6,249 results match your criteria Journal of Pediatric Orthopaedics [Journal]


Vitamin D Trends in the Pediatric Orthopaedic Population: A Survey.

J Pediatr Orthop 2019 Apr 16. Epub 2019 Apr 16.

Department of Orthopaedic Surgery, Palmetto Health-USC Orthopedic Center, Columbia, SC.

Background: Within the last decade, multiple studies have demonstrated the potential health benefits of vitamin D supplementation including improved bone health, reduced fracture risk, protection from autoimmune disease, and decreased cancer risk. Because of the prevalence of vitamin D deficiency in pediatric populations and despite recent evidence of increased vitamin D supplementation in the United States, our goal is to assess the knowledge of current vitamin D recommendations among pediatric orthopaedists and fellows within the Pediatric Society of North America (POSNA). It is our purpose to use the data to increase awareness and understanding of vitamin D among all pediatric providers. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001394DOI Listing
April 2019
1 Read

Establishing Consensus on the Best Practice Guidelines for Use of Halo Gravity Traction for Pediatric Spinal Deformity.

J Pediatr Orthop 2019 Apr 15. Epub 2019 Apr 15.

Department of Orthopaedic Surgery, Columbia University Medical Center, New York.

Background: Although halo gravity traction (HGT) has been used to treat children with severe spinal deformity for decades, there is a distinct lack of high-quality evidence to speak to its merits or to dictate ideal manner of implementation. In addition, no guidelines exist to drive research or assist surgeons in their practice. The aim of this study was to establish best practice guidelines (BPG) using formal techniques of consensus building among a group of experienced pediatric spinal deformity surgeons to determine ideal indications and implementation of HGT for pediatric spinal deformity. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001379DOI Listing
April 2019
1 Read

Capsulotomy in Unstable Slipped Capital Femoral Epiphysis and the Odds of AVN: A Meta-Analysis of Retrospective Studies.

J Pediatr Orthop 2019 Apr 15. Epub 2019 Apr 15.

Hospital for Special Surgery, New York, NY.

Background: Unstable slipped capital femoral epiphysis (SCFE) may lead to avascular necrosis (AVN) in up to 60% of patients. The aim of this study was to assess the best clinical evidence to determine the effect of capsular decompression (CD) on odds of AVN in unstable SCFE.

Methods: Medline, Embase, and Cochrane databases were systematically searched for comparative studies investigating AVN rates in unstable SCFE treated with or without CD (aspiration, percutaneous, or open). Read More

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http://dx.doi.org/10.1097/BPO.0000000000001359DOI Listing

The Curse of the All-Star Team: A Single-Season Prospective Shoulder MRI Study of Little League Baseball Players.

J Pediatr Orthop 2019 Apr 15. Epub 2019 Apr 15.

Pediatric Orthopedics & Scoliosis Center.

Background: Throwing guidelines have been implemented in Little League baseball in an attempt to minimize injuries in young baseball players. We hypothesized that playing pitcher or catcher and increased innings played during the season would result in dominant shoulder magnetic resonance imaging (MRI) abnormalities.

Methods: A prospective evaluation of Little League players aged 10 to 12 years was performed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001391DOI Listing

Perioperative Ketorolac for Supracondylar Humerus Fracture in Children Decreases Postoperative Pain, Opioid Usage, Hospitalization Cost, and Length-of-Stay.

Authors:
Zachary Robbins

J Pediatr Orthop 2019 Apr 15. Epub 2019 Apr 15.

Department of Anesthesiology Rhode Island Hospital Warren Alpert Medical School of Brown University Providence, RI.

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http://dx.doi.org/10.1097/BPO.0000000000001378DOI Listing

Prevalence of Hip Dysplasia and Associated Conditions in Children Treated for Idiopathic Early-onset Scoliosis-Don't Just Look at the Spine.

J Pediatr Orthop 2019 Apr 15. Epub 2019 Apr 15.

Shriners Hospitals for Children Salt Lake City.

