Journal of Pediatric Orthopaedics-Part B最新文献_第3页

Tranexamic acid in elective pediatric orthopedic surgery: a comprehensive review.

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-02-27 DOI: 10.1097/BPB.0000000000001244

Gina Ledesma Negreiros, Dalmiro Zúñiga Baca, José Caballero-Alvarado, Carlos Zavaleta-Corvera

{"title":"Tranexamic acid in elective pediatric orthopedic surgery: a comprehensive review.","authors":"Gina Ledesma Negreiros, Dalmiro Zúñiga Baca, José Caballero-Alvarado, Carlos Zavaleta-Corvera","doi":"10.1097/BPB.0000000000001244","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001244","url":null,"abstract":"Tranexamic acid (TXA), approved initially for medical bleeding, has expanded its utility to various surgical contexts, including pediatric orthopedic and trauma surgery, though limited research has been conducted in this population. This study aimed to evaluate TXA's efficacy and safety in pediatric orthopedic and trauma surgeries, focusing on its impact on blood loss reduction and transfusion requirements. Through a comprehensive literature review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, eight retrospective studies were analyzed, all involving pediatric patients with cerebral palsy undergoing orthopedic surgery. TXA dosing regimens varied across studies, with loading doses ranging from 10 to 50 mg/kg and maintenance doses from 1 to 10 mg/kg/h. Consistently, TXA administration was associated with a significant decrease in intraoperative blood loss and transfusion needs compared with nonadministered groups, with no reported thromboembolic events, indicating its safety in pediatric orthopedic and trauma surgeries.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568760","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

Freiberg's disease: variation of surgeries, outcomes, and first population-based incidence.

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-02-24 DOI: 10.1097/BPB.0000000000001243

Andreas Rehm, Matthew Seah, Helen E Chase, Ben Gompels, Ayla C Newton, Hassan M T Fawi, Masroor Ahmed, Katerina Hatzantoni, Jehan Butt, Elizabeth Ashby

{"title":"Freiberg's disease: variation of surgeries, outcomes, and first population-based incidence.","authors":"Andreas Rehm, Matthew Seah, Helen E Chase, Ben Gompels, Ayla C Newton, Hassan M T Fawi, Masroor Ahmed, Katerina Hatzantoni, Jehan Butt, Elizabeth Ashby","doi":"10.1097/BPB.0000000000001243","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001243","url":null,"abstract":"The objective of this inclusive literature review is to identify surgeries performed for Freiberg's disease (FD) and their outcomes and to perform the first population-based study to establish its incidence. We reviewed all retrievable publications linked to FD listed in PubMed and publications quoted within these publications going back to 1914. Patients with FD and the number of livebirths born in our maternity hospital between 2000 and 2023 were identified from our hospital database. We identified 208 publications of which we managed to review 163 (1121 patients, 1169 feet, of which 939 feet underwent surgery, 116 had no surgery, and for 114, it was unknown if surgery was performed. Patient age: 194 × <18 years, 516 × ≥18 years, 411 × age unknown). The most frequently performed surgeries were intra-articular closing wedge metatarsal osteotomies through the defect (IDCWMO) (284 feet), extra-articular dorsal closing wedge metatarsal osteotomies (EDCWMO) (118 feet), osteochondral autologous transplantation (OAT) (64 feet), and modified Weil osteotomies with intra-articular dorsal closing wedge osteotomies (52 feet). Outcome scores were used in 39 publications, with the American Orthopaedic Foot and Ankle Society score having been used most frequently (28 studies, 462 patients, 482 feet). The mean scores were excellent for OATs and EDCWMOs and good for IDCWMOs and modified Weil osteotomies. We identified 124 644 livebirths and 44 patients with FD. In conclusion, multiple procedures achieved a high rate of excellent and good outcomes where nonoperative management failed. FDis rare, with an extrapolated incidence of 1 in 2833 livebirths.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517059","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

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.

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-02-21 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":"https://doi.org/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":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-21","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

Outcomes of displaced mid-shaft radius/ulna fractures in children treated with the Rang method: a pilot study.

