Pediatrics News

About half of the patients in this study with osteogenesis imperfecta had acetabular protrusio, and the condition was more commonly seen in patients with type III osteogenesis imperfecta. Moreover, investigators found that compared to patients with normal hip anatomy, patients with acetabular protrusio had a 30% increased risk for proximal femur or acetabular fractures.

This retrospective review of patients with pelvic apophyseal avulsion fractures showed 49% of these fractures were anterior inferior iliac spine avulsions and 97% of all fractures were successfully treated with conservative care.

Investigators of this study found excellent functional outcomes at an average 8.6-years follow-up among most pediatric patients with a supracondylar humeral fracture and a neurological injury who were surgically treated, and discovered full recovery of most nerve injuries. However, they noted 25% of ulnar nerves injuries fully recovered.

Recently published data indicated hemiepiphysiodesis performed with a transphyseal medial malleolar screw is effective for the management of ankle valgus in pediatric patients, but investigators noted an 81.8% rate of recurrent ankle valgus after screw removal.

Results of this study indicate that continued follow-up with a single-view anteroposterior radiograph to monitor infants aged 6 months and 12 months who have normalized dysplasia of the hip may be important for early diagnosis and intervention of residual acetabular dysplasia.

Despite radiographic correction of acetabular dysplasia in obese adolescents after Bernese periacetabular osteotomy, complication rates were high, according to these study results.

A survey of patients who underwent surgical excision of tarsal coalitions at age 18 years or younger showed 73% reported their activity was not inhibited by foot pain at midterm follow-up, and investigators found no significant differences in patient-reported outcomes between those treated for calcaneonavicular and talocalcaneal conditions.

Results of this study showed an increase in the number of pediatric patients who received operative treatment for fractures at outpatient centers during a 10-year period and revealed a significant increase in the number of these patients treated at freestanding ambulatory surgery centers compared with hospital outpatient centers.  

The number of ACL tears among adolescents and school-aged children has increased during the past 20 years, according to results recently presented at the American Academy of Pediatrics National Conference and Exhibition, with peak rates of tears seen in high school students.

Among pediatric patients with congenital disorders who initially presented with leg-length discrepancy of less than 2 cm, investigators of this study found the occurrence of clinically significant leg-length discrepancy may be predicted by the yearly rate of leg-length discrepancy change in patients’ first 10 years.