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Distal Humerus Physeal Separation: Diagnostic Challenges and Implications.
Cureus
December 2024
Orthopaedics and Traumatology, Universiti Putra Malaysia, Serdang, MYS.
Distal humerus physeal separation is an uncommon and often misdiagnosed injury in infants and young children, frequently resulting in delayed treatment. We report three cases of distal humerus physeal separation that presented with different clinical scenarios with different management approaches. The first case describes a nine-month-old girl who was initially treated for presumed elbow cellulitis before presentation to our centre six weeks later.
View Article and Find Full Text PDFMeasuring up: Ensuring Intra- and Interobserver Reliability in Stretched Penile Length with the SPLINT Technique.
J Indian Assoc Pediatr Surg
November 2024
Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Background: A discrepancy between the true and measured value of stretched penile length (SPL) may be a result of errors that can either be systematic or random. Hence, it becomes important to focus on the quality of measurements to prevent any iatrogenic harm to the patients.
Objective: The objective of this study was to assess the magnitude of intra- and interobserver variations in the measurement of SPL with the SPLINT technique.
Degradation and Fatigue Behavior of 3D-Printed Bioresorbable Tracheal Splints.
J Biomed Mater Res B Appl Biomater
December 2024
J. Vernon Luck, Sr., M.D. Orthopaedic Research Center, Luskin Orthopaedic Institute for Children in Alliance With UCLA, Los Angeles, California, USA.
Severe infantile tracheobronchomalacia (TBM) is often treated with invasive surgery and fixed-size implants to support the trachea during respiration. A novel 3D-printed extra-luminal splint has been developed as a flexible and bioresorbable alternative. Therefore, the goal of the present study was to use an in vitro breathing simulator model to comprehensively evaluate the structural stiffness and failure modes of two sizes of a novel bioresorbable 3D-printed splint design under a range of physiological degradation conditions.
View Article and Find Full Text PDFSystematic Review and Meta-Analysis of Intervention Techniques in Occupational Therapy for Babies and Children with Obstetric Brachial Plexus Palsy.
J Clin Med
October 2024
Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department, Rey Juan Carlos University, 28922 Madrid, Spain.
Article Synopsis
- Obstetric brachial plexus palsy (OBPP) is a neurological injury affecting infants, causing motor and sensory issues in the arms due to complications during birth, specifically shoulder dystocia.* -
- The study aims to evaluate early therapeutic interventions from the occupational therapy perspective for treating OBPP, filling a noted gap in specialized care for newborns and enhancing treatment decisions.* -
- After reviewing 2190 articles, 108 were analyzed, with 22 meeting the study’s criteria; the most effective therapies identified were constraint-induced movement therapy and splinting, while additional techniques like joint manipulation and early education were used as needed.*
A Novel Approach for Tetralogy of Fallot-Absent Pulmonary Valve Using Bioresorbable Airway Splints.
Pediatr Cardiol
September 2024
Department of Cardiac Surgery, Section of Pediatric Cardiovascular Surgery, University of Michigan Medical School, Ann Arbor, USA.
Article Synopsis
- Tetralogy of Fallot with absent pulmonary valve (ToF-APV) often leads to severe tracheobronchomalacia (TBM), which can compromise the airway and necessitate surgical interventions like tracheostomy and prolonged ventilator support.
- A new bioresorbable, 3D-printed airway splint shows promise in treating severe TBM, potentially reducing the need for early repairs and invasive procedures like tracheostomy.
- A study of eight patients treated with airway splinting revealed that those who received the splint before complete cardiac repair generally had better outcomes, avoiding tracheostomy and long-term ventilation compared to those who had the cardiac repair first.
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