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-02-04 DOI: 10.1097/BPB.0000000000001239

Joshua Chen, Sarah Peiffer, Sam Dressler, William Hennrikus

{"title":"Outcomes of displaced mid-shaft radius/ulna fractures in children treated with the Rang method: a pilot study.","authors":"Joshua Chen, Sarah Peiffer, Sam Dressler, William Hennrikus","doi":"10.1097/BPB.0000000000001239","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001239","url":null,"abstract":"Pediatric forearm fractures of the radius and ulna are common. Previous literature suggests that conservatively managed mid-shaft radius and ulna forearm fractures have a remanipulation rate of 10-70%. The purpose of this study is to compare the re-displacement rate of closed displaced mid-shaft both-bone forearm fractures (BBFF) in children treated with closed reduction and casting with a loop and sling applied proximal to the fracture site (Rang method) compared with a standard sling. A retrospective review was performed of 42 patients under the age of 14 with BBFF treated over a 4-year period. The average patient age was 7 years. Data analyzed included demographics, mechanism of injury, presence of a pulse, presence of nerve injury, incidence of compartment syndrome, sling type, loss of reduction, remanipulation, and need for surgical fixation. Loss of reduction was defined as a final number of >15° angulation if age <10 years old and >10° angulation if >10 years old. Fifteen patients (36%) were treated with the Rang method. Twenty-seven patients (64%) were given a standard sling. Only one patient (7%) managed with the Rang method lost reduction, whereas 17/27 patients (63%) given a regular sling lost reduction and required remanipulation (P = 0.0004). Treatment of a BBFF in a child aged <14 years typically involves closed reduction and casting. The 'Rang' method of placing a loop and attached sling proximal to the fracture site is a casting pearl that helps to minimize fracture redisplacement.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191192","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

Clinical study of the 'U'-shaped staple-guided growth technique in the treatment of congenital anterolateral bowing of the tibia in children. U "形钉引导生长技术治疗儿童先天性胫骨前外侧弯曲的临床研究。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-01-31 DOI: 10.1097/BPB.0000000000001237

XiaoYu Zhou, YaoXi Liu, Hao Chen, Xiongke Hu, GuangHui Zhu, Kun Liu, ZeXi Jiang, Han Xiao, HaiBo Mei

{"title":"Clinical study of the 'U'-shaped staple-guided growth technique in the treatment of congenital anterolateral bowing of the tibia in children.","authors":"XiaoYu Zhou, YaoXi Liu, Hao Chen, Xiongke Hu, GuangHui Zhu, Kun Liu, ZeXi Jiang, Han Xiao, HaiBo Mei","doi":"10.1097/BPB.0000000000001237","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001237","url":null,"abstract":"The aim of this study was to investigate the early effectiveness of guided growth techniques for managing congenital anterolateral bowing of the tibia (ALBT) in children. A retrospective analysis was performed involving 18 patients with ALBT treated with the 'U'-shaped staple-guided growth technique between January 2020 and October 2022 at two centres. Anteroposterior and lateral radiographs of both lower limbs and the tibia as well as the fibula were collected before surgery, at the time of implant removal, or at the last follow-up. Changes in the coronal tibial diaphyseal angulation, sagittal tibial diaphyseal angulation, anatomical medial proximal tibial angle (aMPTA) and anatomical lateral distal tibial angle (aLDTA) were statistically analysed to evaluate the correction effect of the ALBT. All patients were followed up for an average of 23.36 months (range: 14.53-37.2 months). All 18 patients demonstrated an improvement in the coronal plane tibial shaft angle, with an average correction of 17.94° (range: 5.54°-33.52°). Fourteen patients displayed an improvement in the sagittal plane tibial shaft angle, with an average correction of 13.44° (range: 1.89°-32.6°). Both the aMPTA and aLDTA levels decreased after treatment. No tibial pseudarthrosis occurred in any of the 18 patients during the follow-up. The guided growth technique is effective in improving the ALBT, preventing further angular deformities of the tibia, and may delay or prevent tibial pseudarthrosis. Moreover, the guided growth technique is simple to perform, minimally invasive and associated with few complications.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191188","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

Clinical characteristics of acute epiphyseal osteomyelitis and acute metaphyseal osteomyelitis of long bones in children. 儿童长骨急性骨髓炎和急性干骺端骨髓炎的临床特点。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-01-21 DOI: 10.1097/BPB.0000000000001235

Haiting Jia, Tao Liu

{"title":"Clinical characteristics of acute epiphyseal osteomyelitis and acute metaphyseal osteomyelitis of long bones in children.","authors":"Haiting Jia, Tao Liu","doi":"10.1097/BPB.0000000000001235","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001235","url":null,"abstract":"This study aimed to summarize the clinical characteristics of acute epiphyseal osteomyelitis and acute metaphyseal osteomyelitis of long bones in children. Data of 43 children with acute osteomyelitis of long bones diagnosed and treated from November 2017 to January 2021 were retrospectively analyzed. Medical records, laboratory results, and MRI were reviewed. Surgical drainage of lesions was done to retrieve infective fluid and tissue for examination. There were 12 cases of metaphyseal and epiphysis involvement, including five boys and seven girls, aged from 1 to 12 years old, and the length of hospitalization was 21-45 days. There were six cases of distal femur, five cases of proximal tibia, and one case of distal humerus. The pathogenic microorganisms were methicillin-sensitive Staphylococcus aureus (MSSA) in six cases and methicillin-resistant Staphylococcus aureus (MRSA) in six cases. No complications were reported during the follow-up. Thirty-one cases of simple metaphyseal involvement, including 20 boys and 11 girls, aged 19 days to 12 years, and the length of hospitalization was 18-60 days. Twelve cases of distal femur, 11 cases of proximal tibia, three cases of distal humerus, two cases of proximal tibiofibular, two cases of proximal fibula, and one case of proximal ulna. The pathogenic microorganism was MSSA in 26 cases and MRSA in five cases. One patient with knee contracture during follow-up. Epiphyseal osteomyelitis is rare but can occur in older children. The prognosis is good with aggressive surgical treatment.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015225","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

