Oct 12–18, 2026 · 1 randomized trial, 14 new studies, 10 reviews · Pediatric Orthopaedics archive · All weeks
The new Pediatric Orthopaedics research The Reduction sent the week of Oct 12–18, 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 62-patient randomized trial, medial closing-wedge distal femoral osteotomy gave slightly better mechanical axis correction than lateral opening-wedge, but adjusted results were nonsignificant and function and complications were similar.
One year after transphyseal ACLR near skeletal maturity, average alignment change was minimal, but 16-28% of patients had meaningful shifts, mostly toward valgus, supporting preoperative radiographs and surveillance until maturity.
In 20 mostly skeletally immature athletes with acute groin pain and negative radiographs, MRI showed iliac subperiosteal hematoma, often with associated avulsion or iliacus injury; all healed nonoperatively and returned to sport in about 4.5 weeks.
In 22 children with persistent nerve palsy after supracondylar fracture, ultrasound detected abnormality in 95% but matched operative findings variably, so it should supplement, not replace, clinical judgment in deciding on exploration.
Trisomy 21 and Patellar Femoral Instability in a Pediatric Population: Results From 53,800 Patients.
Among 53,800 children with Trisomy 21, patellofemoral instability prevalence was under 1%, lower than previously reported, but surgery was more likely than in matched peers (18.7% vs 10.7%).
In 14 hips with severe SCFE, a modified Dunn osteotomy without surgical hip dislocation corrected deformity with excellent mid-term scores and one case of avascular necrosis, suggesting a possible vascularity-sparing alternative.
In 60 Gartland III supracondylar fractures, closed reduction and pinning beat open approaches for operative time, union, and cosmesis; among open approaches, anterior did best and posterior worst.
Health-related quality of life after calcaneus fractures in childhood and adolescence.
In 19 children and adolescents followed about 6 years after calcaneus fracture, quality-of-life and foot function scores were high overall, with somewhat lower scores after joint depression-type fractures.
A modified radiographic classification for postaxial foot polydactyly, tested on 121 digits, classified nearly all cases and showed excellent reliability, outperforming the Watanabe and Lee systems.
In 71 AIS patients, CT-navigated fusion achieved the same Cobb correction as fluoroscopy but took longer; ICU and hospital-stay differences may reflect institutional practice rather than navigation.
An ERAS pathway with dexamethasone and liposomal bupivacaine cut opioid use after adolescent scoliosis fusion without raising protocol-related costs; the higher total cost was due to implant billing changes.
Insall-Salvati and Caton-Deschamps were the most reliable patellar height ratios on radiographs, Patellotrochlear Index on MRI, and neither skeletal immaturity nor patellofemoral instability degraded reliability.
Risk factors for PJK and DJF in operatively corrected adult patients with congenital hemivertebra.
In 72 adults surgically treated for congenital hemivertebra, multiple hemivertebrae and low postoperative sacral slope predicted proximal junctional kyphosis, while larger postoperative lumbar lordosis and lumbar disc herniation predicted distal junctional failure.
In a 99-player pilot survey of adolescent female soccer players, men's cleats and firm ground were each linked to roughly double the injury odds, warranting larger confirmatory studies.
In 506 AIS patients with major thoracic curves, higher pelvic incidence increased proximal but not distal lumbar lordosis and reduced thoracic kyphosis, suggesting high-PI patients may need more proximal lumbar rod contouring.
Scoping review of nine studies links idiopathic scoliosis with dental malocclusion, temporomandibular disorders, functional GI disorders, central precocious puberty, and hematopoietic malignancy, suggesting shared systemic pathways.
Persistent acetabular index above roughly 25-30° at ages 4-5 (or above 35° at 2 years post-reduction) predicts poor outcomes and may warrant pelvic osteotomy; MRI of cartilaginous coverage and shared decision-making guide timing.
Review linking underweight status or low BMI, along with rapid weight loss and spinal lengthening, to superior mesenteric artery syndrome after pediatric scoliosis correction, a rare but life-threatening duodenal compression complication.
Osteochondritis Dissecans Lesions of the Knee: Evidence-Based Treatment.
This review outlines evidence-based management of knee osteochondritis dissecans: nonoperative care for stable lesions with open physes, drilling after failure, and fixation or cartilage restoration for unstable lesions.
Reviews evaluation and management of pediatric forearm malunions, including acceptable nonoperative parameters, imaging workup, corrective osteotomy planning technology, illustrative cases, and the authors' preferred approach.
What is New in Pediatric Orthopaedic: Basic Science.
This review of 49 basic science studies from 2016 to 2021 summarizes advances in pediatric orthopaedic spine, trauma, sports, hip, and foot conditions that may influence future disease management.
Return to Activity After SARS-CoV-2 Infection: Cardiac Clearance for Children and Adolescents.
Most children and adolescents can gradually return to activity after SARS-CoV-2 infection, and many can be cleared by primary care; ECG, echo, MRI, or labs are reserved for those with cardiopulmonary symptoms.
This nonsystematic review proposes individualized training models for sport-specialized youth athletes, tailoring monitoring and load progression to maturation, injury history, and load tolerance.
Slipped Capital Femoral Epiphysis Associated with Endocrinopathy: A Narrative Review.
SCFE is linked to endocrine disorders; presentation before age 10 or after 16 with height under the 10th percentile flags children for endocrine testing, and unilateral cases warrant prophylactic contralateral fixation.
This clinical review finds that arm care exercise programs, especially multimodal ones and posterior shoulder stretching, reduce shoulder and elbow injury risk in adolescent baseball players by roughly 36 to 50%.
Home · All weeks · Archive · Subscribe · FAQ
© 2026 The Reduction