Object The rate of neonatal brachial plexus palsy (NBPP) remains 0.4%–4% despite improvements in perinatal care. Among affected children, the extent differs greatly, as does prognosis. Controversial elements management include indications and timing nerve repair well type reconstruction patients whom function will ultimately not be recovered without surgical intervention. Differentiating preganglionic (avulsion) from postganglionic (rupture) lesions is critical because cannot spontaneously...

A relative indication for surgical treatment of midshaft clavicle fractures is shortening ≥2.0 cm. standard method determining with routine radiographs has not been established. This study evaluated the interobserver and intraobserver reliability when measuring in adolescents.We identified all simple adolescents from 2006 to 2010. Thirty-two were chosen following a power analysis 7 observers. Each film was measured twice by each evaluator using 2 separate methods. Method 1 evaluator's choice...

Cubitus varus is a challenging-to-treat complication following pediatric fractures of the elbow.2Barrett I.R. Bellemore M.C. Kwon Y.M. Cosmetic results supracondylar osteotomy for correction cubitus varus.J Pediatr Orthop. 1998; 18: 445-447PubMed Google Scholar This typically thought to occur secondary malunion fracture or uneven growth resulting in angulation.9Kawanishi Y. Miyake J. Kataoka T. Omori S. Sugamoto K. Yoshikawa H. et al.Does cause morphologic and alignment changes elbow...

Gollop-Wolfgang Complex (GWC) includes congenital absence of the tibia with ipsilateral distal femur bifurcation associated hand/foot ectrodactyly. A 20-month-old male presented GWC, including left bifid tibial hemimelia and absent extensor mechanism, hypoplastic bilateral thumbs, right foot tarsal-type preaxial polydactyly. Left through-knee amputation preserving growth contralateral polydactyly reconstruction were performed. Complications wound infection dehiscence successfully treated....

Promoting equitable health care is to ensure that everyone has access high-quality medical services and appropriate treatment options. The definition of equity often can be misinterpreted, there are challenges in fully understanding the disparities costs when measuring outcomes treatment. However, these topics play an important role promoting equity. COVID-19 pandemic made us more aware profound health-care systemic racism, which, turn, prompted many academic centers systems increase their...

The primary objective of the Pediatric Orthopaedic Society North America (POSNA)-Children's Orthopaedics in Underserved Regions (COUR) Visiting Scholar Program is to engage emerging leaders from low-income and middle-income countries (LMICs) POSNA educational offerings. This study aims outline leadership activities pursued by alumni POSNA-COUR Scholars Program. We hypothesized that there may be a discrepancy between visiting scholar interest level actual participation key follow-up...

In Brief Spine osteomyelitis resulting from Bartonella infection is well described in the literature; however, little known about nonspinal manifestations of osteomyelitis. Here, we describe a case femur 5-year-old child and review literature related to Bartonella. 33 cases reviewed, pelvic girdle was most commonly observed (42%), followed by (21%) humerus infections (21%). Fever common symptom, interestingly, 18% patients did not have any history cat exposure. Osteomyelitis identified...

The purpose of this editorial is to introduce the ethical considerations surrounding pediatric orthopaedic global outreach and stimulate discussion about how best approach work.  Bidirectional exchange with partner surgeons in low- middle-income countries forms foundation successful outreach.  Fostering these relationships approaching humility curiosity allows for a genuine needs assessment. program can then be designed address target community. Success should not only defined as...

HISTORY: A previously healthy 12 year old female presented with left forearm pain and subcutaneous crepitus of one week duration. She sustained a minor fall 6 weeks ago where she scratched her against wooden deck. No bruising, cut wounds or penetrating injury. Few days later developed dull aching at the front forearm. redness, warmth, swelling limitation movement. X-rays showed air under skin. was started on oral antibiotic without improvement. Ten later, admitted to hospital IV antibiotics...

Case: Infantile Blount disease results from deceleration of growth by the proximal posteromedial tibial physis causing tibia vara. In advanced stages, surgical treatment is indicated. Owing to young age and Langenskiöld stage in this patient, a novel technique was performed combining lateral physeal tethering with medial hemiplateau elevation osteotomy correct articular surface unload physis. Conclusion: Together, these procedures allow for correction alignment while preserving potential....

"Early Onset Scoliosis—A Comprehensive Guide from the Oxford Meetings (2015)." Journal of Investigative Surgery, 29(6), p. 413

The adoption of technology-assisted total joint arthroplasty (TA-TJA) is increasing; however, the extent to which TA-TJA used among orthopaedic trainees unknown. purpose this study was assess current use TA knee (TKA) and hip (THA) by residents evaluate resident perceptions toward in their surgical training.In cross-sectional study, an anonymous electronic survey sent all Accreditation Council for Graduate Medical Education-accredited surgery residency program coordinators distribute PGY-2...

Background: The POSNA Pediatric Orthopaedic Global Outreach (POGO) Committee was established with its core mission of advancing children’s musculoskeletal care around the world, recent expansion scope toward furthering scientific research. sponsors international surgeons (POGO Scholars) to visit North America as part mutual outreach effort. Research results from may not be generalizable other regions, where see pathologies that are unique area. purpose study identify challenges and needs...