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 […]
Legg-Calvé-Perthes Disease
Harry K. W. Kim, MD J Am Acad Orthop Surg, Vol 18, No 11, November 2010 Abstract: Legg-Calvé-Perthes disease is an idiopathic hip disorder that produces ischemic necrosis of the growing femoral head. Permanent femoral head deformity is the most significant sequela. Experimental studies indicate that the pathologic repair process, which is marked by an […]
Guided Growth for the Correction of Pediatric Lower Limb Angular Deformity
J Am Acad Orthop Surg, Vol 18, No 9, September 2010 Neil Saran, MD and Karl E. Rathjen, MD Guided growth is useful in correcting pediatric angular deformities. Although growth manipulation has been applied to various deformities, it is most commonly used to correct coronal plane deformity about the knee. Temporary hemiepiphysiodesis is performed using […]
Bracing Following Correction of Idiopathic Clubfoot Using the Ponseti Method
NULL Lewis E. Zionts, MD and Frederick R. Dietz, MD J Am Acad Orthop Surg, Vol 18, No 8, August 2010 The Ponseti method for the management of idiopathic clubfoot has recently experienced a rise in popularity, with several centers reporting excellent outcomes. The challenge in achieving a successful outcome with this method lies not […]
Pediatric Tibial Eminence Fractures: Evaluation and Management
NULL Russell M. LaFrance, MD, Brian Giordano, MD, John Goldblatt, MD, Ilya Voloshin, MD and Michael Maloney, MD J Am Acad Orthop Surg 2010 18: Tibial eminence fractures result from both contact and noncontact injuries. Skeletally immature persons are especially at risk. In adults, isolated fractures of the tibial eminence are usually associated with higher-energy […]