Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Pediatrics 104 articles


Childhood Obesity Is Associated With Increased Risk of Most Lower Extremity Fractures

Jeff Kessler MD, Corinna Koebnick PhD, MPH, Ning Smith PhD, Annette Adams PhD, MPH

A number of studies have found an increased risk of lower extremity injuries in obese patients. Most studies, however, are unable to provide stable population-based estimates based on the degree of obesity and few assess the risk pertaining to more detailed fracture location in the lower extremities.

Lower Extremity Pain Is Associated With Reduced Function and Psychosocial Health in Obese Children

Sharon Bout-Tabaku MD, MSc, Matthew S. Briggs DPT, Laura C. Schmitt PT, MPT, PhD

Childhood obesity is associated with reduced quality of life, physical fitness, and a higher prevalence of lower extremity (LE) pain; however, it is unclear whether and how these factors are related.

Limb Lengthening and Reconstruction Society AIM Index Reliably Assesses Lower Limb Deformity

James J. McCarthy MD, Christopher A. Iobst MD, S. Robert Rozbruch MD, Sanjeev Sabharwal MD, Emily A. Eismann MS

Although several systems exist for classifying specific limb deformities, there currently are no validated rating scales for evaluating the complexity of general lower limb deformities. Accurate assessment of the complexity of a limb deformity is essential for successful treatment. A committee of the Limb Lengthening and Reconstruction Society (LLRS) therefore developed the LLRS AIM Index to quantify the severity of a broad range of lower extremity deformities in seven domains.

Widespread Osteonecrosis in Children With Leukemia Revealed by Whole-body MRI

Paivi Maria Miettunen MD, Lucie Lafay-Cousin MD, Gregory M. T. Guilcher MD, Alberto Nettel-Aguirre PhD, Vijay Moorjani MD

Confirmation of early long-bone epiphyseal osteonecrosis in pediatric patients with leukemia allows for medical and surgical intervention before articular surface collapse. MRI detects early osteonecrosis, but multiple focused MR images are required to capture all lesions.

How Does Bone Quality Differ Between Healthy-weight and Overweight Adolescents and Young Adults?

Christa L. Hoy MSc, Heather M. Macdonald PhD, Heather A. McKay PhD

Overweight youth have greater bone mass than their healthy-weight peers but sustain more fractures. However, it is unclear whether and how excess body fat influences bone quality in youth.

Childhood Obesity as a Risk Factor for Lateral Condyle Fractures Over Supracondylar Humerus Fractures

Eric D. Fornari MD, Mike Suszter DO, Joanna Roocroft MA, Tracey Bastrom MA, Eric W. Edmonds MD, John Schlechter DO

Obese children reportedly have an increased risk of sustaining musculoskeletal injuries compared with their normal-weight peers. Obese children are at greater risk for sustaining fractures of the forearm, particularly from low-energy mechanisms. Furthermore, obesity is a risk factor for sustaining an extremity fracture requiring surgery. However, it is unclear what role obesity plays in fractures about the distal humerus.

Reliability of Lower-limb Alignment Measurements in Patients With Multiple Epiphyseal Dysplasia

Bekhzad Akhmedov MD, Ki Hyuk Sung MD, Chin Youb Chung MD, Kyoung Min Lee MD, Moon Seok Park MD

Although radiographic measurements are used in multiple epiphyseal dysplasia (MED) during correction of lower-limb alignment, the reliabilities of the measurements are unclear.

Cell-based Therapy Improves Function in Adolescents and Young Adults With Patellar Osteochondritis Dissecans

Bryon J. X. Teo, Kizher Buhary BEng, Bee-Choo Tai PhD, James H. Hui FRCS

Recent advances have been made in using chondrocytes and other cell-based therapy to treat cartilage defects in adults. However, it is unclear whether these advances should be extended to the adolescent and young adult-aged patients.

Do Femoral or Salter Innominate Osteotomies Improve Femoral Head Sphericity in Legg-Calvé-Perthes Disease? A Meta-analysis

Neil Saran MD, MHSc, FRCSC, Renjit Varghese MBBS, MS (Orth), MHSc, Kishore Mulpuri MBBS, MS (Orth), MHSc

Recently, the authors of two prospective multicenter observational studies recommended surgery to improve head sphericity in older children, whereas large retrospective observational studies suggest that surgery does not improve head sphericity in older children. Thus, the treatment for Legg-Calvé-Perthes disease (LCPD) remains controversial.

Does Short-term Application of an Ilizarov Frame with Transfixion Pins Correct Relapsed Clubfoot in Children?

Mohamed Ahmed Refai MD, Sang-Heon Song MD, Hae-Ryong Song MD, PhD

Treatment of relapsed clubfoot after soft tissue release in children is difficult because of the high recurrence rate and related complications. Even though the Ilizarov method is used for soft tissue distraction, there is a high incidence of recurrence after removal of the Ilizarov frame owing to previous contracture of soft tissue and a skin scar.