Journal of Pediatric Orthopaedics-Part B最新文献_第6页

Toddler's fracture: an updated guide on evaluation and management. 幼儿骨折：评估和管理的最新指南。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2024-09-27 DOI: 10.1097/BPB.0000000000001210

McKenna C Noe, Dale E Jarka, Micah K Sinclair, Caleb W Grote

引用次数: 0

Early clubfoot recurrence can lead to more frequent and earlier second recurrences. 马蹄内翻足早期复发会导致第二次复发更频繁、更早。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2024-10-22 DOI: 10.1097/BPB.0000000000001214

Claire Schaibley, Beltran Torres-Izquierdo, Pooya Hosseinzadeh

{"title":"Early clubfoot recurrence can lead to more frequent and earlier second recurrences.","authors":"Claire Schaibley, Beltran Torres-Izquierdo, Pooya Hosseinzadeh","doi":"10.1097/BPB.0000000000001214","DOIUrl":"10.1097/BPB.0000000000001214","url":null,"abstract":"The frequency of multiple clubfoot recurrences following Ponseti casting and the effect on final outcomes have not been well studied. This study aims to evaluate the effect of early recurrence (during the first 2 years) on the timing and rate of subsequent recurrences. A retrospective review was conducted of children treated with Ponseti casting at a single institution from 2002 to 2023 with minimum follow-up until age 5. Patients who required comprehensive soft tissue surgery to obtain initial correction were excluded. Patient-Reported Outcomes Measurement Information System data were collected when available. A total of 86 patients were included; 69.8% (60) had idiopathic clubfoot. Average follow-up was 5.8 years. Early recurrence (recurrence before age 2) occurred in 26.7% (23). The rate of late recurrence (recurrence after age 2) was higher in the early recurrence group, 73.9% (17) vs. 39.7% (25), P = 0.005. Survival analysis revealed that patients with early recurrence experience late recurrence at a younger age of 3.9 vs. 6.7 years, P ≤ 0.001. The early recurrence group experienced more frequent recurrences, with a median of 3 [interquartile range (IQR): 1-5] total recurrences vs. 0 (IQR: 0-1), P ≤ 0.001. Patients with early recurrence had lower final mobility scores, 40.83 ± 10.88 vs. 48.00 ± 10.60, P = 0.029. In conclusion, this study suggests that early clubfoot recurrence leads to more frequent subsequent recurrence and earlier second recurrence. Patients with early recurrence had comparatively lower outcome scores, primarily due to multiple recurrences. Care providers could use this knowledge to educate parents about the natural history of recurrent clubfeet and emphasize the importance of brace compliance and routine monitoring.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"171-176"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479388","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

Is percutaneous heel cord tenotomy a necessary component in the Ponseti treatment of idiopathic clubfoot deformity? 经皮足跟脊髓肌腱切断术是治疗特发性内翻足畸形的必要手段吗？

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2025-01-07 DOI: 10.1097/BPB.0000000000001233

Lisa Cao, Sarah Parenti, Chan-Hee Jo, Anthony I Riccio

{"title":"Is percutaneous heel cord tenotomy a necessary component in the Ponseti treatment of idiopathic clubfoot deformity?","authors":"Lisa Cao, Sarah Parenti, Chan-Hee Jo, Anthony I Riccio","doi":"10.1097/BPB.0000000000001233","DOIUrl":"10.1097/BPB.0000000000001233","url":null,"abstract":"This study aimed to compare outcomes of idiopathic clubfeet (IC) treated with a percutaneous heel cord tenotomy (PHCT) at the conclusion of Ponseti casting with those that were not. A retrospective review of patients enrolled in a single institution prospective clubfoot registry over 19 years was performed. Patients under the age of 3 months with untreated IC managed via the Ponseti method that had a minimum of 2 years follow-up were included. Dimeglio score, number of casts to achieve correction, bracing compliance, need for subsequent procedures, and outcomes using the Richards classification were compared between patients who underwent a PHCT as part of their initial treatment and those that did not. A total of 1184 clubfeet in 791 patients met inclusion criteria; and 863 feet (73%) underwent a PHCT in clinic as part of initial Ponseti treatment. A total of 23% (75/321) of feet that did not undergo initial PHCT ultimately required a later PHCT or tendo-Achilles lengthening for recurrent equinus. Multivariate analysis demonstrated that an initial PHCT decreased the likelihood of requiring any additional surgical procedure by 30% (odds ratio: 0.70, P = 0.02). While an initial tenotomy was not predictive of clinical outcomes ( P = 0.09), the rate of fair and poor outcomes is more than double from 13.6 to 30% when an initial tenotomy was not performed in feet with Dimeglio scores of 13 or greater ( P = 0.02). Incorporation of a PHCT at the conclusion of Ponseti casting may reduce the need for subsequent and more invasive surgical interventions in IC patients, especially those with Dimeglio scores of 13 or greater. Level of evidence: therapeutic level III.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"157-161"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958072","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

Analysis of pediatric hand injuries in a tertiary care children's hospital. 某三级儿童医院小儿手部损伤分析。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2025-01-28 DOI: 10.1097/BPB.0000000000001188

