Incidence and Risk Factors for Steroid-associated Osteonecrosis in Children and Adolescents: A Systematic Review of the Literature.

Objective: Steroid-associated osteonecrosis in pediatric patients with inflammatory and oncologic disease is an uncommon yet debilitating condition causing significant functional disability. Pediatric orthopaedic surgeons encounter this population during stages in which surgical intervention may be necessary for joint preservation. Various risk factors for steroid-associated osteonecrosis have been suggested, but a comprehensive systematic review of the literature has not been performed.

Connecting Underrepresented Medical Students to Resources and Role Models in Orthopaedic Surgery: A Virtual Diversity, Equity, Inclusion, and Accessibility Summit.

Introduction: Limited access to resources and stereotypes about orthopaedic surgeons may contribute to the low percentage of women and people of underrepresented in medicine (URiM) backgrounds in orthopaedic surgery. Several organizations have created resources to address these barriers, but medical students are unlikely to be exposed to the initiatives through traditional curricula. The purpose of this study was to (1) evaluate the ability of a 1-day virtual Diversity, Equity, Inclusion, and Accessibility (DEIA) summit to effectively reach URiM medical students, (2) increase medical students' knowledge of DEIA resources, and (3) augment the perception of diverse backgrounds in orthopaedic surgery.

Impact of Low-Level Blast Exposure From Military Training and Career Cumulation on Hearing Outcomes.

Introduction: Occupational trades expose military service members to unique sound exposure profiles, distinct in frequency and amplitude to those commonly studied in industrial settings. Characteristics of the energy exposure incurred through blast exposure exercises a distinct mechanism of injury in the auditory system that yield acute and cumulative health impacts. The following paper considers physiological and self-reported data attributed to repeated low-level blast exposure.

Improved Biomechanical Performance of Tibial Spine Fracture Repair With Suture and Anchor Fixation in Pediatric Cadaveric Knees.

Background: Prior studies in porcine and adult human bone suggest that suture fixation is superior to screw fixation of pediatric tibial spine fractures (TSFs). However, we have previously demonstrated that 2-suture repair was biomechanically comparable with 2-screw repair in human pediatric cadaveric knees.

Purpose: To evaluate whether TSF fixation with sutures attached to anchors placed in stronger metadiaphyseal bone would produce biomechanically superior repair to 2-screw and 2-suture constructs.

Differences in adult survival drive divergent demographic responses to warming on the Tibetan Plateau.

A central question in biodiversity conservation is whether species will maintain viable populations under climate warming. Assessing species viability under climate warming requires demographic studies integrating vital rate responses to long-term warming throughout species' life cycles. However, studies of this nature are rare.