Exploring Outcomes of Tibial Rigid Intramedullary Nailing in Adolescent Patients

This study demonstrated that RIMN for tibial shaft fractures in skeletally immature pediatric patients within 2 years of maturity was not associated with iatrogenic physeal injury and resultant changes in tibial slope. Additional favorable clinical outcomes, the potential for early weight-bearing, and few associated postoperative complications indicate that RIMN is a safe option for skeletally […]

No Association Between Growth Hormone Therapy and Upper Extremity Physeal Tension Injuries: A Matched Case-control Study

Using a matched case-control study design, the present study demonstrated no association between upper extremity physeal injury and growth hormone supplementation therapy in pediatric and adolescent patients. Considering these results, clinicians may not need to advise precaution against sports or other activities that put the upper extremity physes under stress when treating patients with growth […]

Length of post-treatment immobilization following medial humeral epicondyle avulsion fracture predicts return of full range of motion

This large multicenter cohort study found that of the variables studied, increased immobilization time was the only independent predictor of residual elbow stiffness following medial epicondyle fractures in children, independent of treatment strategy and receiving PT/OT. With surgical treatment often warranting shorter post-treatment immobilization times, surgery may provide an avenue for consistently regaining full ROM […]

Strong Association Between Growth Hormone Therapy and Proximal Tibial Physeal Avulsion Fractures in Children and Adolescents: A Case-Control Study

This study demonstrates that the proportion of subjects who sustained proximal tibial physeal avulsion fractures and were receiving recombinant human growth hormone therapy at the time of injury was significantly greater than that of an age, sex, and body mass index-matched control group with midshaft tibial fractures (11% versus 0%, respectively, representing 15-times greater odds […]

Extension of Tibial Spine Fractures Beyond the Tibial Spine: An MRI Analysis of 54 Patients

This study demonstrated that TSF beds were larger in younger patients, extended to the posterior third of the epiphysis in 54% of cases, and should be examined carefully for extension into weightbearing regions of the tibial plateau. In pediatric patients, the TSF often involves more of the tibial plateau than the anatomic footprint of the […]

The Incidence of Pediatric Tibial Spine Fractures Is Greater and Peaks Later in Male Patients

This study confirms a difference in incidence by sex for pediatric tibial spine fractures, with male patients having a greater peak incidence that also occurs at an older age. Most cases in this study were treated nonoperatively.