Objective: Chat generative pre-trained transformer (ChatGPT) has garnered attention in health care for its potential to reshape patient interactions. As patients increasingly rely on artificial intelligence platforms, concerns about information accuracy arise. In-toeing, a common lower extremity variation, often leads pediatric orthopaedic referrals despite observation being the primary treatment. Our study aims assess ChatGPT’s responses in-toeing questions, contributing discussions...

Abstract. Introduction: Transcutaneous osseointegration following amputation (TOFA) confers better mobility and quality of life for most patients versus socket prosthesis rehabilitation. Peri-TOFA infection remains the frequent complication lacks an evidence-based diagnostic algorithm. This study's objective was to investigate preoperative factors associated with positive intraoperative cultures among suspected having peri-TOFA in order create Methods: We conducted a retrospective study 83...

Background: Mutton Bustin’ was developed as a safer alternative to rough stock rodeo events such bull riding allow kids participate in the rodeo. Children hold on bareback of running sheep until they fall, competing see who can ride longest. While reports injuries due other are well described literature, there no Bustin’-associated injuries. We present case series describing injury patterns Busters presented our institution. Methods: Pediatric patients presenting single tertiary pediatric...

Background: The sequelae of open reduction developmental and/or syndromic hip dislocations include osteonecrosis/proximal femoral growth disturbance and residual dysplasia. There is limited information comparing the rates these in patients with dysplasia (DDH) arthrogryposis multiplex congenita (AMC). We performed a dual-center retrospective cohort study to compare proximal between DDH AMC who had undergone for treatment non-traumatic dislocations. Methods: identified <18 years age...

Background The internal joint stabilizer of the elbow (IJS-E) adds to techniques for maintaining reduction fracture-dislocations while allowing early motion. Literature on this device is limited small case series. Methods Retrospective comparison function, motion and complications in patients who sustained reconstructed with (30 patients) without (34 an IJS-E by a single surgeon. minimum follow up was 10 weeks. Results mean 16 ± 17 months. final flexion arc did not differ between two groups,...

Neuromuscular scoliosis in Rett syndrome (RS) is common, progressive, and often requires posterior spinal fusion (PSF). While PSF associated with improved overall outcomes, there a paucity of information describing complications. We aimed to report the postoperative complications, readmissions, reoperations for patients RS undergoing PSF.Female pediatric treated by segmental instrumentation, or without concurrent pelvis fixation, during January 2012 August 2022 were included. Preoperative...

Purpose: Hip dysplasia reportedly occurs in up to 12% of the general population and may be higher patients with adolescent idiopathic scoliosis (AIS). When using lateral center edge angle (LCEA) measurements help identify hip dysplasia, it is uncertain if this measurement can performed reliably on radiographs due parallax. The purpose study evaluate reliability measuring LCEA compared standard pelvis radiographs. Methods: This evaluated 40 hips 20 (mean age 12.5 years ± 3.1; 50% Female) who...

Lateral humeral condyle fractures (LHCF) are the second most frequent type of pediatric elbow fracture. The purpose this study is to characterize infections and nonunions LHCF treated at a single institution. This largest series on date.Pediatric patients undergoing surgical treatment for from 2012 2022 children's hospital were identified retrospective review. Patients who diagnosed with an active infection or nonunion after surgery included. Data collected included demographics, original...

Adolescent idiopathic scoliosis radiographic screening will often include the hips. The purpose of this study is to evaluate prevalence hip dysplasia by lateral center edge angle (LCEA) on radiographs in patients presenting with severe range (>45 deg) curves.We reviewed 200 consecutive (400 hips) major coronal curves ≥45 degrees between October 2009 and 2022. radiograph PA were for following variables: curve direction, balance, angles. An LCEA value ≤18 was considered dysplastic. To assess...

Background: Chronic Recurrent Multifocal Osteomyelitis (CRMO) is a rare aseptic autoinflammatory disease with wide and vague clinical presentation that often mimics infection, malignancy, or benign conditions, leading to delayed diagnosis. We aimed evaluate the characteristics, differential diagnoses from evaluating pediatric orthopaedic surgeons, compared number of patients could have avoided biopsy in 80 CRMO. Methods: Children diagnosed CRMO at single tertiary hospital United States...

Pediatric patients with leg length discrepancies and complex deformities may require multiplanar external fixators for correction. We have encountered 4 cases of half-pin breakage the Orthex hexapod frame. The purpose this study is to report factors associated compare various deformity correction characteristics between 2 frames - Taylor Spatial Frame (TSF) Orthex.Pediatric lower extremity treated an or TSF at a single tertiary children's hospital 2012 2022 were included retrospective...

Background: Compression fractures are often associated with lower energy trauma and may occur in the setting of abnormal bone health genetic disorders endocrine disorders, neoplastic disease, infection, inflammatory disorders. There is no significant series literature describing prevalence or etiology pathologic pediatric compression fractures.Methods: IRB-approved retrospective study was performed at a tertiary children's hospital from 2012-2022. Patients <18 years old diagnosed atraumatic...

This case report details a unique presentation of an infiltrative intramuscular lipoma in the anterior thigh 51-year-old female with overlying fascial defect. The patient reported progressively enlarging left mass associated pain exacerbated by knee movement and exercise. MRI revealed homogeneous without contrast enhancement An 8 cm longitudinal incision exposed 7 x 4 defect lipomatous within rectus femoris muscle. Pathological analysis confirmed malignancy. Follow-ups at two, six, 12 weeks...

The Greulich & Pyle (G&P) Radiographic Atlas of Skeletal Development uses hand x-rays obtained between 1926 and 1942 on children Caucasian ancestry. Our study modern Caucasian, Black, Hispanic, Asian to investigate patterns development as a function percent final height (PFH).

Objectives: The choice of graft for anterior cruciate ligament (ACL) reconstruction (ACLR) plays a crucial role in the outcome procedure. Each has its advantages and disadvantages. Surgeons must consider various factors, including patient age, activity level, individual anatomy, to make an informed decision on most suitable each patient. objective this study was compare incidence retear patients primary ACLR based upon autograft choice. Secondary objectives were analyze multivariate trends...

Congenital femoral deficiency (CFD) is often associated with cruciate ligament deficiency. The lateral scanogram may be a potential solution to some limitations for detecting instability This qualitative case study identified two children congenital who were assessed and had their results correlated the clinical examination MRI. Both cases child deficiency, one total leg length discrepancy (LLD) of 12 cm next 6.5 cm. weight-bearing revealed anterior tibial translation, indicating knee...

Background: When acute compartment syndrome (ACS) occurs in pediatric patients requiring venoarterial extracorporeal membrane oxygen (VA ECMO) support, there is little data to guide surgeons on appropriate management. The purpose of this study characterize the presentation, diagnosis, timeline, and outcomes who developed complication. Methods: This a single-center retrospective case series children below 19 years old VA ECMO support subsequently extremity ACS between January 2016 December...

The hepatitis A virus (HAV) is a common cause of infectious worldwide. In adults, clinical manifestations typically involve fever, nausea/vomiting, fatigue, abdominal pain, and jaundice, although rarer may be observed. Acute infection detected via anti-HAV IgM antibodies, which are present in almost all patients at symptom onset. this case, we patient who not only tested negative for acute HAV onset, but also presented with uncommon, extrahepatic including maculopapular skin rash...