Publications by authors named "R F Gibly"

Background: Acute musculoskeletal infection affects >1 in 6,000 children in the United States annually. Magnetic resonance imaging (MRI) is the gold standard for the diagnosis of musculoskeletal infection, but it traditionally requires contrast and anesthesia for children, delaying management. A rapid MRI protocol involves MRI without anesthesia and with limited non-contrast sequences optimized for fluid detection and diffusion-weighted images to identify abscesses.

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Article Synopsis
  • Childhood fractures involving the physis can lead to growth disturbances, which are difficult to treat and may cause further complications; this study focuses on the link between these fractures in the tibia and femur and growth disturbances.
  • Researchers analyzed data from 1,585 patients aged 0.5 to 18.9 treated for tibial or distal femoral physeal fractures over a decade, estimating a clinically significant growth disturbance (CSGD) incidence of 5.0%, primarily occurring within 2 years of the initial injury.
  • Factors significantly increasing the risk of CSGD included complex fractures requiring surgery, specific types of physeal fractures, patient age, and initial treatment at an outside facility, emphasizing the need for long-term
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Background: Pediatric long-bone physeal fractures can lead to growth deformities. Previous studies have reported that physeal fractures make up 18-30% of total fractures. This study aimed to characterize physeal fractures with respect to sex, age, anatomic location, and Salter-Harris (SH) classification from a current multicenter national database.

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Background: Pediatric lower extremity physeal fractures carry a risk of developing deformities. Most epidemiological evidence is over 25 years old, single institution, and lacks follow-up, while recent studies report variable results. Understanding their epidemiology and deformity risk is important for patient counseling and follow-up.

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