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 […]
Medial Epicondyle Fractures in the Pediatric Population
J Am Acad Orthop Surg April 2012 Hilton P. Gottschalk Abstract Humeral medial epicondyle fractures in the pediatric population account for up to 20% of elbow fractures, 60% of which are associated with elbow dislocation. Isolated injuries can occur from either direct trauma or avulsion. Medial epicondyle fractures also occur in combination with elbow dislocations. […]
Management of Pediatric Trigger Thumb and Trigger Finger
J Am Acad Orthop Surg April 2012 Apurva S. Shah America. Abstract Pediatric trigger thumb and trigger finger represent distinct conditions and should not be treated like adult acquired trigger finger. Over the last two decades, our understanding of the natural history of pediatric trigger thumb and the etiology and surgical management of pediatric trigger […]
Management of Supracondylar Humerus Fractures in Children: Current Concepts
J Am Acad Orthop Surg February 2012 ; 20 Joshua M. Abzug Abstract Supracondylar humerus fractures are the most common elbow fractures in the pediatric population. Type I fractures are managed nonsurgically, but most displaced injuries (types II, III, and IV) require surgical intervention. Closed reduction and percutaneous pinning remains the mainstay of surgical management. […]
Pediatric Disk Herniation
November 2011; 19 William F. Lavelle, Abstract Pediatric disk herniation is a rare condition that should be considered in the differential diagnosis of the child with back pain or radiating leg pain. Because pediatric disk herniation is relatively uncommon, there is typically a delay in diagnosis compared with time to diagnosis of adult disk herniation. […]
Surgical Management of Healed Slipped Capital Femoral Epiphysis
November 2011; 19 Paul R. T. Kuzyk, Abstract Slipped capital femoral epiphysis (SCFE) results in posterior and inferior displacement of the epiphysis on the femoral neck. In most centers, the recommended initial management of stable SCFE is in situ pinning. Minimal reduction with in situ pinning is recommended for unstable SCFE. This approach does not […]
Pediatric Cervical Spine Trauma
J Am Acad Orthop Surg October 2011 Thomas M. Jones, MD, Paul A. Anderson, MD and Kenneth J. Noonan, MD Abstract Pediatric cervical spine injuries are rare and are associated with significant morbidity and mortality. Pediatric anatomy and physiology predispose to upper cervical spine injury and spinal cord injury without radiologic abnormality in contrast to […]
Classic Bladder Exstrophy: Orthopaedic Surgical Considerations
Neil C. Vining , Kit M. Song , Richard W. Grady J Am Acad Orthop Surg September 2011 ; 19: Abstract Classic bladder exstrophy is an embryologic malformation that results in complex deficiency of the anterior midline, with urogenital and skeletal manifestations. Urogenital reconstruction is a challenging procedure that can be facilitated by closure of […]
Rheumatologic Conditions in Children Who May Present to the Orthopaedic Surgeon
J Am Acad Orthop Surg, Vol 19, No 3, March 2011 Marilynn Punaro, MD Juvenile idiopathic arthritis, formerly known as juvenile rheumatoid arthritis, is a heterogeneous group of diseases characterized by onset of chronic arthritis in childhood. Diagnosis requires onset of disease by age 16 years, persistent arthritis in any joint for 6 weeks, and […]
Revision Spine Surgery to Manage Pediatric Deformity
Han Jo Kim, MD, Matthew E. Cunningham, MD, PhD and Oheneba Boachie-Adjei, MD J Am Acad Orthop Surg, Vol 18, No 12, December 2010 Revision deformity surgery in the growing child is a complex clinical problem. Excellent outcomes can be obtained with meticulous patient evaluation followed by well-planned and well-executed treatment. A multidisciplinary team is […]
