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 […]
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. […]