Background: Hip dysplasia, congenital muscular torticollis, plagiocephaly, and metatarsus adductus are known to be associated. The etiology of infantile idiopathic scoliosis and its association with the aforementioned conditions is unknown. This study reviews a series of infantile scoliosis patients to address this gap. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001390DOI Listing

Perioperative Ketorolac for Supracondylar Humerus Fracture in Children Decreases Postoperative Pain, Opioid Usage, Hospitalization Cost, and Length of Stay.

J Pediatr Orthop 2019 Apr 9. Epub 2019 Apr 9.

Division of Orthopaedic Surgery, The Children's Hospital of Philadelphia Philadelphia, PA.

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http://dx.doi.org/10.1097/BPO.0000000000001392DOI Listing

Long-term Results of Spine Stapling for AIS to Skeletal Maturity and Beyond.

J Pediatr Orthop 2019 Apr 9. Epub 2019 Apr 9.

Ochsner Hospital for Children, Ochsner Medical Center, New Orleans, LA.

Background: We looked at long-term follow-up of spine stapling with Nitinol Staples. This was a cohort of all adolescent idiopathic scoliosis (AIS) patients with curves at high risk to progress based on curve magnitude, premenarchal status in all females, failure of brace treatment, and skeletal immaturity.

Methods: This is a single surgeon retrospective review of consecutive AIS patients treated with Nitinol staples for progressive scoliosis. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001389DOI Listing

Fluoroscopy as Definitive Postreduction Imaging of Pediatric Wrist and Forearm Fractures Is Safe and Saves Time.

J Pediatr Orthop 2019 Apr 9. Epub 2019 Apr 9.

Department of Orthopaedics, The Warren Alpert Medical School of Brown University.

Background: Recent studies indicate that formal postreduction radiographs may be unnecessary for closed, isolated pediatric wrist, and forearm when mini C-arm fluoroscopy is used for reduction. Our institution changed the Emergency Department (ED) management protocol to reflect this by allowing orthopaedic providers to determine if fluoroscopy was acceptable to assess fracture reduction. We hypothesized that using fluoroscopy as definitive postreduction imaging would decrease total encounter time, without an increase in the rate of rereduction or surgery. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001388DOI Listing
April 2019
3 Reads

Derotational Pronation-producing Osteotomy of the Radius and Biceps Tendon Rerouting for Supination Contractures in Neonatal Brachial Plexus Palsy Patients: A Review of 20 Cases.

J Pediatr Orthop 2019 May/Jun;39(5):e366-e372

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.

Background: Forearm supination contractures can occur as a result of neurological derangement of the upper extremity in patients with neonatal brachial plexus birth palsy. The contractures become problematic in childhood as patients begin requiring forearm pronation for activities of daily living including typing on a keyboard and writing. There have been several techniques described to remedy this deformity. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001305DOI Listing

Predicting Periarticular Infection in Children With Septic Arthritis of the Hip: Regionally Derived Criteria May Not Apply to All Populations.

J Pediatr Orthop 2019 May/Jun;39(5):268-274

The Children's Hospital of Philadelphia, Philadelphia, PA.

Background: The management of septic arthritis of the hip in children can be complicated by the presence of additional coexisting periarticular infections (PAIs). Criteria predicting the presence of PAI have recently been proposed by Rosenfeld and colleagues with the goal of using magnetic resonance imaging (MRI) efficiently in the workup of septic arthritis. The purpose of this study was to determine the applicability of recently published predictive criteria for PAI (developed in the Southwestern United States using a variety of joints) to septic arthritis of the hip treated at a large Northeastern tertiary care center. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000934DOI Listing
April 2019
1 Read

Outcomes After Primary Repair and Staged Reconstruction of Zone I and II Flexor Tendon Injuries in Children.

J Pediatr Orthop 2019 May/Jun;39(5):263-267

Department of Hand and Upper Extremity Surgery, Texas Scottish Rite Hospital for Children, Dallas, TX.

Background: Delayed diagnosis of flexor tendon injury in children is common, and consequent flexor sheath scarring may necessitate a 2-stage reconstruction. Previous studies show variable outcomes after 2-stage flexor reconstruction in children, especially those below 6 years old. We evaluated functional and subjective outcomes of primary repair and staged reconstruction of zone I and II tendon injuries in children under 6 years of age. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000912DOI Listing

Gradual Deformity Correction in Blount Disease.

