Aug 10–16, 2026 · 19 new studies, 10 reviews · Pediatric Orthopaedics archive · All weeks
The new Pediatric Orthopaedics research The Reduction sent the week of Aug 10–16, 2026, with the week’s most recent reviews, each with a one-line summary.
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Anatomic Classifications and Functional Outcomes in Preaxial Polydactyly of the Hand.
In 58 patients with preaxial polydactyly, surgery gave good functional outcomes overall, and the JK classification added useful anatomic detail beyond Wassel-Flatt, though K-wire fixation was linked to reduced motion.
In this prospective EMG study, 26% of neurologically-normal pediatric supracondylar fracture patients had subclinical ulnar or median nerve injury after pinning, with posterior-inferior medial pin placement and longer operative time as key risk factors.
Examining Sex-Based Inequities in Pediatric Sports Medicine Research: A Systematic Review.
A systematic review of 409 pediatric sports medicine studies (2020-2024) found female athletes are significantly underrepresented, especially in single-sport and higher-evidence-level studies, highlighting a need for more equitable inclusion in future research.
In adolescents undergoing osteochondral autograft transplantation for capitellar OCD, preoperative proximal migration of the radial head >2.2mm independently predicted suboptimal outcomes.
Three-Year Outcomes Following Hip Reconstruction in Cerebral Palsy: A Population-Based Analysis.
A national US database study of 1037 CP patients undergoing hip reconstruction found 3-year rates of 38.6% hardware removal and 38.5% dislocation, with most infections occurring after the first postoperative year, supporting long-term surveillance.
The modified Clavien-Dindo-Sink grading system, mostly capturing grade II and IIIb events, may understate casting complication severity relative to surgical complications and needs modification for EOS casting.
In breech infants with normal 6-week hip ultrasounds, 9% later developed DDH by 6 months (especially girls), supporting routine follow-up imaging even after normal initial screening.
Serial Casting Before Relapse Surgery: Investigating the Challenges of Relapsed Clubfoot Care.
In relapsed clubfoot, presurgical serial casting was associated with significantly reduced surgical complexity and fewer high-complexity procedures compared to no presurgical casting.
Selective talonavicular arthrodesis with talocalcaneal stabilization provided durable correction, pain relief, and high satisfaction for flexible planovalgus in CP patients with weak tibialis posterior, without nonunion.
This systematic review of 13 studies found perfusion MRI has high sensitivity and NPV (90%) but modest specificity for detecting AVN of the femoral head in children, showing promise as a screening and prognostic tool pending higher-quality validation.
This case-control study found children with boxer's fractures had lower 2D:4D finger ratios, higher aggression scores, and more ADHD symptoms, suggesting the injury may signal underlying behavioral/neurodevelopmental risk warranting psychosocial screening.
Arthroscopic study of 40 pediatric cadaver knees establishes normal age-based meniscal mobility and rim width benchmarks, showing the lateral meniscus is inherently more mobile than the medial, to help surgeons judge abnormal peripheral rim instability during discoid meniscus saucerization.
An Assessment of the Preoperative Vitamin D Levels in Patients Undergoing Limb Lengthening Surgery.
In pediatric limb-lengthening patients, preoperative vitamin D deficiency was common (29%) but was not linked to worse bone healing index or higher complications, given routine postoperative supplementation.
Trampoline Fractures in Children.
In this Finnish registry study, trampoline fractures showed age-dependent patterns—lower leg injuries in young children versus forearm fractures in older kids—with higher rates of open and surgically-treated fractures than other sports injuries.
AIS patients with substance abuse history had markedly higher odds of developing new mental health disorders (especially depression), suggesting a need for targeted preoperative screening.
In AIS spinal fusion patients, replacing PCA-based opioid regimens with liposomal bupivacaine plus dexamethasone markedly cut opioid use and shortened hospital stay without worsening pain control.
In a large propensity-matched cohort, adolescents undergoing surgically treated long-bone fractures—especially lower-extremity fractures—had significantly higher risk of later substance use disorders.
A novel synthetic 'teretization' technique using a button-suture-button construct safely stabilized severe DDH hips lacking a ligamentum teres, with good early radiographic and functional results.
In this UK retrospective study of 140 noninvasive expandable prostheses, total femoral and diaphyseal replacements had substantially higher mechanical failure rates than distal femoral implants, supporting tailored surgical planning and rehab for high-risk implant types.
This review covers the natural history, prognosis, and nonsurgical/surgical treatment options for Legg-Calvé-Perthes disease based on age and femoral head containment.
Osteochondritis Dissecans of the Elbow: Current Diagnosis and Management.
Reviews diagnosis and staged management of elbow osteochondritis dissecans, favoring nonoperative treatment for stable lesions and surgery (microfracture, OAT, grafting) for unstable or refractory cases.
Narrative review outlines that THA after acetabular fractures, in adolescents, as fixation-failure conversions, or with hip dysplasia carries higher complication risk but can still yield good outcomes with careful planning.
Innovations and challenges in pediatric orthopedics: insights from Vietnam.
This review describes Vietnam's progress in pediatric orthopedic care over three decades, highlighting decentralized delivery, cost-effective techniques, and capacity-building despite resource constraints.
This review covers evaluation and management of pediatric proximal humerus tuberosity avulsion fractures, noting sparse evidence and unclear treatment guidelines for these rare, easily missed injuries.
Pediatric and Adolescent Distal Radius Fractures: Current Concepts and Treatment Recommendations.
This review updates current classification and treatment principles for pediatric distal radius fractures, emphasizing physeal considerations, reduction/casting technique, and the need for more evidence-based guidelines.
This review highlights that pediatric thoracolumbar spine trauma requires a low threshold for MRI and that management decisions should be guided mainly by injury pattern and neurologic status, given limited pediatric-specific evidence.
A UK Delphi consensus among 128-132 clinicians produced 42 agreed statements and a flowchart guiding screening, ultrasound technique, and treatment of DDH in infants under three months.
The Surgical Treatment of Brachymetatarsia.
This review outlines three surgical approaches—one-stage lengthening, graft interposition, and gradual callus distraction—for correcting congenital brachymetatarsia based on defect size in children.
A Foot to Last a Lifetime-Is Hindfoot Fusion Ever Appropriate for Pediatric Orthopaedic Conditions?
This review argues hindfoot fusion in children should be reserved for the most severe, refractory deformities, since it relieves pain but risks adjacent joint degeneration, recurrence, and other long-term complications.
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