Journal of Children's OrthopaedicsThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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Is ultrasound screening for DDH in babies born breech sufficient?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Retrospectively, we found that, at approximately 6 weeks of age, ultrasound screening of breech patients with clinically stable hips produces an incidence of DDH of 27%. In those patients with a normal ultrasound, 29%, at 4–6 months radiographic follow-up, were found to have dysplasia requiring treatment. This data supports breech as the most important risk factor for hip dysplasia and we, therefore, recommend careful and longitudinal evaluation of these patients with: a careful newborn physical examination, an ultrasound at age 6 weeks, and an anteroposterior (AP) pelvis and fro...
Source: Journal of Children's Orthopaedics - November 14, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Lateral shelf acetabuloplasty in the treatment of Legg–Calvé–Perthes disease: improving mid-term outcome in severely deformed hipsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Lateral shelf acetabuloplasty improves the outcome of hips with severe LCP. The combined procedure insures a better and lasting coverage and remodeling of the femoral head, while preserving acetabular roof growth. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0216-3Authors Ismat Ghanem, Saint Joseph University Department of Orthopaedic Surgery, Hôtel-Dieu de France Hospital Achrafieh, Beirut LebanonElias Haddad, Saint Joseph University Department of Orthopaedic Surgery, Hôtel-Dieu de France Hospital Achrafieh, Beirut LebanonRachid Haidar, American Uni...
Source: Journal of Children's Orthopaedics - November 13, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

The use of 2-octylcyanoacrylate (Dermabond®) for the treatment of nail bed injuries in children: results of a prospective series of 30 patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions In the OCA technique, meticulous primary detersion and exact anatomic positioning of the damaged nail bed is mandatory before applying the cyanoacrylate adhesive. In our experience, we found that the OCA technique provided a fast and safe result in nail bed lesions. The final cosmetic appearance, function and patient satisfaction were good in our series. In these lesions, discomfort and inconvenience associated with suture removal could be avoided by the use of OCA. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0218-1Authors Jean Langlois, Pierre and...
Source: Journal of Children's Orthopaedics - November 13, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Prognosis following neonatal brachial plexus palsy: an evidence-based reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The quality of the literature regarding the prognosis of neonatal brachial plexus injury is poor. Based on the Narakas classification, recovery better for NBPP classified as Narakas I and II. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0208-3Authors Susan L. Foad, Cincinnati Children’s Hospital Medical Center Division of Orthopaedics 3333 Burnet Avenue, MLC 9018 Cincinnati OH 45229 USACharles T. Mehlman, Cincinnati Children’s Hospital Medical Center Division of Orthopaedics 3333 Burnet Avenue, MLC 2017 Cincinnati OH 45229 USAMohab B. Foad, Univers...
Source: Journal of Children's Orthopaedics - November 3, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Orthopedic management of spina bifida. Part I: hip, knee, and rotational deformitiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Children with spina bifida develop a wide variety of congenital and acquired orthopedic deformities. Among these are hip deformities such as contracture, subluxation, or dislocation. Patients may also have problems with the knee joint, such as knee flexion or extension contracture, knee valgus deformity, or late knee instability and pain. In addition, rotational deformities of the lower extremities, either internal or external torsion, are common as well. This paper will review both the overall orthopedic care of a patient with spina bifida and provide a focused review of the diagnosis and managemen...
