Journal of Pediatric Orthopaedics最新文献

{"title":"Biomarker Longitudinal Idiopathic Scoliosis Study: Predicting Growth in Idiopathic Scoliosis.","authors":"Michelle C Welborn, Amer F Samdani, Michal Szczodry, Purnendu Gupta, Joseph Stone, Ryan Coghlan, Daniel Bouton, Robert H Cho, Selina Poon, Vishwas R Talwalkar, James O Sanders, Susan Sienko","doi":"10.1097/BPO.0000000000003022","DOIUrl":"10.1097/BPO.0000000000003022","url":null,"abstract":"<p><strong>Background: </strong>Growth has been theorized as one of the main risk factors for idiopathic scoliosis (IS) progression. Determining the amount and timing of growth is surprisingly challenging. Radiographic measures of skeletal maturity do not provide insight into the amount that individuals will grow. In addition, anthropometrics do not differentiate between early versus late growers. Biological measures have historically been nonspecific for growth, however, Collagen X Biomarker (CXM) is a direct measure of endochondral ossification and longitudinal bone growth. The aims of this study were (1) to determine the best anthropometric measure of growth in patients with idiopathic scoliosis (IS) and (2) to determine the best surrogate measure of height velocity.</p><p><strong>Methods: </strong>A prospective IRB-approved multicenter study of IS was followed every 6 months to measure anthropometrics and assess radiographic measures of skeletal maturity. Anthropometrics were assessed to determine linear measures of growth potential. Radiographs of the spine and hands were assessed for major curve magnitude (Cobb), Risser Sign (RS), Greulich and Pyle bone age (BA), Sanders Maturity Score (SMS), and Thumb Ossification Composite Index (TOCI). CXM levels were assessed with serial dried blood spots (DBS) collected on 3 consecutive days, every 1 to 2 months, based on SMS.</p><p><strong>Results: </strong>Two hundred fifty-four patients (193 female/61 male) with IS (Cobb ≥20) were recruited between 2018 and 2024. Average age at 12.9 years (range: 7 to 17), with the mean time of involvement 12 months (range: 1 to 63 mo). Standing height and height velocity (HtV) determined by standing height had the highest correlations with all other measures of length and length changes. CXM, SMS, RS, BA, TOCI, and age in months were all significant independent predictors of HtV. CXM accounted for the largest percentage of the explained variance in HtV at 50%. Multiple regression analysis was performed examining each measure independently and with the biomarker, and showed that the combination of CXM and RS explained the greatest amount of variance in height velocity at 55%.</p><p><strong>Conclusion: </strong>While there continues to be much that we do not know with regards to patient-specific measures of growth and growth potential, this study found that absolute height was the best measure of growth in adolescents with IS who are braced and CXM is the best measure of growth potential. Further study using advanced analytics will determine whether CXM in combination with other radiographic measures provides enhanced information from which to make clinical decisions regarding bracing and surgical intervention.</p>","PeriodicalId":16945,"journal":{"name":"Journal of Pediatric Orthopaedics","volume":" ","pages":"e754-e760"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Judet Extensive Quadriceps Release and \"à la carte\" Combined Procedures for the Management of Patellar Dislocation in Flexion.","authors":"Moritz Konkel, Nicolas Cance, Michael J Dan, Matthieu Baudoux, Antoine Josse, Franck Chotel","doi":"10.1097/BPO.0000000000003021","DOIUrl":"10.1097/BPO.0000000000003021","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to evaluate the management of patellofemoral instability in flexion, using mainly a Judet quadriceps release, combined with \"à la carte\" realignment procedures.</p><p><strong>Methods: </strong>A total of 37 knees operated on between 2011 and 2021 were included in this retrospective study. The mean age at surgery was 2.5, 12.2, and 11.7 years, respectively, for true congenital patellar dislocation (TCPD) (n=7), permanent patellar dislocation (PPD) (n=8), and habitual patellar dislocation in flexion (HPDF) (n=22). An extensive quadriceps release was performed in 36 knees and an additional associated release to the posterolateral structures was performed for the 7 knees with TCPD. \"À la carte\" surgery was also performed, including combined medial patellofemoral ligament (MPFL) reconstruction (n=25) or vastus medialis oblique (VMO) advancement (n=9), trochleoplasty (n=10), soft tissue (n=27) or bony (n=5) distal procedures on the tibial tuberosity, and femoral shortening and derotational osteotomy (4 knees with TCPD). The main outcomes measured were postoperative complications and recurrent dislocations. Functional outcomes were assessed using the Kujala score, simple knee value, quadriceps strength, and active and passive range of knee motion (ROM).