J Pediatr Orthop 2019 May/Jun;39(5):257-262

Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC.

Background: Blount disease is a disorder of the posteromedial proximal tibial physis which causes a progressive varus, procurvatum, and internal rotation deformity of the tibia. Untreated, it can cause significant limb malalignment. The goal of this study is to evaluate the results of correction of Blount disease using types of external fixation. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000920DOI Listing
April 2019
2 Reads

New Single-stage Double Osteotomy for Late-presenting Infantile Tibia Vara: A Comprehensive Approach.

J Pediatr Orthop 2019 May/Jun;39(5):247-256

The Princess Elizabeth Medical Centre, Port of Spain, Trinidad and Tobago.

Background: Successful surgical treatment of late-presenting infantile tibia vara (ITV) patient requires the correction of oblique deformities. The purpose of this study was to report on a new comprehensive approach to correct and prevent recurrence of these deformities with a single procedure.

Methods: Medical records of 23 consecutive children (7 to 18 y) with advanced ITV (29 knees) were retrospectively reviewed after a mean of 7. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000926DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5498283PMC

Open Surgical Release of Posttraumatic Elbow Contracture in Children and Adolescents.

J Pediatr Orthop 2019 May/Jun;39(5):241-246

Department of Orthopaedic Surgery, Washington University, St. Louis, MO.

Background: Posttraumatic elbow contractures in children and adolescents are challenging to manage, and studies investigating surgical treatment are limited by the rarity of this condition. Small case series have shown variable gains in immediate and long-term elbow arc of motion after open surgical release. We reviewed our experience with open surgical release of posttraumatic elbow contracture in patients <21 years old at 2 institutions. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000923DOI Listing
April 2019
1 Read

Influence of Insurance Type on the Access to Pediatric Care for Children With Distal Radius Torus Fractures.

J Pediatr Orthop 2019 May/Jun;39(5):237-240

Department of Orthopedic Surgery, Nationwide Children's Hospital, Columbus, OH.

Background: Previous literature has demonstrated that pediatric orthopaedic patients with private insurance have less difficulty obtaining appointments than those with Medicaid. Not all injuries of an orthopaedic nature, however, require specialist care. This study evaluated the willingness of pediatricians to provide care for minor orthopaedic injuries and whether or not the patient's insurance status influenced the decision to provide care. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000929DOI Listing

Patient Safety Checklists: Do They Improve Patient Safety for Supracondylar Humerus Fractures?

J Pediatr Orthop 2019 May/Jun;39(5):232-236

Department of Orthopaedics and Sports Medicine, Seattle Children's Hospital, Seattle, WA.

Background: The purpose of the study was to investigate whether a safety checklist could be used consistently in an academic center, and, whether its presence correlates with a decreased rate of complications, and therefore, improved overall patient safety.

Methods: Data from 3 years before and after the implementation of the checklist were compared. Prechecklist data from August 2008 through August of 2011, including all operative supracondylar humerus fractures treated at our institution, were retrospectively reviewed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000928DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568993PMC

Comparison of Clinical Findings of Congenital Muscular Torticollis Between Patients With and Without Sternocleidomastoid Lesions as Determined by Ultrasonography.

J Pediatr Orthop 2019 May/Jun;39(5):226-231

Department of Rehabilitation, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea.

Aim: To compare clinical findings for patients with congenital muscular torticollis (CMT) between those with and without a sternocleidomastoid (SCM) lesion.

Methods: Medical records of 182 patients with CMT were retrospectively reviewed and the patients were divided into SCM lesion and nonlesion groups by ultrasonographic results. Intrauterine position, age, duration of therapy, rotation/tilting side, and the passive range of motion and angle of the neck were compared. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001039DOI Listing

Chance Fractures in the Pediatric Population Are Often Misdiagnosed.

J Pediatr Orthop 2019 May/Jun;39(5):222-225

Children's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA.

Background: Flexion injuries of the spine range from mild compression fractures to severe flexion-distraction injuries, that is, Chance fractures. Chance fractures are often unstable and Arkader and colleagues demonstrated improved outcomes when Chance fractures are treated operatively compared with those managed nonoperatively.