Interobserver reliability of Pirani scoring for idiopathic clubfoot in walking-age children. 学龄儿童特发性内翻足的皮拉尼评分的观察者间信度。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-01-21 DOI: 10.1097/BPB.0000000000001236

Anil Agarwal, Ashish Upadhyay, Varun Garg, Kishmita Sachdeva, Ankitha Ks, Jainam Salot

{"title":"Interobserver reliability of Pirani scoring for idiopathic clubfoot in walking-age children.","authors":"Anil Agarwal, Ashish Upadhyay, Varun Garg, Kishmita Sachdeva, Ankitha Ks, Jainam Salot","doi":"10.1097/BPB.0000000000001236","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001236","url":null,"abstract":"Pirani scoring system is one of the most commonly used tools to assess the initial deformity, monitor the treatment progression, and identify relapse in clubfoot. The method has been demonstrated to correlate well with the sequential correction of deformity for children under age 1 year. We conducted a study to examine the interobserver reliability of Pirani scores in children of walking-age. The retrospective study focused on children >1 year age with idiopathic clubfoot presenting for primary treatment. The Pirani scores at presentation charted by pediatric orthopedic consultant and orthopedic registrars were compared and the intergroup reliability calculated using Cohen's kappa. Thirty-five feet in 22 clubfoot children (13 bilateral) were analyzed. The mean child's age was 3.9 years. The mean Pirani score for the consultant was 3.2 and for the registrars was 3.6. The overall reliability of Pirani score was 0.3 ('fair'). The highest reliability was calculated for the head of talus (0.55), rigid equinus (0.48), and lateral border (0.44) (moderate). A lower kappa was recorded for medial crease (0.28), posterior crease (0.34), and empty heel (0.4). The registrars graded the clubfoot deformity in the walking-age child as more severe compared to the consultant. The mean Pirani scores for medial and posterior crease subcomponents were low. Contrary to the common perception, empty heel manifested even in this age group. Looking to the statistics of 'fair' reliability of Pirani score for older child, further research is warranted to develop more reliable scores for assessment and treatment of clubfoot.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015226","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

Short-term outcomes of gradual ulnar lengthening in multiple hereditary osteochondromas of the forearm with monolateral external fixator. 单侧外固定架治疗前臂多发性遗传性骨软骨瘤患者尺骨逐渐延长的短期疗效。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-01-09 DOI: 10.1097/BPB.0000000000001232

Seyed Arman Moein, Javad Dehghani, Reza Fereidooni, Mohammad Hadi Gerami, Asal Seifaei, Seyyed Hamidreza Ayatizadeh

{"title":"Short-term outcomes of gradual ulnar lengthening in multiple hereditary osteochondromas of the forearm with monolateral external fixator.","authors":"Seyed Arman Moein, Javad Dehghani, Reza Fereidooni, Mohammad Hadi Gerami, Asal Seifaei, Seyyed Hamidreza Ayatizadeh","doi":"10.1097/BPB.0000000000001232","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001232","url":null,"abstract":"Hereditary multiple exostoses is an autosomal dominant genetic condition primarily affecting long bones. Forearm deformities, including wrist ulnar deviation, ulnar shortening, radial or ulnar bowing, and radial head dislocation, are common manifestations. Gradual ulnar lengthening is suggested as a viable treatment option for managing these deformities. This retrospective single-center study included 15 forearms treated with gradual ulnar lengthening using a monolateral external fixator by a single surgeon. Clinical and radiological characteristics were recorded preoperatively and during follow-ups. The Wilcoxon signed-rank test compared preoperative and postoperative radiological and clinical parameters, while McNemar's test assessed changes in radial head dislocation or subluxation. Significant radiological improvements were observed post-treatment. Proportional ulnar length increased from a mean of 0.85 ± 0.10 preoperatively to 1.11 ± 0.03 at the last follow-up (P < 0.001). Ulnar variance decreased from a mean of 17.6 ± 5.58 mm preoperatively to 0.13 ± 1.81 mm at the last follow-up (P < 0.001), while radial bowing decreased from a mean of 0.06 ± 0.02 to 0.05 ± 0.01 at the last follow-up (P < 0.001). In addition, the radioarticular angle decreased significantly from a mean of 29.93 ± 7.34 to 20.20 ± 5.71° (P < 0.001). The incidence of radial head dislocation or subluxation decreased significantly, from 11 patients preoperatively to only one at the last follow-up. These findings demonstrate the effectiveness of gradual ulnar lengthening with a monolateral external fixator in correcting forearm deformities and reducing the incidence of radial head dislocation or subluxation.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957148","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

