Arthrofibrosis is a known complication after anterior cruciate ligament (ACL) reconstruction. ACL reconstruction being performed with increased frequency in the pediatric population. The purpose of this study was to determine prevalence arthrofibrosis children and adolescents identify risk factors for arthrofibrosis.The design retrospective case series. Medical records 1016 consecutive reconstructions patients aged 7 18 years old between 1995 2008 at major tertiary care children's hospital...

Hip arthroscopy has become an established procedure for certain hip disorders. Complications of have been characterized in adult populations, but complications children and adolescents not well described. The purpose this study was to characterize adolescents.The design a retrospective review 218 arthroscopies 175 patients aged 18 years old younger over 9-year period by single surgeon at tertiary-care children's hospital. Patient demographics, indications surgery, after surgery were...

Children are participating in sports at an increasingly younger age, which has contributed to increased incidence of knee injuries among this population. Because interest the application patient-reported outcome measures orthopaedic surgery evaluate treatment results, numerous scores, including International Knee Documentation Committee Subjective Form (IKDC), have been used knee. Although IKDC validated only adults, it is also being for children because a lack appropriate scores pediatric...

Background: There is sparse literature regarding the outcomes of treatment for posterior cruciate ligament (PCL) injuries in pediatric and adolescent patients. PCL are rare often treated conservatively. The purpose this study was to review 2 separate cohorts patients with injuries: those surgically direct repair or reconstruction managed nonoperatively. Methods: Twenty-five 18 years younger underwent 26 (1 bilateral) at a single institution between 1993 2009. Fourteen (15 knees) operative...

Background Slipped capital femoral epiphysis (SCFE) is occurring in greater numbers, at increasingly younger ages, and more frequently bilaterally (BL-SCFE). Obesity one risk factor for SCFE. However, it unclear whether postoperative decreases or increases body mass index (BMI) alter the of subsequent contralateral Questions/purposes We therefore determined (1) BMI percentile was a BL-SCFE; (2) and/or influenced BL-SCFE. Methods retrospectively reviewed records 502 patients surgically...

This study aims to critically analyze the major and minor complications that may be associated with plate fixation of pediatric diaphyseal femur fractures.The medical records skeletally immature patients (6-15 years age) who underwent a fracture at tertiary-care level-1 trauma center between 1/2003 12/2010 were reviewed. Demographic clinical information regarding mechanism injury, type, surgical technique recorded. Radiographic evaluation bony healing, hardware position, deformity was...

Background: Posterior injuries to the sternoclavicular (SC) joint are uncommon. In skeletally immature (SI) population, these have been described as either dislocations of SC or fractures medial clavicular physis. The current literature and standardized test questions state that a posterior injury, in SI patient, is more likely physeal fracture than dislocation. However, this injury characterization based on case reports small series. purpose study characterize patients terms prevalence...

Abstract: Randomized controlled trials (RCTs) represent the gold standard of evidence-based medicine. However, over last several decades, cost associated with conducting RCTs has increased dramatically. Several factors contribute to higher costs clinical trials. This paper describes important barriers surgical RCTs, identifies funding sources available finance and suggests strategies maintain cost-efficient study practices as we move into next decade.

Background: This study investigated the frequency and potential risk factors associated with development of distal femoral valgus deformity following plate fixation diaphyseal fractures in children. Methods: Records eighty-five skeletally immature patients who underwent a fracture at tertiary-care pediatric center from January 2003 to December 2010 were reviewed. Demographic data clinical information analyzed. Radiographic measurement distance edge physis anatomic lateral angle was...

Although it has been postulated that injury to the proximal femoral physis results in formation of a cam lesion, clear causal association not established.The purpose this study was investigate relationship between and lesion. Our hypotheses were (1) location lesion would coincide with growth plate (2) distance vary as function skeletal maturity.A retrospective review charts magnetic resonance images adolescent patients femoroacetabular impingement (FAI) performed. Data collected included...

Displaced tibial tubercle apophyseal fractures in children and adolescents are typically treated with closed reduction or open anterior to posterior screw fixation. Since the original classification by Watson-Jones Ogden, an important variant a metaphyseal fracture line (type IV) was later described. However, there has been lack of information regarding type IV its implications for surgical fixation.Twenty-four 23 were reviewed. Operative reports clinic records used identify patient...

Juvenile osteochondritis dissecans is an idiopathic condition involving subchondral bone and articular cartilage in skeletally immature patients whom the growth plates are open, potentially leading to lesion instability. Because of differing forces experienced by baseball/softball catchers versus position players, age at which lesions develop characteristics themselves may differ between these 2 populations. The purpose study was examine relative (OCD) knee compared with players.Using a...