Methods: A retrospective review was conducted of all patients treated over a 5-year period (2008 to 2013) for a flexion injury, either a Chance or a compression fracture, of the thoracolumbar spine at our tertiary pediatric level I trauma center. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000925DOI Listing

What Are the Indications for Spinal Fusion Surgery in Scheuermann Kyphosis?

J Pediatr Orthop 2019 May/Jun;39(5):217-221

Mayo Clinic, Rochester, MN.

Background: Surgical indications for Scheuermann kyphosis are variable. We sought to evaluate the characteristics of patients undergoing operative versus nonoperative treatment of Scheuermann kyphosis to better understand current practices and the factors which contribute to the decision for surgical management.

Methods: Multicenter prospective cohort study. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000931DOI Listing

Brace Yourselves: Outcomes of Ponseti Casting and Foot Abduction Orthosis Bracing in Idiopathic Congenital Talipes Equinovarus.

J Pediatr Orthop 2019 Apr 8. Epub 2019 Apr 8.

Department of Orthopaedics and Sports Medicine, University of Kentucky, Lexington, KY.

Background: Foot abduction orthoses (FAO) are believed to decrease recurrence following treatment of congenital talipes equinovarus (CTEV) as described by Ponseti. The purpose of this project is to examine the outcomes of FAO bracing following treatment by the Ponseti method in a cohort of idiopathic CTEV patients.

Methods: After IRB approval, a cohort of patients aged 3 to 46 days with idiopathic CTEV was identified in a previous prospective study of brace compliance by family report and sensor. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001380DOI Listing
April 2019
8 Reads

Vascular Supply to the Femoral Head in Patients With Healed Slipped Capital Femoral Epiphysis.

J Pediatr Orthop 2019 Apr 8. Epub 2019 Apr 8.

Department of Orthopaedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA.

Background: Slipped capital femoral epiphysis (SCFE) is one of the most common hip disorders. The vascularity of the lateral epiphyseal vessels supplying the femoral head in patients with healed SCFE has not been well defined. The purpose of this study was to characterize the location and number of lateral epiphyseal vessels in young adults with healed SCFE. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001382DOI Listing
April 2019
1.426 Impact Factor

Simulation Training of Orthopaedic Residents for Distal Radius Fracture Reductions Improves Radiographic Outcomes.

J Pediatr Orthop 2019 Apr 8. Epub 2019 Apr 8.

Division of Orthopaedics, The Children's Hospital of Philadelphia.

Background: Most distal radius fractures can be treated with closed reduction and casting in pediatric patients. These skills are traditionally developed treating real patients, however, there is growing interest in the use of simulation training to supplement traditional learning strategies.

Methods: Seventy-eight children with distal radius fractures that underwent closed reduction and casting by novice orthopaedic surgery residents were retrospectively reviewed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001387DOI Listing

Concurrent Ipsilateral Tibial Shaft and Distal Tibial Fractures in Pediatric Patients: Risk Factors, Frequency, and Risk of Missed Diagnosis.

J Pediatr Orthop 2019 Apr 8. Epub 2019 Apr 8.

Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic.

Background: The purpose of this study was to determine the frequency of concurrent ipsilateral distal tibial fractures with tibial shaft fractures in the pediatric population; to identify patient and fracture characteristics that increase the likelihood of a concurrent fracture; and determine if any of these concurrent distal tibial fractures were missed on initial radiographic examination.

Methods: Retrospective chart review was done to identify patients 5 to 17 years old who were treated for a tibial shaft fracture at a large, Level 1 free-standing children's hospital and an outpatient orthopaedic practice between 2008 and 2016. Patient and fracture characteristics were recorded. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001384DOI Listing
April 2019
1 Read

Industry Payments to Pediatric Orthopaedic Surgeons Reported by the Open Payments Database: 2014 to 2017.

J Pediatr Orthop 2019 Apr 3. Epub 2019 Apr 3.

Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT.

