The treatment of acute patellar dislocation in children is controversial. Some investigators have advocated early repair the medial structures, whereas others treated this injury nonoperatively. present report describes long-term subjective and functional results a randomized controlled trial nonoperative operative primary less than sixteen years age.The data were gathered prospectively on cohort seventy-four dislocations seventy-one patients (fifty-one girls twenty boys) younger age....

In a prospective two-year study on urban (city of Helsinki) Finnish children, 72 acute patellar dislocations were observed. The calculated annual incidence rate was 43/100,000 in children under 16 years. A total 28 knees (39%) had associated osteochondral fractures. These fractures comprised 15 capsular avulsions the medial margin and loose intra-articular fragments detached from patella and/or lateral femoral condyle. found only after spontaneous relocation patella. fracture constantly...

The best treatment for primary patellar dislocation has been the subject of debate. Surgery recommended all patients or special subgroups to improve outcome. We have previously reported similar 2-year results after closed open treatment. This report concerns 127 who were re-evaluated by questionnaire at least 5 years onset.At baseline, randomized regarding (57) individually adjusted proximal realignment operation (70). All a mean follow-up 7 (6-9) years.The outcomes similar: patient's own...

To assess whether initial surgery is beneficial for patients with primary dislocation of the patella, we carried out a prospective randomized study. Knee stability was examined under anesthesia, and associated injuries were excluded by diagnostic arthroscopy. 55 then had closed treatment 70 operated on individually adjusted proximal realignment procedures.

The coronavirus outbreak significantly changed the need of healthcare services. We hypothesized that COVID-19 pandemic decreased frequency pediatric fracture operations. also emergency surgical operations as well, a result patient-related reasons, such neglecting or underestimating symptoms, to avoid hospital admission.Nationwide data were individually collected and analyzed in all five tertiary surgical/trauma centers Finland. Operations related fractures, appendicitis, acute scrotum...

To prospectively evaluate the use and optimal timing of ultrasonographic (US) screening for posterior shoulder subluxation in infantswith brachial plexus birth injury (BPBI).Approval ethics committee informed consent guardians was obtained. This population-based prospective study included neonates with BPBI who were born Helsinki from January 1, 2003 through December 31, 2006, whom verified sequential clinical examinations. US performed at 3, 6, 12 months. Size (width height) humeral head...

Distal forearm is the most common fracture location in growing skeleton. The aim of this article to describe current practice these fractures.Case series accompanied by experts' opinion.Most injuries are benign incomplete distal metaphyseal torus fractures best treated with a dorsal below elbow splint for 2-3 weeks no follow-up. Completely displaced prepubertal children can be either immobilized bayonet position after axial alignment or fixed K-wires reduction. Complete metaphysis...

Both knees of 50 normal children aged from birth to 18 years were examined by ultrasonography measure the angles bony intercondylar and cartilaginous sulcus on patellar surface femur. The osseous angle was inversely related age child completely flat in youngest children. During growth it gradually gained depth assume shape overlying articular cartilage adolescence. At all ages, however, between 134 degrees 155 degrees. This suggests that configuration articulation is already well developed at birth.

The treatment of acute patellar dislocation in children is controversial. Some investigators have advocated early repair the medial structures, whereas others treated this injury nonoperatively. present report describes long-term subjective and functional results a randomized controlled trial nonoperative operative primary less than sixteen years age.The data were gathered prospectively on cohort seventy-four dislocations seventy-one patients (fifty-one girls twenty boys) younger age....

The late diagnosis rate of developmental dysplasia the hip (DDH) with universal ultrasound screening is 0.2 per 1,000 children according to a recent meta-analysis, which same as in Japan where selective used. We hypothesized that Finland's current program clinical complemented targeted noninferior and programs. For this retrospective cohort study, we collected number <15 years age who were diagnosed DDH (International Classification Diseases, Tenth Revision [ICD-10] codes Q65.0-Q65.6 Ninth...

Background: The long-term results of surgical treatment brachial plexus birth palsy have not been reported. We present the findings a nationwide study, with minimum five-year follow-up, outcomes surgery for in Finland. Methods: Of 1,717,057 newborns, 1706 requiring hospital were registered Finland between 1971 and 1997. these patients, 124 (7.3%) underwent on at mean age 2.8 months (range, 0.4 to 13.2 months). most commonly performed procedure was direct neurorrhaphy after neuroma resection....

