Pediatria Medica e Chirurgica最新文献

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Treatment of congenital hip dislocation before the walking age. 行走年龄前先天性髋关节脱位的治疗。
Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.300
Daniele Sini, Federica De Rosa, Carlo Origo
{"title":"Treatment of congenital hip dislocation before the walking age.","authors":"Daniele Sini,&nbsp;Federica De Rosa,&nbsp;Carlo Origo","doi":"10.4081/pmc.2022.300","DOIUrl":"https://doi.org/10.4081/pmc.2022.300","url":null,"abstract":"<p><p>The worst type of hip developmental dysplasia, known as congenital hip dislocation (CHD), is characterized by acetabular cavity, proximal femoral segment, and ligamentus capsule apparatus dysmorphisms that result in partial or total loss of the hip joint's relationship. We provide the following example: Hip dislocation has been diagnosed in a male infant 2 months old. The patient underwent progressive abduction followed by longitudinal skin traction using the Morel technique. After performing an artrography on the hip while under general anesthesia, which revealed a reducible and stable hip, we continued with spica cast immobilization in a human position. To promote proper joint development, improve standing posture, enhance gait, and correct pelvic and spinal imbalances, the treatment aims to reduce joint dislocation and rebuild joint relationships. To gradually clean the structures and lower the risk of distant avascular necrosis (AVN) of the femoral head development, slow and gradual traction is applied to Morel's bed.</p>","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9474845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of slipped capital femoral epiphysis: What hardware we can use in osteosynthesis in situ? 股骨头骨骺滑动的处理:我们可以使用什么硬体进行原位植骨?
Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.297
Alessandra Merenda, Francesco Falciglia, Cristian Aletto, Angelo Gabriele Aulisa, Renato Maria Toniolo
{"title":"Management of slipped capital femoral epiphysis: What hardware we can use in osteosynthesis <em>in situ</em>?","authors":"Alessandra Merenda,&nbsp;Francesco Falciglia,&nbsp;Cristian Aletto,&nbsp;Angelo Gabriele Aulisa,&nbsp;Renato Maria Toniolo","doi":"10.4081/pmc.2022.297","DOIUrl":"https://doi.org/10.4081/pmc.2022.297","url":null,"abstract":"<p><p>Epiphysiolysis (or Slipped Capital Femoral Epiphysis, SCFE) is a hip disorder involving children during prepubescence age. Traditionally, it is defined as a postero-medial slippage of the femoral epiphysis on the metaphysis, but, considering that femoral epiphysis is almost \"stored\" in the acetabulum, it could be better defined as laterally and anterior slippage of femoral metaphysis under the epiphysis.</p>","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9474853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neglected patellar tendon rupture in tibial tubercle avulsion fracture in an adolescent: A case report. 青少年胫骨结节撕脱性骨折中被忽视的髌骨肌腱断裂1例。
Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.302
Valentina Luppi, Michele Mazzi, Andrea Micaglio, Arturo Rebeccato
{"title":"Neglected patellar tendon rupture in tibial tubercle avulsion fracture in an adolescent: A case report.","authors":"Valentina Luppi,&nbsp;Michele Mazzi,&nbsp;Andrea Micaglio,&nbsp;Arturo Rebeccato","doi":"10.4081/pmc.2022.302","DOIUrl":"https://doi.org/10.4081/pmc.2022.302","url":null,"abstract":"<p><p>A rare childhood injury is a combined tibial tubercle fracture and patellar tendon rupture, and this condition necessitates an open surgical procedure to perform a stable fixation of the tubercle fragment and a successful patellar tendon repair. When a tibial tubercle fracture in the tibia is present alone, a high index of suspicion is required. In this article, we described a case of a male teen who suffered a neglected patellar tendon rupture following close reduction and fixation of a tibial tubercle fracture.</p>","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9474848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Avascular necrosis of the first metatarsal head in adolescence: A case report. 青少年第一跖骨头缺血性坏死1例。
Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.293
Valentina Luppi, Marco Corradin, Roberto Schiavon, Silvia Pierantoni, Andrea Micaglio
{"title":"Avascular necrosis of the first metatarsal head in adolescence: A case report.","authors":"Valentina Luppi,&nbsp;Marco Corradin,&nbsp;Roberto Schiavon,&nbsp;Silvia Pierantoni,&nbsp;Andrea Micaglio","doi":"10.4081/pmc.2022.293","DOIUrl":"https://doi.org/10.4081/pmc.2022.293","url":null,"abstract":"<p><p>Avascular necrosis (AVN) of the first metatarsal (MTT) head is an uncommon condition and it occurs most often as a complication after capital osteotomy in correction of hallux valgus deformity. Idiopathic osteonecrosis of the first MTT head in adolescent are rare and treatment is challenging (1,2). Many conditions have been proposed as predisposing factors of AVN, including trauma, hemoglobinopathies such as sickle-cell disease, steroid therapy, Cushing's disease, alcoholism, Gaucher's disease, Caisson's disease, and irradiation (3,4). However, etiology remains elusive. We described a case of an idiopathic AVN of the 1st MTT in adolescent treated by dorsal closing-wedge osteotomy, which to the authors' knowledge has not been described before.</p>","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9474852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Congenital hip dysplasia: The importance of early screening and treatment. 先天性髋关节发育不良:早期筛查和治疗的重要性。
Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.290
Francesco Marras, Chiara Asti, Corrado Ciatti, Stefano Pescia, Cristian Locci, Francesco Pisanu, Carlo Doria, Gianfilippo Caggiari
{"title":"Congenital hip dysplasia: The importance of early screening and treatment.","authors":"Francesco Marras,&nbsp;Chiara Asti,&nbsp;Corrado Ciatti,&nbsp;Stefano Pescia,&nbsp;Cristian Locci,&nbsp;Francesco Pisanu,&nbsp;Carlo Doria,&nbsp;Gianfilippo Caggiari","doi":"10.4081/pmc.2022.290","DOIUrl":"https://doi.org/10.4081/pmc.2022.290","url":null,"abstract":"<p><p>Congenital Hip Dysplasia (CHD) is characterized by a hip joint dislocation between the femoral head and the acetabulum, with a multifactorial etiology. This disorder can be an isolated condition or the manifestation of a syndromic condition, and it has been estimated with higher rates than registered, with a predominance in female sex and left side; risk factors are now defined. In Italy, the incidence rate is 3-4%, with significant regional differences: higher in Lombardy and lower in Sicily. Because clinical examination alone is insufficient to diagnose CHD, it is supplemented with ultrasonography and X-ray if necessary. Surveillance, static or dynamic splints, or osteotomies are the only treatment options. The goal of this study was to evaluate our experience in terms of management and conservative treatment of all newborns from January 2018 to May 2022: female sex and left hip were major involved, risk factors were not significant in our case, but results from early diagnosis and treatments, in terms of better outcome, were interesting. After a strict 6-month follow-up period, 89.13% of the patients were classified as grade Ia or Ib according to the Graf classification system. Finally, we emphasize the importance of early universal screening and subsequent diagnosis to allow for early treatment of the disorder, at an age when conservative treatments can yield good results.</p>","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9845536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ACL lesions surgical treatment in pediatric patients. Our all-epiphyseal experience. 小儿ACL病变的外科治疗。我们所有的骨骺经验。
Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.298
Paolo Trezza, Francesco Uboldi, Antonio Memeo
{"title":"ACL lesions surgical treatment in pediatric patients. Our all-epiphyseal experience.","authors":"Paolo Trezza,&nbsp;Francesco Uboldi,&nbsp;Antonio Memeo","doi":"10.4081/pmc.2022.298","DOIUrl":"https://doi.org/10.4081/pmc.2022.298","url":null,"abstract":"<p><p>The prevalence of traumatic knee disease in children and young athletes has steadily increased over the past few years. The subjects who have engaged in intense sporting activities since a young age were especially vulnerable to developing an anterior cruciate injury. With the development of new imaging and clinical examination methods, diagnosis has also improved. The need to ensure joint growth without complications and the rising demands for a return to competitive sport are driving the search for an appropriate surgical technique. Today, only a few cases should receive conservative treatment. The main flaw of the extra-articular technique is that it doesn't respect the anatomy and results in excessive rigidity. Even precocious subjects can use the allepyphiseal technique, which allows for the respect of the growth plates. It does not present a particularly high complication rate and permits a full return to sports activities prior to the trauma with an adequate learning curve on the part of the surgeon. However, in more mature subjects with still open physis, the traditional transepiphyseal arthroscopic technique is possible as long as the tunnel is not too large. In any case, it is crucial to provide a thorough and ongoing follow-up until the end of growth as well as individualized rehabilitation.</p>","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9474850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Percutaneous Achilles tenotomy using a 18 gauge needle in the treatment of clubfoot with Ponseti method. 18号针经皮跟腱切开术治疗庞塞提法内翻足。
Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.295
Silvia Richetta, Antonio Andreacchio, Sergio Monforte
{"title":"Percutaneous Achilles tenotomy using a 18 gauge needle in the treatment of clubfoot with Ponseti method.","authors":"Silvia Richetta,&nbsp;Antonio Andreacchio,&nbsp;Sergio Monforte","doi":"10.4081/pmc.2022.295","DOIUrl":"https://doi.org/10.4081/pmc.2022.295","url":null,"abstract":"<p><p>Tenotomy is the final step in the corrective phase for the resolution of residual equinus in the Ponseti method of treating clubfoot. There are several methods for obtaining a complete section of the tendon, ranging from mini-open techniques to percutaneous with a scalpel or percutaneous with a large-gauge needle. Since April 2022, Vittore Buzzi Children's Hospital has performed 36 percutaneous tenotomies of the Achilles tendon in 24 patients using the percutaneous large-gauge needle technique. When compared to the traditional percutaneous scalpel tenotomy procedure, the use of this procedure has allowed us to reduce operating room time, where we routinely perform this type of surgery to optimize pain control and patient safety during the procedure. The technique has proven to be simple, safe, and effective in obtaining a complete section of the tendon; there have been no reports of excessive bleeding, pseudoaneurysms, or nerve injury. There were no differences in clinical outcome or recurrences of equinus that required reoperation during the average three-month follow-up from the previously used technique.</p>","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9474851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chronic Monteggia in pediatric population: A narrative literature review. 儿童慢性蒙氏病:叙述性文献综述。
Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.289
Chiara Arrigoni, Nunzio Catena
{"title":"Chronic Monteggia in pediatric population: A narrative literature review.","authors":"Chiara Arrigoni,&nbsp;Nunzio Catena","doi":"10.4081/pmc.2022.289","DOIUrl":"https://doi.org/10.4081/pmc.2022.289","url":null,"abstract":"<p><p>Monteggia lesion is a traumatic condition that affects the forearm and is characterized by the association of an ulna fracture with a dislocation of the radius capitellar and proximal radius ulnar joints in the majority of cases. Although several authors have contributed to the understanding of this pathology over the years, it remains a challenge for orthopedists, and if not recognized and treated properly, it can have serious consequences. In these cases, a chronic injury develops, which is even more difficult to manage in terms of timing and treatment options. A narrative review of the literature on missed elbow injuries in children was conducted, and chronic Monteggia was the most frequently encountered injury. The analysis of the articles attempts to clarify some points and draw general conclusions on which to reflect.</p>","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9845534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Slipped capital femoral epiphysis: Diagnostic pitfalls and therapeutic options. 股骨骨骺滑动:诊断陷阱和治疗选择。
Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.296
Elena Panuccio, Daniele Priano, Valerio Caccavella, Antonio Memeo
{"title":"Slipped capital femoral epiphysis: Diagnostic pitfalls and therapeutic options.","authors":"Elena Panuccio,&nbsp;Daniele Priano,&nbsp;Valerio Caccavella,&nbsp;Antonio Memeo","doi":"10.4081/pmc.2022.296","DOIUrl":"https://doi.org/10.4081/pmc.2022.296","url":null,"abstract":"<p><p>One of the most prevalent hip pathologies that develops during adolescence is Slipped Capital Femoral Epiphysis (SCFE), and over the past few decades, its incidence has been rising. To ensure an early diagnosis and prompt intervention, orthopedic surgeons should be aware of this entity. Review of recent developments in clinical examination and imaging diagnostic procedures. The presentation includes commonly used imaging methods, slippage measurement techniques, and classification schemes that are pertinent to treatment. An overview of SCFE surgery based on pertinent study findings and knowledge gained from ongoing clinical practice. The gold standard treatment for stable SCFE cases- those in which the continuity of the metaphysis and epiphysis is preserved-is pinning in situ using a single cannulated screw without reduction. However, there are disagreements over the best course of action for stable moderate/severe SCFE. On the best surgical strategy for unstable epiphysiolysis, no universal agreement has been reached. Finding the surgical procedure that will improve the long-term outcomes of a slipped capital femoral epiphysis is the question at hand.</p>","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9845532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Intestinal twin-to-twin transplant for short gut: Review of the literature and discussion of a complex case. 短肠的双胞移植:文献回顾和一个复杂病例的讨论。
Pediatria Medica e Chirurgica Pub Date : 2022-10-18 DOI: 10.4081/pmc.2022.287
Sara Ugolini, Riccardo Coletta, Antonino Morabito
{"title":"Intestinal twin-to-twin transplant for short gut: Review of the literature and discussion of a complex case.","authors":"Sara Ugolini,&nbsp;Riccardo Coletta,&nbsp;Antonino Morabito","doi":"10.4081/pmc.2022.287","DOIUrl":"https://doi.org/10.4081/pmc.2022.287","url":null,"abstract":"<p><p>Paediatric Intestinal Transplantation (IT) presents the highest mortality on the waiting-list due to anatomical disproportion. Living-Donor IT (LDIT) offers the best advantages and when performed among identical monozygotic twins, it also benefits from unique immunology. According to MEDLINE/Pubmed, twin-to-twin LDIT has been performed in seven cases (6:7 males, median age of 32 years). None of the patients received immunosuppression postoperatively. Only one paediatric twinto- twin LDIT was carried out with a 160-cm mid-ileum tract: an interposed 4/5-cm arterial graft was required to ensure a tensionfree anastomosis to the anterior wall of the infra-renal abdominal aorta. In contrast, venous anastomosis was done directly to the inferior cava vein. We present a case for debate of a 13- month-old SBS patient where a twin-LDIT was discussed with parents, who decided to wait after careful analysis and ethical considerations.</p>","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40341541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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