Background: The Open Payments Database (OPD), mandated by the Sunshine Act, is a national registry of physician-industry transactions. Payments are reported as either General, Research, or Ownership payments. The current study aims to investigate trends in OPD General payments reported to pediatric orthopaedic surgeons from 2014 to 2017. Read More

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http://Insights.ovid.com/crossref?an=01241398-900000000-9854
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http://dx.doi.org/10.1097/BPO.0000000000001375DOI Listing
April 2019
5 Reads

Dynamic 3D Reconstruction of Thoracic Cage and Abdomen in Children and Adolescents With Scoliosis: Preliminary Results of Optical Reflective Motion Analysis Assessment.

J Pediatr Orthop 2019 Apr 3. Epub 2019 Apr 3.

Faculty of Medicine, University of Montpellier, Montpellier, France.

Background: In patients with untreated scoliosis or in those with posterior spinal instrumented fusion (PSF), the movements of neither the thoracic cage (ThC) nor the abdomen (ABD) during quiet and deep breathing have been well defined in the literature. The purpose of this study was to evaluate kinematic variations in the ThC and ABD during quiet and deep breathing by optical reflective motion analysis (ORMA) in children with scoliosis.

Methods: The study included 6 healthy children (group A), 7 subjects with untreated scoliosis over 50 degrees (group B), and 8 patients with scoliosis treated by PSF (group C). Read More

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http://dx.doi.org/10.1097/BPO.0000000000001373DOI Listing
April 2019
2 Reads

Pediatric Septic Arthritis of the Knee: Predictors of Septic Hip Do Not Apply.

J Pediatr Orthop 2019 Apr 3. Epub 2019 Apr 3.

Washington University School of Medicine, Pediatric and Adolescent Orthopedic Surgery Washington University Orthopaedics, St. Louis, MO.

Background: The early diagnosis of pediatric septic arthritis is paramount to the prevention of long-term sequela. The purpose of this study is to investigate if the commonly used criteria developed by Kocher and colleagues for hip septic arthritis can be used for screening children with suspected septic knee.

Methods: We retrospectively reviewed the charts of patients under the age of 19, between June 2002 to June 2017, who presented to a major tertiary-care children's hospital with septic knee. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001377DOI Listing

Prediction of the Peripheral Rim Instability of the Discoid Lateral Meniscus in Children by Using Preoperative Clinicoradiological Factors.

J Pediatr Orthop 2019 Apr 3. Epub 2019 Apr 3.

Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Songpa-gu, Seoul, Republic of Korea.

Background: The discoid lateral meniscus (DLM) in children often presents peripheral rim instability (PRI) and is susceptible to tear or subluxation, which manifests symptoms and leads to a poor prognosis. We aimed to investigate the association between preoperative clinical and MRI findings and the intraoperative findings of PRI.

Methods: Children and adolescents aged younger than 16 years who underwent surgical treatment for DLM were retrospectively reviewed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001370DOI Listing

Midterm and Long-term Follow-up After Surgical Reconstruction for Lateral Polydactyly of the Foot With Mosaic-like Alignment of the Phalanx Bones.

J Pediatr Orthop 2019 Apr 3. Epub 2019 Apr 3.

Department of Orthopaedic Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan.

Background: The phalanx bones in several cases of lateral polydactyly of foot revealed complicated alignment with radiographic findings revealing medial-protrusion and lateral deviation of the middle phalanx. We previously defined such cases as showing "mosaic-like alignment" and demonstrated favorable postoperative outcomes using our surgical procedure. The aim of this study was to evaluate the midterm and long-term postoperative outcomes in such cases. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001381DOI Listing
April 2019
5 Reads

Size Matters: Which Adolescent Patients Are Most Likely to Require Surgical Decompression for Lumbar Disk Herniations?

J Pediatr Orthop 2019 Mar 28. Epub 2019 Mar 28.

Texas Scottish Rite Hospital for Children, Dallas, TX.

Background: Lumbar herniated nucleus pulposis (HNP) occurs infrequently in the pediatric/adolescent population. A minority of patients with radicular symptoms fail to improve with conservative management and require discectomy. The authors hypothesize that children who ultimately require surgical intervention have an underlying lumbar stenosis predisposing them to continued symptoms. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001371DOI Listing

Divergent Intramedullary Nailing (DIN): A Modified Intramedullary Nailing Technique to Treat Paediatric Distal Tibial Fractures.

