewed literature and academic meetings, including the Pediatric Orthopaedic Society of North America (POSNA) annual meeting, which brings together academic and medical professionals in pediatric orthopaedics. The goal of this study was to identify patterns in podium presentations (PP) at the POSNA annual meeting resulting from multicenter study groups during a 15-year period.
Methods:
A total of 2065 PP from the 200...
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Selected Topics Source Type: research
Tibial Sliding Elastic Nailing Technique in Moderate-to-Severe Osteogenesis Imperfecta: Long-term Outcomes
Conclusions:
The tibial sliding elastic nailing technique provides satisfactory clinical and radiologic results over time. Performed in case of fracture or as a preventive treatment, it allows a good correction of angular deformations. It is particularly suitable for young patients with a narrow medullary shaft.
Level of Evidence:
Level IV—therapeutic study. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Selected Topics Source Type: research
Clubfoot Activity and Recurrence Exercise Study (CARES)
Conclusion:
Children with clubfoot initially treated with the Ponseti method who undergo treatment for relapse have comparable physical activity to those who have not relapsed. They also have comparable step counts to that of the general pediatric population. These reassuring findings can guide conversations with parents when addressing concerns regarding their children’s physical activity after treatment for relapse of clubfoot deformity.
Level of Evidence:
Level II—therapeutic studies—investigating the results of treatment. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Selected Topics Source Type: research
Factors that Influence Acquisition of Lower Extremity Braces in the Pediatric Orthopaedic Population
Background:
Lower extremity brace-wear compliance has been studied in pediatrics, but failure to acquire a prescribed brace has not been included. The purpose of this study was to evaluate brace acquisition as a component of brace-wear compliance.
Methods:
Records of patients (0 to 21 y) prescribed lower extremity braces from 2017 to 2019 were reviewed. Diagnoses included cerebral palsy, spina bifida, short Achilles tendon, clubfoot, and other. Brace type was categorized as clubfoot foot abduction orthosis, ankle-foot orthosis, knee, hip, or custom/other braces. Brace prescription and acquisition dates were re...
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Practice Management Source Type: research
How Do We Best Educate Our Patients’ Caregivers? Comparing the Efficacy of Print Versus Media-based Education Materials in Peripheral Nerve Catheter and Pain Pump Education
Conclusions:
We did not detect a significant difference in caregiver preference or feelings of preparedness between groups. Interestingly, a significant proportion of caregivers (25%) did not feel comfortable managing the peripheral nerve catheter and its pain pump at home. Future studies should work to improve caregiver comfort with educational content before patient discharge.
Clinical Relevance:
Providers and institutions should feel comfortable providing both print and media-based patient and caregiver education. Caregiver education may be best suited based on caregiver preference of one EM modality versus t...
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Practice Management Source Type: research
Tiered Guidelines in a Pediatric Orthopaedic Practice Reduce Opioids Prescribed at Discharge
Conclusions:
Tiered guidelines for discharge opioid prescriptions following pediatric orthopaedic procedures can significantly decrease the quantity of opioids prescribed. Furthermore, we noted excellent adherence and no overall increase in the rates of narcotic refills. Such guidelines may improve pediatric orthopaedists’ ability to responsibly treat postoperative pain while limiting the distribution of unneeded opioids.
Level of Evidence:
Level IV—quality improvement project. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Practice Management Source Type: research
Use of Bedside Entertainment and Relaxation Theater (BERT) to Reduce Fear and Anxiety Associated With Outpatient Procedures in Pediatric Orthopaedics
Conclusion:
This randomized, controlled trial demonstrates an evidence-based distraction tool that can be implemented across medical centers for pediatric patients undergoing office based orthopaedic procedures. BERT can be used to reduce fear and anxiety associated with these procedures, and increase patient and parent satisfaction.
Level of Evidence:
Level I. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Practice Management Source Type: research
Failure of Hip Reconstruction in Children With Cerebral Palsy: What Are the Risk Factors?
Background:
The rates and risk factors contributing to failure after hip reconstruction among patients with cerebral palsy (CP) are not well established. In analyzing a large cohort of children with CP who underwent hip reconstruction, the objectives of this study are to establish (1) the failure rates and (2) associated risk factors.
Methods:
This retrospective study included chart and radiographic review of patients between the ages of 1 to 18, with a diagnosis of CP, who underwent a hip reconstructive procedure at a single children’s hospital over a 9-year period (2010 to 2018). Patients without at least 2 ...
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Cerbral Palsy Source Type: research
Quality of Surgery and Patient Selection Are Keys to Success in Hip Stabilization Surgery in Cerebral Palsy
Conclusions:
Patient selection and quality of surgery in terms of residual postoperative hip subluxation and acetabular dysplasia are associated with need for remedial surgery. Soft-tissue-only procedures should aim to correct RMI to 44%, and pelvic osteotomies if RMI>48%. Pelvic osteotomies should target postoperative RMI (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Cerbral Palsy Source Type: research
Outcome of Gastrocnemius Soleus Facial Lengthening in Ambulatory Patients With Cerebral Palsy
Conclusions:
This study evaluates long term efficacy of GSFL to address equinus in ambulatory children with CP. Overall revision rates are similar to previous reports for GSFL and other calf lengthening procedures. This information may be useful in setting expectations and counselling families. Younger subjects and those with more severe involvement are more likely to need revision surgery, with these factors compounding the likelihood in the younger GMFCSIII child.
Level of Evidence:
Level III—retrospective comparative study. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Cerbral Palsy Source Type: research
Reliability of 3 Radiologic Classifications for the Severity of the Developmental Dysplasia of the Hip in Children Older Than 4 Years
Conclusion:
The inter-rater and intrarater reliability of all 3 classifications (IHDI, Tonnis, and LMH) is excellent. All classifications can be used till the age of 8 years. The difficulty in selecting the superolateral margin of the acetabulum is a major cause of inter-rater variability.
Level of Study:
Level III. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - December 15, 2021 Category: Orthopaedics Tags: Hip Source Type: research