Source: Journal of Children's Orthopaedics - October 24, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Re: “Talonavicular joint arthrodesis for the treatment of pes planus valgus in older children and adolescents with cerebral palsy”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s11832-009-0212-7Authors Mohan V. Belthur, Shriners Hospitals for Children 2825, Bellefontaine Street Houston TX 77025 USA Journal Journal of Children's OrthopaedicsOnline ISSN 1863-2548Print ISSN 1863-2521 (Source: Journal of Children's Orthopaedics)
Source: Journal of Children's Orthopaedics - October 20, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Response to Dr. Belthur’s letter to the editor on the article: “Talonavicular joint arthrodesis for the treatment of pes planus valgus in older children and adolescents with cerebral palsy”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s11832-009-0213-6Authors Camilo Andrés Turriago, Insituto de Ortopedia Infantil Roosevelt Gait Analysis Laboratory Cra. 4a. Este (Avda Circunvalar) No.17-50 Bogotá ColombiaMyriam Fernanda Arbeláez, Insituto de Ortopedia Infantil Roosevelt Gait Analysis Laboratory Cra. 4a. Este (Avda Circunvalar) No.17-50 Bogotá ColombiaLuis Carlos Becerra, Insituto de Ortopedia Infantil Roosevelt Gait Analysis Laboratory Cra. 4a. Este (Avda Circunvalar) No.17-50 Bogotá Colombia Journal Journal of Children's OrthopaedicsOnline ISSN 1863-2548Print ISSN 1863-...
Source: Journal of Children's Orthopaedics - October 16, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Delayed diagnosis and management of injuries involving the distal radioulnar joint and distal ulna in the pediatric population: recognition and conductEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The presented fracture pattern is generally undervalued when evaluating management in children; the reduction of this type of injury should be surgical in order to achieve an adequate alignment. Parents should be informed about the treatment, its evolution, and possible subsequent surgeries to reestablish the joint axes and the adequate length of the wrist bones. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0210-9Authors Bibiana Dello Russo, J.P. Garrahan Hospital Nacional de Pediatria Buenos Aires ArgentinaHoracio F. Miscione, J.P. Garrahan Hospital...
Source: Journal of Children's Orthopaedics - October 13, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Delayed fixation of the transcervical fracture of the neck of the femur in the pediatric population: results and complicationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Children whose transcervical fractures of the femoral neck were surgically treated after a delay of 1 week or longer had a high avascular necrosis rate and a relatively poor outcome. Reduction and internal fixation as the initial treatment should be implemented shortly after injury in order to enhance treatment outcome. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0209-2Authors Shabir Ahmed Dhar, Government Hospital for Bone and Joint Surgery Bagat, Barzullah Srinagar 190005 Kashmir IndiaMurtaza Fazal Ali, Government Hospital for Bone and Joint ...
Source: Journal of Children's Orthopaedics - October 13, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Dyggve–Melchior–Clausen syndrome: clinical, genetic, and radiological study of 15 Egyptian patients from nine unrelated familiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The study concluded that DMC syndrome may be more frequent in Egypt than previously thought, especially due to misdiagnosis. Characteristic facial dysmorphism, body habitus, and pathognomonic radiological signs suggest the diagnosis and differentiate it from other types of SEMDs and MPS for proper genetic counseling and management. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0211-8Authors Mona S. Aglan, National Research Centre Human Genetics and Genome Research Division, Clinical Genetics Department El-Buhouth Street Dokki, Cairo 12311 EgyptSamia ...
Source: Journal of Children's Orthopaedics - October 9, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Imaging on pelvic pyomyositis in children related to pathogenesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion MRI is the diagnostic procedure of choice for diagnosing pelvic pyomyositis in children. It may also have an elucidating role in the debated pathogenesis of this condition. In most of the cases, pelvic pyomyositis in children could be secondary. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0206-5Authors Gaspar Gonzalez Moran, Hospital Universitario La Paz Pediatric Orthopedic Division Paseo de la Castellana, 261 28046 Madrid SpainCristina Garcia Duran, Hospital Xeral-Cíes Radiology Department Vigo SpainJavier Albiñana, Hospital Universitario La Paz P...