J Pediatr Orthop 2019 Mar 28. Epub 2019 Mar 28.

Department of Pediatric Orthopaedics, University Hospital of Bordeaux, France.

Introduction: Elastic stable intramedullary nailing (ESIN) allows for efficient reduction and stabilization of fractures of the tibial shaft in children and adolescents. However, for fractures of the distal third of the tibia, traditional ESIN could be inappropriate, thus compromising the stability and the healing of the fracture. The aim of this study was to present and to assess a new technique of modified ESIN to treat fracture of the distal third of the tibia, called divergent intramedullary nailing (DIN). Read More

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http://dx.doi.org/10.1097/BPO.0000000000001366DOI Listing

Current Trends and Variations in the Treatment of Unicameral Bone Cysts of the Humerus: A Survey of EPOS and POSNA Members.

J Pediatr Orthop 2019 Mar 28. Epub 2019 Mar 28.

Department of Orthopaedic Surgery, Children's Hospital Boston, Boston, MA.

Background: A variety of treatment methods have so far been described for unicameral bone cysts (UBC). However, to the best of our knowledge, no particular consensus has yet been reached on when to operatively treat a patient with a humeral UBC. Therefore, members of the European Pediatric Orthopedic Society (EPOS) and Pediatric Orthopedic Society of North America (POSNA) were surveyed to characterize current treatment preferences. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001376DOI Listing
March 2019
3 Reads

The Validity of Patient-Reported Outcome Measurement Information System (PROMIS) Parent Proxy Instruments to Assess Function in Children With Talipes Equinovarus.

J Pediatr Orthop 2019 Mar 25. Epub 2019 Mar 25.

Department of Orthopaedic Surgery, Hassenfeld Children's Hospital at NYU Langone, New York, NY.

Background: Idiopathic talipes equinovarus (ITEV) is a prevalent structural deformity of the foot and ankle in children. The disease-specific instrument (DSI) has commonly been used as an outcomes metric in these patients. The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed to examine the quality of life across various medical conditions. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001368DOI Listing

Lack of Sleep and Sports Injuries in Adolescents: A Systematic Review and Meta-analysis.

J Pediatr Orthop 2019 May/Jun;39(5):e324-e333

Department of Orthopaedic Surgery, Hasbro Children's Hospital, Providence, RI.

Background: Although sleep has been identified as an important modifiable risk factor for injury, the effect of decreased sleep on sports injuries in adolescents is poorly studied. The objective of this study was to quantitatively and qualitatively review published literature to examine if a lack of sleep is associated with sports injuries in adolescents and to delineate the effects of chronic versus acute lack of sleep.

Methods: PubMed (includes MEDLINE) and EMBASE databases were systematically searched using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001306DOI Listing
March 2019
1 Read

Which Children are at Risk for Contralateral Anterior Cruciate Ligament Injury After Ipsilateral Reconstruction?

J Pediatr Orthop 2019 Mar 12. Epub 2019 Mar 12.

The Children's Hospital of Philadelphia, Philadelphia, PA.

Background: Following anterior cruciate ligament (ACL) reconstruction, children are at significant risk for complications, including contralateral ACL rupture. The purpose of this study is to determine which children are at risk for a contralateral ACL tear after ipsilateral reconstruction.

Methods: After review of medical records, we contacted patients who underwent primary ACL reconstruction between 2009 and 2016. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001364DOI Listing
March 2019
1 Read

Poor Evertor Muscle Activity is a Predictor of Recurrence in Idiopathic Clubfoot Treated by the Ponseti Method: A Prospective Longitudinal Study With a 5-Year Follow-up.

J Pediatr Orthop 2019 Mar 6. Epub 2019 Mar 6.

St George's Hospital NHS Trust.

Background: After successful primary correction of the deformity in idiopathic clubfoot with the Ponseti method, recurrence has been reported to affect up to 40% of children. So far, it has been difficult to predict which feet are at risk of recurrence, despite numerous studies investigating various potential risk factors. The foot abduction brace (FAB) has been the standard of care in preventing recurrence but, even with excellent compliance, recurrences still occur. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001357DOI Listing
March 2019
4 Reads

Obtaining Vitamin D Levels in Children With Fractures Improves Supplementation Compliance.

