The differential diagnosis for an intra-articular lesion in the knee of a pediatric patient is broad. Diagnostic considerations include pigmented villonodular synovitis (PVNS)—the most common tumor—and variety both benign and malignant tumors, including lipomas, hemangiopericytomas, nodular fasciitis, parosteal osteosarcomas, fibromyxoid sarcomas. If there concern over possible lesions, tumor surgeon should be consulted. Precise pathologic ideal identifying these enigmatic lesions...

Langenskiöld described a reconstructive soft-tissue procedure for irreducible lateral congenital patellar dislocations. Paley further detailed the technique in surgical management of femoral deficiency. The aim this study was to evaluate outcomes patients with congenital, chronic and recurrent dislocations treated modified procedure.This is retrospective case series. Between 2011 2018, 18 knees 13 (mean age 15.8 years (sd 4.4; 12 29.9), nine female) diagnoses (six patients, eight knees),...

BackgroundThe COVID-19 global pandemic has caused unprecedented levels of strain on the United States healthcare and its workforce. Orthopaedic neurosurgery residents fellows, as part this workforce have also experienced some uncertainty stress by pandemic. Concerns exist regarding effects spine surgery education due to cancellation all elective surgeries.Current ContextWe explore how is affecting orthopaedic fellows their experience. We examined measures taken residency fellowship programs...

Several new adjustable-loop devices (ALDs) for anterior cruciate ligament reconstruction (ACLR) have not been tested in vitro.To compare the biomechanical performances of 5 ALDs under a high cyclic load and forces representative return-to-play conditions seen recovering athlete.Controlled laboratory study.A total 10 each chosen (UltraButton [Smith & Nephew], RigidLoop [DePuy Mitek], ProCinch [Stryker], TightRope [Arthrex], ToggleLoc [Biomet]) were device-only model. The secured to...

The treatment of pediatric femur fractures continues to evolve. In the past, many these required prolonged hospitalization in traction. More recently, flexible elastic nails have gained popularity. However, length unstable and comminuted can present some unique challenges. To avoid common complications nailing setting we describe a technique augmenting this with external fixation for cases requiring additional rotational or longitudinal stability.A series two patients are described who...

Slipped capital femoral epiphysis (SCFE) is a condition which predominantly occurs in adolescents. SCFE extremely rare adults, and nearly all previous reported cases have been associated with an endocrine disorder.We present case of 19-year-old man Kabuki syndrome who was diagnosed unstable requiring surgical fixation. A literature search on PubMed Google Scholar done looking for published delayed-onset SCFE. All were reviewed to determine the likely cause SCFE.No described patients...

Background: The purpose of this study was to determine whether healing both bone forearm (BBFA) fractures in children and adolescents is associated with the stage olecranon apophysis development as described by Diméglio modification Sauvegrain method. Methods: Records were reviewed from 2 children’s hospitals 1997 2008 identify all patients younger than 18 years age who had BBFA treated intramedullary nail fixation. Sixty-three identified meeting inclusion exclusion criteria. noted on...

The objective of this study was to test the compressive strength and torsional stiffness provided by addition a two-pin external fixator an unstable pediatric femoral shaft fracture model after being instrumented with flexible intramedullary nailing (FIMN), compare bridge plating FIMN alone. A length-unstable oblique diaphyseal created in 15 sized small femur models. Fracture stabilization achieved three constructs: standard retrograde two 3.5-mm titanium (Ti) nails (Group 1), augmented 2),...

Case: Focal periphyseal edema (FOPE) zones have only recently been described as a cause of joint pain in adolescence. The literature is limited to few case reports and radiologic studies describing this symptomatic physeal pathology. This series describes 3 adolescent patients with magnetic resonance imaging (MRI) confirmed FOPE the distal femur. Repeat MRI 2 showed improvement yet incomplete resolution bone edema, corresponding persistent knee pain. Conclusions: usually improve conservative...

Jehovah’s Witnesses are members of a restorationist Christian denomination. Among their beliefs, most important for consideration the pediatric orthopaedic surgeon, is refusal blood transfusions, particularly in small range acceptable loss young children and high-risk cases such as spine pelvic surgery. Thus, we examined legal, ethical, medical issues surrounding treatment order to have collaborative conversations towards best possible care avoidance harm. We found that while previous case...