</p><p><strong>Results: </strong>The mean postoperative follow-up was 6.5 years. Four knees had complications (11%), 2 requiring revision surgeries. Three knees (8%) had recurrent dislocation; the recurrence occurred in flexion due to incomplete quadriceps release (n=2) or in extension (n=1). The mean postoperative full flexion was 144.7 degree. The mean Kujala score and simple knee value were 93% and 87%, respectively. None of the children operated on <7 years old showed complications, recurrent dislocation, or a positive apprehension test (Smilie test), despite surgery being performed in more complex situations, including a higher number of syndromic patients.</p><p><strong>Conclusions: </strong>In combination with \"à la carte\" combined procedures, Judet procedure provides a good postoperative function with an excellent knee ROM and quadriceps strength and is associated with a low rate of complication or recurrence of dislocation for the management of patellar dislocation in flexion.</p><p><strong>Level of evidence: </strong>Level III.</p>","PeriodicalId":16945,"journal":{"name":"Journal of Pediatric Orthopaedics","volume":" ","pages":"e847-e855"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic Significance of Metaphyseal Changes in Legg-Calvé-Perthes Disease.","authors":"Zhenbiao Li, Chenyang Li, Xiaolin Luo, Zhirui Hua, Shijie Liao, Xiaofei Ding","doi":"10.1097/BPO.0000000000003032","DOIUrl":"10.1097/BPO.0000000000003032","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have established the relationship between changes in the femoral head epiphysis and prognosis of Legg-Calvé-Perthes disease (LCPD), whereas the clinical significance of metaphyseal changes remains to be elucidated. This study aims to investigate the correlation between the type of metaphyseal changes and disease severity, as well as determine whether it is associated with the prognosis of LCPD based on radiographic outcomes after undergoing containment therapy.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on the records of 105 patients with unilateral LCPD who underwent containment treatment. Three common types of metaphyseal changes were assessed using anteroposterior and frog-leg lateral radiographs, and the correlation between these change types and other clinical prognostic indicators was further analyzed. Univariate and multivariate logistic regression models were used to analyze potential risk factors affecting femoral head shape in children over 6 years of age, based on the Sphericity Deviation Score (SDS) was measured after epiphyseal healing, including age, stage at diagnosis, lateral pillar classification, Catterall classification, type of metaphyseal changes, and treatment method.</p><p><strong>Results: </strong>A total of 105 patients (mean age at diagnosis 6.8 y) were included. Among them, 6 showed no metaphyseal reaction, 45 had localized osteopenia, 29 exhibited cystic changes, and 25 presented with diffuse reactions. Of these patients, 40 received conservative treatment and 65 underwent surgeries. Surgical intervention significantly improved femoral head containment (extrusion index: 29.5±7.9 to 7.6±5.6, P <0.001). The frequency of spherical femoral heads after healing differed significantly among metaphyseal groups ( P <0.001), with the diffuse reaction group showing a higher rate of nonspherical femoral heads and significantly greater metaphyseal widening. Patients under 6 years had better outcomes than older children (88.9% vs. 56.5%, P =0.001). In patients over 6 years, multivariate analysis identified lateral pillar collapse (OR: 4.63, P =0.023) and diffuse metaphyseal reactions (OR: 7.31, P =0.009) as risk factors of poor femoral head sphericity. Cystic changes were not significantly associated with poor outcomes.</p><p><strong>Conclusion: </strong>Diffuse metaphyseal reaction is indicative of more severe condition in patients with LCPD, as well as its serve as a strong predictor of poor prognosis in patients over 6 years old, whereas metaphyseal cysts are less significant in predicting femoral head shape.</p><p><strong>Level of evidence: </strong>Level III-prognostic study.