J Pediatr Orthop 2019 Mar 6. Epub 2019 Mar 6.

Grants and Research, Atlantic Health System, Morristown Medical Center, Morristown.

Background: Obtaining ideal serum 25-vitamin D (25VitD) levels (>30 ng/mL) is imperative in childhood to achieve peak bone mass. Supplementation compliance in children recommended to take vitamin D postfracture was evaluated. The questions we sought to answer were: Is there (1) a compliance difference between patients with known versus unknown 25VitD levels; (2) an association between compliance and age; and (3) an association between fracture severity and initial 25VitD level. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001363DOI Listing

Is There Value in Radiology Reads for Pediatric Supracondylar Fractures in the Outpatient Clinic?

J Pediatr Orthop 2019 Mar 6. Epub 2019 Mar 6.

Division of Pediatric Orthopaedic Surgery, Rainbow Babies & Children's Hospital.

Background: Increased health care costs have driven assessment of value of common practices. The Joint Commission mandates the dual interpretation of musculoskeletal radiographs by radiologists and orthopedic surgeons in hospital-based clinic settings. However, the value of this practice has come under question. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001356DOI Listing

Developmental Patterns of the Greater Trochanter in Skeletally Immature Patients.

J Pediatr Orthop 2019 Mar 6. Epub 2019 Mar 6.

Rainbow and Babies Hospitals at Case Western Reserve University.

Background: Trochanteric entry femoral nailing in immature patients is controversial. Although it has become increasingly accepted in pediatric patients aged 8 years and older, complications related to physeal violation have been reported. To date, the appropriate minimum age for safe antegrade nailing in skeletally immature patients remains to be unknown. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001358DOI Listing
March 2019
1 Read

Changes in Proximal Femoral Shape During Fetal Development: Common Mistake in Reliability Analysis.

J Pediatr Orthop 2019 Apr;39(4):e323

Department of Health Information Management, School of Paramedical Kermanshah University of Medical Sciences, Kermanshah, I.R. Iran.

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http://dx.doi.org/10.1097/BPO.0000000000001296DOI Listing

Orthopaedic Surgery in Dystonic Cerebral Palsy.

J Pediatr Orthop 2019 Apr;39(4):209-216

Orthopaedic Department.

Background: Outcomes after orthopaedic interventions in patients with dystonic cerebral palsy (DCP) are historically regarded as unpredictable. This study aims to evaluate the overall outcome of orthopaedic surgery in children with DCP.

Method: Children with DCP who underwent lower limb orthopaedic surgery with a minimum follow-up of 12 months were included. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000919DOI Listing
April 2019
3 Reads
1.426 Impact Factor

Functional and Oncological Outcome After Treatment of Chondroblastoma With Intralesional Curettage.

J Pediatr Orthop 2019 Apr;39(4):e312-e317

Orthopedic Surgery Department, Faculty of Medicine, Menoufia University, Egypt.

Background: Chondroblastoma is a rare cartilaginous benign bone tumor that commonly arises in long bones of young people. Surgical management is the primary treatment of choice for chondroblastoma and it entails adequate intralesional curettage alone or in combination with adjuvants. This study was performed to describe the epidemiological characteristics and clinical and radiologic results of intralesional curettage of chondroblastoma. Read More

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http://Insights.ovid.com/crossref?an=01241398-201904000-0002
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http://dx.doi.org/10.1097/BPO.0000000000001293DOI Listing
April 2019
4 Reads
1.426 Impact Factor

Characteristic Reconstitution of the Spinal Langerhans Cell Histiocytosis in Young Children.

J Pediatr Orthop 2019 Apr;39(4):e308-e311

Department of Orthopedic Surgery, Yokohama City University.

Background: Pediatric Langerhans cell histiocytosis (LCH) often results in vertebral compression fracture. However, few reports have reported vertebral remodeling during the course of LCH. We aimed to investigate the longitudinal reconstitution and transformation of the affected vertebrae and the adjacent structures in young children with spinal LCH. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001283DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416005PMC
April 2019
4 Reads

Optimization of Casting in Early-onset Scoliosis.

