Pediatrics News

CHICAGO — Cobb angle measurement and radiographic follow-up after curve correction could be reliably performed in patients with early onset idiopathic scoliosis using a low-dose radiographic system, according to results of a prospective data collection study presented at the North American Spine Society Annual Meeting, here.

BOSTON — Concussion risk in high school football is greater for younger players and on practices on turf-based surfaces, according to a study presented at the American Orthopaedic Society for Sports Medicine Annual Meeting.

Published results showed isolated open anterior release of the shoulder reduced posterior joint subluxation and improved passive and active shoulder ranges of motion in patients with brachial plexus birth palsy.

Zimmer Biomet Holdings Inc. announced it has received FDA approval for The Tether, the first spinal tether device intended for use in children and adolescents to correct idiopathic scoliosis that has not responded to conservative treatment.

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An otherwise healthy 3-year-old boy presented to the pediatric urgent care clinic 2 days after his mother noticed left distal forearm swelling in the child without a known inciting event. The patient appeared to have no pain, skin changes or constitutional symptoms. Neurovascular status and range of motion of the wrist were intact. There was mild tenderness to palpation of an approximately 2-cm, firm fixed mass deep to the subcutaneous tissues at the level of the distal radioulnar joint. Laboratory evaluation was unremarkable. Radiographs revealed soft tissue swelling about the wrist without focal calcifications or cortical irregularity (Figure 1). Ultrasound was remarkable for an ill-defined heterogeneous soft-tissue lesion in the left wrist with mild adjacent cortical thickening and minimal periosteal reaction, without evidence of hypervascularity (Figure 2). One week later, the patient underwent MRI with and without gadolinium contrast which demonstrated a 2 cm (anteroposterior) by 2 cm (longitudinal) by 1.3 cm (transverse) heterogeneous non-enhancing mass that was mildly hyperintense on T1 and T2, diffusely bright on short-TI inversion recovery (STIR), with associated inflammatory change interposed between the distal radius and ulna in the volar aspect of the wrist, just distal to the pronator quadratus. There was no bony involvement, but there was reactive bony remodeling of the distal ulna and radius (Figure 3).

For patients with patellofemoral pain, a treatment strategy focused on activity modification and load management correlated with high rates of successful outcomes at 12 and 52 weeks, according to recently published results.

Findings from a retrospective analysis suggested that the use of a rapid musculoskeletal diagnostic panel, or MDP, could have shortened the time it took to identify the cause of infection, provide appropriate antibiotics and reduce the length of stay for children.

EFORT Open Reviews (EOR) is the new open access journal from EFORT and Bone & Joint Publishing. All articles are free to read online with no subscription required.

Boston's Children’s Hospital received top ranking by U.S. News & World Report in the country for pediatric orthopedic medicine for the 2019-2020 year.