Talipes equinovarus (clubfoot) is an abnormality that is congenital (present at birth) in which the foot is twisted out of shape or positioning. The Ponseti method of treatment includes serial manipulations and application of casts and braces. Relapse of the deformity has been reported in a prevalence of 7-56 per […]
The American Academy of Orthopaedic Surgeons (AAOS) recently published its clinical practice guideline for detection and nonoperative treatment of developmental dysplasia of the hip (DDH) in pediatric patients. It has been officially endorsed by the American Academy of Pediatrics (AAP), Pediatric Orthopaedic Society of North America, Society of Diagnostic Medical […]
Parents and health care providers that treat children will often hear complaints of their aches and pains. Studies have found that low back pain (LBP) in kids is quite common in kids past the age of eight (varied reports range from six to 33 per cent) and climb as high […]
People with flatfeet make up about 20 per cent of the adult population. A flat foot deformity is defined as a foot lacking the normal arch of the foot and a sinking inward of the heel. A good indication of if you have flat feet is to look at your […]
Currently the aims for treatment for late-detected developmental hip dislocation are to obtain proper alignment with good femoral head coverage and to avoid complications. In the past, closed reduction with or without traction was common however more open reductions are being performed today. Both closed and open reductions are often […]
A recent review of the literature found that immobilization followed by physical therapy remains the standard treatment following shoulder dislocation in young children. The review did find a paucity of evidence regarding the appropriate treatment, possibly due to the fact that shoulder dislocation in the younger population is rare with […]
Children and adolescents are not “mini-adults” and must be treated with special consideration when performing arthroscopy on the shoulder. With more and more sports injuries, the use of arthroscopic examination and treatment in this age group is on the rise. In this review article, two pediatric orthopedic surgeons provide surgeons […]
Every now and then it’s a good idea to step back and make sure we are on the right track with treatment of medical problems. And that’s exactly what these authors did in this study from Cincinnati Children’s Hospital. Using information presented at annual meetings of two orthopedic groups, they […]
Back in the 1960s, surgeons started to use a new type of fixation device to help hold the spine together during a fusion procedure: the pedicle screw. At first, this screw through the bone was only used in the lumbar spine (low back). But over time, the use of pedicle […]
In this study, orthopedic surgeons from Italy explore the use of a minimally invasive, one-step osteochondral scaffold to repair damage to the surface of the knee joint. The level of evidence is low (rated four on a scale from one-to-four) because it is a case series. But the information about […]
Ten years ago, the Growing Spine Study Group (GSSG) was started in an effort to improve treatment for early-onset scoliosis. Since that time, 22 Spine Centers in seven countries have joined forces to collect data on childhood and adolescent scoliosis. The group is made up of 36 specialized surgeons trained […]
It’s a fact that more and more children, pre-teens, and teens are obese and developing diabetes early in life. But diabetes isn’t the only problem overweight adolescents face. Blount disease (severe bowlegged deformity) is another possible adverse effect of obesity. And it can lead to growth arrest at the knees, […]
As our title suggests, the currently available case studies and review articles on the topic of pediatric spinal injuries was reviewed. A specific focus on nonfusion (surgical) treatment is included. As with other pediatric injuries that can also affect adults, spinal injuries in the very young aren’t the same as […]
Small tumors of the arms and legs in children are fairly common. Fortunately, they are also usually benign. A careful and accurate diagnosis is still important. And, of course, treatment of the tumors (whether benign or malignant) is challenging. That’s why Dr. M. M. Thacker from Alfred I. duPont Hospital […]
Athletes of all ages are at risk for knee injuries, including young children and teens. One of the soft tissue injuries under study is the medial patellofemoral ligament (MPFL). This ligament is the main reason the patella (knee cap) stays in front of the knee joint and doesn’t shift off […]
You may have heard (or even used) the expression: easier said than done. That phrase is never truer than when changing the way complex health problems are addressed in a hospital setting. Take for example, osteomyelitis (deep infection of bone and/or muscle) in children. This is a condition that requires […]
Scoliosis (curvature of the spine) can affect young teenagers and older adults but for different reasons. In the young, the condition is often considered idiopathic (of unknown cause). In older adults (age 60 and older), degenerative processes in the spine are the most common cause of scoliosis. Determining the severity […]
In this study from Northwestern University School of Medicine, one surgeon presents the long-term results of his technique for surgical correction of clubfoot. Infants with equinovarus (medical term for clubfoot) are treated first with a conservative approach called the Ponseti method. This involves a series of casts used to gradually […]
According to this study, if you have idiopathic scoliosis, you are more likely to be treated surgically if you are 1) white, 2) have private insurance, and 3) have access to a large hospital. These racial and socioeconomic trends represent differences in treatment between white and non-whites referred to as […]
Every medical condition needs a tool to measure success of treatment. With idiopathic scoliosis (curvature of the spine with no known cause), the Scoliosis Research Society (SRS)-22 survey is often used. This tool was first published as a valid, reliable instrument back in the late 1990s. The SRS-22 questionnaire has […]