Oct 5–11, 2026 · 1 randomized trial, 21 new studies, 10 reviews · Pediatric Orthopaedics archive · All weeks
The new Pediatric Orthopaedics research The Reduction sent the week of Oct 5–11, 2026, with the week’s most recent reviews, each with a one-line summary.
Get papers like these by email, free: subscribe to The Reduction, focused on your interests, on the days you pick.
In a randomized triple-blind trial of 90 children, IV dexamethasone with a supraclavicular block extended opioid-free analgesia (median 8.9 h placebo vs 17.3 h at 0.2 mg/kg) but delayed finger movement.
In extremity osteosarcoma, 58% of indeterminate pulmonary nodules progressed and 25% became confirmed metastases; no nodule feature predicted progression, but these patients had worse 2-year survival (55% vs 76%), supporting vigilant surveillance.
In 70 pediatric ACL reconstructions, adding lateral extra-articular tenodesis did not change 3D gait kinematics at about 4 months, supporting its short-term safety in young patients.
In 14 nonambulatory CP patients, greater trochanter-sparing proximal femoral resection significantly improved caregiver-reported comfort and care scores despite frequent proximal migration and heterotopic ossification.
Guided growth for idiopathic genu valgum: analyzing the incidence and risk of rebound.
In 46 children with idiopathic genu valgum, 67% rebounded after tension-band plate removal, more often with faster correction (>2.95 mm/month), though few needed revision surgery.
Risk factors for the severity of heterotopic ossification in children with cerebral palsy.
In 46 hips after hip reconstruction in children with cerebral palsy, no independent predictors of heterotopic ossification severity emerged, though medial capsulotomy trended higher; the sample was small.
In 450 pediatric supracondylar fractures, only 16% waited beyond 18 hours for surgery; evening ED arrival and high Gartland severity predicted delay, questioning the arbitrary 18-hour quality metric.
LongTerm Outcomes of Suspected Transient Synovitis of the Hip in NonAspirated Patients.
In 220 children with presumed transient hip synovitis managed without aspiration, long-term follow-up (mean 9 years) showed no missed septic arthritis and low recurrence, though about 3% later received rheumatologic or other sequelae diagnoses.
After medializing calcaneal osteotomy for flexible flatfoot, children still showed higher arch index and more external foot rotation than matched controls, despite balanced plantar loading and similar stance timing; higher BMI independently raised arch index.
Outcomes of Surgical Interventions in Children With Fibrous Dysplasia/McCune-Albright Syndrome.
In 45 children with fibrous dysplasia/McCune-Albright syndrome (64 surgical sites), mostly proximal femur surgery for impending fractures, only 42% stayed event-free at 5 years, with higher risk in girls and younger patients.
In a UK cohort of 42,338 infants under selective screening, a clicky hip was independently associated with DDH requiring treatment (adjusted OR 4.68), though PPV was only 3.56%, supporting prospective evaluation as a referral trigger.
In 142 children with Crawford I-III congenital tibial pseudarthrosis, radiolucent lines independently predicted fracture alongside Crawford type, suggesting they can help stratify risk and guide surveillance and timing of intervention.
In 1,087 girls with mild AIS, baseline modified Lenke type improved prediction of later bracing, with 2-year risk at 20° Cobb ranging from 23% (type 1) to 56% (type 4).
In 91 adolescents after posterior spinal fusion for scoliosis, next-day discharge yielded 6-month patient-reported outcomes comparable to longer stays, with a clinically trivial satisfaction difference, supporting accelerated discharge pathways.
Case report of a 14-year-old with Blauth IIIc thumb hypoplasia whose first metacarpal was reconstructed with a medial femoral condyle free flap, preserving a five-digit hand with stable post, healing, and minimal donor morbidity.
In pediatric athletes with low back pain, STIR-MRI found Baastrup's disease in 28%, more often in older athletes and those in basketball and speed skating, suggesting it is under-recognized.
