Is Propionibacterium acnes becoming the most common bacteria in delayed infections following adolescent idiopathic scoliosis surgery?

Study Design: Retrospective review of hospital charts.

Objective: (1) To determine the microbiological profile of patients with surgical site infections following posterior spinal fusion surgery (PSF) for Adolescent Idiopathic scoliosis (AIS). (2) To study the treatment outcome of patients with surgical site infections (SSI) following surgery for AIS.

Congenital fibular deficiency: a review of thirty years' experience at one institution and a proposed classification system based on clinical deformity.

Background: Congenital longitudinal deficiency of the fibula is the most common lower extremity congenital deficiency, with a broad spectrum of severity and subsequent reconstructive treatment. Published classification schemes do not accurately predict reconstructive treatment currently in practice.

Methods: We reviewed all medical records of patients with a dominant deformity of congenital fibular deficiency who were managed at our institution between 1971 and 2005.

Traumatic distal femoral physeal fracture in a neonate treated with open reduction and pinning.

We present a case of distal femoral fracture of a neonate. The diagnosis, treatment, and follow-up along with a literature review are presented for this rare occurrence.

Infantile idiopathic scoliosis.

This review of infantile idiopathic scoliosis highlights the clinical features, etiology, epidemiology, and treatment considerations that clearly distinguish this entity from the more common diagnosis of juvenile and adolescent idiopathic scoliosis. A comprehensive understanding of infantile idiopathic scoliosis provides the basis for reliable prediction of those curves that are likely to spontaneously resolve and those that will relentlessly progress if left untreated.

Hip adductor injury in competitive swimmers.

Methods: The authors conducted a survey of 296 competitive swimmers to assess the incidence and importance of interfering groin pain in breaststroke swimmers.

Results: Breaststroke swimmers were more likely to have current groin pain (6.92%) than individual medley swimmers who did not compete in pure breaststroke events (0, P = 0.

Common rotational variations in children.

Most rotational variations in young children, such as in-toeing, out-toeing, and torticollis, are benign and resolve spontaneously. Understanding the normal variations in otherwise healthy children is vital to identifying true structural abnormalities that require intervention. A deliberate assessment of the rotational profile is necessary when evaluating children who in-toe or out-toe.

Dynamic magnetic resonance guided treatment of developmental dysplasia of the hip.

This study demonstrates the feasibility and advantages of near real-time, multiplanar, dynamic magnetic resonance image-assisted treatment of patients with developmental dysplasia of the hip. Pathoanatomy and dynamic blocks to reduction are visualized with anatomic clarity not otherwise possible. Continuous imaging allows accurate assessment and maintenance of optimum positioning throughout the casting procedure.