Journal of pediatric orthopedics
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Review Case Reports
U-shaped sacral fracture with iliac crest apophyseal avulsion in a young child.
U-shaped sacral fractures or Jumper's fractures are rare injuries in adults and are even rarer in the pediatric population. These fractures share a common pathoanatomy where the pelvis as a unit together with the bilateral alar parts and the lower part of the sacrum, loses its skeletal and soft tissue connections to the remaining axial skeleton and hence the term spinopelvic dissociation. This report describes an unusual pattern of spinopelvic dissociation in a young child where the transverse process of the fifth lumbar vertebra was avulsed on one side (spinal side avulsion), whereas on the other side, complete iliac crest apophyseal avulsion took place (pelvic sided avulsion). To our knowledge, this combination of injuries was not reported before. The available literature describing pediatric U-shaped sacral fractures were also reviewed to help explain the pathoanatomic basis of this association. ⋯ Level IV.
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Previous research has demonstrated both greater difficulty in obtaining follow-up appointments and increased likelihood of return visits to the emergency department (ED) for patients with government-funded insurance plans. The purpose of the current study is to determine whether socioeconomic factors, such as race and insurance type, are associated with the frequency of repeat ED visits in pediatric patients with closed fractures. ⋯ Prognostic level II.
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Cross-cultural studies on adolescent idiopathic scoliosis (AIS) populations are limited. This study evaluated the discriminate validity of the Scoliosis Research Society Questionnaire (SRS-22) in Ghana between adolescents with and without AIS. SRS-22 outcomes from AIS and normal adolescents in Ghana were also compared with scores from AIS and normal adolescents in America. ⋯ Level II Prognostic.
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The adult ulna has a unique bony architecture that has been described in the literature, but, to the best of our knowledge, the ulnar anatomy in children has not been described. ⋯ Study of diagnostic test, Level II.
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Comparative Study
Operative treatment of type II supracondylar humerus fractures: does time to surgery affect complications?
Because of the changing referral patterns, operative pediatric supracondylar humerus fractures are increasingly being treated at tertiary referral centers. To expedite patient flow, type II fractures are sometimes pinned in a delayed manner. We sought to determine if delay in surgical treatment of modified Gartland type II supracondylar humerus fractures would affect the rate of complications following closed reduction and percutaneous pinning. ⋯ Level III-retrospective comparative series.