Background: The distal part of the humerus is second most common fracture location in children. Complications are more than with other pediatric fractures and mostly related to inappropriate diagnosis treatment. Methods: On basis data from 1990 through 2010 national registry inpatient care treatment Finland, we calculated number children less seventeen years age who were treated under anesthesia for a humeral (reduction or without internal fixation) institutions. We analyzed compensation...

Brachial plexus birth injury is the most common causing permanent disability in Finland. This study aimed to assess risk factors of a brachial and calculate incidence.

Importance Displaced pediatric medial humeral epicondyle fractures are traditionally treated nonoperatively with casting. However, the use of surgical treatment has increased despite limited high-level evidence supporting its benefits. Objective To determine whether open reduction and internal fixation improve functional outcomes compared long arm casting in children displaced at 12 months post injury. Design, Setting, Participants This noninferiority randomized clinical trial was conducted...

Background and purpose Several mechanisms are responsible for patellar dislocation. We investigated how the primary pathomechanism relates to patient characteristics outcome.Methods 126 patients (81 females) with dislocation reported knee position before episode, movement during it, whether patella was locked in The median age 20 (9–47) years. subjective outcome Kujala, Hughston VAS, Tegner scores were evaluated after an average of 7 years.Results 102 moved flexion dislocation, 98 from a...

The purpose of this study was to clarify the spectrum congenital constriction band syndrome (CBS) and associated anomalies mortality in Finland.Register-based data were analyzed for children with bands upper lower extremities as a part an ongoing on 419 limb defects 171 occurring among 753,342 births Finland during 1993 2005.A total 71 cases CBS identified 13-year period. birth prevalence 0.9 per 10 000 (1:10 600). Infant 4.6% (3/65) perinatal 12.7% (9/71). In 35 (49%) only limbs affected 13...

This article was updated on July 19, 2023, because of a previous error, which discovered after the preliminary version posted online. On page 1080, in last sentence Results section Abstract, text that had read "0.05% (4 777)" now reads "0.5% 777)."The risk fracture-related nerve injury associated with forearm fractures children is unknown. The purposes present study were to calculate and report institutional rate complications surgical treatment pediatric fractures.Four thousand, eight...

Abstract BMD of children with fractures was compared healthy controls using QUS. We found significantly lower SOS values in suffering from fractures. None the studied environmental factors could explain difference measurements. Introduction: The aims this study were to compare results quantitative ultrasound (QUS) respective without and identify possible influencing speed sound (SOS) our cohort. Materials Methods: measured by QUS 50 who had sustained an acute fracture 154 as controls....

Background — Tibial fracture is the third most common long-bone in children. Traditionally, tibial fractures children have been treated non-operatively, but there are no long-term results.Methods 94 (64 boys) were for a Aurora City Hospital during period 1980–89 20 could not be included study. 58 of remaining 74 patients returned written questionnaire and 45 attended follow-up examination at mean 27 (23–32) years after fracture.Results 89 had by manipulation under anesthesia...

Background and purpose - Patient selection for nerve surgery in brachial plexus birth injury (BPBI) is difficult. Decision to operate mostly based on clinical findings. We assessed whether MRI improves patient selection. Patients methods 157 BPBI patients were enrolled a prospective study during 2007-2015. was classified at as global (GP) or upper (UP). The subdivided into flail extremity (FUE) complete involvement (CP). seen set intervals. scheduled that had either GP 1 month of age UP with...

Background: The long-term outcomes of a proximal humeral fracture during adolescence are not well known. We investigated the course primary treatment for these injuries and in adulthood, comparing with those from age-matched controls. also compared after operative nonoperative via propensity score matching. Methods: included children who sustained between ages 10.0 16.0 years underwent 1995 2005. Data episodes were extracted patient files. patients invited to follow-up visit outcome...

One hundred and sixteen knees of 33 patients with patellar dislocation 25 normal children 12-18 years age were examined by ultrasonography to measure the cartilaginous sulcus angle on surface femur. In dislocation, measured between 154 195 degrees, exceeding corresponding values (134-153 degrees). patient knees, was also consistently wider than underlying osseous sulcus. This suggests that in pediatric actual patella-stabilizing ability femoral is weaker outline axial radiographs would lead...