Atlantoaxial Rotatory Subluxation in Children

Kevin M. Neal, MD J Am Acad Orthop Surg June 2015 ; 23 Atlantoaxial rotatory subluxation is a rare condition in which patients present with the acute onset of torticollis. Atlantoaxial rotatory subluxation represents a spectrum of disease from muscle spasm to a fixed mechanical block to reduction of the atlantoaxial complex. If left untreated, […]

The Use of Arthrography in Pediatric Orthopaedic Surgery

Philip D. Nowicki J Am Acad Orthop Surg August 2014 vol. 22 no. 8 Surgery near pediatric joints can be challenging because it is difficult to visualize vital articular structures. Assessment of underlying pathology is also challenging because the joint structures have not yet ossified. Arthrography is a useful tool that is quick and minimally […]

Platelet-rich Plasma in Orthopaedic Applications: Evidence-based Recommendations for Treatment

Wellington K. Hsu Abstract Autologous platelet-rich plasma (PRP) therapies have seen a dramatic increase in breadth and frequency of use for orthopaedic conditions in the past 5 years. Rich in many growth factors that have important implications in healing, PRP can potentially regenerate tissue via multiple mechanisms. Proposed clinical and surgical applications include spinal fusion, […]

Pediatric Thoracolumbar Spine Trauma

Alan H. Daniels Abstract Thoracolumbar spine trauma is an important cause of morbidity and mortality in pediatric patients. Special attention to this population is necessary because several unique features of the growing pediatric spine separate these patients from adult patients. These injuries are frequently associated with high-energy trauma and concurrent thoracic or abdominal injuries that […]

Septic Arthritis of the Neonatal Hip: Acute Management and Late Reconstruction

Julie Balch Samora J Am Acad Orthop Surg October 2013 vol. 21 no. 10 Abstract Septic arthritis of the hip in neonates is rare but can have devastating consequences. Presenting signs and symptoms may differ from those encountered in older children, which may result in diagnostic challenge or delay. Many risk factors predispose neonates to […]

The Pediatric Polytrauma Patient: Current Concepts

Nirav K. Pandya J Am Acad Orthop Surg March 2013 vol. 21 no. 3 Abstract Understanding the pediatric response to polytrauma is essential for the orthopaedic surgeon. The physiologic effects of multisystem injury that manifest in a child have important implications for coordination of treatment, particularly in relation to the timing and incidence of organ […]

Mucopolysaccharide Disorders in Orthopaedic Surgery

Klane K. White, Abstract The mucopolysaccharidoses (MPSs) are a family of disorders characterized by the accumulation of glycosaminoglycans, which is caused by enzyme deficiencies in the lysosomal metabolism of these normal cellular byproducts. Skeletal abnormalities are early and prominent features of MPS, and the orthopaedic surgeon is often the first healthcare provider to raise suspicion […]

Perioperative Pain Control in Pediatric Patients Undergoing Orthopaedic Surgery

Philip D. Nowicki, J Am Acad Orthop Surg December 2012 ; 20 Abstract Management of perioperative pain is critical in the pediatric patient undergoing orthopaedic surgery. A variety of modalities can be used to manage pain and optimize recovery and patient satisfaction, including nonopioid and opioid analgesia; local anesthetic injection; and regional analgesia such as […]

Submuscular Plating of Pediatric Femur Fracture

J Am Acad Orthop Surg. September 2012 ; 20 (9) Ying Li, MD and Daniel J. Hedequist, MD Abstract Currently, surgical management of pediatric femur fracture consists of intramedullary nailing with flexible nails or rigid trochanteric entry nails. Rigid trochanteric entry nails are the implant of choice for femoral fractures in adolescents, whereas titanium elastic […]

Principles of Rotationplasty

J Am Acad Orthop Surg. October 2012;20(10) Sumit Ku Abstract Rotationplasty is a reconstructive, limb-sparing option for management of lower extremity bone deficiency. This technique involves an intercalary resection, followed by 180° rotation of the distal limb to allow the ankle to function as a knee joint when it is fitted with a modified below-knee […]

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