</p>","PeriodicalId":16945,"journal":{"name":"Journal of Pediatric Orthopaedics","volume":" ","pages":"e818-e825"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12410084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3D-Printed Casts Improve Patient-Reported Function and Satisfaction in Children With Stable Fracture Patterns.","authors":"Margaret J Higgins, Robert W Gomez, Morgan Storino, Nigel Wang, Adam Strouse, Zachary Zook, Kylie Coffield, Dustin A Greenhill","doi":"10.1097/BPO.0000000000003009","DOIUrl":"10.1097/BPO.0000000000003009","url":null,"abstract":"<p><strong>Background: </strong>Three-dimensional (3D) printing is an emerging technology with unclear roles in the care of pediatric orthopaedic fractures. The purpose of this study was to compare patient-reported impressions of custom 3D-printed casts (3DC) versus traditional fiberglass casts (TFC) after short arm immobilization of stable fracture patterns.</p><p><strong>Methods: </strong>Patients aged 18 years or younger with stable fracture patterns (per detailed criteria) treated with a short arm 3DC or TFC during a 2-year period were reviewed. Patients with less stable fracture patterns, <2 weeks of immobilization, or incomplete follow-up or outcomes assessments were excluded. Clinical outcomes were recorded. Patient-reported function and satisfaction outcomes were evaluated with a standardized patient activity survey and patient valuations of each immobilization device were compared using the validated Quebec User Evaluation of Satisfaction with Assistive Technology 2.0 (QUEST 2.0) assessment. Institutional charge estimates per distinct clinical scenarios were computed.</p><p><strong>Results: </strong>Among 106 included patients (49 3DC, 57 TFC), the average age was 10.0±3.2 (range: 2 to 18), and the average cast duration was 4.4±1.5 (2 to 10) weeks. Patients with 3D-printed casts reported it was easier to shower (1.2 vs. 2.6, P <0.001), swim (1.1 vs. 3.2, P <0.001), play sports (1.5 vs. 3.2, P <0.001), participate in family vacations (1.0 vs. 1.3, P =0.028), and they reported less overall functional limitations (1.5 vs. 2.3, P <0.001). Regarding satisfaction, 3D-printed casts were considered more durable (5.0 vs. 4.7, P =0.012). Skin irritation rates were equivalent between cohorts (12.2% 3DC vs. 8.8% TFC, P =0.559). There was 1 unplanned visit in the 3DC group versus 5 in the TFC group (2% vs. 9%, P =0.411). One patient lost alignment in a 3DC while violating activity restrictions. The most common difference in estimated institutional charges was $48 more for a 3DC (ranged from -$252 to $48).</p><p><strong>Conclusion: </strong>3D-printed casts outperformed TFCs in durability, a pediatric patient's ability to participate in common activities, and overall patient satisfaction in exchange for sometimes slightly higher estimated charges. In appropriate patients, 3D-printed casts offer a reasonable alternative to traditional fiberglass casts.</p><p><strong>Level of evidence: </strong>Level III.</p>","PeriodicalId":16945,"journal":{"name":"Journal of Pediatric Orthopaedics","volume":" ","pages":"546-551"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Art and Pediatric Orthopaedics Lam Qua: Scarred and Deformed.","authors":"Gleeson Rebello, Hitesh Shah, Benjamin Joseph","doi":"10.1097/BPO.0000000000003121","DOIUrl":"https://doi.org/10.1097/BPO.0000000000003121","url":null,"abstract":"<p><p>Lam Qua, a Chinese artist, was commissioned by Dr Peter Parker, a medical missionary, to paint portraits of patients attending the Canton Hospital with tumors and deformities. Among numerous such portraits painted by Lam Qua, one is of an adolescent boy with severe deformities of the right lower limb associated with extensive scarring. The possible causes of such scarring are discussed. The fact that appropriate measures adopted while treating major wounds of the limbs can prevent deformities from developing is emphasized.</p>","PeriodicalId":16945,"journal":{"name":"Journal of Pediatric Orthopaedics","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in the Regional Incidence of Lyme Disease Across the United States From 2004 to 2019: A PHIS Database Study.","authors":"Emma C Gossman, Aneesh G Patanker, Angela M Mercurio, Danielle L Cook, Ryan P Coene, Lanna Feldman, Matthew D Milewski","doi":"10.1097/BPO.0000000000003113","DOIUrl":"https://doi.org/10.1097/BPO.0000000000003113","url":null,"abstract":"<p><strong>Background: </strong>Lyme disease is the most common vector-borne disease in United States children. It was traditionally thought to be limited to the Northeast and upper Midwest due to the prevalence of tick and deer vectors in these regions. We hypothesize that as Lyme disease cases in children continue to increase throughout the country, nontraditional regions such as the Midwest and South may have an increased rate of Lyme disease compared with the Northeast region.