Journal of pediatric orthopedics
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Fractures of the lateral humeral condyle represent the second most common elbow fracture in children and the most common physeal fracture about the elbow. Growth disturbances after this fracture, including premature physeal arrest, are rare but important complications. Only 4 radiographically documented reports of premature physeal arrest exist to date with just 1 offering comparative views. No computed tomography (CT) evidence of this event has previously been reported in the literature. The purpose of this study is to provide well-documented radiographic evidence of premature capitellar growth arrest, substantiated by CT imaging. ⋯ Level IV--case series.
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A retrospective case-comparison study. ⋯ The use of ITM/EPI after PSF for AIS is safe and effective, this methodology provided significantly lower pain scores and lowers total opioid use which can lead to urinary and bowel dysfunction.
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Comparative Study
Comparison of the calcaneo-cuboid-cuneiform osteotomies and the calcaneal lengthening osteotomy in the surgical treatment of symptomatic flexible flatfoot.
Surgery is indicated in symptomatic flatfoot when conservative treatment fails to relieve the symptoms. Osteotomies appear to be the best choice for these painful feet. The purpose of this study was to compare the clinical and radiographic outcome of the calcaneo-cuboid-cuneiform osteotomies (triple C) and the calcaneal-lengthening osteotomy in the treatment of children with symptomatic flexible flatfoot. ⋯ Level III, retrospective comparative study.
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Comparative Study
Accuracy of 3-Tesla magnetic resonance imaging for the diagnosis of intra-articular knee injuries in children and teenagers.
Magnetic resonance imaging (MRI) is a commonly used tool for the diagnosis of intra-articular knee pathologies. Although many studies have reported the accuracy of MRI in the adult population, fewer studies have investigated these tests in younger patients. Furthermore, these studies have shown a higher variability in both the sensitivity and the specificity of MRI for these knee injuries in this age group. Advancements in MRI technology, such as the 3-Tesla (3T) MRI magnet, have shown promising results for musculoskeletal injury diagnosis in adults. This study aims to evaluate 3 T MRI for the diagnosis of intra-articular knee pathologies in a pediatric and adolescent patient population. ⋯ Diagnostic study--Level 2.