Pediatrics News

BOSTON — At the Arthroscopy Association of North America Annual Meeting, Bradley Jaquith, MD, spoke about predictors for patellar instability after first time dislocation in children and adolescent patients. He said independent predictors included skeletal immaturity, history of contralateral patellar subluxation or dislocation, trochlear dysplasia and excessive patella alta with a Caton-Deschamps index greater than 1.45.

BOSTON — Adolescent pitchers who participated in an athletic trainer-supervised preseason program experienced clinically meaningful improvements in posterior shoulder flexibility and maintenance of their external rotation/internal rotation ratio, according to results presented here.

BOSTON — Compared with primary ACL reconstruction, pediatric patients who underwent revision ACL reconstruction experienced worse function, lower activity levels, higher rates of graft retear and lower rates of return to sport, according to results presented at the Arthroscopy Association of North America Annual Meeting.

An allograft reconstruction for skeletally immature pediatric patients with malignant bone tumors may have a high rate of complications, but can effectively manage big bone defects and provide bone stock for future procedures, according to the results of a retrospective study.

Investigators of this study found children and adolescents who took prescribed medication for attention-deficit hyperactivity disorder had lower bone mineral density measures for the total femur, femoral neck and lumbar spine compared with those who did not take such medications.

For osteochondral autologous transplantation surgery as management of osteochondritis dissecans, the inferior medial trochlear ridge should be considered as a donor site due to its accessibility and favorable geometry, according to results.

Among post-menarchal soccer players, investigators found a correlation between low normalized knee separation during drop-jump testing and an increased chance of lower extremity and knee injuries, according to study results.

Researchers at Texas A&M University recently designed a growing rod material that may be able to significantly reduce complications from corrective surgeries for children with early-onset scoliosis.

Results from this prospective study indicated 15 years after ACL reconstruction in patients aged 18 years and younger, the survival rate was 83% for the ACL graft and 81% for the contralateral ACL. The study also linked family history of graft rupture to a significantly increased risk of graft rupture.

Children who played soccer had a relatively high proportion of fractures and bone stress, as well as injuries to the upper limbs, according to results.