Journal of Pediatric Orthopaedics-Part B最新文献_第9页

Prevalence, number of fractures, and hospital characteristics among the pediatric population with osteogenesis imperfecta: results from the nationwide registry of Türkiye. 小儿成骨不全症患者的发病率、骨折数量和医院特征：土耳其全国登记处的结果。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-05-01 Epub Date: 2024-06-17 DOI: 10.1097/BPB.0000000000001192

Bariş Görgün, Niyazi Erdem Yaşar, İzzet Bingöl, Ebru Dumlupinar, Naim Ata, M Mahir Ülgü, Şuayip Birinci, Sinem Bayram, Güzelali Özdemir

{"title":"Prevalence, number of fractures, and hospital characteristics among the pediatric population with osteogenesis imperfecta: results from the nationwide registry of Türkiye.","authors":"Bariş Görgün, Niyazi Erdem Yaşar, İzzet Bingöl, Ebru Dumlupinar, Naim Ata, M Mahir Ülgü, Şuayip Birinci, Sinem Bayram, Güzelali Özdemir","doi":"10.1097/BPB.0000000000001192","DOIUrl":"10.1097/BPB.0000000000001192","url":null,"abstract":"Objective: Osteogenesis imperfecta is a rare connective tissue disorder with an estimated number of 4-20 cases per 100 000 inhabitants. Although the prevalence differs among regions, there are only a few number of national registry studies published previously. The aim of this study was to determine the prevalence of osteogenesis imperfecta among the pediatric age group in Türkiye, together with the patient and hospital characteristics.Methods: Via the e-health database of the Turkish Ministry of Health, we collected and retrospectively evaluated the medical records of the patients who were under 18 years of age with the diagnosis of osteogenesis imperfecta between 2016 and 2022. Total number of fractures, treatment modalities, and the hospital characteristics were also recorded. Two thousand seven hundred forty patients were extracted with a mean age of 9.77 ± 4.81 years.Results: The prevalence of osteogenesis imperfecta in Türkiye among the pediatric population was calculated as 11.6 per 100 000 individuals. The median annual incidence was 31.5 per 100 000 live births between 2016 and 2022. There were 17.4 hospital admissions per patient per year. The mean age at the time of in-hospital mortality was 4.08 ± 5.03 years. The fracture rate per patient per year was 0.56 and conservative treatment was the most commonly preferred modality for all ages.Conclusion: This is the first registry-based nationwide study of osteogenesis imperfecta patients in Türkiye, providing important characteristics of the disease. Together with the help of the ongoing development of national health database systems, precision in patient identification would yield substantial benefits in terms of management of osteogenesis imperfecta.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"249-256"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428136","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 novel sliding double flexible intramedullary nail technique for the management of lower extremity long bone fractures and deformities in osteogenesis imperfecta. 治疗成骨不全症下肢长骨骨折和畸形的新型滑动双柔性髓内钉技术。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-05-01 Epub Date: 2024-03-20 DOI: 10.1097/BPB.0000000000001178

Mohsen Karami, Mohammadreza Minator Sajjadi, Mina Fakhrzadegan, Akbar Ehsani

{"title":"A novel sliding double flexible intramedullary nail technique for the management of lower extremity long bone fractures and deformities in osteogenesis imperfecta.","authors":"Mohsen Karami, Mohammadreza Minator Sajjadi, Mina Fakhrzadegan, Akbar Ehsani","doi":"10.1097/BPB.0000000000001178","DOIUrl":"10.1097/BPB.0000000000001178","url":null,"abstract":"This study aimed to investigate the effectiveness of the sliding double flexible intramedullary nail technique (SDFIN) in managing lower extremity long bone fractures and deformities in patients with osteogenesis imperfecta (OI) based on radiographic measurements. This study was conducted involving type III or IV Silence OI patients who underwent treatment with SDFIN for fractures, deformity correction, or previous device failure. The surgical technique involved the insertion of two straight flexible intramedullary nails in each bone segment, with one inserted from the caudal epiphysis and the other from the proximal region. Clinical and radiological outcomes were evaluated with a mean follow-up of 62.8 ± 20.3 months. Among the 33 lower extremity long bone segments treated with SDFIN, revision was required in 12 segments, resulting in an overall complication rate of 51.5%. Complications included nail migrations observed in 10 cases, decreased joint range of motion in seven, refractures and malrotations in five, nail fracture, and nail extrusion in one case were observed. The femur group had a complication rate of 50%, while the tibia group had a rate of 53.3%. The SDFIN technique demonstrated satisfactory outcomes in managing leg fractures and deformities in OI patients. The technique showed comparable results to newly designed Faisser-Duval rods at a lower cost. Further research and refinement of the technique are necessary to reduce complications and improve patient outcomes.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"257-263"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319735","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

