Journal of Pediatric Orthopaedics-Part B最新文献

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-11-01 Epub Date: 2025-09-30 DOI: 10.1097/BPB.0000000000001296

引用次数: 0

Comparing the outcomes between conventional osteotomy and with the adjunct use of 3-dimensional printing in paediatric deformity osteotomy correction: a systematic review and meta-analysis. 比较常规截骨术和辅助使用三维打印在小儿畸形截骨矫正中的效果：系统回顾和荟萃分析。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-11-01 Epub Date: 2025-09-30 DOI: 10.1097/BPB.0000000000001242

Chen Xi Kasia Chua, Francis Jia Yi Fong, Jason Derry Onggo, Michael Gui Jie Yam

{"title":"Comparing the outcomes between conventional osteotomy and with the adjunct use of 3-dimensional printing in paediatric deformity osteotomy correction: a systematic review and meta-analysis.","authors":"Chen Xi Kasia Chua, Francis Jia Yi Fong, Jason Derry Onggo, Michael Gui Jie Yam","doi":"10.1097/BPB.0000000000001242","DOIUrl":"10.1097/BPB.0000000000001242","url":null,"abstract":"Recent advancements in medical technology have introduced three-dimensional (3D) printing as a promising adjunct to conventional osteotomy. This review aims to evaluate the clinical, radiological outcomes and complications of patients who underwent conventional osteotomy compared to osteotomy with the adjunct use of 3D printing in paediatric deformity correction. The review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The current study searched from inception to April 2023. All studies that compared outcomes between conventional osteotomy and osteotomy with the adjunct use of 3D printing in paediatric deformity correction in both upper and lower limbs were included. A total of 13 publications with 482 patients were included in this review. In terms of intraoperative parameters, the 3D group had a shorter operative time by 21.3 min [95% confidence interval (CI): 15.92-26.85] and less radiation exposure of -3.42 times (95% CI: -4.57 to -2.28). For radiological outcomes, 3D group had a smaller mean osteotomy error of -2.03 degrees (95% CI: -3.84 to -0.22) and 1.94 times higher odds (95% CI: 1.08-3.48) of having better radiological outcomes. The conventional osteotomy group has possibly a 1.4 risk (95% CI: 0.32-1.59) of growth plate, articular or risk of avascular necrosis compared to 3D templated group. The findings of this meta-analysis support the use of 3D printing as an adjunct in paediatric deformity correction for better intraoperative outcomes, reduce radiation exposure and better radiological accuracy in both upper and lower limb surgery.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"596-607"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scapular osteomyelitis, a challenging diagnosis: a systematic review in pediatric age. 肩胛骨骨髓炎，一个具有挑战性的诊断：儿科年龄的系统回顾。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-11-01 Epub Date: 2025-06-30 DOI: 10.1097/BPB.0000000000001271

Ilaria Liguoro, Sarah Ortis, Francesco Mancuso, Michele Patui, Paola Cogo, Chiara Pilotto

{"title":"Scapular osteomyelitis, a challenging diagnosis: a systematic review in pediatric age.","authors":"Ilaria Liguoro, Sarah Ortis, Francesco Mancuso, Michele Patui, Paola Cogo, Chiara Pilotto","doi":"10.1097/BPB.0000000000001271","DOIUrl":"10.1097/BPB.0000000000001271","url":null,"abstract":"Osteomyelitis of the scapula is a rare site of bone infection. Early diagnosis is difficult because of the rarity of localization, the rapid progression, and the misleading atypical manifestations. We systematically reviewed the current available evidence on osteomyelitis of the scapula to provide a synthesis on the epidemiology, clinical presentation, complications, and management of this infection. PubMed, Scopus, and Google Scholar databases were explored to identify studies, case series, and case reports with no time limits focused on children with scapular osteomyelitis. Thirteen articles were included in the final analysis, for a total of 17 patients (14 children and three newborns). The most frequently reported symptoms in children were pain (100%), limitation of shoulder movements (100%), and fever (79%). Several imaging tests were adopted (X-ray, ultrasound, computed tomography scan, and MRI) with pathological findings in most cases. Blood tests always showed a phlogistic state. The most frequent causative agent was methicillin-sensitive Staphylococcus aureus in children and group B Streptococcus in newborns. The mean total duration of antibiotic treatment was 51.5 days, with intravenous cephalosporins (43%), penicillins (36%), and aminoglycosides (29%) adopted as first-choice antibiotics in most cases. Full recovery was reported in most cases (79% in children). Osteomyelitis should be suspected in cases of osteomuscular symptoms even in the absence of fever or local signs. Inflammatory indices and white blood cell count can be only slightly elevated and normal X-rays cannot exclude the diagnosis, and in case of suspicion, MRI is mandatory.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"524-533"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intramedullary nailing of pediatric femoral fractures with postless technique: technique and early results. 无后位髓内钉治疗小儿股骨骨折：技术及早期结果。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-11-01 Epub Date: 2025-07-31 DOI: 10.1097/BPB.0000000000001279