</p><p><strong>Methods: </strong>The Pediatric Health Information System (PHIS) database was queried for patients 19.0 years or younger who were treated for Lyme disease between 2004 and 2019 through Emergency Department and in-patient records using ICD coding. Data from 49 pediatric hospitals was included and the centers were split into 4 regions based on geographic location. The data was separated into 2 time periods: 2004 to 2014 and 2015 to 2019. Slopes were compared using a general linear model with interaction to determine if annual rates of Lyme disease were statistically different between the 2 time periods. The data was then split by geographic region and again the annual rate of Lyme disease was compared between the 4 regions. A P-value <0.008 was considered significant to adjust for multiple comparisons.</p><p><strong>Results: </strong>Between 2004 and 2019, 7,572 cases of Lyme disease were reported with a mean age of 9.5 years (range: 0.08 to 19.00 y) and 58% male. From 2004 to 2019, there was an annual increase of 46.5 cases. When separated by region from 2004 to 2019, the Midwest had a higher increased annual rate of Lyme disease (30.7 additional cases/year) compared with the Northeast (10.0 additional cases/y), the South (3.6 additional cases/y), and the West (2.2 additional cases/y).</p><p><strong>Conclusions: </strong>Lyme disease continues to show an increased rate across the United States. The annual increase in cases in the Midwest was significantly higher than the other regions from 2004 to 2019. There does appear to be a significant regional spread, particularly in the Midwest. Awareness of the increased rate and spread of Lyme disease across the US is crucial in helping to identify national and regional strategies to diagnose and treat this disease in children.</p><p><strong>Level of evidence: </strong>Level IV.</p>","PeriodicalId":16945,"journal":{"name":"Journal of Pediatric Orthopaedics","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Caregiver Experiences Using Hip Spica Casts in Children Treated for Developmental Dysplasia of the Hip.","authors":"Tarini Boparai, Sana Arora, Luke Wu, Emily Bliven, Georgia Grzybowski, Kishore Mulpuri, Emily K Schaeffer","doi":"10.1097/BPO.0000000000003114","DOIUrl":"https://doi.org/10.1097/BPO.0000000000003114","url":null,"abstract":"<p><strong>Background: </strong>Current literature lacks comprehensive documentation on the burden placed on patient families managing spica casts for extended periods. Various complications associated with spica casts further intensify these challenges. To address this gap, our study aims to assess the lived experiences of families caring for children undergoing treatment for developmental dysplasia of the hip (DDH) with a hip spica cast.</p><p><strong>Methods: </strong>A comprehensive survey was designed to gather caregiver perspectives on various orthotic treatments for DDH. The survey consisted of both Likert statements and open-ended questions to provide a holistic understanding of caregiver experiences. This anonymous survey was distributed online through REDCap to the Global Hip Dysplasia Registry (GHDR) network, reaching participants through mailing lists, social media groups, and clinic visits at the authors' respective institutions. Targeting an international audience, the survey engaged parents and caregivers of pediatric patients treated with different orthoses, including harnesses, braces, and spica casts. The lived experiences of families managing hip spica casts were analyzed as a distinct subset of the broader data set.</p><p><strong>Results: </strong>A total of 140 respondents reported experience with a spica cast. Caregivers consistently reported concerns about restrictions on outings and daily activities while their child wore the spica cast. Hygiene issues, such as challenges with bathing and keeping the cast clean without getting it wet, were also prevalent. In addition, caregivers faced difficulties with cuddling and holding their children, although they emphasized that bonding remained intact. Many caregivers expressed feeling inadequately informed about spica casts, underscoring the need for improved education and support.</p><p><strong>Conclusions: </strong>While hip spica casts were acknowledged as an effective treatment for postsurgical DDH, caregivers expressed overall dissatisfaction due to challenges related to convenience, hygiene, bonding, and other daily caregiving difficulties.