Stickler syndrome: associated musculoskeletal manifestations and first population-based incidence. Stickler综合征：相关的肌肉骨骼表现和首次基于人群的发病率。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-05-01 Epub Date: 2025-03-25 DOI: 10.1097/BPB.0000000000001180

Andreas Rehm, Ayla C Newton, Elizabeth Ashby, Pinelopi Linardatou Novak, Azeem Thahir, Rachael Clegg, Jehan Butt, Katerina Hatzantoni, Albert W T Ngu, Tamás Kobezda, Ramy Shehata, Joshua C Y Ong

{"title":"Stickler syndrome: associated musculoskeletal manifestations and first population-based incidence.","authors":"Andreas Rehm, Ayla C Newton, Elizabeth Ashby, Pinelopi Linardatou Novak, Azeem Thahir, Rachael Clegg, Jehan Butt, Katerina Hatzantoni, Albert W T Ngu, Tamás Kobezda, Ramy Shehata, Joshua C Y Ong","doi":"10.1097/BPB.0000000000001180","DOIUrl":"10.1097/BPB.0000000000001180","url":null,"abstract":"The objective of this study is to identify musculoskeletal manifestations associated with Stickler syndrome from an inclusive literature review and to perform the first population study to establish its incidence. We reviewed all for us retrievable publications linked to Stickler syndrome listed in PubMed and publications quoted within these publications going back to 1954. From our medical record data bases, we identified all patients with the diagnosis of Stickler syndrome out of a population of consecutive live births born in our maternity hospital between 2000 and 2016. We identified 504 publications of which we managed to obtain and review 487, listing 6182 patients with Stickler syndrome. Musculoskeletal manifestations were recorded in 161 publications (2157 patients: 649 children, 931 adults, unknown 577), providing information on musculoskeletal findings for 1738 patients. There were 237 lower limb-, 233 spinal- and 80 upper limb abnormalities recorded for children. Hyperlaxity was recorded for 100 and unspecified pain for 70 children and for 77 abnormalities it was not specified if upper or lower limbs were affected. Coronal and axial lower limb malalignment was documented 74 times. We identified four patients with Stickler syndrome out of 87 378 consecutive live births, giving an incidence of 1 in 21 844 live births. Patients with Stickler syndrome present with a large variety of musculoskeletal manifestations. Assessment by a paediatric orthopaedic surgeon in childhood would be beneficial to identify spinal abnormalities and alignment problems, such as coxa vara/valga, abnormal femoral version, genu valgum and distal lateral tibial dysplasia, where guided growth or osteotomies might be useful to alleviate future function and symptoms.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":"34 3","pages":"294-304"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722407","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

Incidence of slipped capital femoral epiphysis is associated with low childhood opportunity index. 股骨头骨骺滑动的发生率与儿童期机会指数低有关。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-04-29 DOI: 10.1097/BPB.0000000000001258

Amanda J McCoy, Kristin Ray, Samuel Wittman, Michael McClincy

{"title":"Incidence of slipped capital femoral epiphysis is associated with low childhood opportunity index.","authors":"Amanda J McCoy, Kristin Ray, Samuel Wittman, Michael McClincy","doi":"10.1097/BPB.0000000000001258","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001258","url":null,"abstract":"Slipped capital femoral epiphysis (SCFE) has historically been associated with Black race, male gender, and Hispanic ethnicity, obesity, and adverse social determinants of health. The child opportunity index (COI) 2.0 is an aggregate measure by ZIP code of 29 features of communities that can impact the life outcomes of children. We aimed to investigate the relationship between the incidence of SCFE and residential ZIP code COI. We retrospectively queried the surgical database of a tertiary-referral children's hospital in a medium-sized metropolitan area. We identified subjects who underwent index surgical fixation of SCFE over a 12-year period and determined their composite COI. We calculated the incidence rate, stratified by COI, for our metropolitan area. We performed Chi-squared analysis to determine the associations of SCFE chronicity and stability with COI and obesity. We reviewed 426 hips in 389 unique subjects. In the metropolitan area of interest, we identified a total of 244 hips in 220 unique subjects for an annual incidence rate of 4.17 per 100 000 person-years. Communities in the lowest quintile of COI had higher incidence rates (7.1), while communities in the highest quintile of COI had lower incidence rates of SCFE (2.7, P = 0.035), the relative risk of SCFE decreased by 11% (RR = 0.89, 95% confidence interval: 0.76-1.00). We identified a correlation between obesity and chronicity for our general analysis (P = 0.01163) and the metropolitan analysis (P = 0.005143). This study demonstrated an inverse relationship between SCFE incidence and COI at a pediatric tertiary referral center.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025348","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

