Journal of Pediatric Orthopaedics (J PEDIATR ORTHOPED )

Publisher: Pediatric Orthopaedic Society of North America; European Paediatric Orthopaedic Society


The Journal of Pediatric Orthopaedics publishes high-quality, peer-reviewed papers from around the world on the diagnosis and treatment of pediatric orthopaedic disorders. It cuts across disciplinary as well as national boundaries to provide the broadest possible coverage of the unique problems facing the pediatric orthopedist.

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  • Website
    Journal of Pediatric Orthopaedics website
  • Other titles
    Journal of pediatric orthopedics, Journal of pediatric orthopaedics
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  • Material type
    Periodical, Internet resource
  • Document type
    Journal / Magazine / Newspaper, Internet Resource

Publications in this journal

  • Journal of Pediatric Orthopaedics 09/2013; 33(6):624-27.
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    ABSTRACT: Three patients with birth fractures and Werdnig-Hoffmann disease are presented. Two of the three were erroneously diagnosed as having osteogenesis imperfecta. The etiology of these fractures appears to be in utero osteoporosis secondary to decreased movement, leading to pathologic fracture during birth. Immobilization led to uneventful healing in all cases; no recurrent fractures were seen.
    Journal of Pediatric Orthopaedics 09/2013; 6(1):34-6.
  • Journal of Pediatric Orthopaedics 04/2013;
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    ABSTRACT: An abstract is unavailable. This article is available as HTML full text and PDF.
    Journal of Pediatric Orthopaedics 05/2011; 31(4):e36.
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    ABSTRACT: BACKGROUND: Rubber band syndrome is a rare condition seen in younger children in communities where rubber bands are worn around the wrist for decorative purposes. When the band is worn for a long duration, it burrows through the skin and soft tissues resulting in distal edema, loss of function, and even damage to the neurovascular structures. Recognition of this syndrome at the earliest can prevent catastrophic events. METHODS: We report 3 cases of rubber band syndrome. Three children presented with a discharging sinus at the wrist. There was a linear circumferential scar at the wrist in all cases. Plain radiographs showed a circumferential constriction in the soft tissue shadow in all the cases. There was a history of a band tied around the wrist, which had been forgotten by the parents and eventually became embedded in the soft tissues of the wrist. RESULTS: Surgical removal of the buried rubber band was successful in all the cases. Postoperative follow-up over a mean period of 13 months have shown a surprisingly good outcome of hand function in all our patients. CONCLUSIONS: The cardinal features of a linear constricting scar around the wrist in the presence of a discharging sinus should always alert the clinician to the possibility of a forgotten band around the wrist, which might have burrowed into the soft tissues over a period of time. A radiograph of the affected wrist shows a soft tissue constriction at the wrist. A high index of clinical suspicion and the uniformity of symptoms and clinico-radiologic signs enabled us to make a clinical diagnosis of a constriction band (rubber band syndrome), which was proved after a surgical exploration.
    Journal of Pediatric Orthopaedics 10/2010; Oct-Nov(30(7)):e1-4.
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    ABSTRACT: An abstract is unavailable. This article is available as HTML full text and PDF.
    Journal of Pediatric Orthopaedics 09/2010; 30(7):631–632.
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    ABSTRACT: An abstract is unavailable. This article is available as HTML full text and PDF.
    Journal of Pediatric Orthopaedics 03/2010; 30(3):305.
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    ABSTRACT: An abstract is unavailable. This article is available as HTML full text and PDF.
    Journal of Pediatric Orthopaedics 03/2010; 30(3):306.
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    ABSTRACT: Microsurgical indications in children with brachial plexus birth palsies are controversial. There are varying opinions with respect to timing of surgery and optimum technique. This article will explore the evidence-based medicine regarding timing and technique.
    Journal of Pediatric Orthopaedics 02/2010; 30:S49-S52.
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    ABSTRACT: Nonoperative treatment for clavicle fractures and acromioclavicular joint injuries is the mainstay of treatment in the pediatric population. The pediatric patient's significant remodeling potential allows for excellent results with nonoperative treatment. For adolescents presenting with displaced shortened clavicle fractures, primary operative management is a consideration with surgical strategies including plate fixation or intramedullary fixation for midshaft clavicular fractures. Dorsal tension band suture and CC ligament reconstruction is an indication for distal third fractures.
    Journal of Pediatric Orthopaedics 02/2010; 30:S69-S72.
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    ABSTRACT: Bone tumors are rare in children. Most bone tumors tend to involve the areas of fastest growth. Lower extremity tumors are more common than upper extremity ones, however upper extremity bone tumors do occur and can have a negative impact in the child's activities. Luckily, most bone tumors seen in children are benign and can be effectively treated by means of observation or local control by surgery. In this article we review and discuss the diagnosis and management of the most common pediatric benign bone tumors seen in the upper extremities including unicameral bone cyst, aneurysmal bone cyst, fibrous cortical defect, non-ossifying fibroma, osteochondroma, osteoid osteoma and enchondroma.
