Journal of Pediatric Orthopaedics (J PEDIATR ORTHOPED)

Publisher: Pediatric Orthopaedic Society of North America; European Paediatric Orthopaedic Society, Lippincott, Williams & Wilkins

Journal description

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.

Current impact factor: 1.43

Impact Factor Rankings

2015 Impact Factor Available summer 2015
2013 / 2014 Impact Factor 1.426
2012 Impact Factor 1.163
2011 Impact Factor 1.156
2010 Impact Factor 1.153
2009 Impact Factor 1.226
2008 Impact Factor 1.569
2007 Impact Factor 1.036
2006 Impact Factor 1.152
2005 Impact Factor 0.897
2004 Impact Factor 0.937
2003 Impact Factor 0.673
2002 Impact Factor 0.786
2001 Impact Factor 0.698
2000 Impact Factor 0.636
1999 Impact Factor 0.603
1998 Impact Factor 0.592
1997 Impact Factor 0.595
1996 Impact Factor 0.572
1995 Impact Factor 0.473
1994 Impact Factor 0.351
1993 Impact Factor 0.275
1992 Impact Factor 0.293

Impact factor over time

Impact factor

Additional details

5-year impact 1.45
Cited half-life 0.00
Immediacy index 0.06
Eigenfactor 0.01
Article influence 0.47
Website Journal of Pediatric Orthopaedics website
Other titles Journal of pediatric orthopedics, Journal of pediatric orthopaedics
ISSN 0271-6798
OCLC 6681640
Material type Periodical, Internet resource
Document type Journal / Magazine / Newspaper, Internet Resource

Publisher details

Lippincott, Williams & Wilkins

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author cannot archive a post-print version
  • Restrictions
    • 12 months embargo
  • Conditions
    • Some journals have separate policies, please check with each journal directly
    • Pre-print must be removed upon acceptance for publication
    • Post-print may be deposited in personal website or institutional repository
    • Publisher's version/PDF cannot be used
    • Must include statement that it is not the final published version
    • Published source must be acknowledged with full citation
    • Set statement to accompany deposit
    • Must link to publisher version
    • NIH authors will have their accepted manuscripts transmitted to PubMed Central on their behalf after a 12 months embargo (see policy for details)
    • Wellcome Trust and HHMI authors will have their accepted manuscripts transmitted to PubMed Central on their behalf after a 6 months embargo (see policy for details)
    • Publisher last reviewed on 19/03/2015
  • Classification
    ​ yellow