Source: Journal of Children's Orthopaedics - October 6, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

A comparison of percutaneous and mini-open techniques of Achilles tenotomy: an experimental study in ratsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Mini-open technique for Achilles tenotomy may be considered as an alternative method of treatment to apply the tenotomy technique in a secure way. Clinical relevance There are two basic advantages of Achilles tenotomy performed by the mini-incision open technique: (1) a complete tenotomy is guaranteed, as it has to be in the original Ponseti technique, (2) iatrogenic neuro-vascular injury risk is nearly completely avoided due to the subparatenon exploration of the tendon and direct visual observation during the transection. The mini-open technique may only be used in cases in whi...
Source: Journal of Children's Orthopaedics - October 1, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Upcoming Meetings and CoursesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Calendar of EventsDOI 10.1007/s11832-009-0205-6 Journal Journal of Children's OrthopaedicsOnline ISSN 1863-2548Print ISSN 1863-2521 (Source: Journal of Children's Orthopaedics)
Source: Journal of Children's Orthopaedics - September 29, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

The results of downgrading moderate and severe slipped capital femoral epiphysis by an early Imhauser femur osteotomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Based on these results, we conclude that a one-stage Imhauser ITO combined with epiphysiodesis performed on patients with moderate and severe SFCE gives satisfactory results. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0204-7Authors Melinda M. E. H. Witbreuk, VU University Medical Center Department of Orthopaedic Surgery Postbox 7057 1007 MB Amsterdam The NetherlandsM. Bolkenbaas, University of Amsterdam Department of Orthopaedic Surgery, Academic Medical Center Amsterdam The NetherlandsM. G. Mullender, VU University Medical Center Department of Orth...
Source: Journal of Children's Orthopaedics - September 28, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Missed Monteggia fracture in children: is annular ligament reconstruction always required?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Distraction–angulation osteotomy of the ulna suffices in most cases of missed Monteggia fracture and the need for annular ligament reconstruction is based on the intra-operative findings of radial head instability. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0202-9Authors Atul Bhaskar, K.J. Somaiya Medical College Mumbai India Journal Journal of Children's OrthopaedicsOnline ISSN 1863-2548Print ISSN 1863-2521 (Source: Journal of Children's Orthopaedics)
Source: Journal of Children's Orthopaedics - September 18, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Multi-axial correction system in the treatment of radial club handEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The MAC fixator seems to be a good alternative modality of stabilization and correction for severe congenital radial club hand deformities. Its usage is fairly simple and it provides the ease of application of a mono-lateral fixator with far superior three-dimensional control, like the circular external fixator. We recommend that clinicians should add this modality to their armamentarium for the deformity correction of severe radial club hand and others in general. Content Type Journal ArticleCategory Technical NoteDOI 10.1007/s11832-009-0196-3Authors Suneel B. Bhat, The Children’s Hospi...
Source: Journal of Children's Orthopaedics - September 17, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

The effect of a vertical expandable prosthetic titanium rib on shoulder balance in patients with congenital scoliosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion VEPTR is able to produce a modest intraoperative correction of shoulder imbalance. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0201-xAuthors Mohamed Ahmed Samy, King Faisal Specialist Hospital and Research Center (KFSH&RC) Orthopaedic Department Riyadh Saudi ArabiaZayed Saleh Al Zayed, King Faisal Specialist Hospital and Research Center (KFSH&RC) Orthopaedic Department Riyadh Saudi ArabiaMahmood Farouk Shaheen, King Faisal Specialist Hospital and Research Center (KFSH&RC) Orthopaedic Department Riyadh Saudi Arabia Journal Journal of Children's O...
Source: Journal of Children's Orthopaedics - September 16, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Percutaneous hemi-epiphysiodesis using transphyseal cannulated screws for genu valgum in adolescentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions We demonstrate a simple, fast and reproducible surgical technique for percutaneous epiphysiodesis with low morbidity, rapid rehabilitation and a rapid return to school and sports activities. We experienced no complications, such as overcorrection, undercorrection, postoperative hematoma or infection. We conclude that percutaneous screw epiphysiodesis is an excellent option for the treatment of genu valgum in adolescents. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0203-8Authors Pedro Antonio Sánchez Mesa, Clinic of Niño “Jorge Bejarano” E.S.E...