    Journal of Pediatric Orthopaedics 02/2010; 30:S21-S26.
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    ABSTRACT: With advances in anatomic understanding and microsurgical techniques, vascularized tissue transfers have become a powerful tool for the reconstruction of the deficient upper extremity. This is particularly true in the pediatric patient population, in which rare congenital, neoplastic, and traumatic defects present considerable functional compromise and many adult reconstructive strategies, such as arthroplasty, are not viable options. The purpose of this review is to discuss the principles and indications for vascularized tissue transfers in the upper limb, with particular emphasis on free vascularized fibula grafting, free functional gracilis transfers, and free toe-to-hand transfers.
    Journal of Pediatric Orthopaedics 02/2010; 30:S45-S48.
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    ABSTRACT: Carefully selected surgical procedures may reposition the elbow and wrist for better function in the child with arthrogryposis.
    Journal of Pediatric Orthopaedics 02/2010; 30:S57-S62.
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    ABSTRACT: Anterior shoulder dislocation is the most common form of shoulder dislocation and is generally seen in adolescents participating in contact or collision sports among the pediatric age group. Age is the most important denominator for predicting the recurrence. In civilian/adult population, the treatment is generally conservative. However, there are emerging data to support stabilization surgery for the first-time traumatic anterior shoulder dislocation in the active adolescent patients. Traumatic posterior shoulder dislocations are rare, and can be easily missed on radiographs. Treatment is generally conservative. Multidirectional instability occurs in pediatric overhead athlete with generalized ligamentous laxity. A lengthy rehabilitation program involving shoulder girdle and periscapular strengthening is the mainstay of treatment.
    Journal of Pediatric Orthopaedics 02/2010; 30:S3-S6.
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    ABSTRACT: Embryogenesis of the upper limb occurs between 4 and 8 weeks after fertilization. Limb development is controlled by signaling centers that guide spatial axes formation and genes that encode limb arrangement. This article will discuss the signaling centers, genes, and molecular events that yield limb formation.
    Journal of Pediatric Orthopaedics 02/2010; 30:S31-S34.
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    ABSTRACT: In this manuscript the authors review essential and new information on compartment syndrome in children. The article stresses the three A's of pediatric compartment syndrome: agitation, anxiety and increasing analgesic requirement which precede the classic presentation by several hours. Non-invasive methods of assessing compartment syndrome are highlighted and the medical-legal implications of missed compartment syndrome are further reviewed.
    Journal of Pediatric Orthopaedics 02/2010; 30:S96-S101.
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    ABSTRACT: Background: Most fractures of the humeral diaphysis in children can be treated nonoperatively. In unusual situations surgical stabilization may be required. The purpose of this study is to describe the indications and surgical technique of titanium elastic nail fixation of humeral shaft fractures in children. Methods: Diaphyseal humerus fractures in children have been treated with intramedullary stabilization using titanium elastic nails. Complicating features that required operative stabilization include open fractures, fractures in which reasonable alignment could not be maintained without internal fixation, and patients with ipsilateral forearm fractures (floating elbow) and polytrauma with associated lower extremity fractures necessitating early upper extremity weight bearing. Results: All fractures united without infectious or neurovascular complications. Nail migration requiring nail trimming or early implant removal occurred in a small number of patients and is the most frequent complication of the procedure. Conclusions: In situations in which surgical stabilization of pediatric humeral shaft fractures is necessary, titanium elastic nails provide an effective and simple option, allowing early motion and weight bearing.
    Journal of Pediatric Orthopaedics 02/2010; 30:S73-S76.
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    ABSTRACT: Athletic participation in youth sports is occurring on an ever-increasing level each year. All states require an examination before young athletes are allowed to participate in interscholastic sports to identify conditions that may increase the risk of injury. The aims of a preparticipation sports evaluation are to detect conditions that might be life-threatening, disabling, or that may predispose to injury; to indicate which sports are safe for the individual; to serve as a limited general health screening and to meet legal requirements. Preparticipation sports evaluation therefore plays a crucial in ensuring the health and safety of the disabled and healthy young athlete.
    Journal of Pediatric Orthopaedics 02/2010; 30:S17-S20.

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