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Background: Fractures are a significant concern for individuals with Duchenne/Becker muscular dystrophy with 21% to 44% of males experiencing a fracture. Factors that increase or decrease the risk for fracture have been suggested in past research, although statistical risk has not been determined. Methods: In this retrospective cohort study, we used the Muscular Dystrophy Surveillance, Tracking and Research Network cohort, a large, population-based sample to identify risk factors associated with first fractures in patients with Duchenne or Becker muscular dystrophy. Our study cohort included males with Duchenne or Becker muscular dystrophy born between 1982 and 2006 who resided in Arizona, Colorado, Georgia, Iowa, and Western New York, retrospectively identified and followed through 2010. We utilized a multivariate Cox proportional hazard model to determine hazard ratios for relevant factors associated with first fracture risk including race/ethnicity, surveillance site, ambulation status, calcium/vitamin D use and duration, bisphosphonate use and duration, and corticosteroid use and duration. Results: Of 747 cases, 249 had at least 1 fracture (33.3%). Full-time wheelchair use increased the risk of first fracture by 75% for every 3 months of use (hazard ratio=1.75, 95% confidence interval, 1.14, 2.68), but corticosteroid use, bisphosphonate use, and calcium/vitamin D use did not significantly affect risk in the final adjusted model. Conclusions: In this cohort, first fractures were common and full-time wheelchair use, but not corticosteroid use, was identified as a risk factor. The impact of prevention measures should be more thoroughly assessed. Clinical Relevance: Fractures are a significant concern for individuals with dystrophinopathies, but the contribution of various risk factors has not been consistently demonstrated.
    Journal of Pediatric Orthopaedics 11/2014; 4(10):S183–S184. DOI:10.1016/j.pmrj.2012.09.618
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    ABSTRACT: The etiology of slipped capital femoral epiphysis (SCFE) is multifactorial, but the role of sagittal balance of the pelvis as a contributing factor to its development has not been well studied. Our primary purpose was to determine whether a smaller pelvic incidence (PI), a position-independent anatomic parameter that regulates pelvic orientation, could be a factor that increases shear stress in the epiphyseal growth plate and potentially contributes to the development of SCFE. We also set out to determine whether acetabular retroversion was associated with SCFE.
    Journal of Pediatric Orthopaedics 10/2014; DOI:10.1097/BPO.0000000000000342
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    ABSTRACT: Limited data exist regarding the indications and expected outcomes of internal fixation of unstable in situ osteochondritis dissecans (OCD) lesions of the capitellum. The objective of this investigation was to characterize healing rates, clinical results, and functional outcomes of internal fixation of unstable in situ OCD lesions in adolescents.
    Journal of Pediatric Orthopaedics 09/2014; 37(8):44. DOI:10.1016/S0363-5023(12)60060-4
  • Journal of Pediatric Orthopaedics 08/2014; 34(6).
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    ABSTRACT: Previous investigation has proven 3-dimensional (3D) computed tomography (CT) to be a poor method of assessing femoral anteversion in patients with cerebral palsy. However, new advancements in CT software yield the potential to improve upon those dated results. CT was performed on 9 femoral models with varying amounts of anteversion (20 to 60 degrees) and varying neck-shaft angles (120 to 160 degrees). Each model was scanned in 2 holding devices. One holder placed the femur in an ideal position relative to the gantry. The other placed the femur in flexion, adduction, and internal rotation simulating a common lower extremity posture in cerebral palsy. Femoral anteversion was measured on 3D reconstructions by 4 observers on 2 separate occasions. Interobserver and intraobserver reliability, accuracy, and the effect of increasing neck-shaft angle of the measurements were examined and compared with previously published data using the same models. Pearson correlation coefficients between first and second measurements by the same examiner were all above 0.96 regardless of positioning of the femur in the gantry. The correlation coefficients among all examiners were 0.97 regardless of positioning of the femur in the gantry. Accuracy in measurements was comparable using 3D CT techniques with mean differences between the normal and cerebral palsy-positioned models of <3.6 degrees (SD, 3.1 to 3.3 degrees). Accuracy of the study's 3D CT technique in measuring femoral anteversion in cerebral palsy-positioned femurs was significantly more accurate than that of 2D CT (P<0.0001). Recent improvements in processing software and 3D reconstruction have made assessment of femoral anteversion with 3D CT accurate through the studied range of anteversion and neck-shaft angles. Using this technique, high intraobserver and interobserver reliability in the determination of femoral anteversion can be expected regardless of neck-shaft angle or postural deformity. Level II.
    Journal of Pediatric Orthopaedics 01/2014; 35(2):1. DOI:10.1097/BPO.0000000000000209
  • Journal of Pediatric Orthopaedics 01/2014; 35(2):1. DOI:10.1097/BPO.0000000000000162
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    ABSTRACT: Background: The emergency room on-call status of pediatric orthopaedic surgeons is an important factor affecting their practices and lifestyles and was last evaluated in 2006. Methods: The entire membership of the Pediatric Orthopaedic Society of North America (POSNA) was surveyed in 2010 for information regarding their emergency room on-call status with 382 surveys returned of over 1000 e-mailed to members of POSNA. Detailed information about on-call coverage, support, and frequency was obtained in answers to 14 different questions. Results: Compared with the prior survey in 2006, the 2010 survey indicated that a higher percentage of pediatric orthopaedic surgeons receive compensation for taking emergency room call; a higher percentage cover pediatric patients only when on-call; and accessibility to operating rooms in a timely manner for trauma cases, although limited, has improved for pediatric patients. Utilization of support staff to meet on-call trauma coverage demands, such as residents, physician's assistants, and nurse practitioners, is becoming more common. Conclusions: Concentration of pediatric orthopaedic trauma has increased the coverage demands on pediatric orthopaedists. This has resulted in a change in reimbursement strategies, and allocation of OR time and hospital staffing resources.