Source: Journal of Children's Orthopaedics - September 16, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

The 23rd Annual Meeting of Children’s Orthopaedics (VKO), Ulm, March 20–21, 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory AbstractsDOI 10.1007/s11832-009-0195-4 Journal Journal of Children's OrthopaedicsOnline ISSN 1863-2548Print ISSN 1863-2521 (Source: Journal of Children's Orthopaedics)
Source: Journal of Children's Orthopaedics - August 28, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

An age- and sex-matched comparative study on both-bone diaphyseal paediatric forearm fractureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Our study suggests that functional outcome is likely to be equivalent, regardless of which method of internal fixation is used. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0197-2Authors Kar Hao Teoh, Royal Hospital for Sick Children Department of Orthopaedic Surgery Sciennes Road Edinburgh EH9 1LF UKYu-Han Chee, Royal Hospital for Sick Children Department of Orthopaedic Surgery Sciennes Road Edinburgh EH9 1LF UKNicholas Shortt, Royal Hospital for Sick Children Department of Orthopaedic Surgery Sciennes Road Edinburgh EH9 1LF UKGraham Wilkinson, Royal ...
Source: Journal of Children's Orthopaedics - August 22, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Predicting initial treatment failure of fiberglass casts in pediatric distal radius fractures: utility of the second metacarpal-radius angleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion We agree with prior studies suggesting the equal efficacy of below-elbow versus above-elbow casts in distal radius and ulna fracture treatment using either plaster or fiberglass, but wish to emphasize the importance of not only the cast index, but also the ulnar deviation mold (for most dorsally displaced fractures), as measured by the second metacarpal-radius angle. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0198-1Authors Eric W. Edmonds, Rady Children’s Hospital and Health Center 3030 Children’s Way, Suite 410 San Diego CA 92123 USARoderick M....
Source: Journal of Children's Orthopaedics - August 22, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Claw toes after tibial fracture in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions We described five patients with a claw toe deformity following a tibia fracture associated with adhesions of the flexor hallucis longus (FHL) and flexor digitorum longus (FDL) muscles to the surrounding structures under or just proximal to the flexor retinaculum. It is the authors’ opinion that this condition may be related to a subclinical compartment syndrome localized in the distal part of the deep posterior compartment. Soft-tissue release without tendon lengthening allowed recovery in all patients. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-...
Source: Journal of Children's Orthopaedics - August 21, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Upcoming Meetings and CoursesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Calendar of EventsDOI 10.1007/s11832-009-0199-0 Journal Journal of Children's OrthopaedicsOnline ISSN 1863-2548Print ISSN 1863-2521 (Source: Journal of Children's Orthopaedics)
Source: Journal of Children's Orthopaedics - August 19, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Operative versus non-operative management of pediatric medial epicondyle fractures: a systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Operative treatment affords a significantly higher union rate over the non-operative management of medial epicondyle fractures. There was no difference in pain at final follow-up between operative and non-operative treatments. As surgical indications evolve, and the functional demands of pediatric patients increase, surgical fixation should be strongly considered to achieve stable fixation and bony union. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0192-7Authors Atul F. Kamath, Hospital of the University of Pennsylvania Department of Orthopaedic Su...
Source: Journal of Children's Orthopaedics - August 15, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Treatment of femur fractures in children with cerebral palsyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Our study results suggest that femur fractures in children with cerebral palsy can be treated non-operatively; however, because of the high risk of malunion in this patient population, fracture alignment needs to be followed closely during healing. Careful attention during casting is necessary to prevent pressure sores. Strong consideration should be given to initial operative treatment in ambulatory patients in order to preserve function. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0191-8Authors Arabella I. Leet, The Johns Hopkins Hospital Departme...
