Optimizing the vertical position of the brace thoracic pad: Apical rib or apical vertebra?

Introduction: The vertical position of the thoracic pad is a subject of controversy in brace design. Traditional recommendations dictate a maximal force applied at the level of the apical rib, about 2 levels below the apical vertebra. We sought to evaluate the optimal vertical position of the brace thoracic pad using fulcrum bending radiographs.

Pediatric avulsion fractures of pelvis: current concepts.

Purpose Of Review: Provide the reader with an evidence-based update on the importance of accurate diagnosis of commonly missed avulsion fractures of pelvis apophyses, the necessary imaging studies, the feared complications and the recent treatment recommendations.

Recent Findings: Accurate diagnosis of avulsion fractures of pelvis apophyses is high yield as misdiagnosis leads to improper treatment. They should be differentiated from muscle strain and apophysitis.

Preliminary Results of the Induced Membrane Technique for the Reconstruction of Large Bone Defects.

Background: During past decades, gradual bone transplant using external fixators and vascularized fibular or rib transplants widely contributed to solve difficult problems related to the reconstruction of large bone defects in children. However, these surgeries are time consuming and require specialized surgical skills, not always available in a general hospital setting, mainly in rural areas.

Purpose: To report the preliminary results of the more recently described induced membrane technique in a consecutive series of 8 children and to identify some factors related to the procedure's success.

Orthopedic complications related to growth hormone therapy in a pediatric population.

Since the introduction of recombinant growth hormone, its use has diversified and multiplied. Growth hormone is now the recommended therapy for a growing indication to all forms of short stature because of its direct and indirect role on bone growth. Hereby, we discuss the orthopedic complications associated with growth hormone treatment in pediatric patients.

Percutaneous radiofrequency coagulation of osteoid osteoma of the "Neural Spinal Ring".

Study Design: Three cases of osteoid osteomas of the spine, adjacent to neural elements, were treated with CT-guided thermal coagulation.

Objective: To present an alternative method to conventional treatment of spinal osteoid osteoma.

Summary Of Background Data: Percutaneous CT-guided radiofrequency coagulation has been successfully used for osteoid osteoma of the extremities.

"Perthes-like" changes in a free riding untreated congenital dislocated hip.

The development of avascular necrosis of the femoral head (AVN) after the treatment of congenital dislocation of the hip (CDH) is a well-known complication, but the coexistence in an old child of untreated CDH and ischemic changes of the femoral head has not been reported. Many authors and several years of clinical observation have shown that Perthes-like changes do not occur unless the two sides of the joint are in contact. The purpose of this paper was to report a case of Perthes-like disease that occurred in an untreated CDH, and to discuss the possible pathogenesis.

Rib fixation for humeral lengthening following interscapulothoracic resection for malignant tumor.

We report a case of humeral lengthening in an adolescent, 6.5 years after interscapulothoracic resection for an osteosarcoma of the scapula. The lengthening external fixator was augmented by ipsilateral rib fixation in order to prevent cephalad migration of the proximal fragment.