A Descriptive Study of Lower Limb Torsional Kinematic Profiles in Children With Spastic Diplegia.

Background: Lower limb rotational anomalies in spastic diplegic children with cerebral palsy (CP) are common and difficult to identify through physical examination alone. The identification and treatment of the overall rotational disorders must be considered to restore physiological lever-arms lengths and lever-arms orientation.The aims of the study were to assess the prevalence of lower limb rotational malalignment and to describe the distribution of the different kinematic torsional profiles in children with spastic diplegia.

Hematogenous osteoarticular infections of the hand and the wrist in children with sickle cell anemia: preliminary report.

Background: Hematogenous osteoarticular infections of the hand and the wrist in children with sickle cell anemia are rare and no specific studies for this location have been published.

Methods: This retrospective and comparative study reviewed 34 children who carry the diagnosis of osteoarticular infections of the wrist and the hand at our institution during a 10-year period extending from January 2000 to December 2010. The first group included 8 patients with sickle cell anemia (Hg SS).

Upper limb motion analysis in children with hemiplegic cerebral palsy: proximal kinematic changes after distal botulinum toxin or surgical treatments.

Purpose: The purpose of this study is to describe the kinematic changes in children with cerebral palsy (CP) after treatments performed on the forearm, wrist or thumb, with specific attention to the changes around the trunk, shoulder and elbow kinematics.

Methods: With the use of a specific kinematic protocol, we first described the upper limb kinematics in a group of 27 hemiplegic patients during two simple daily tasks. Eight of these children were treated with botulinum toxin (Botox(®), Allergan) injection or surgery and were, thereafter, evaluated with another kinematic analysis in order to compare the pre- and post-therapeutic condition.

Shoulder external rotator selective neurotomy in cerebral palsy: anatomical study and preliminary clinical results.

Shoulder external rotation posturing in patients with cerebral palsy can severely impair bimanual activities and lead to painful shoulder instability. We performed an anatomical study to describe the surgical approach to the shoulder external rotators nerves. Using this technique, we performed a selective neurotomy in five shoulders with external rotator shoulder spasticity.

Claw toes after tibial fracture in children.

Purpose: The development of claw toe deformity following fracture of the tibia in children has not been described in our review of the literature. We report on the management of the acquired claw toe deformity after tibia fracture in five children.

Methods: We report on five patients, between 5 and 15 years of age, who developed clawing of the hallux following a fracture of the tibia.

Extensor tendon injuries in children.

Introduction: This study retrospectively analyzes primary extensor tendon repairs in children younger than 15 years.

Methods: Exclusion criteria were skin loss, devascularization, fractures, or flexor tendon injuries. Fifty patients who had sustained extensor tendon laceration with 53 digits injured were available for review.

Hematogenous osteomyelitis of the wrist in children.

Introduction: Wrist osteomyelitis is a rare infection, and few studies have been published about its prognosis and treatment.

Methods: We retrospectively examined the medical records of 18 children older than 4 months who were diagnosed with wrist osteomyelitis. A definite diagnosis of wrist osteomyelitis required either confirmatory radiographic/bone scintigraphy changes associated with compatible clinical picture and elevated laboratory indices consistent with infection.

Kinematic analysis of the upper limb: a useful tool in children with cerebral palsy.

Upper limb involvement in cerebral palsy is usually more complex than lower limb involvement. Each child has a specific brain lesion and the clinical pattern is highly variable. Current clinical methods of assessment do not fully evaluate the kinematic activity during simple activities of daily life.

[From Marey to modern gait analysis. Advances in orthopedic surgery of motor disability].

Marey broke movement down into a series of stills. We still use this approach but technical advances, especially in computing, allow us to record cinematics, kinetics and electrical muscular activity simultaneously. We now have a better understanding of gait disorders in children with motor disabilities, challenging previous surgical indications and leading to the concept of single-procedure "multisite" surgery with spectacular improvements in outcome.

Femoral head vascularisation in Legg-Calvé-Perthes disease: comparison of dynamic gadolinium-enhanced subtraction MRI with bone scintigraphy.

Background: It has been reported that MRI using a dynamic gadolinium-enhanced subtraction technique can allow the early identification of ischaemia and the pattern of revascularisation in Legg-Calvé-Perthes (LCP) disease with increased spatial and contrast resolution. Therefore, dynamic gadolinium-enhanced subtraction (DGS) MRI may be a possible non-ionising substitute for bone scintigraphy.

Objective: The purpose of this prospective study was to compare DGS MRI and bone scintigraphy in the assessment of femoral head perfusion in LCP disease.