Source: Journal of Children's Orthopaedics - August 12, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Arthrogryposis multiplex congenita. Long-term follow-up from birth until skeletal maturityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion We conclude that long-term ambulatory status at skeletal maturity is not correlated with the severity of condition at birth. A prognosis for ambulation at skeletal maturity will be done before 2.5 years of age. We believe that early aggressive management of children with severe arthrogryposis is warranted and justified. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0187-4Authors Alice Fassier, Université de Lyon, Faculté Laennec, Hôpital Femme-Mère-Enfant 59, Boulevard Pinel 69677 Bron Cedex FrancePhilippe Wicart, Hôpital Saint Vincent de Pau...
Source: Journal of Children's Orthopaedics - August 11, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Determination of hip reduction in spica cast treatment for DDH: a comparison of radiography and ultrasoundEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Consequently, standard radiographic documentation is no longer used as a standard in our clinic. MRI and CT are reserved for special cases. We recommend transinguinal ultrasound as a standard diagnostic method to determine the position of the femoral head in hip spica casts safely and reliably. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0194-5Authors Oliver Eberhardt, Olgahospital Stuttgart Orthopaedic Department Bismarckstrasse 8 70176 Stuttgart GermanyMichael Zieger, Olgahospital Stuttgart Department of Radiology Stuttgart GermanyMichael Langendoe...
Source: Journal of Children's Orthopaedics - August 6, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Timing of surgical treatment for type III supracondylar humerus fractures in pediatric patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Reduction became technically more difficult as TS increased. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0189-2Authors Ahmet Ozgur Yildirim, Ankara Numune Education and Research Hospital Clinics of Orthopaedics and Traumatology Ankara TurkeyVuslat Sema Unal, Ankara Numune Education and Research Hospital Clinics of Orthopaedics and Traumatology Ankara TurkeyOzdamar Fuad Oken, Ankara Numune Education and Research Hospital Clinics of Orthopaedics and Traumatology Ankara TurkeyMurat Gulcek, Ankara Numune Education and Research Hospital Clinics of Orthopaed...
Source: Journal of Children's Orthopaedics - July 31, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Surgical blood loss during femoral rodding in children with osteogenesis imperfectaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Predicting blood loss for femoral rodding in patients with OI is difficult, with no differences between revision and primary procedures or elective versus trauma cases. The blood loss in our patients undergoing femoral rodding was manageable, and the transfusion rate was reasonably low. Although massive blood loss has been described in patients with OI in the literature, we found that femoral rodding did not pose excessive risk of transfusion in our OI population. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0190-9Authors Carmen P. Pichard, The Johns...
Source: Journal of Children's Orthopaedics - July 30, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Treatment of Tönnis type II hip dysplasia with or without open reduction in children older than 18 months: a preliminary reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The preoperative c–b index of the open osteotomy group was statistically greater than the c–b index of the closed osteotomy group and the preoperative h–b index of the open Salter group was statistically smaller than the h–b index of the closed Salter group, which means that most of the hips in the open osteotomy group are more in a lateralised and superior position compared to the closed osteotomy group. To us, there exists a subgroup of hips with less lateralisation and superior displacement according to the Smith’s c–b and h–b ratio in Tönnis type II hip dysplasia. These hips mig...
Source: Journal of Children's Orthopaedics - July 28, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Upcoming Meetings and CoursesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Calendar of EventsDOI 10.1007/s11832-009-0188-3 Journal Journal of Children's OrthopaedicsOnline ISSN 1863-2548Print ISSN 1863-2521 (Source: Journal of Children's Orthopaedics)
Source: Journal of Children's Orthopaedics - July 25, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Mirror foot: treatment of three cases and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Mirror foot is a very rare congenital deformity of the foot. We successfully treated three novel cases of mirror feet. A classification of the mirror feet proposed in this article was useful in order to understand its nature and obtain a guideline for its treatment. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0186-5Authors Hodaka Fukazawa, Osaka Medical Center and Research Institute for Maternal and Child Health Department of Orthopaedic Surgery 840 Murodo-cho Izumi Osaka 594-1101 JapanHidehiko Kawabata, Osaka Medical Center and Research Institute for...