Uğur Bezirgan, Göksel Vatansever, Yener Yoğun, Servet Elçin Alpat, Orhun Eray Bozkurt, Ebru Dumlupinar

{"title":"Analysis of pediatric hand injuries in a tertiary care children's hospital.","authors":"Uğur Bezirgan, Göksel Vatansever, Yener Yoğun, Servet Elçin Alpat, Orhun Eray Bozkurt, Ebru Dumlupinar","doi":"10.1097/BPB.0000000000001188","DOIUrl":"10.1097/BPB.0000000000001188","url":null,"abstract":"Pediatric hand traumas are common injuries in childhood. The incidence and type of injury vary with age. In our country, there are only two publications in which only crush is examined in etiology. In this study, we aimed to develop a strategy to prevent hand injuries by examining pediatric hand injuries according to the child's developmental stage and anatomical region. The data of 493 (315 boys, 178 girls) patients under the age of 18 between 2016 and 2020 were analyzed. Patients were categorized according to etiology and age. Males are more dominant in pediatric hand injuries (63.9%). The most common cause of hand injuries under the age of 4 years is scald burns. While distal phalanx fractures (79.7%) are more common under 7 years of age, little finger fractures (44.7%) are more common than other finger fractures over 7 years of age. The reason for the increase in fifth metacarpal (neck) fractures between the ages of 12 and 17 years is fighting and punching. Door/window jamming injuries (60.7%) are more common under the age of 7 years, while there is an increase in sports injuries (94.7%) over the age of 7 years. The findings of this study provided age-specific information about the anatomical site, objects, activities, mechanisms, diagnosis, and treatment associated with hand and finger injuries. While developing a strategy to prevent childhood hand and finger injuries in Turkey, it is necessary to focus on age.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":"34 2","pages":"142-150"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069235","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

Unraveling of cannulated screw threads during fixation of medial epicondyle humerus fractures in adolescents: short communication. 青少年肱骨内上髁骨折内固定过程中空心螺钉的解开：短沟通。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2025-01-28 DOI: 10.1097/BPB.0000000000001216

Rajul Gupta, Marcus Shelby, Roger Cornwall, Charles T Mehlman, Shital N Parikh

引用次数: 0

Six years of experience with the nationwide newborn ultrasonographic hip screening program in Turkey: a considerable change in the type of surgical interventions in developmental dysplasia of the hip. 土耳其全国新生儿超声髋关节筛查项目的六年经验：髋关节发育不良手术干预类型的重大变化。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2025-01-28 DOI: 10.1097/BPB.0000000000001207

Mehmet İsmail Safa Kapicioğlu, Ali Fuat Karataş, Mustafa Akkaya, Feza Korkusuz, Hakan Ömeroğlu

引用次数: 0

Evaluating the quality of life in mothers caring for children with congenital clubfoot: prospective sequential evaluation along the course of Ponseti management. 评估照顾先天性内翻足患儿的母亲的生活质量：Ponseti治疗过程中的前瞻性序贯评估。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2025-01-07 DOI: 10.1097/BPB.0000000000001229

Anil Agarwal, Prabhat Mittal, Varun Garg, Yogesh Patel, Kishmita Sachdeva, Ankitha Ks, Ashish Upadhyay, Jainam Salot

{"title":"Evaluating the quality of life in mothers caring for children with congenital clubfoot: prospective sequential evaluation along the course of Ponseti management.","authors":"Anil Agarwal, Prabhat Mittal, Varun Garg, Yogesh Patel, Kishmita Sachdeva, Ankitha Ks, Ashish Upadhyay, Jainam Salot","doi":"10.1097/BPB.0000000000001229","DOIUrl":"10.1097/BPB.0000000000001229","url":null,"abstract":"The post birth revelation of child with physical anomaly taxes maternal hopes of a healthy child. However, unlike many other congenital anomalies, the Ponseti method has enabled an early and effective treatment of the clubfoot deformity. Our study aimed to assess the quality of life (QoL) of mothers with child born with idiopathic clubfoot through various stages of its management compared to a healthy infant. The study was conducted on mothers of children born with untreated congenital idiopathic clubfoot presenting within first 3 months after birth and undergoing Ponseti treatment. The WHO Quality of Life Instrument (QoL), Short Form (WHOQOL-BREF) questionnaire was used to capture maternal responses at enrolment of the child at the clubfoot clinic, at percutaneous Achilles tenotomy, 3 weeks post tenotomy, and 1 month after prescription of foot abduction brace. Intertreatment comparison of QoL responses was performed. Baseline values for QoL domains were obtained for mothers born with healthy infants (controls). Responses from 29 affected mothers and 30 controls were available. The QoL responses from affected mothers were significantly lower than those born with healthy children. The domains most affected were psychological health and environment ( P < 0.001). Subsequent responses through various stages of Ponseti management remained comparable. Although the affected mothers' QoL was lower than mothers of healthy child, they were pacified by the available treatment and the counseling for clubfoot. Physical health and social relationship domains were no longer areas of concern for them. Further, there was no change of QoL across sequential Ponseti management.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"185-188"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958149","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

