Pediatric Orthopaedics Archive

SUMMARY: This review covers evolving surgical techniques—physeal-sparing, partial transphyseal, and transphyseal ACL reconstruction—for skeletally immature patients with ACL injuries.

SUMMARY: Reviews pediatric osteomyelitis diagnosis and management, emphasizing MRI as the best imaging modality and favoring short IV-to-oral antibiotic courses with surgery reserved for abscess or treatment failure.

SUMMARY: This narrative review proposes that developmental anatomical anomalies of the neonatal brachial plexus create a 'neurologic vulnerability' predisposing certain infants to Erb's palsy during delivery, suggesting decompression may complement nerve grafting.

SUMMARY: The newly developed Functional Mobility Scale reliably and validly measures functional mobility across home, school, and community settings in children with cerebral palsy.

SUMMARY: In cell and mouse models, pulsed electromagnetic fields killed osteosarcoma cells via ferroptosis while promoting normal bone healing, suggesting a noninvasive adjuvant therapy after tumor resection.

SUMMARY: Knee arthroscopy in pediatric OI patients restores function in most cases but carries notably higher complication (48%) and revision (35%) rates than the general population.

SUMMARY: Standard screening criteria (abnormal exam, left-sided curve, hyperkyphosis) missed 34% of Chiari malformation/syrinx cases in operative pediatric scoliosis, arguing for broader preoperative MRI use.

SUMMARY: This foundational study of 3,500 infant hips demonstrates ultrasonography as a radiation-free tool for classifying and screening infant hip dysplasia.

SUMMARY: PROMIS scores show pediatric disc herniation patients have significant pain and mobility impairment, with surgery yielding faster symptom relief despite worse baseline function versus non-operative care.

SUMMARY: This literature review found AIS patients typically return to sport 6-18 months after spinal fusion, with up to a third switching to lower-impact activities but no reported complications from RTS.

SUMMARY: A Delphi-based expert panel establishes consensus best-practice guidelines defining high-risk patients and standardizing prevention, diagnosis, and treatment of surgical site infection in pediatric spine surgery.

SUMMARY: This review outlines current classification, bracing/casting, and surgical strategies (hemiepiphysiodesis, growing rods, hemivertebra excision, definitive fusion) for managing progressive congenital scoliosis in children.

SUMMARY: Overview of hand surgery's 25-year evolution in Saudi Arabia, including specialized centers, fellowship training, and growing research contributions.

SUMMARY: This 1997 entry in the Journal of Pediatric Orthopaedics appears to be a review or listing of "The Textbook of Spinal Surgery."

SUMMARY: In fibular hemimelia patients undergoing tibial lengthening, prophylactic intramedullary nailing at fixator removal eliminated regenerate fractures (0% vs 25% with cast alone) without added infection risk.

SUMMARY: In 146 adolescents, prone hip rotation only moderately correlated with CT/MRI-measured femoral version, so exam alone shouldn't substitute for imaging when precise version matters.

SUMMARY: Summarizes the ROCK consortium's decade of multicenter research on knee osteochondritis dissecans, including epidemiology, validated imaging classifications, outcome measures, and trials comparing drilling techniques.

SUMMARY: This scoping review of 59 studies confirms bracing reduces curve progression and surgery rates in AIS with adherence as key, but finds the evidence base largely low-quality and identifies gaps for future research.

SUMMARY: This review outlines osteochondritis dissecans epidemiology, uncertain etiology, imaging-based diagnosis, and treatment guided by skeletal maturity and lesion stability, noting persistent gaps in high-level evidence.

SUMMARY: This 2011 review outlines the molecular pathogenesis of osteosarcoma and emerging translational research aimed at identifying targeted therapies to improve outcomes beyond current anatomically based staging and treatment.

SUMMARY: In 51 sarcoma resections, ICG fluorescence with an SBR cutoff of 1.67 was highly sensitive for detecting positive margins but not specific enough to replace surgeon judgment, suggesting a combined approach could reduce local recurrence.

SUMMARY: This scoping review finds that socioeconomic disadvantage, public insurance, and minority race are linked to delayed, less operative, and less adequately pain-managed pediatric extremity fracture care in the US.

SUMMARY: An international Delphi consensus of 53 experts defines when to add lateral extra-articular procedures to ACL reconstruction, strongly recommending them for hamstring autografts in young/active patients, high-grade pivot shift, hyperextension, and skeletal immaturity.

SUMMARY: In a 12-country study of 509 osteochondritis dissecans knees, younger age, classic medial condyle location, and favorable presentation predicted better outcomes, with surgery favored when dissection signs were present.

SUMMARY: In 162 BPBI patients, preoperative root-level classification agreed with intraoperative findings 83% of the time, but C7-C8 injuries were frequently underestimated, arguing for careful C8 assessment and reinterpreting Horner syndrome as a severity marker rather than a sign of global injury.

SUMMARY: In children with spastic hip displacement, preoperative acetabular index outperformed migration percentage as a predictor of reoperation after soft tissue release, suggesting AI should guide surgical decision-making.

SUMMARY: A low-cost, 3D-printed tactile Kirschner wire pinning simulator was rated favorably by pediatric orthopaedic surgeons for teaching residents pin placement, targeting, and fine motor skills outside the OR.

SUMMARY: In 50 postoperative osteogenesis imperfecta patients, a low-pressure manual noninvasive blood pressure protocol caused no fractures, supporting its safety as an alternative to arterial lines or ICU admission.

SUMMARY: This review outlines evaluation and treatment options—from observation to bar resection, epiphysiodesis, osteotomy, and distraction osteogenesis—for distal radius physeal bars causing radioulnar growth discrepancy, guided by patient age and bar characteristics.

SUMMARY: This review summarizes current controversies in PCL injury management, including repair versus reconstruction, graft and fixation choices, and factors like posterior tibial slope affecting outcomes.