Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Pediatrics 103 articles

Articles

Is Sternocleidomastoid Muscle Release Effective in Adults With Neglected Congenital Muscular Torticollis?

Kyung Sup Lim MD, Jong Sup Shim MD, Yeong Seok Lee MD

Neglected congenital muscular torticollis is rare in adults but may be associated with pain and cosmetic problems. The efficacy of surgical correction in these patients has not been well established in the literature.

Comparison of Acetabular Anterior Coverage After Salter Osteotomy and Pemberton Acetabuloplasty: A Long-term Followup

Cheng-Wei Wang MD, Kuan-Wen Wu MD, Ting-Ming Wang MD, PhD, Shier-Chieg Huang MD, PhD, Ken N. Kuo MD

The Salter osteotomy and Pemberton acetabuloplasty are common procedures for a deficient acetabulum in patients with developmental dysplasia of the hip. However, the degree of increasing retroversion and anterior acetabular coverage of these two procedures remains unanswered.

What Role Do Plain Radiographs Have in Assessing the Skeletally Immature Acromioclavicular Joint?

Seung Yeol Lee MD, Soon-Sun Kwon PhD, Chin Youb Chung MD, Kyoung Min Lee MD, Moon Seok Park MD

Because of incomplete ossification of the coracoid process and acromion, acromioclavicular joint configuration in the skeletally immature patient differs from that of adults. Although comparison to radiographic standards for this joint is critical in the evaluation of acromioclavicular joint injuries, these standards are not well defined for children or adolescents.

Elastic Nailing for Pediatric Subtrochanteric and Supracondylar Femur Fractures

Shital N. Parikh MD, Senthil T. Nathan MD, Michael J. Priola MD, Emily A. Eismann MS

Subtrochanteric and supracondylar femur fractures are difficult injuries to treat in children. Although elastic stable intramedullary nails are commonly used for pediatric femur shaft fractures, there is little information on their effectiveness for managing pediatric subtrochanteric and supracondylar femur fractures.

Another Look: Is There a Flaw to Current Hip Septic Arthritis Diagnostic Algorithms?

Chika Edward Uzoigwe MRCS

Septic arthritis is an emergency. In 1999 Kocher et al. identified four clinical criteria to distinguish hip septic arthritis from transient synovitis in children (nonweightbearing, erythrocyte sedimentation rate ≥ 40 mm/L, white blood cell count > 12 × 10/L, temperature > 38.5°C). Subsequent authors evaluating the same criteria produced conflicting results. This calls into question the use of such diagnostic algorithms. The reasons for the differences remain unclear.

Does Proximal Rectus Femoris Release Influence Kinematics In Patients With Cerebral Palsy and Stiff Knee Gait?

Dóra Végvári MD, Sebastian I. Wolf PhD, Daniel Heitzmann MSc, Matthias C. M. Klotz MD, Thomas Dreher MD

Stiff gait resulting from rectus femoris dysfunction in cerebral palsy commonly is treated by distal rectus femoris transfer (DRFT), but varying outcomes have been reported. Proximal rectus femoris release was found to be less effective compared with DRFT. No study to our knowledge has investigated the effects of the combination of both procedures on gait.

Case Reports: Treatment of Traumatic Triradiate Cartilage Epiphysiodesis: What is the Role of Bridge Resection?

Alina Badina MD, Raphael Vialle MD, PhD, Frank Fitoussi MD, PhD, Jean Paul Damsin MD, PhD

Acetabular fractures are rare in children and can be complicated by premature fusion of the triradiate cartilage resulting in secondary acetabular dysplasia. Early recognition and treatment of a physeal bar in this location can be difficult. The purpose of this case report was to investigate whether early intervention could restore acetabular growth and prevent secondary acetabular dysplasia as measured on plain radiographs.

Is Lateral Pin Fixation for Displaced Supracondylar Fractures of the Humerus Better Than Crossed Pins in Children?

Jia-Guo Zhao MD, Jia Wang MD, PhD, Peng Zhang MD

Closed reduction and percutaneous pin fixation is considered standard management for displaced supracondylar fractures of the humerus in children. However, controversy exists regarding whether to use an isolated lateral entry or a crossed medial and lateral pinning technique.

Can Residual Leg Shortening Be Predicted in Patients With Legg-Calvé-Perthes’ Disease?

Kwang-Won Park MD, Kyu-Seon Jang MD, Hae-Ryong Song MD, PhD

Although Legg-Calvé-Perthes’ disease (LCPD) is frequently associated with varying degrees of femoral head deformity and leg length discrepancy (LLD), no factors that predict residual shortening have been clearly identified.

How Reliable Are Standard Radiographic Measures of the Foot and Ankle in Children With Achondroplasia?

Jia Xu MD, Kwang-Won Park MD, Qing-Lin Kang MD, PhD, Young-Jin Jung MD, Hae-Ryong Song MD, PhD

Radiographic measurements are typically used in achondroplasia (ACH) during correction of lower limb alignment. However, reliabilities for the measurements on weightbearing radiographs of the foot and ankle in patients with ACH have not been described, and the differences between the ACH population and subjects without ACH likewise have not been well characterized; these issues limit the use of studies on this subject.