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Mashup Score: 8Outcomes Following Repair of Radial, Mid-Body Tears of the Lateral Meniscus in Adolescents: Original Research - 4 month(s) ago
Background: Radial tears of the lateral meniscus result in increased contact forces and expedite arthritis. Due to the technically difficult repair and poor healing, partial or complete lateral meniscectomy is often performed, even in the young, active patient. There is a surprising paucity of literature regarding clinical outcomes after repair of radial tears of the lateral meniscus. This study aims to evaluate a cohort of adolescent patients who have undergone repair of radial tears of the lateral meniscus body at least 2 years after surgery. Methods: With IRB approval, subjects under the age of 18 who underwent repair of mid-body, lateral meniscus tears were identified at least 2 years out from surgery. Of the 18, eight patients completed patient reported outcome surveys. Results: PROs were collected at mean 55.8 months. Mean 2-year IKDC score was 91.67 ± 10.72, and the mean MARX score was 11.63 ± 3.25. Six of eight (75%) reported performance at same level of sport with one reporti
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Mashup Score: 12Fasted or Not: Anesthesia-Related Pulmonary Complications in Pediatric Orthopaedic Emergencies Are Rare: A Pilot Study: Original Research - 5 month(s) ago
Background: The American Society of Anesthesiologists (ASA) recommends fasting before surgery: clear liquids (2 hrs), breast milk (4 hrs), light meal (6 hrs), and fried foods/fatty foods/meat (> 8 hrs). In emergencies, guidelines are bypassed for timely surgical intervention. Pediatric post-anesthesia complications caused by violating fasting guidelines remain controversial. The aim of this study was to compare the risk of post-anesthetic complications in patients who met and did not meet ASA fasting guidelines for pediatric orthopaedic emergency procedures. Methods: Patients were retrospectively identified who had emergent procedures at a level 1 pediatric trauma center from 2010 to 2020. Patients were divided into two groups: those meeting current ASA fasting criteria of fasting and those who did not. Charts were reviewed for complications of gastric content aspiration during or following anesthesia. Results: There were 321 patients who met inclusion criteria for emergency orthopaedi
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Mashup Score: 12
Introduction: Pediatric patients are often prescribed physical therapy following an orthopaedic diagnosis or surgical procedure; however, many children experience delays which can consequently prolong recovery. The purpose of this study was to identify the factors that delay the patient’s ability to receive timely care after referral to Physical Therapy (PT). Methods: Pediatric patients who were ordered physical therapy after orthopaedic treatment were prospectively recruited to participate in this study. Patients were administered a Pediatric Outcomes Data Collection Instrument (PODCI) (self or parent-reported) at 6 weeks post initial referral. A delay was defined as a wait of 2 weeks or more between the referral and first physical therapy appointment. Results: 100 patients with an orthopaedic etiology were enrolled. 60% (60/100) of patients had government insurance and 40% (40/100) had private insurance. Significant differences were revealed between insurance type (p=0.005), ethnicit
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Mashup Score: 9Journal of the Pediatric Orthopaedic Society of North America - 6 month(s) ago
Natalie L. Zusman, Matthew Bauer, Jennah Mann, Rachel Y. Goldstein Jacquelyn Valenzuela-Moss, Katherine Antoniak, Natalya Sarkisova, Curtis VandenBerg, Joshua Yang, Deirdre Ryan, Rachel Y. Goldstein Alvin W. Su, Collin J. May, Mihir Thacker, Rameez Qudsi, Apurva S. Shah, Karen Bovid Sophia Provenzano, Jack Hu, Mckenzie Young, Marianna Hsu, Marie Keenan, Lise Leveille, Andrea Simmonds Sarah Hunter, Heidi Chan, Haemish Crawford, Joseph F. Baker Austin Sturdivant, Christian Roberts, Andrew Nahr, Kayla G.
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Mashup Score: 1
Z-plasty refers to a local soft-tissue transposition using interdigitating triangular flaps and is a simple but powerful surgical technique to transpose skin, lengthen scars, and shift topography. There are a host of applications of this technique within pediatric orthopaedics, given the spectrum of traumatic, post-traumatic, and congenital differences affecting the growing child. The purpose of this Master’s Surgical Technique supplement is to describe the principles and common applications of z-plasties in pediatric orthopaedic surgery.
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Mashup Score: 0Differentiating Between Septic Arthritis and Lyme Arthritis in the Pediatric Population: Current Concept Review - 9 month(s) ago
Septic arthritis and Lyme arthritis are two conditions that can present with similar symptoms, making it challenging to differentiate between them in a clinical setting. While septic arthritis often requires immediate surgical intervention, Lyme arthritis can often be managed effectively with antibiotic therapy alone. However, given the dangerous nature of untreated septic arthritis, accurate diagnosis and timely intervention is crucial in managing the condition, especially in the pediatric population. Efforts to distinguish between the two conditions include the use of laboratory tests, history & physical exam findings, and MRI imaging. The authors aim to explore the causes, presentation, and treatment of septic versus Lyme arthritis, as well as to provide a summary of the evolving research in this area and propose an algorithm that can aid in diagnosis. By synthesizing the proposed algorithm in diagnosis, clinicians will be better equipped to manage septic versus Lyme arthritis effec
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Mashup Score: 0
Main Article Content Hilton P. Gottschalk Julie Balch Samora Krister Freese Sonia Chaudhry POSNA QSVI Hand/Upper Extremity Committee Abstract Although nerve injuries occur commonly with pediatric upper extremity fractures, there is very little existing literature to guide management of those nerve injuries that do not recover during routine fracture healing and follow-up, and even less…
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Mashup Score: 1
Main Article Content Abstract Background: Various pelvic osteotomies can be performed to improve femoral head coverage for patients with hip dysplasia and other childhood hip disorders with the goal of delaying or preventing hip osteoarthritis. During preoperative discussions, female patients and their parents often ask about the influence of these osteotomies on future pregnancy and the…
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Mashup Score: 2
Editorial Team Ken Noonan, MD | Editor-in-ChiefAristides Cruz Jr., MD | Deputy Editor ResearchBryan Tompkins, MD | Deputy Editor TechnologyLisa DuShane | Managing Editor Editorial Board Alex Arkader, MD | TumorJennifer Beck , MD | SportsJennifer Bauer, MD | SpineAlice Chu, MD | Foot & AnkleHaemish Crawford, FRACS | InternationalDavid Farrington, MD | InternationalNicholas Fletcher, MD | Surgical…
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Mashup Score: 2
Editorial Team Ken Noonan, MD | Editor-in-ChiefAristides Cruz Jr., MD | Deputy Editor ResearchBryan Tompkins, MD | Deputy Editor TechnologyLisa DuShane | Managing Editor Editorial Board Alex Arkader, MD | TumorJennifer Beck , MD | SportsJennifer Bauer, MD | SpineAlice Chu, MD | Foot & AnkleHaemish Crawford, FRACS | InternationalDavid Farrington, MD | InternationalNicholas Fletcher, MD | Surgical…
Source: jposna.orgCategories: Latest Headlines, OrthopedicsTweet
The latest research shows repair of these mid-body tears should be attempted: https://t.co/pKKTpN5cLd #jposna #posna #pediatricorthopaedic https://t.co/FRC2vl972r