    Journal of Pediatric Orthopaedics 01/2014; DOI:10.1097/BPO.0000000000000201
  • 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. DOI:10.1097/01241398-198601000-00007
  • Journal of Pediatric Orthopaedics 07/2013; 33(Suppl1):S33-8. DOI:10.1097/BPO.0b013e318281968e
  • Journal of Pediatric Orthopaedics 04/2013;
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    ABSTRACT: Neurogenic conditions and syndromes are often associated with clinically significant acetabular dysplasia and/or instability of the hip. Options for surgical treatment include reshaping, salvage, or redirectional pelvic osteotomies. “Complete” redirectional osteotomies, including the triple innominate osteotomy and the periacetabular osteotomy, completely free the acetabulum from the rest of the pelvis thereby allowing the surgeon to obtain large corrections and to control the position of the acetabulum in multiple planes. As a result, these procedures can be extremely useful in the treatment of certain neuromuscular conditions. In particular, complete redirectional osteotomies offer several specific advantages in the neurogenic and syndromic patient population: the procedures can be performed after skeletal maturity, they offer the surgeon the ability to correct acetabular version and the hypoplastic acetabulum, they allow hypercoverage when necessary and they may theoretically better preserve marginal ambulatory ability.
    Journal of Pediatric Orthopaedics 01/2013; 33:S39-S44. DOI:10.1097/BPO.0b013e3182770a71
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background: The presence of femoroacetabular impingement (FAI) after a slipped capital femoral epiphysis is thought to predispose the subsequent development of osteoarthritis (OA); however, there is a lack of evidence to support this hypothesis. Methods: One hundred twenty-one patients with stable slipped capital femoral epiphysis treated with in situ fixation were reviewed at a minimum of 20-year follow-up; the presence of a pistol grip deformity and FAI was determined. The Harris Hip Score (HHS) was used to measure clinical outcome, and the Tönnis grade for qualifying the presence of OA was determined. Results: One hundred twenty-one patients were followed up at a mean of 22.3 years (range, 20.1 to 32.5 y); the slip was considered grade 1 in 34 hips, grade 2 in 65 hips, and grade 3 in 22 hips. Ninety-six patients had clinical and radiographic signs of FAI. The mean HHS for the entire cohort was 75.6; however, for the 25 patients without FAI it was 89.3 and for the 96 patients with FAI it was 75.4 (P=0.004). We found radiographic signs of OA in all 121 patients: considered grade 1 in 14 hips, grade 2 in 32 hips, and grade 3 in 75 hips. The mean Tönnis grade of OA was 2.5. A direct relationship between the radiographic grade of OA and the HHS was observed. Conclusions: The occurrence of FAI (or a pistol grip deformity) after even a low-grade slip is common. We found clinical and radiographic signs of FAI in most of our patients, and also found that the degree of deformity is directly related to the presence of OA in early adulthood.
    Journal of Pediatric Orthopaedics 01/2013; 33:S76-S82. DOI:10.1097/BPO.0b013e318277174c
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    ABSTRACT: Cam-type deformity of the proximal femur is a risk factor for the development of cam-type femoroacetabular impingement and a prearthrotic condition of the hip. The etiology of cam-type deformity remains unclear. There are a number of causes of cam-type deformity including sequellae of slipped capital femoral epiphysis, Legg-Calvé-Perthes disease or Perthes-like deformities, postinfectious, and traumatic. However, the majority of cam-type deformities arise without any apparent preexisting hip disease. These “idiopathic” cam-type deformities likely represent a majority of cases, and show clear racial and sex differences, as well as developmental and genetic influences. Idiopathic cam-type deformity also seems to be a distinct entity from residual or silent slipped capital femoral epiphysis, as well as osteoarthritis-induced osteophytes. In this paper we examine the different pathogenetic aspects of the proximal femur that contribute to cam-type deformity and/or symptomatic cam-type femoroacetabular impingement.
    Journal of Pediatric Orthopaedics 01/2013; 33:S121-S125. DOI:10.1097/BPO.0b013e3182771782
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    ABSTRACT: Legg-Calve-Perthes disease (LCPD) nearly always results in femoral deformity at skeletal maturity that may lead to symptoms due principally to femoroacetabular impingement. Treatment for the skeletally mature patient with LCPD varies from observation with activity modifications to surgical procedures which range from isolated femoral or acetabular-sided surgery to the more common combined surgery. On the femoral side, the traditional procedures have been proximal varus and valgus osteotomies (with some component of flexion) to reorient the femoral head and allow better femoral head weight-bearing cartilage across the hip joint. Acetabular procedures have been used less frequently including reorientation or shelf procedures to provide improved femoral head coverage. The challenge in the skeletally mature hip patient is to determine which of these components require addressing at the time of surgical treatment. More recently, procedures to the femoral head itself have been developed to reshape the femoral head and assist in matching the size of the femoral head to the acetabulum, prevent impingement and restore more normal articular cartilage in the weightbearing zone. This review will focus on these surgical treatments specific to the femoral head in skeletally mature LCPD.
    Journal of Pediatric Orthopaedics 01/2013; 33:S70-S75. DOI:10.1097/BPO.0b013e318295e86b