</p><p><strong>Level of evidence/clinical relevance: </strong>Understanding the lived experiences of families caring for children undergoing treatment for DDH with a hip spica cast can illuminate challenges and inform strategies for improved patient care and support. The findings from this investigation provide valuable insights that will be instrumental in refining the design of hip spica casts and enhancing education and support for caregivers, ultimately shaping future advancements in the treatment of DDH.</p>","PeriodicalId":16945,"journal":{"name":"Journal of Pediatric Orthopaedics","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transitional Fracture Patterns of the Pediatric Distal Radius.","authors":"Mikaela H Sullivan, Aliya G Feroe, Anika Dutta, Francis Baffour, Todd A Milbrandt, Alexander Y Shin, Nicholas Pulos","doi":"10.1097/BPO.0000000000003090","DOIUrl":"https://doi.org/10.1097/BPO.0000000000003090","url":null,"abstract":"<p><strong>Background: </strong>Distal radius fractures involving the physis are among the most common upper extremity injuries in children and adolescents. Unlike transitional fractures of the distal tibia, known as Tillaux and triplane fractures, transitional fractures of the distal radius have not been well characterized. This study aims to evaluate Salter-Harris III and IV fractures of the distal radius in the pediatric transitional age population to determine if a characteristic fracture pattern exists analogous to the distal tibia. We hypothesized that pediatric transitional fractures of the distal radius would follow a pattern that would ultimately dictate treatment and predict outcomes.</p><p><strong>Methods: </strong>A retrospective chart review of pediatric patients with transitional fractures of the distal radius at a single institution was performed. Salter-Harris III and IV fractures of the distal radius with CT imaging were included. Two independent reviewers determined the metaphyseal fracture plane and the major intra-articular epiphyseal fracture fragments. Descriptive statistical analysis was performed.</p><p><strong>Results: </strong>Thirty patients who met inclusion criteria made the study cohort. There were 5 Salter-Harris III fractures and 25 Salter-Harris IV fractures. Mean age at the time of injury was 15±1.5 years. The metaphyseal fracture demonstrated a coronal fracture plane in all cases, and 20% had a sagittal plane component. The major epiphyseal fracture fragments were identified as dorsal ulnar corner in 70%, radial column in 43%, volar rim in 30%, and dorsal wall in 17%. Patients were treated with open reduction and internal fixation (N=12, 40%), closed reduction and percutaneous pinning (N=4, 13%), or cast immobilization (N=14, 47%). Most patients (N=24, 80%) did not demonstrate a growth disturbance after treatment. Angular deformity, however, was significantly higher in patients with a primary dorsal ulnar corner epiphyseal fragment (N=4, 19% vs. N=0%, P=0.03).</p><p><strong>Conclusion: </strong>Transitional fractures of the distal radius occurred on average at age 15. The injuries demonstrated a consistent pattern, with a coronal fracture plane in the metaphysis and a dorsal ulnar corner fragment in most epiphyses. The dorsal physis may be the strongest portion of the distal radius at the time of injury, though mechanism of injury may impact patterns as well.</p><p><strong>Level of evidence: </strong>Level III.</p>","PeriodicalId":16945,"journal":{"name":"Journal of Pediatric Orthopaedics","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Treatment Outcomes at Skeletal Maturity After Physeal-sparing Procedures for Early-onset Slipped Capital Femoral Epiphysis Using a Long Screw With a Short-threaded Tip\".","authors":"Udit Agrawal, Syed Faisal Afaque","doi":"10.1097/BPO.0000000000003117","DOIUrl":"https://doi.org/10.1097/BPO.0000000000003117","url":null,"abstract":"","PeriodicalId":16945,"journal":{"name":"Journal of Pediatric Orthopaedics","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mini-invasive Medial Approach Is Safe for Cross-pinning in Pediatric Supracondylar Humerus Fractures When Performed by Resident Surgeons-A Retrospective Cohort Study.","authors":"Andreas Rehm, John E Lawrence, Hatem Osman, Eve McMahon, Rebecca J Worley, Elizabeth Ashby","doi":"10.1097/BPO.0000000000003118","DOIUrl":"https://doi.org/10.1097/BPO.0000000000003118","url":null,"abstract":"","PeriodicalId":16945,"journal":{"name":"Journal of Pediatric Orthopaedics","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}