Source: Journal of Children's Orthopaedics - July 7, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Skeletal tuberculosis in children in the Western world: 18 new cases with a review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The diagnosis of pediatric skeletal tuberculosis can be made with good correlation of clinical, radiographic, and laboratory findings. Biopsy and culture are the gold standards in diagnosis. Prognosis is good with chemotherapy and non-operative management. Surgical intervention may be needed in select cases. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0184-7Authors Harish S. Hosalkar, Hospital of the University of Pennsylvania Department of Orthopaedic Surgery 3400 Spruce Street, 2 Silverstein Philadelphia PA 19104 USANina Agrawal, Children’s Hosp...
Source: Journal of Children's Orthopaedics - June 19, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Grice arthrodesis in the treatment of valgus feet in children with myelomeningocele: a 12.8-year follow-up studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Based on the radiological findings and patient satisfaction, the patients participating in this study benefited from having had Grice arthrodeses performed on their valgus unstable feet. The results indicate good long-term correctional effect on valgus deformity after Grice arthrodesis, as the talo-calcaneal and talo-first-metatarsal angles improved significantly. A great majority of the patients were content with the surgery, and none claimed that any residual deformity was the cause for any reduced ability to ambulate. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10....
Source: Journal of Children's Orthopaedics - June 17, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Open reduction of medial epicondyle fractures: operative tips for technical easeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract In the pediatric population, medial humeral epicondylar fractures account for nearly 12% of all elbow fractures. There is ongoing debate about the surgical management of medial epicondyle fracture cases. Our technique in the operative management of medial epicondyle fractures uses the external application of an Esmarch bandage, as well as provisional fixation with needle rather than K-wire fixation. This technique decreases the need for soft-tissue release and, therefore, theoretically, maintains soft-tissue vascularity of the small fracture fragments. Moreover, it preserves the soft-tissue tension ...
Source: Journal of Children's Orthopaedics - June 9, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Improved bracing compliance in children with clubfeet using a dynamic orthosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The dynamic foot abduction brace results in improved compliance, fewer recurrences, fewer skin complications, and reduced rates of surgery in idiopathic clubfoot than the traditional brace after non-operative correction with the Ponseti method. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0182-9Authors Sumeet Garg, Washington University Orthopaedics 660 S. Euclid Ave, Mail Stop 8233 St. Louis MO 63110 USAKristina Porter, Shriners Hospital for Children 2001 S. Lindbergh Blvd. St. Louis MO 63131-3597 USA Journal Journal of Children's OrthopaedicsO...
Source: Journal of Children's Orthopaedics - June 4, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Failed vascularized proximal fibular epiphyseal transfer for hip reconstruction following infection in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions In contrast to its success in upper limb reconstruction, in this series of three patients with hip articular destruction, articular reconstruction using a vascularized proximal fibula graft was disappointing and led to unsatisfactory results in terms of hip reconstruction. Such a procedure is complex and highly demanding, necessitating extremely intensive post-operative care. An early slipped capital epiphysis can lead to full graft resorption. Consequently, despite important adaptation and remodeling of the graft, the authors do not recommend this procedure at this location. Content Type ...
Source: Journal of Children's Orthopaedics - May 26, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Pediatric femur neck fractures: a retrospective analysis of 39 hipsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions It has been concluded that the development of AVN primarily influences the outcome in pediatric femur neck fractures and that fracture type is essentially correlated with the development of AVN and outcome. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0180-yAuthors Ulukan İnan, Eskişehir Osmangazi University Department of Orthopaedics and Traumatology, Faculty of Medicine 26480 Eskişehir TurkeyNusret Köse, Eskişehir Osmangazi University Department of Orthopaedics and Traumatology, Faculty of Medicine 26480 Eskişehir TurkeyHakan Ömeroğlu, Eski�...
