Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Pediatrics 104 articles


Variability of Expert Opinion in Treatment of Early-onset Scoliosis

Michael G. Vitale MD, MPH, Jaime A. Gomez MD, Hiroko Matsumoto MA, David P. Roye MD

In contrast with treatment recommendations for adolescent idiopathic scoliosis, there are no clear algorithms for treating patients with early-onset scoliosis. There has been rapid expansion of treatment options for children with early-onset scoliosis, including casting, growth rods, the vertical expandable prosthetic titanium rib, and anterior vertebral stapling.

Skeletal Muscle Abnormalities and Genetic Factors Related to Vertical Talus

Laura J. Merrill BS, Christina A. Gurnett MD, PhD, Anne M. Connolly MD, Alan Pestronk MD, Matthew B. Dobbs MD

Congenital vertical talus is a fixed dorsal dislocation of the talonavicular joint and fixed equinus contracture of the hindfoot, causing a rigid deformity recognizable at birth. The etiology and epidemiology of this condition are largely unknown, but some evidence suggests it relates to aberrations of skeletal muscle. Identifying the tissue abnormalities and genetic causes responsible for vertical talus has the potential to lead to improved treatment and preventive strategies.

Developmental Dysplasia of the Hip: Open Reduction as a Risk Factor for Substantial Osteonecrosis

G. B. Firth MBBCh, FCS (Orth) (SA), MMed (Orth) (Wits), A. J. F. Robertson MBBCh, MMed (Orth) (Wits), A. Schepers MBBCh, FRCS (Ed), L. Fatti PhD

Kalamchi and MacEwen (K&M) described a four-group scheme for classifying osteonecrosis (ON) following treatment for developmental dysplasia of the hip (DDH). However, the four groups can overlap in radiographic appearance, making assessment difficult.

The Role of Ultrasound in Clubfoot Treatment: Correlation with the Pirani Score and Assessment of the Ponseti Method

Khaled Loutfy El-Adwar Dr Ch Orth, Hesham Taha Kotb MD

To evaluate neonates and infants with clubfoot, clinical and imaging modalities are required. Conventional radiography is of limited value because the studied bones are not fully ossified.