Management of severe, neglected, bilateral congenital knee dislocation. 严重、被忽视的双侧先天性膝关节脱位的治疗。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-07 DOI: 10.1097/BPB.0000000000001246

Rajul Gupta, Premal Naik, Shital N Parikh

{"title":"Management of severe, neglected, bilateral congenital knee dislocation.","authors":"Rajul Gupta, Premal Naik, Shital N Parikh","doi":"10.1097/BPB.0000000000001246","DOIUrl":"10.1097/BPB.0000000000001246","url":null,"abstract":"Congenital dislocation of the knee (CDK) is a rare condition, often associated with syndromes and other limb anomalies. It is typically diagnosed and treated in early infancy. Neglected cases of CDK can present with significant deformities and loss of function. Their treatment is challenging and scarcely reported in the literature. The primary purpose of this study is to report on management of neglected CDK presenting in second decade of life. Four patients (eight knees) with severe, neglected, bilateral CDK who presented in their second decade of life were identified. Their preoperative radiographs were evaluated for presence of distal femoral dysplasia and compared to age-matched controls. Their clinical presentation, surgical treatment, and outcomes were analyzed at minimum 2 year follow-up. All four patients were 11-12 years old and had severe, bilateral, neglected CDK. Three patients had a quadrupedal gait. Preoperative radiographs showed significant distal femoral dysplasia when compared to controls. Surgical interventions included bilateral open reduction with quadricepsplasty in two patients and femoral flexion-shortening osteotomy (FSO) in two patients. At the latest follow-up, all patients had bipedal gait and improved quality of life. Postoperative radiographs showed improvement in distal femoral dysplasia in patients who underwent open reduction and quadricepsplasty. Patients with neglected CDK can present with quadrupedal gait. Compared to femoral FSO, open reduction and quadricepsplasty appears to be a better surgical treatment option as the latter can help restore joint articulation. Once the joint is reduced, distal femoral dysplasia can remodel to a certain extent. Level of evidence: Case series - Level 4.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568758","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

Factors influencing recurrence in clubfoot treatment with the Ponseti method in children under 5 years of age: a scoping review. 影响5岁以下儿童用Ponseti法治疗内翻足复发的因素：一项范围综述

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.0000000000001231

Esteban Portilla-Rojas, Gabriela Jovel-Trujillo, Lina Ramírez, Camilo Moreno, Juan Carlos Taborda

{"title":"Factors influencing recurrence in clubfoot treatment with the Ponseti method in children under 5 years of age: a scoping review.","authors":"Esteban Portilla-Rojas, Gabriela Jovel-Trujillo, Lina Ramírez, Camilo Moreno, Juan Carlos Taborda","doi":"10.1097/BPB.0000000000001231","DOIUrl":"10.1097/BPB.0000000000001231","url":null,"abstract":"Clubfoot (CF) is one of the most common musculoskeletal congenital abnormalities. Despite having optimal methods for its treatment, factors associated with the recurrence of CF treatment continue to be a topic of interest. The aim of this study was to perform a scoping review of the existing literature on factors associated with the recurrence of CF following treatment with the Ponseti method in children under 5 years of age. A scoping literature review was conducted in March 2024 using PubMed and Embase databases, and a structured research strategy. Screening of articles was performed by independent reviewers to ensure the inclusion of all pertinent studies. Considering inclusion and exclusion criteria, a final of 18 articles were included which encompassed factors associated with the recurrence of CF after treatment with the Ponseti method. The Ponseti method has demonstrated a high success rate in achieving CF correction. Various factors come into play regarding favorable outcomes and recurrence cases. The identified factors were initial severity scores for CF, age at the beginning of treatment, correct identification of idiopathic CF and complex CF, neuromuscular imbalance, poor nutritional status, noncompliance for the brace use, and the availability of a specialized attention center that ensured proper Ponseti method application and treatment adherence. Our findings highlight the importance of identifying different factors associated with the recurrence of CF following treatment with the Ponseti method, where timely intervention could minimize the risk of recurrence and achieve favorable outcomes.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"177-184"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958063","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

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