Sep 28 – Oct 4, 2026 · 10 new studies, 8 reviews · Pediatric Orthopaedics archive · All weeks
The new Pediatric Orthopaedics research The Reduction sent the week of Sep 28 – Oct 4, 2026, with the week’s most recent reviews, each with a one-line summary.
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In 53 children starting growth hormone therapy, DTI-MRI showed transient tibial tubercle physeal changes peaking around 8 months, suggesting a vulnerable window for avulsion fracture when impact activities may warrant limiting.
In children with cerebral palsy, proximal and distal femoral derotational osteotomies both significantly improved hip rotation and foot progression in gait; proximal had more hardware-removal surgery, so site choice should weigh complications and reoperation risk.
A ResNet50 transfer-learning model detected pediatric supracondylar fractures on radiographs with about 90% accuracy, statistically comparable to emergency physicians, but it missed nondisplaced Gartland I fractures and needs prospective validation.
In 23 children with septic shoulder arthritis, nearly half developed physeal arrest or worse deformity, especially neonates and those with multifocal infection, per a new proposed radiologic classification.
In a prospective cohort, Kocher criteria reliably distinguished septic arthritis from transient synovitis but performed poorly against osteomyelitis, suggesting scores should prompt MRI rather than guide surgery directly.
In children with both-bone forearm fractures, lower vitamin D levels were linked to delayed radiographic union, while high-dose vitamin D supplementation improved healing rates and scores.
In 5,206 AIS fusions, IONM alerts occurred in 5%, driven mainly by larger major Cobb angle; permanent neurologic injury was under 1%, and alerts did not compromise 2-year curve correction.
A Novel Flexor Tendon Reconstruction Technique in Children: A Potential Solution for a Rare Problem.
In a cadaveric study of nine pediatric digits, a novel palmaris longus-to-FDP anchor construct for two-stage flexor tendon reconstruction showed acceptable elongation, though anchor pullout from soft pediatric bone was the main failure mode.
In a small retrospective AIS series, radiation-free 3D trunk surface scanning correlated with signed Cobb angle change after Rigo-Chêneau bracing, suggesting it may complement radiographs for monitoring brace effect.
Imaging features of hemimetameric shift in children: proposal of a new classification.
A new four-type classification of hemimetameric shift in 85 children proved reliable (kappa 0.796), with higher types showing more thoracolumbar kyphosis and associated anomalies, supporting individualized treatment.
Repair of Pediatric LC3 Pelvic Ring Injury.
This review describes reduction and fixation of pediatric LC3 pelvic ring injuries, focusing on open versus percutaneous techniques for treating the associated crescent fracture.
Diagnosis and Management of Pediatric Ballistic Fractures.
Reviews diagnosis and management approaches for pediatric ballistic fractures amid rising firearm-related pediatric injuries in the US.
PROMIS Utilization in Pediatric Orthopaedics: A Scoping Review.
This scoping review of 51 studies found PROMIS use in pediatric orthopaedics has grown rapidly since 2013, with Pain Interference and Upper Extremity domains most common but often limited by floor and ceiling effects.
This review of 38 studies found the QuickDASH and Mayo Elbow Performance Score most often used for pediatric upper extremity fractures, with no single validated tool for skeletally immature patients of all ages.
Perioperative blood conservation strategies for pediatric scoliosis surgery.
This narrative review outlines interdisciplinary pre-, intra-, and postoperative blood conservation strategies for pediatric scoliosis surgery, which may reduce or eliminate the need for allogeneic transfusion.
The Oberg-Manske-Tonkin (OMT) Classification of Congenital Upper Extremities: Update for 2020.
This paper presents the 2020 update to the OMT classification of congenital upper-extremity anomalies, refining categories based on evolving understanding of limb morphogenesis.
Epidemiology, Diagnosis, and Management of Tibial Tubercle Avulsion Fractures in Adolescents.
Reviews epidemiology, diagnosis, and Ogden-classification-based nonoperative/operative management of tibial tubercle avulsion fractures in adolescents.
Review of early sport specialization in children, weighing concerns about overuse injury and burnout against evidence that diversified play may be as good or better for elite achievement, with recommendations for orthopaedic providers.
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