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 […]
Upper Extremity Surgery in Children With Cerebral Palsy
Craig Lomita, MD, Marybeth Ezaki, MD and Scott Oishi, MD, FACS J Am Acad Orthop Surg 2010 18 Pediatric patients with cerebral palsy present unique challenges. Any treatment regimen must take into account potential growth, possible sequelae of surgery, and, in some cases, significant behavioral issues. Careful evaluation of motor and sensory function of the […]
Treatment of Pediatric Diaphyseal Femur Fractures
J Am Acad Orthop Surg, Vol 17, No 11, November 2009, Mininder S. Kocher, MD, MPH, Ernest L. Sink, MD, R. Dale Blasier, MD, Scott J. Luhmann, MD, Charles T. Mehlman, DO, MPH, David M. Scher, MD, Travis Matheney, MD, James O. Sanders, MD, William C. Watters, III, MD, Michael J. Goldberg, MD, Michael Warren […]
Shoulder Problems in Children With Brachial Plexus Birth Palsy: Evaluation and Management
Michael L. Pearl, MD J Am Acad Orthop Surg, Vol 17, No 4, April 2009, Traction injury to the brachial plexus sustained during the birth process that results in impaired neuromuscular function of the upper extremity continues to occur despite advances in modern obstetric care. The most common pattern of injury usually results in motor […]
Orthopaedic Conditions in the Newborn
Wudbhav N. Sankar, Jennifer Weiss, and David L. Skaggs J Am Acad Orthop Surg 2009 17: 112-122. The occasional consultation on a neonate can be unfamiliar territory for many orthopaedic surgeons. Just as children are not little adults, newborns are not just little children; rather, they have a unique physiology that affects the presentation of […]