Pediatrics News

This Orthopedics Today Round Table features surgical hip dislocation in children, a procedure described by Reinhold Ganz, MD, about 17 years ago. Surgical hip dislocation allows an unrestricted 360° view of the hip through direct access, spares the surrounding muscles and preserves the blood supply.

EFORT is organizing 10 European Fora each year, under the supervision of EFORT Fora Chair, Professor George Macheras from Athens. Launched in 2002, the project aims at holding specific EFORT symposia during the annual congresses of our member national societies.

Occurrence of atypical femur fractures among patients with osteogenesis imperfecta was related to the severity of the patient’s disease and not to any bisphosphonate treatment the patient received, according to study results.

With strict supervision, perfused, pulseless supracondylar fractures can be successfully managed without surgical revascularization and result in long-term positive outcomes when patients reach adulthood, according to a study presented as part of the Free Papers Award Session for Trauma at the 18th EFORT Annual Congress in Vienna.

Results from this study demonstrated that for pediatric patients with slipped capital femoral epiphysis, patient-specific 3-D models helped with surgical planning of triplane proximal femoral osteotomy.

Results from this study indicated none of the biomechanical variables analyzed were statistically significantly different between patients who sustained brain injuries with transient post-concussion symptoms and those with persistent post-concussion symptoms.

Recently published results showed ultrasound screening is appropriate for infants with brachial plexus birth palsy with a passive external rotation in adduction of 60° or less used as the criterion to achieve appropriate sensitivity for ultrasound.

A press release from the American Academy of Orthopaedic Surgeons warns parents and young children about the dangers of trampolines.

An otherwise healthy 16-year-old female patient was referred to the pediatric orthopedic clinic with a 1-year history of progressive left paraspinal thoracolumbar back pain and right lower extremity paresthesias. Initially, the paresthesias started on the dorsum and lateral aspect of the right foot with eventual progression more proximally over the lateral aspect of the leg and hip. The patient denied any history of trauma or an inciting event, as well as any constitutional symptoms. She maintained normal bowel and bladder function. The use of NSAIDs provided moderate back pain relief, but did not affect the paresthesias. The patient had not undergone any prior treatment. She initially presented to her general pediatrician, who obtained an MRI of the thoracic and lumbar spines that demonstrated multifocal osseous lesions that involved the thoracic and lumbar spines, as well as multiple rib lesions, which raised the concern for malignancy (Figure 1).