Sahand Fallahi, Purav S Brahmbhatt, Sivashanmugam Raju

{"title":"Intramedullary nailing of pediatric femoral fractures with postless technique: technique and early results.","authors":"Sahand Fallahi, Purav S Brahmbhatt, Sivashanmugam Raju","doi":"10.1097/BPB.0000000000001279","DOIUrl":"10.1097/BPB.0000000000001279","url":null,"abstract":"This study aims to describe the novel technique of intramedullary nailing of pediatric femoral fractures with a postless distraction technique and to report the technique's safety, complications, and early clinical outcomes. A retrospective review was performed of pediatric patients at a single urban level I trauma center who underwent femoral nailing using the postless distraction technique. The senior author performed all procedures. We collected the following data for patients meeting inclusion criteria: age, sex, height, weight, BMI, fracture classification, quality of fracture reduction, intraoperative time, length of follow-up, and postoperative complications. There were 17 patients in our study. On average, patients were 14 years old (range 11-17 years) with a BMI of 24.73 kg/m 2 (19.37-32.66 kg/m 2 ). The mean length of follow-up for all patients was 41 weeks (6-100 weeks). There were no immediate or early postoperative complications during the follow-up of all patients. The use of a postless system allows for accurate, reproducible, and safe management of femoral fractures in the pediatric population. This project demonstrates the safety and feasibility of this technique, even in a child of small stature. Furthermore, pediatric femoral nailing using a postless system has not been previously described in the literature. This is the first study to describe this surgical technique.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"573-578"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comments on 'Does tranexamic acid reduce blood loss for children undergoing reconstruction for neuromuscular hip dysplasia? A matched comparative study'. 关于“氨甲环酸能减少因神经肌肉髋关节发育不良而接受重建的儿童的失血量吗？”一项匹配的比较研究。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-11-01 Epub Date: 2025-09-30 DOI: 10.1097/BPB.0000000000001282

Rohit Kumar, Pritam Kumar Bhagat, Rahul Kumar, Aman Kumar, Baibhav Mishra, Shubhav Sharma, Vikash Raj

引用次数: 0

Social media as an information source for pediatric musculoskeletal infections: a quality analysis of English language content. 社交媒体作为儿童肌肉骨骼感染的信息源：英语内容的质量分析。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-11-01 Epub Date: 2025-07-17 DOI: 10.1097/BPB.0000000000001273

Michael William Stickels, Varun Mahadevan, Kajol Majhail, Meghana Belthur, M'Hamed Temkit, Amirreza Fatehi, Mohan V Belthur

