Aug 3–9, 2026 · 12 new studies, 9 reviews · Pediatric Orthopaedics archive · All weeks
The new Pediatric Orthopaedics research The Reduction sent the week of Aug 3–9, 2026, with the week’s most recent reviews, each with a one-line summary.
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In a rabbit model, selective epiphysiodesis of specific regions of the anterior distal femoral physis predictably reshaped trochlear morphology, suggesting growth modulation could be used to address early trochlear dysplasia in children.
Three-Dimensional Planning and Patient-Specific Instruments in Complex Forearm Malunion.
A case report shows 3D planning and patient-specific instruments enabled precise correction of a complex adult both-bone forearm malunion with DRUJ instability, restoring pain-free motion and union.
In this 15-patient series, pediatric perilunate injuries were rare, often high-energy transscaphoid patterns with treatment delays, yet yielded good-to-excellent functional outcomes without posttraumatic arthritis.
A new SCARE risk score using spinal cord morphology, deformity angular ratio, revision status, and syndromic etiology reliably stratifies pediatric patients' risk of intraoperative neuromonitoring signal loss during spinal deformity surgery.
In a Swedish registry study, adolescents from higher socioeconomic areas had more fractures/sprains while young children in low-socioeconomic areas had more burns/crush injuries, highlighting need for targeted prevention.
In over 46,000 pediatric spinal deformity patients, both higher frailty and greater surgical invasiveness independently predicted more complications, reoperations, and readmissions, supporting combined preoperative risk assessment.
A UK cost-effectiveness model found current selective DDH screening (exam plus ultrasound for risk factors) remains more cost-effective than universal ultrasound screening strategies.
In 236 patients, solitary osteochondromas in skeletally immature patients—especially younger age and proximal humeral/humeral shaft lesions—showed substantial spontaneous regression potential, supporting conservative management, while mature patients more often needed surgery.
This historical/art piece examines a marble Acropolis statue depicting what appears to be a rhizomelic dwarf, the only dwarf figure among the site's statues.
Machine learning models using pre- and intraoperative data outperformed simple mean-based predictions in forecasting quality-of-life changes two years after adolescent idiopathic scoliosis surgery, supporting their potential use in patient counseling.
Calcaneal Lengthening Osteotomy in Cerebral Palsy: Does Age at Intervention Influence Outcomes?
In 102 cerebral palsy patients undergoing calcaneal lengthening osteotomy, age at surgery (≤8 vs >8 years) did not affect long-term radiographic correction, revision rates, or persistent pain, suggesting timing flexibility.
This meta-analysis found excision under local anesthesia for type B ulnar polydactyly gave the highest parental satisfaction and lowest complication rates compared to suture ligation or excision under general anesthesia.
Evaluation and Surgical Management of Adult Spastic Hip and Knee Deformities.
This review outlines evaluation and individualized surgical management of adult spastic hip and knee deformities, emphasizing patient goals, exam to distinguish weakness from spasticity, diagnostic adjuncts like botulinum toxin and gait analysis, and tailored nerve versus tendon/joint procedures.
International expert review found GPT-4's responses to DDH clinical scenarios varied significantly by region and had low interrater agreement, indicating AI chatbot guidance needs regional adaptation before clinical use.
Index pollicization: an evolution of ideas and techniques from a paediatric orthopaedic institution.
This paper describes the evolution of index pollicization technique and incision refinements at a pediatric orthopaedic institution, sharing surgical pearls and pitfalls for treating hypoplastic thumb.
SPINE20 A global advocacy group promoting evidence-based spine care of value.
This paper introduces SPINE20, a global advocacy coalition of spine societies that developed G20-endorsed recommendations to promote evidence-based, value-driven spine care worldwide.
Hip Arthroplasty in Patients with Osteogenesis Imperfecta.
Review argues that hip arthroplasty in osteogenesis imperfecta patients is technically challenging but often needed early in life, with modern uncemented implants possibly improving survivorship despite frequent revisions.
Brachial Plexus Birth Injuries: A Critical Analysis Review.
This review covers brachial plexus birth injury, noting declining US incidence, serial exam as the standard for guiding early intervention, and the need for nerve grafting/transfer expertise given limited high-quality evidence.
This review of pediatric fingertip injuries, most common around age two and often crush-related, supports an initial conservative approach given children's strong healing capacity.
The Anterolateral Ligament of the Knee.
This review of the knee's anterolateral ligament notes its consistent tibial but debated femoral attachment, role in rotational stability, and promising—though still limited—evidence for combined ACL/ALL reconstruction reducing reinjury.
Hip Surveillance in Children With Cerebral Palsy.
Reviews how structured hip surveillance programs (using GMFCS level and migration percentage on AP pelvis X-rays) in CP children improve early detection and reduce painful dislocations, though not yet standard in the US.
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