Source: Journal of Children's Orthopaedics - May 26, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Early reduction versus skin traction in the orthopaedic treatment of femoral shaft fractures in children under 6 years oldEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion Our results are in accordance with the literature. The femoral overgrowth was proportional to the initial shortening. Masculine gender, an oblique fracture and injury of the lower third of the femur were associated with the greatest femoral overgrowth. During the first year of follow-up, the femoral length discrepancy hardly varied after immediate reduction (4 mm), whereas the overgrowth reached 6 mm after skin traction. Overall, immediate hip spica casting leads to significant reductions in weight-bearing delay, hospitalisation duration, complications and costs, while having similar cli...
Source: Journal of Children's Orthopaedics - May 13, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Outcome of the scarf osteotomy in adolescent hallux valgusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion This study indicates that scarf osteotomy should be used with caution in symptomatic adolescent hallux valgus, as there is a high recurrence rate. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0177-6Authors H. L. George, Alder Hey Children’s Hospital Department of Orthopaedics Liverpool L12 2AP UKJ. Casaletto, Alder Hey Children’s Hospital Department of Orthopaedics Liverpool L12 2AP UKP. N. Unnikrishnan, Alder Hey Children’s Hospital Department of Orthopaedics Liverpool L12 2AP UKD. Shivratri, Alder Hey Children’s Hospital Department of Orthopa...
Source: Journal of Children's Orthopaedics - May 7, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Leg muscle atrophy in idiopathic congenital clubfoot: is it primitive or acquired?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Our study shows that leg muscular atrophy is a primitive pathological component of CCF which is already present in the early stages of fetal CCF development and in newborns before starting treatment. Muscular atrophy increases with the patient’s age, suggesting a mechanism of muscle growth impairment as a possible pathogenic factor of CCF. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0179-4Authors Ernesto Ippolito, University of Rome “Tor Vergata” Department of Orthopaedic Surgery Viale Oxford, 81 00133 Rome ItalyF. De Maio, University of Rome ...
Source: Journal of Children's Orthopaedics - May 6, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Outcome of late-onset Perthes’ disease using four different treatment modalitiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Whatever the treatment, the outcome is poorer with increasing age. No treatment guarantees a good result for significant head involvement or initial deformity but acetabular augmentation improves C/B ratio and center–edge angle and prevents progressive femoral head deformity compared with no treatment, varus osteotomy, and plaster treatment. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0175-8Authors M. K. Osman, Royal Hospital for Sick Children Glasgow G3 8SJ Scotland, UKD. J. Martin, Royal Hospital for Sick Children Glasgow G3 8SJ Scotland, UKD. A...
Source: Journal of Children's Orthopaedics - May 5, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Epiphyseal stapling of the proximal tibia for idiopathic genu valgumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Hemiepiphysiodesis with a single medial staple of the proximal tibia seems to be a reliable and safe alternative method to achieve correction of an idiopathic genu valgum. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0178-5Authors Aurélien Courvoisier, Grenoble University Hospital Department of Pediatric Orthopaedics BP 217 38043 Grenoble Cedex 9 FranceAhmad Eid, Grenoble University Hospital Department of Pediatric Orthopaedics BP 217 38043 Grenoble Cedex 9 FrancePhilippe Merloz, Grenoble University Hospital Department of Pediatric Orthopaedics BP 217...
Source: Journal of Children's Orthopaedics - May 5, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Axial STIR MRI: a faster method for confirming femoral head reduction in DDHEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion While not indicated in all cases of femoral head dislocation, MRI is useful to confirm concentric reduction of the femoral head in a dysplastic acetabulum when examination under anaesthesia and radiographic screening have been uncertain. In our series, 1 in 20 cases needed MRI. This is a reliable, non-invasive method confirming definite reduction of the femoral head prior to discharge in all of our patients. In this initial series, all patients had axial and coronal STIR and proton density MRI. We now only use axial STIR images because they provide adequate information regarding the position of th...