{"title":"Social media as an information source for pediatric musculoskeletal infections: a quality analysis of English language content.","authors":"Michael William Stickels, Varun Mahadevan, Kajol Majhail, Meghana Belthur, M'Hamed Temkit, Amirreza Fatehi, Mohan V Belthur","doi":"10.1097/BPB.0000000000001273","DOIUrl":"10.1097/BPB.0000000000001273","url":null,"abstract":"Social media is an accessible information source for patients and families but data on its educational veracity for pediatric musculoskeletal infections are limited. We aim to explore this gap by quantifying information quality on three social media platforms for two infections: acute hematogenous osteomyelitis and septic arthritis. Facebook, YouTube, and Instagram were searched using the keywords 'acute hematogenous osteomyelitis' and 'septic arthritis'. Four raters with medical backgrounds evaluated posts using the modified DISCERN 16-point scoring system to quantify educational value. The intraclass correlation coefficient measured the reviewers' agreement, group differences were analyzed using Kruskal-Wallis and Wilcox-rank sum tests, and predictors for DISCERN scoring were calculated with linear regression. Pairwise comparisons among septic arthritis posts showed higher scores with YouTube ( n = 50, 45.41 ± 12.44) than for Facebook ( n = 34, 32.70 ± 8.73) and Instagram ( n = 100, 24.71 ± 4.68) ( P < 0.001). For osteomyelitis, pairwise comparisons showed higher scores for YouTube ( n = 50, 46.62 ± 6.29) versus Facebook ( n = 19, 37.95 ± 9.69) and Instagram posts ( n = 100, 36.14 ± 6.16) ( P < 0.001). When aggregating infections, YouTube had the highest DISCERN score (46.01 ± 9.83) followed by Facebook (34.58 ± 9.35) and Instagram (30.42 ± 7.91); all pairwise comparisons were significantly different (all P < 0.001). Across all posts, authorship from medical institutions was associated with higher DISCERN scoring ( P < 0.001). Social media lacks educational veracity for pediatric musculoskeletal infections. Patients using social media as an information source for these diseases should preferentially gather information from medical institutions.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"552-559"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Age filtering in a TriNetX-based study of pediatric rickets. 基于trinetx的儿童佝偻病研究中的年龄过滤。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-11-01 Epub Date: 2025-09-30 DOI: 10.1097/BPB.0000000000001290

Miley Wang, Tsai-Chieh Hou, Joshua Wang

引用次数: 0

Comparison of clinical and biological data between septic arthritis of the hip and those of the knee caused by Kingella kingae. 脓毒性髋关节关节炎与由金氏菌引起的膝关节关节炎的临床及生物学资料比较。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-11-01 Epub Date: 2025-07-25 DOI: 10.1097/BPB.0000000000001275

Giacomo De Marco, Blaise Cochard, Ardian Ramadani, Elvin Gurbanov, Giorgio Di Laura Frattura, Anne Tabard-Fougère, Nathaly Gavira, Christina Steiger, Romain Dayer, Dimitri Ceroni

{"title":"Comparison of clinical and biological data between septic arthritis of the hip and those of the knee caused by Kingella kingae.","authors":"Giacomo De Marco, Blaise Cochard, Ardian Ramadani, Elvin Gurbanov, Giorgio Di Laura Frattura, Anne Tabard-Fougère, Nathaly Gavira, Christina Steiger, Romain Dayer, Dimitri Ceroni","doi":"10.1097/BPB.0000000000001275","DOIUrl":"10.1097/BPB.0000000000001275","url":null,"abstract":"Kingella kingae is the leading cause of osteoarticular infections in children under 4 years, with septic arthritis (SA) being the most common manifestation. The present study aimed to define the clinical and biological characteristics of SA of the hip and of the knee caused by K. kingae , and, secondarily, identify whether there were significant differences between them; this with the objective to assess if different possible strategies of diagnosis and treatment could be applied to different joints. Medical records of 100 children (50 hips, 50 knees) with confirmed K. kingae SA were analyzed, including sex, age, temperature, white blood cell (WBC) count, platelet count, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR). Children with hip SA had a significantly higher proportion of fever ≥38.5 °C (42% vs. 14%, P < 0.05) and higher median CRP levels (32.0 vs. 21.0 mg/L, P < 0.05) compared with those with knee SA. No significant differences were found in WBC count, ESR, or platelet count. These findings suggest that hip SA presents with more pronounced systemic inflammation (higher fever and CRP) than knee SA. Further research is needed to assess whether SA in other joints (e.g. ankle, wrist, and shoulder) also exhibits distinct clinical and biological patterns. This study highlights potential differences in K. kingae SA presentation based on joint involvement, which may influence clinical management. Further studies seem essential to understand whether SA affecting other joints (e.g. ankle, wrist, and shoulder) also results in specific clinical and biological presentations.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"534-540"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The alpha-defensin can rule out septic arthritis in pediatric cases: a first case series study. α -防御素可以排除化脓性关节炎的儿科病例：第一个病例系列研究。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-11-01 Epub Date: 2025-06-03 DOI: 10.1097/BPB.0000000000001266