J Pediatr Orthop 2019 Apr;39(4):e303-e307

University of Utah, Shriners Hospitals for Children Salt Lake City.

Background: Early-onset scoliosis is a spine deformity that presents before the age of 3 years. When compared with age-matched controls, children with the condition are known to be at risk for significant morbidity and mortality. Although many works support the use of casting for this condition, the key technical factors to optimize the outcomes of casting are not clear. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001288DOI Listing
April 2019
1 Read

Gross Motor Function Classification System Specific Growth Charts-Utility as a Risk Stratification Tool for Surgical Site Infection Following Spine Surgery.

J Pediatr Orthop 2019 Apr;39(4):e298-e302

Children's Hospital of New York, Columbia University Medical Center, New York, NY.

Background: There is currently minimal evidence that preoperative malnutrition increases surgical site infection (SSI) risk in children with cerebral palsy (CP) undergoing spinal deformity surgery. Growth charts specifically for patients with CP have been created to aid in the clinical interpretation of body mass index (BMI) as a marker of nutritional status, but to our knowledge these charts have never been used to risk stratify patients before orthopaedic surgery. We hypothesize that patients with CP who have BMI-for-age below the 10th percentile (BMI≤10) on CP-specific growth charts are at increased risk of surgical site infection following spinal deformity surgery compared with patients with BMI-for-age above the 10th percentile (BMI>10). Read More

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http://dx.doi.org/10.1097/BPO.0000000000001285DOI Listing
April 2019
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Distal Junctional Failure Following Pediatric Spinal Fusion.

J Pediatr Orthop 2019 Apr;39(4):202-208

Department of Orthopedic Surgery, Mayo Clinic, Rochester MN.

Background: Adjacent segment pathology is a known complication after spinal fusion, but little has been reported on junctional failure. A series of adolescent patients presented with acute distal junctional failure (DJF). We sought to determine any common features of these patients to develop a prevention strategy. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000898DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5797518PMC

Safe Parameters for Utilizing Magnetic Growth Rods in Patient With a Vagal Nerve Stimulator and Case Report.

J Pediatr Orthop 2019 Apr;39(4):e289-e292

Department of Pediatric Orthopaedic Surgery, Valley Children's Hospital, Madera, CA.

Background: Magnetic growing rods are being utilized more frequently in children with early-onset scoliosis. Many of these children have multiple medical problems and additional medical devices implanted that utilize similar magnetic technology, including vagal nerve stimulator (VNS) devices. There is some concern that the external remote controller (ERC) used to control the magnetic growth rod will interact with these devices during lengthening procedures. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001294DOI Listing
April 2019
3 Reads

Effect of Academic Grade Level on Return to Athletic Competition After Anterior Cruciate Ligament Reconstruction.

J Pediatr Orthop 2019 Apr;39(4):198-201

Department of Orthopaedics, Bone and Joint Institute, Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, Hershey, PA.

Background: After anterior cruciate ligament (ACL) reconstruction, 63% to 87% of high school athletes return to competition. Although physical and psychological factors are known contributors for failure to return to play, little attention has been paid to effect of academic grade level. Our purpose was to determine the influence of effect of academic grade level on return to competitive play. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000909DOI Listing
April 2019
3 Reads

Simultaneous Bilateral Hip Arthroscopy in Adolescent Athletes With Symptomatic Femoroacetabular Impingement.

J Pediatr Orthop 2019 Apr;39(4):193-197

Department of Orthopedics, University of Colorado School of Medicine.

Background: Femoroacetabular impingement represents a common cause of hip pain in adolescents. The purpose of the present study was to evaluate the safety and efficacy of simultaneous bilateral hip arthroscopy for bilateral symptomatic femoroacetabular impingement in adolescent athletes.

Methods: Clinical data were collected in a prospective database on patients who underwent unilateral or simultaneous bilateral hip arthroscopy and included complications, reoperation rate, and return to play time. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000987DOI Listing
April 2019
1 Read