Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Pediatrics 104 articles


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.

The Influence of Botulinum Toxin A Injections into the Calf Muscles on Genu Recurvatum in Children With Cerebral Palsy

Matthias C. M. Klotz MD, Sebastian I. Wolf PhD, Daniel Heitzmann MSc, Simone Gantz MSc, Frank Braatz MD, Thomas Dreher MD

With cerebral palsy (CP), an equinus deformity may lead to genu recurvatum. Botulinum toxin A (BtA) injection into the calf muscles is a well-accepted treatment for dynamic equinus deformity.

Variations in the Use of Diagnostic Criteria for Developmental Dysplasia of the Hip

Andreas Roposch MD, MSc, FRCS, Liang Q. Liu MBBS, PhD, Evangelia Protopapa MSc

Wide variation exists in reported prevalence estimates and management standards of developmental dysplasia of the hip (DDH). Discrepancies in diagnosticians’ opinions may explain some of this variation.

Osteonecrosis Complicating Developmental Dysplasia of the Hip Compromises Subsequent Acetabular Remodeling

Andreas Roposch MD, MSc, FRCS, Deborah Ridout MSc, Evangelia Protopapa MSc, Nicholas Nicolaou FRCS, Yael Gelfer MD, PhD

Osteonecrosis of the femoral head secondary to treatment of developmental dysplasia of the hip (DDH) affects acetabular remodeling but the magnitude of this effect is unclear.

Are Results After Single-event Multilevel Surgery in Cerebral Palsy Durable?

Erich Rutz MD, Richard Baker PhD, Oren Tirosh PhD, Reinald Brunner MD

Gait and function may deteriorate with time in patients with spastic diplegia. Single-event multilevel surgery often is performed to either improve gait or prevent deterioration. However it is unclear whether the presumed gait improvements are durable.

Mid-America Orthopaedic Association Physician in Training Award: Surgical Technique: Pediatric Supracondylar Humerus Fractures: A Technique to Aid Closed Reduction

Mary A. Herzog MD, Shelley M. Oliver MD, James R. Ringler MD, Clifford B. Jones MD, FACS, Debra L. Sietsema PhD

Anatomic reduction of some displaced pediatric supracondylar humerus fractures is not attainable via closed manipulation, thus necessitating open reduction. Open reduction has been associated with increased complications, including elbow stiffness, scarring, iatrogenic neurovascular injury, and longer hospital stays. Using a Schanz pin to aid in closed reduction may decrease the need for conversion to an open procedure, possibly reducing morbidity.

Calcaneal Lengthening for Planovalgus Foot Deformity in Patients With Cerebral Palsy

Ki Hyuk Sung MD, Chin Youb Chung MD, Kyoung Min Lee MD, Seung Yeol Lee MD, Moon Seok Park MD

Calcaneal lengthening has been used to correct planovalgus foot deformities in patients with cerebral palsy (CP).

Get Up, Get Out, Get Moving: An Interactive Tool for Education at Your Local School

Jennifer Weiss MD, Elizabeth Matzkin MD, Michael Flippin MD, Mark Pallis DO, Mark Rankin MD

Childhood obesity is a growing problem in America. Orthopaedic surgeons have an opportunity to interact with communities to educate children about healthy eating and physical activity. The American Academy of Orthopedic Surgeons (AAOS) Leadership Fellows Program [1] Class of 2012 created a presentation for AAOS members to bring to local schools. The goal was to teach the children about the potential complications of childhood obesity and the benefits of healthy living.

Does Obesity Affect Fracture Healing in Children?

Rushyuan J. Lee MD, Nigel N. Hsu MD, Colleen M. Lenz CRNP, Arabella I. Leet MD

Obesity is a risk factor for various orthopaedic diseases, including fractures. Obesity’s influence on circulating hormones and cytokines and bone mineralization ultimately influences the body’s osteogenic response and bone mineralization, potentially increasing the risk of fracture and impacting fracture healing.