Masayoshi Machida, Katsuaki Taira, Noboru Oikawa, Naho Nemoto, Brett Rocos, Shutaro Aiba, Kazuyoshi Nakanishi

{"title":"The alpha-defensin can rule out septic arthritis in pediatric cases: a first case series study.","authors":"Masayoshi Machida, Katsuaki Taira, Noboru Oikawa, Naho Nemoto, Brett Rocos, Shutaro Aiba, Kazuyoshi Nakanishi","doi":"10.1097/BPB.0000000000001266","DOIUrl":"10.1097/BPB.0000000000001266","url":null,"abstract":"Achieving a rapid diagnosis in suspected septic arthritis is challenging as a pathogen is only isolated in 50% of cases, and the necessary investigation takes time and delays treatment. The alpha-defensin lateral flow test (Synovasure) has been shown to effectively and rapidly diagnose prosthetic joint infection, with the benefit of early initiation of treatment. This study tests the hypothesis that the alpha-defensin can diagnose pediatric septic arthritis and differ nonseptic arthritis (NSA) in native joints. A retrospective cohort study analysis was carried out for patients presenting with joint pain and fever with a differential that included septic arthritis. The Synovasure alpha-defensin lateral flow test kit was used to detect alpha-defensin in synovial fluid aspirated from the symptomatic joint. Septic arthritis was defined as present when a causative bacteria was identified in either blood or synovial fluid culture, whereas NSA was recognized when a causative bacteria was not identified, drainage or antibiotic treatment was not implemented, and symptoms improved without joint destruction. Demographic data and culture results were compared between septic arthritis and NSA. Eighteen eligible cases were identified. Of these, six were defined as septic arthritis and 12 as NSA. There were no significant differences in age, body temperature, serum white blood cell count, and C-reactive protein. All cases with confirmed septic arthritis showed a positive alpha-defensin lateral flow test, whereas all of the NSA group showed a negative result. The Synovasure alpha-defensin lateral flow test may be a reliable investigation for rapidly distinguishing septic arthritis from NSA in children.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"515-519"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A pilot study of gait compensation for limb-length discrepancy in children and adolescents: threshold values and compensatory strategies in the sagittal plane. 儿童和青少年肢体长度差异步态补偿的初步研究：矢状面阈值和补偿策略。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-11-01 Epub Date: 2025-05-20 DOI: 10.1097/BPB.0000000000001265

An Seong Chang, Hae-Ryong Song, Mi Hyun Song

{"title":"A pilot study of gait compensation for limb-length discrepancy in children and adolescents: threshold values and compensatory strategies in the sagittal plane.","authors":"An Seong Chang, Hae-Ryong Song, Mi Hyun Song","doi":"10.1097/BPB.0000000000001265","DOIUrl":"10.1097/BPB.0000000000001265","url":null,"abstract":"The critical threshold of limb-length discrepancy (LLD) at which compensation strategies are initiated in pediatric patients is unclear. We used spatiotemporal parameters to determine the LLD threshold at which compensatory gait is induced in skeletally immature patients and analyzed these compensatory patterns in terms of kinematics and kinetics. The findings for 20 children who experienced LLD-associated gait discomfort and underwent three-dimensional gait analysis between 2016 and 2019 were reviewed. Using spatiotemporal parameters, the LLD threshold that causes gait asymmetry was determined by receiver operating characteristic (ROC) analysis. Patients were grouped into those with an LLD greater than the cutoff value and those without. The kinematics and kinetics of the two groups were compared. The ROC curve showed that step length was a critical indicator of gait compensation. The area under the curve was 0.882 for both absolute LLD and LLD ratio, with threshold values of 14.06 mm and 1.85%, respectively. The group with LLDs above the threshold showed significant interlimb differences in the hip flexion angle, ankle dorsiflexion angle, and hip joint moment in the sagittal plane ( P = 0.005, P = 0.015, and P = 0.047, respectively). Compensatory strategies for LLD began when the absolute LLD was 14.06 mm or the LLD ratio was 1.85%. These strategies included hip joint flexion, increased hip joint moment of the longer limb, and ankle joint plantar flexion of the shorter limb. Thus, even with LLD less than 2 cm, asymmetries may exist in joint kinematics and kinetics.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"588-595"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0