Source: Journal of Children's Orthopaedics - May 5, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Upcoming Meetings and CoursesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Calendar of EventsDOI 10.1007/s11832-009-0173-x Journal Journal of Children's OrthopaedicsOnline ISSN 1863-2548Print ISSN 1863-2521 (Source: Journal of Children's Orthopaedics)
Source: Journal of Children's Orthopaedics - May 5, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Adduction contracture of the shoulder due to fibrous long head of the triceps in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Generally, surgical treatment of adduction contracture of the shoulder has achieved good results, with improved shoulder function. Releasing the long head of the triceps is a simple and safe surgical technique. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0176-7Authors Nguyen Ngoc Hung, National Hospital for Pediatrics 18/879 La Thanh road, Dong Da district Hanoi Vietnam Journal Journal of Children's OrthopaedicsOnline ISSN 1863-2548Print ISSN 1863-2521 (Source: Journal of Children's Orthopaedics)
Source: Journal of Children's Orthopaedics - April 25, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Radiographic results of combined Salter innominate and femoral osteotomy in Legg–Calvé–Perthes disease in older childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Simultaneous femoral and Salter innominate osteotomies in older children with a higher LP grouping can marginally improve the radiographic outcome in comparison with the natural history in LPB/C and LPC cases by converting a number of poor results to fair results. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0171-zAuthors Mahzad Javid, Iran Mehr Hospital 338 Zafar Avenue, 4th Floor Tehran IranJohn H. Wedge, The Hospital for Sick Children 555 University Avenue Toronto ON Canada Journal Journal of Children's OrthopaedicsOnline ISSN 1863-2548Prin...
Source: Journal of Children's Orthopaedics - April 23, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Correction of Blount’s disease by a multi-axial external fixation systemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Correction of Blount’s disease with osteotomy of the tibia and fibula as well as dynamic fixation with the MAC system achieved deformity correction as measured by radiographic indices with minimal intra- and post-operative complications. The ease of application and adjustment of the MAC system makes it an attractive option for Blount’s deformity correction. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0172-yAuthors Nirav K. Pandya, The Children’s Hospital of Philadelphia Philadelphia PA 19104 USASylvan E. Clarke, The Shriner’s Hospital for Ch...
Source: Journal of Children's Orthopaedics - April 16, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Open fractures of the tibia in the pediatric population: a systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions With the exception of type II fractures, the philosophy of treatment of open fractures of the tibia has not significantly changed over the past three decades. Closed treatment or internal fixation are both viable options for type II fractures based on their relatively low incidence of infection. This study also demonstrates a strong relationship between Gustillo sub-types and odds of infection in this population. Not surprisingly, union rates are also delayed with increasing injury severity. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0169-6Authors ...
Source: Journal of Children's Orthopaedics - April 3, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals

Talonavicular joint arthrodesis for the treatment of pes planus valgus in older children and adolescents with cerebral palsyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Talonavicular joint arthrodesis is a reliable technique that provides both functionally and cosmetically good results with a low rate of complications in the treatment of severe pes planus valgus in older children and adolescents with CP. Careful examination should rule out concomitant ankle valgus deformities. A stable fixation of the arthrodesis is recommended. Content Type Journal ArticleCategory Original Clinical ArticleDOI 10.1007/s11832-009-0168-7Authors Camilo Andrés Turriago, Instituto de Ortopedia Infantil Roosevelt Gait Analysis Laboratory Bogotá ColombiaMyriam Fernanda Arbeláe...
Source: Journal of Children's Orthopaedics - March 24, 2009 Category: Orthopaedics Tags: Journal of Children's Orthopaedics Source Type: journals