Background: The competitiveness of orthopaedics and recent changes in the residency application process have resulted increased costs to both applicants programs. Our purpose was investigate orthopaedic between 1992 2017. Also, we aimed determine an ideal number applications that each student can submit without jeopardizing his or her probability matching into slot while concurrently reducing excessive are received by program selection committees. Methods: Retrospective data from Electronic...

Injuries of the hip in adolescent and young adult athlete are receiving more attention with advances understanding femoroacetabular impingement (FAI), labral pathology, arthroscopy. Labral tears have not been well characterized rowers.The purposes this study were (1) to describe clinical presentation pathology rowers; (2) MRI radiographic findings (3) determine likelihood that a rower injury, treated arthroscopically, will return sport.We conducted review from August 2003 2010 identify all...

Background: Morphological alterations of the hip joint are important contributors to development osteoarthritis. While plane-specific variations in shape proximal femur have been described, there no defined reference standards for measurements adolescent patients. Purpose: To evaluate hips asymptomatic patients using radially reformatted multidetector computed tomography (MDCT) define morphological characteristics femoral head-neck (FHN) junction with respect patient sex and physeal status,...

Background: The modified International Knee Documentation Committee (Pedi-IKDC) Subjective Evaluation Form has recently been shown to be valid, reliable, and responsive in a pediatric adolescent population. correlations between the Pedi-IKDC quality-of-life-related health measures have not studied depth determine how knee injury affects patients this age group. purpose of study was examine association score Child Health Questionnaire (CHQ) group with an anterior cruciate ligament (ACL)...

Lateral ankle sprains are very common, representing up to 30% of sports-related injuries. The anterior talofibular ligament (ATFL) and less commonly the calcaneofibular (CFL) injured. Surgical treatment is reserved for injuries that fail nonoperative with recurrent instability. Anatomic repair using modified Broström technique has been shown have good clinical outcomes in adult population. purpose this study was report on pediatric adolescent population (under 18 y old) chronic lateral...

The incidence of iliopsoas tendonitis (IPT) has not previously reported following hip arthroscopy for femoroacetabular impingement with or without labral tears. (i) What is the IPT arthroscopy; (ii) are there any demographic risk factors and (iii) operative techniques that IPT? Retrospective study. Hip patients from 2005 to 2012 were included. Patients diagnosed via physical examination findings excluded if they had pre-operative IPT. Records reviewed demographics, reports procedures. All...

The purpose of this study was to investigate the indications and outcomes dynamic splinting (DS) arthrofibrotic knee in pediatric population.Seventy-four patients (41 males, 33 females) with postoperative arthrofibrosis treated DS after an index surgery were reviewed. Median age 13 years (range, 4 18 y), median follow-up 17 months (interquartile range, 10 28 mo). Demographics, procedure, preoperative range motion (ROM) measurements, treatment length subsequent need for manipulation under...

Background: Hypoplasia or congenital absence of the anterior cruciate ligament (ACL) is a rare disorder occurring in ∼1 every 6000 births. Although some patients with hypoplasia agenesis ACL may not complain instability, others desire to participate more demanding activities that require stability competent ACL. There are limited reports surgical treatment this patient population. The purpose study was report reconstruction case series symptomatic deficiency. Methods: A retrospective medical...

Chronic exertional compartment syndrome (CECS) is primarily seen in running athletes. Previous outcomes of surgical treatment with fasciotomy have suggested moderate pain relief, but evidence lacking regarding postoperative return to running.Running athletes limiting symptoms CECS will show high rates after fasciotomy.Case series.Level 4.Running treated for at a single institution were identified using database and asked complete questionnaire designed assess pain, activity level, running,...

Anterior cruciate ligament (ACL) injuries in skeletally immature athletes are encountered with increasing frequency. The management of such is controversial. Nonsurgical often results functional instability and a higher risk meniscal chondral injury to the knee. Conventional methods ACL reconstruction carry growth disturbance because iatrogenic damage physes around Multiple cases have been reported. This article discusses relevant anatomy, natural history, factors, treatment, prevention...

Subluxation of the peroneal tendons over lateral malleolus is an uncommon condition in both pediatric and adult populations. The primary dislocation thought to occur with rupture superior retinaculum may be associated marginal fractures or a preexisting shallow groove inferiorly. Various operative techniques have been reported earlier, but little data exists regarding surgical management outcome adolescent population open physes.A retrospective review patients presenting our institution...