Oct 26 – Nov 1, 2026 · 16 new studies, 9 reviews · Pediatric Orthopaedics archive · All weeks
The new Pediatric Orthopaedics research The Reduction sent the week of Oct 26 – Nov 1, 2026, with the week’s most recent reviews, each with a one-line summary.
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Proximal Fibular Epiphysiodesis or Resection May Alter Lower Limb Alignment in Growing Children.
In children with below-knee amputations, proximal fibular epiphysiodesis or resection often shifted tibial alignment toward valgus (14 of 27 by 4 degrees or more), so these patients warrant close follow-up for angular change.
In 22 preference-selected Lenke 3/4 AIS patients, selective thoracic fusion was followed by spontaneous improvement of the unfused lumbar curve at 1 year, with one revision (5%); not enough to set general selection criteria.
At a minimum of 5 years, arthroscopic FAI surgery in adolescents with borderline dysplasia was safe and effective, achieving MCID and PASS rates comparable to adolescents without dysplasia, though some outcome scores were slightly lower.
In this retrospective cohort of 164 children, tractionless hip arthroscopy for suspected septic arthritis showed no clear increase in short-term failure versus arthrotomy, with exploratory hints of less opioid use; equivalence is unproven.
In 114 AIS patients, greater thoracic deformity tracked with smaller MRI lung volumes and worse pulmonary function, with inspiratory volume partly mediating this link; cross-sectional data cannot prove causation.
In 18 limbs of children with intoeing, standardized biplanar radiographs measured femoral anteversion within about 1 degree of CT, supporting plain films as a radiation-sparing alternative.
In 85 children with femoral shaft fractures treated with titanium elastic nails, constructs meeting radiographic pre-bend criteria had about 3.4 degrees less coronal angulation, but clinical importance and effects on complications remain uncertain.
Tips and tricks for femoral Fassier-Duval rod revision in osteogenesis imperfecta.
In 21 femoral Fassier-Duval rod revisions in osteogenesis imperfecta, union reached 89.5% and rod survival 85% at about two years, supporting a tailored, systematic revision approach.
In a retrospective pilot of 48 wrists in children, distal radial epiphysiodesis achieved physeal closure in about 94% with no complications, suggesting a low-risk option for progressive wrist deformity.
In 42 pediatric giant cell tumors of bone, local recurrence was high (45%) and trended higher with open physes; bone marrow edema on preoperative MRI was associated with more recurrence.
In 649 young children in one ED, 5.9% had fractures suspicious for abuse, mostly high-specificity patterns in younger children, yet none led to abuse notification or protective placement, showing gaps in recognition and referral.
A 30-year population-based cohort found territory-wide scoliosis screening was associated with a large, sustained decline in AIS reaching surgical threshold (HR 0.29), though conservative care advances likely contributed.
In 52 children with surgically treated supracondylar humeral fractures, the medial collapse sign on postoperative AP radiographs was strongly associated with cubitus varus (sensitivity 90%, specificity 97%) and may flag inadequate medial column reduction.
After AI fracture-detection deployment in a pediatric ED, orthopaedic consults fell from 73% to 68.3% and stays shortened about 28 minutes for patients discharged without consultation, with no change in 30-day readmissions.
In 54 AIS patients, adding Schroth exercises to underarm bracing improved lateral (clavicle angle) but not medial shoulder imbalance, and only medial T1 tilt changes correlated with patient-perceived appearance.
In thoracic AIS, an S1-LIV angle above 9.5 degrees carried fourfold higher odds of distal adding-on, and using it to choose the LIV could spare lumbar motion segments in about 20% without raising risk.
A review of 16 studies found significant ceiling effects in eight EOSQ-24 domains, so it may miss improvement in high-functioning early-onset scoliosis patients; objective pulmonary testing is advised.
Good Enough: When to Avoid Perfection and Accept Adequate Surgery Results in Pediatric Hand Surgery.
This article argues that in pediatric hand surgery, accepting adequate reconstruction is often better than pursuing a perfect radiograph, since overly aggressive surgery risks lost reduction, poor healing, vascular compromise, growth plate failure, and contractures.
ESSKA-ESA expert consensus finds that patient age and first-time versus recurrent dislocation should guide history, physical exam, and imaging choices in traumatic anterior shoulder instability, with 12 statements mostly graded B.
International Delphi consensus recommends adding a lateral extra-articular procedure to ACL reconstruction in young active patients with hamstring grafts, high-grade pivot shift, hyperextension, revision, or return to pivoting sports; several questions remain unresolved.
Genetics and Epigenetics of Legg-Calvé-Perthes Disease.
Review proposing that Legg-Calvé-Perthes disease arises from interacting genetic (COL2A1, IL6), epigenetic, and environmental factors such as maternal smoking and low birth weight, pointing toward future screening and preventive strategies.
This scoping review found high-quality evidence that a removable splint or bandage safely treats pediatric distal radius buckle and nondisplaced incomplete fractures, while evidence for other fracture patterns remains limited and heterogeneous.
Reviews tarsal coalition in young adults, with surgery reserved for pain refractory to nonoperative care (successful in up to 85%), and choice of resection, interposition, or fusion guided by coalition size, subtalar health, and deformity.
Youth Athlete Development Models: A Narrative Review.
Narrative review of youth athlete development models finds no single gold-standard model and little empirical support, so clinicians, coaches, and parents should tailor training to each athlete's developmental stage.
Discusses the emotional toll of surgical complications on surgeons (the 'second victim'), advocating peer discussion, sound complication management, and more attention to surgeon stress throughout training and practice.
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