Siblings with vascular involvement associated with hereditary multiples exostosis.

Multiple hereditary exostoses are frequently observed in children, but vascular complications from exostoses in siblings are rare. We report the case of a 10-year-old boy, admitted for dyspnea and chest pain related to a hemothorax due to a right eighth rib exostosis. He was successfully treated by costal resection and chest tube drainage.

Anterior dislocation of the sacroiliac joint in children: a new technique for pelvic fixation.

Pelvic injuries in children and especially sacroiliac anterior dislocation are uncommon lesions. In this study, we present an original technique for the fixation of such lesions by a custom-made frame through a single posterior approach. The case of a 12-year-old girl is reported here and advantages of this technique are described.

Intraoperative monitoring in pediatric orthopedic spinal surgery: three hundred consecutive monitoring cases of which 10% of patients were younger than 4 years of age.

Study Design: Analysis of a prospective series of 300 consecutive cases undergoing intraoperative monitoring in pediatric orthopedic spinal surgery, of which 10% were children younger than 4 years.

Objective: Determine feasibility and performance of intraoperative monitoring in children younger than 4 years. Analyze distinct physiopathologic mechanisms of relevant alerts.

Hexapodal external fixation in the management of children tibial fractures.

Some tibial fractures in children require surgical osteosynthesis, mostly achieved by an internal fixation. Indications for external fixation in the management of tibial fractures in children are limited to specific clinical situations when conventional treatments are contraindicated. The aim of this study is to report the results of tibial fractures management by hexapodal external fixation.

Symptomatic os trigonum in children.

Background: Symptomatic os trigonum is a rare condition well described in adults responsible for chronic ankle pain. To date there is no published case of successfully managed symptomatic os trigonum in children.

Methods: We retrospectively reviewed 4 paediatric patients (11-17) successfully operated on for a symptomatic os trigonum through a postero medial approach.

Lateral humeral condyle fractures in children: a comparison of two approaches to treatment.

The treatment of lateral condyle fractures in children remains controversial. This study investigates whether minimally displaced lateral condyle fractures should be treated surgically and compares different techniques of operative management. The authors retrospectively reviewed medical charts and radiographs of 97 children from two international centers whose therapeutic modalities differed, noting demographic data, fracture features, treatment modalities, complications, and clinical and radiographic results.