Approach to Gartland type 2 supracondylar humerus fractures: comment on the study by Zhu et al. Gartland 2型肱骨髁上骨折入路：对Zhu等人研究的评论

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2025-01-28 DOI: 10.1097/BPB.0000000000001225

Sitanshu Barik, Vikash Raj, Vishal Kumar

引用次数: 0

Comparison between unilateral and bilateral clubfoot treated with Ponseti method at walking age: static and dynamic assessment. Ponseti法治疗单侧和双侧畸形足在步行年龄的比较：静态和动态评估。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2024-10-01 DOI: 10.1097/BPB.0000000000001212

Marco Sapienza, Gianluca Testa, Andrea Vescio, Beatrice Scuderi, Claudia de Cristo, Ludovico Lucenti, Marco Simone Vaccalluzzo, Alessia Caldaci, Federico Canavese, Vito Pavone

{"title":"Comparison between unilateral and bilateral clubfoot treated with Ponseti method at walking age: static and dynamic assessment.","authors":"Marco Sapienza, Gianluca Testa, Andrea Vescio, Beatrice Scuderi, Claudia de Cristo, Ludovico Lucenti, Marco Simone Vaccalluzzo, Alessia Caldaci, Federico Canavese, Vito Pavone","doi":"10.1097/BPB.0000000000001212","DOIUrl":"10.1097/BPB.0000000000001212","url":null,"abstract":"This study evaluated the static, postural, dynamic, and clinical outcomes among five groups of patients: a bilateral CTEV (congenital talipes equinovarus) group treated with tenotomy ( n = 14), bilateral CTEV group treated conservatively ( n = 6), unilateral CTEV group treated with tenotomy ( n = 7), unilateral CTEV group treated conservatively ( n = 3), and control group ( n = 20). Data were collected through baropodometric examinations and clinical evaluations using Pirani, clubfoot assessment protocol, foot and ankle disability index (FADI), and American Orthopedic Foot and Ankle Society scores. Bilateral CTEV patients treated with tenotomy showed no statistically significant differences compared to healthy controls. Significant differences were found in lateral-lateral variation in the bilateral postural group ( P = 0.002) and in static peak pressure in unilateral tenotomy patients ( P = 0.046). Dynamic comparisons revealed significant differences in mean pressure between unilateral groups ( P = 0.002) and lateral-lateral variation in bilateral groups ( P = 0.004). The Pirani score showed significant differences between tenotomy-treated and postural patients ( P = 0.000). Statistically significant differences in FADI scores were found between bilateral groups ( P = 0.0037), between tenotomy-treated groups ( P = 0.0020), and between the bilateral tenotomy-treated group and the unilateral postural group ( P = 0.021). Bilateral CTEV patients treated with tenotomy develop static and dynamic values comparable to healthy controls. Bilateral patients develop better dynamic values compared to patients with a unilateral variant. Level of evidence: III.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"162-170"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958139","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

Is there a place for dorsal hemiepiphysiodesis of the first metatarsal in the treatment of pes cavovarus? 第一跖骨背侧半腓骨切除术在治疗穴状腓骨脱位症中有用武之地吗？

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2024-09-23 DOI: 10.1097/BPB.0000000000001209

Liliana S Domingues, Susana Norte, Mónika Thusing, Manuel C Neves

{"title":"Is there a place for dorsal hemiepiphysiodesis of the first metatarsal in the treatment of pes cavovarus?","authors":"Liliana S Domingues, Susana Norte, Mónika Thusing, Manuel C Neves","doi":"10.1097/BPB.0000000000001209","DOIUrl":"10.1097/BPB.0000000000001209","url":null,"abstract":"The objective of this study is to describe and evaluate dorsal hemiepiphysodesis of the first metatarsal as an osteotomy replacement technique. Retrospective analysis of patients with pes cavovarus (PCV) treated in our center with dorsal hemiepiphysodesis of the first metatarsal. Meary's angle, calcaneal pitch, and Moreau Costa Bartani were compared pre and post-operatively and the ratio between width and foot length was monitored. Between May 2012 and May 2022, eight patients (14 feet) with PCV underwent dorsal hemiepiphysiodesis of the first metatarsal combined with the Steindler procedure. Four patients (50%) were male. The average age for boys at surgery was 10.75 years (10-11) and for girls was 9.75 years (8-11). Most patients (87.5%) had idiopathic PCV and 12.5% had a neurological PCV. Median follow-up was 4.3 years (1.5-10) and a benefit was seen in all patients in Moreau Costa Bartani angle (112.64° vs. 120.59°; P value = 0.003), calcaneal pitch (26.48° vs. 25.36°; P value = 0.091) and Meary's angle (10.60° vs. 5.36°; P value = 0.008) after surgery. Supination improvement was also shown (0.21 vs. 0.24; P value = 0.039). Despite the limited number of patients, the results demonstrated that dorsal hemiepiphysiodesis of the first metatarsal can be a valid alternative to osteotomy of the base of the first metatarsal, with less morbidity and a gradual and dynamic correction throughout growth.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"151-156"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299699","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