The study objective was to determine if maternal and paternal exposure adverse childhood experiences (ACEs) have a significant association with negative offspring development at 24 months of age in suburban pediatric primary care population.A retrospective cohort conducted 311 mother-child 122 father-child dyads who attended large practice. Children were born from October 2012 June 2014, data collected the 2-, 4-, 24-month well-child visits. Multivariable Poisson regression robust error...

This paper describes a simple method for the recording of rib deformity in idiopathic scoliosis. The relationships have been recorded between measured hump and depression deformities 1) rotation vertebral bodies (as by Nash Moe on standing radiograph); 2) degree lateral curvature Cobb 3) rib-vertebra angles their differences described Mehta). No clear linear were found. Many examples irregular relationship recorded, example, marked spinal with minimal hump. response to treatment Milwaukee...

Posterior glenoid bone loss often is seen in association with glenohumeral osteoarthritis. Many different techniques have been proposed to account for this during total shoulder arthroplasty, the most popular being eccentric anterior reaming. However, amount of correction that can be achieved has not well quantified. The purpose study was define posterior wear corrected by Eight cadaveric scapulae were studied. Simulations 5 degrees increments performed on each scapula. specimens then...

Sixty-nine patients with congenital abnormality of the femur were reviewed. Their manifestation femoral dysplasia ranged from an intact approximately 60 per cent length normal leg to a subtotal absence in which only condyles remained, often fusion knee joint. Two groups defined: Group I consisted those hypoplastic hip and could be made functional where, some at least, equalisation was possible; II true proximal focal deficiency where joint never always useless. The each group examined...

Summary: We report a multicenter long-term follow-up study of patients with septic arthritis the hip during infancy or childhood. Group I ("infantile") consisted onset before age 3 months, and II ("childhood") in whom occurred after months. Patients were specifically examined for this review. Generally, at had poor anatomic appearance radiographically scored poorly on Harris rating system. However, pain activity restriction minimal. who not treated operatively tended to function better than...

Fifty-nine children with juvenile idiopathic scoliosis have been reviewed. In six of eighteen who had no treatment the curvatures did not increase over months or more, while in twelve they increased at a median annual rate degrees. The pattern and magnitude curvature age diagnosis could be used accurately to predict progression. forty-two patients progression occurred Milwaukee brace was begun, thirty being managed periods part-time wear. correction 13 per cent. Serial measurements...

The safety of controlled hypotension during arthroscopic shoulder procedures with the patient in beach-chair position is controversial. Current practice for management intraoperative blood pressure derived from expert opinion among anesthesiologists, but there a paucity clinical data validating their practice. purpose this study was to evaluate effect on cerebral perfusion use continuous electroencephalographic monitoring patients undergoing arthroscopy position.Fifty-two consecutive who had...

Recent advances in the management of septic arthritis hip children include a better understanding effects infection on articular cartilage; improvements diagnostic tests, including erythrocyte sedimentation rate, C-reactive protein analysis, and ultrasonography; more efficacious home intravenous oral antibiotic therapy. Early diagnosis is essential to successful treatment. Needle aspiration most specific test; however, false-negative results are possible. Prompt surgical drainage...

We reviewed the records of 202 patients (308 hips) in whom a slipped capital femoral epiphysis had been fixed with pins or screws. A serious complication that was directly related to use internal fixation developed eighty hips (26 per cent). The rate complications 40 cent. In thirty-six (18 cent) patients, an additional procedure done correct pin-related complication. Forty-one hip joints penetrated by pin. Other included avascular necrosis (fourteen hips), chondrolysis (nine), fracture...

Kyphosis in the myelomeningocele patient population causes significant problems such as skin breakdown, recurrent infection, and decreased function. Kyphectomy has proved to be a satisfactory means of correcting deformity, but postoperative stabilization prevent recurrence deformity continues problem. Twelve patients with kyphosis, measuring an average 124 degrees, were managed by posterior kyphectomy segmental spinal instrumentation. After operation, curves measured 32.8 degrees. With...

Summary: The value of arthrography in children's fractures is well established, but the accuracy this technique has not been reported. We assessed usefulness by performing test on a series lateral humeral condyle and, when possible, compared arthrographic findings with at operation to assess test. Twenty-four consecutive patients were evaluated, and 13 underwent both open reduction. conclude that useful accurate performed children have provided guidelines for its use managing problem.

Twenty-seven patients of a group twenty-nine who underwent posterior spine fusion using Harrington compression instrumentation for Scheuermann's disease or postural roundback deformity were reviewed with mean follow-up 27.6 months. The curve before operation was 72 degrees and at review, 46.1 degrees. loss correction in the from initial examination to final 5.7 This procedure can achieve satisfactory as well pain relief. We think that is indicated selected cases deformity.

Recently, gender-specific designs of total knee replacement have been developed to accommodate anatomical differences between males and females. We examined a group male female distal femora matched for age height, determine if there was difference in the aspect ratio (mediolateral distance versus anteroposterior distance) height anterior flange genders. The Hamann-Todd Collection provided 1207 skeletally mature cadaver femora. femoral length, lateral medial flanges mediolateral width were...

Participation of women in medicine has increased markedly recent decades, but gender disparities still exist, particularly academic medicine. To provide insight into the gap, specifically orthopaedic sports medicine, we investigated relationship between and authorship literature from 1972 to 2018.Information about every original article four prominent journals 2018 was extracted PubMed. The proportions female first, second, middle, senior authors over time were determined. Gender influences...

Abstract Despite advancements in surgical techniques and materials for rotator cuff repair procedures, primary failures remain common. This study examines the use of electrochemically aligned collagen (ELAC) threads woven into biotextile scaffolds as grafts to critical infraspinatus tendon defects New Zealand White rabbits. Three treatment groups were evaluated: rabbits undergoing direct operative controls, receiving ELAC alone, treated with mesenchymal stem cell (MSC)‐seeded scaffolds. In...