Intramalleolar triplane ankle fractures in adolescents. 青少年踝内三平面踝关节骨折。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-01-08 DOI: 10.1097/BPB.0000000000001230

Heloisa Z Faggion, Javier Masquijo, Weverley R Valenza, Jamil F Soni, Gabriel J S Lange

{"title":"Intramalleolar triplane ankle fractures in adolescents.","authors":"Heloisa Z Faggion, Javier Masquijo, Weverley R Valenza, Jamil F Soni, Gabriel J S Lange","doi":"10.1097/BPB.0000000000001230","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001230","url":null,"abstract":"This article aims to describe a multicenter cohort of atypical triplane ankle fractures with intramalleolar involvement of the epiphysis, providing insights into the affected population, treatment outcomes, and complications. In addition, we propose a treatment strategy for such fractures based on our findings. A retrospective analysis was conducted on adolescent patients diagnosed with triplane ankle fractures. Data from three participating centers in Brazil and Argentina were collected and analyzed. Treatment strategies, including surgical and nonsurgical approaches, were evaluated. Clinical outcomes such as pain levels, functional scores (AOFAS), and return to normal activities were assessed. Radiographic evaluations were performed to evaluate fracture healing and alignment. Data were collected from seven patients with an average age of 13 years. The sample consisted predominantly of male patients (6/7), with the left side affected (6/7) and Shin type 3 fractures. Two cases were treated conservatively, with consolidation within the expected period without subsequent displacements or negative functional repercussions (AOFAS score, 100). In surgical cases, starting fixation from the metaphysis made it possible to avoid fixation of the epiphyseal fragment in all cases, except one. All surgically treated cases had consolidation within the expected time, without subsequent deviations or complications. This multicenter evaluation offers valuable insights into the presentation of fractures, diverse treatment approaches employed, and their respective clinical and radiographic outcomes. However, further prospective studies with larger sample sizes are necessary to validate these findings and to establish evidence-based treatment guidelines for this specific fracture pattern in the adolescent population.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958071","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

Was the ultrasound examination for developmental dysplasia of the hip performed correctly? Introduction of a rapid training tool for nonexpert practitioners. 髋关节发育不良的超声检查是否正确？为非专业从业人员引入快速培训工具。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-01-07 DOI: 10.1097/BPB.0000000000001228

Manuele Lampasi, Giovanni Lucchesi, Camila Bettuzzi, Salvatore Bonforte, Federico Canavese

{"title":"Was the ultrasound examination for developmental dysplasia of the hip performed correctly? Introduction of a rapid training tool for nonexpert practitioners.","authors":"Manuele Lampasi, Giovanni Lucchesi, Camila Bettuzzi, Salvatore Bonforte, Federico Canavese","doi":"10.1097/BPB.0000000000001228","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001228","url":null,"abstract":"Pediatricians and general practitioners are involved in the newborn screening for developmental dysplasia of the hip. They often rely on the quality of the ultrasound (US) examination to make diagnostic and therapeutic decisions. Therefore, the professional must be able to assess its quality. The aim of our work is to present a new system to evaluate the quality of a neonatal hip US and to assess the effectiveness and reproducibility of this tool among professionals involved in the evaluation of the neonatal hip but not experts in the radiological examination of hip US. In a 15-min training session, 135 professionals involved in neonatal hip US screening with limited or no experience in evaluating the quality of hip US were taught to recognize the basic landmarks of hip US using evocative descriptions (Christmas ball) despite the technical terms. Before and after training, participants were given a test of 10 hip US images presented in random order and asked to identify incorrect images. One hundred thirty-five physicians participated in the study. In the first and second evaluation, participants answered 1.46 ± 2.49 and 8.64 ± 1.51 questions correctly on average (P < 0.05); analysis of the individual questions showed a significant improvement (P < 0.05) for all questions. A simple and relatively quick training tool can help professionals with little or no experience in interpreting neonatal hip US to understand when a hip US exam has been performed incorrectly and improve their diagnostic and therapeutic decisions. Level of evidence: III.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957160","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