In a national inpatient sample, digital replantation after complete thumb or finger amputation was more likely with higher ZIP-income quartile, transfer-in, and thumb involvement, while age showed no independent association.
MRI study of 123 skeletally immature knees found femoral condyle OCD lesions lie closer to the physis in younger, female, and lateral cases; a 16 mm drill or screw length leaves roughly a 3 mm safe zone.
Is Hemiepiphysiodesis Enough? Evaluating Growth Modulation in Juvenile Hallux Valgus.
In 20 feet with juvenile hallux valgus, lateral first metatarsal hemiepiphysiodesis gave modest correction, residual deformity persisted in 80%, and 30% needed reoperation, making it a temporizing option at best.
In 210 SMA patients undergoing early onset scoliosis surgery, those previously on nusinersen were operated on younger and had larger curves and more kyphosis, suggesting a shifting surgical phenotype in the nusinersen era.
A scoliometer and smartphone inclinometer apps agreed strongly and correlated with Cobb angle, and a 7-degree reading was suggested as a referral threshold, supporting smartphones for school scoliosis screening in resource-poor settings.
In 339 infants in Pavlik harnesses, 5.9% developed femoral nerve palsy, all recovered fully; it did not independently predict failure, so adjust the harness rather than abandon treatment.
A scoping review found only nine heterogeneous studies on revising ACL reconstruction after failed combined ACLR with lateral extra-articular procedures; evidence is sparse, so revision strategy should be individualized.
This review supports early ACL reconstruction in skeletally immature patients over nonoperative care, outlining physeal-sparing, physeal-respecting, and transphyseal techniques chosen by growth potential, with age-tailored rehabilitation and multidisciplinary care.
Management of first-time patellar dislocation: The ESSKA 2024 formal consensus-Part 2.
ESSKA consensus on first-time patellar dislocation favors individualized care, MPFL reconstruction over repair when surgery is needed, physical therapy for all patients, and no clear long-term benefit from bracing.
Juvenile Knee Osteochondritis Dissecans.
Review of juvenile knee osteochondritis dissecans: stability on exam and MRI guides care, with nonoperative treatment for stable lesions in younger patients, surgery for failures or unstable lesions, and return-to-sport rates above 85%.
Congenital Pseudarthrosis of the Tibia: A Comprehensive Literature Review.
This review of congenital pseudarthrosis of the tibia covers its NF1 link, classification systems, surgical and pharmacologic treatments, and emerging directions, noting that BMPs or bisphosphonates alone have not consistently succeeded.
Discontinuation of brace treatment in adolescent idiopathic scoliosis (AIS): a scoping review.
Scoping review of brace discontinuation in adolescent idiopathic scoliosis: criteria and weaning protocols vary, and about 34% of patients progress more than 5 degrees after weaning, with larger curves at higher risk.
A Comprehensive Review of Bone Health in a Child: From Birth to Adulthood.
This review covers pediatric bone health, including the limits of the osteoporosis definition, screening timing and assessment methods, and causes of primary and secondary osteoporosis, emphasizing a multidisciplinary approach.
Meta-analysis of 3,778 pediatric scoliosis patients found intraoperative SSEP changes highly specific (96.8%) but only moderately sensitive (72.9%) for new neurologic deficits, supporting monitoring use, with SSEP loss being 99.3% specific.
Review of the opportunities and challenges of using patient-reported outcome measures in pediatric orthopaedics and sports medicine, including AI, improved PROM design, and better delivery methods to boost compliance.
Precision Medicine for Kienböck Disease in the 21st Century.
Proposes a single unified classification and treatment algorithm for Kienböck disease that merges radiographic, contrast-MRI, and cartilage-degeneration systems with newer surgical options to enable more individualized treatment planning.
← Week of Sep 28 – Oct 4, 2026
Home · All weeks · Archive · Subscribe · FAQ
© 2026 The Reduction