Category Archives: Issues

August 2014

Outcome studies continue to support Ponseti method

Clubfoot researchers have begun to report long-term data that continue to solidify the superiority of the conservative method over surgical intervention in most cases. But variations to the traditional Ponseti method are arising, particularly in developing countries, and may alter outcomes.

By Larry Hand

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May 2014

Plaster outranks other pediatric casting materials for moldability

Sometimes, even when new treatment materials are available, it may be better to rely on traditional options. Such may be the case when it comes to choosing a molding material to form casts for children with clubfoot or fractures.

By Larry Hand

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May 2014

Risks of overuse, burnout extend to youth athletes

Despite the slim odds of securing an athletic scholarship and the even slimmer prospect of playing professional sports, there’s an overemphasis today on success in competitive youth sports, including specialization and…

By P.K. Daniel

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May 2014

Early outcomes support internal technique for limb lengthening

Preliminary evidence supports the use of a new internal technique for limb lengthening, according to data from the International Center for Limb Lengthening (ICLL) at the Rubin Institute for Advanced Orthopedics of Sinai Hospital in Baltimore.

By Samantha Rosenblum

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May 2014

Kids, clothes, and AFOs: Finding just the right fit

When a child is required to wear ankle foot orthoses (AFOs), his or her clothes have to be more than just cute. Trying to match the logistical requirements of AFOs with fashion concerns and psychosocial development can be a challenge for patients and parents alike.

By Shalmali Pal

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May 2014

Juvenile hallux valgus: Shoe fit and other considerations

Austrian research suggests too-short shoes may contribute to the development of bunions in children, and genetics also appear to play a role. Most clinicians try to avoid surgery in young patients, instead turning to conservative strategies such as…

By Christina Hall Nettles

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February 2014

Ponseti method surpasses surgery for long-term clubfoot outcomes

But both groups fall short of controls – Children treated for clubfoot with the Ponseti method have less pain and fewer gait impairments as adults than those treated with surgery, according to research from Shriners Hospital for Children in Chicago.

By Samantha Rosenblum

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February 2014

Ankle dorsiflexion patterns vary in Charcot-Marie-Tooth disease

Data support case-by-case approach – Gait patterns can vary significantly among young patients with Charcot-Marie-Tooth disease (CMT), and pathomechanics can vary even between limbs in one child, according to a recent study published in Gait & Posture.

By Larry Hand

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February 2014

Ankle weights improve walking in children with Down syndrome

Load may help engage plantar flexors – Adding an ankle load during treadmill walking significantly improves gait kinetics in children with Down syndrome (DS), possibly due to greater contributions from the ankle plantar flexors, according to a study from Georgia State University in Atlanta.

By Larry Hand

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February 2014

In youth athletes, repair after meniscal injury poses challenge

Obesity, gender affect tear complexity – Adolescents and children suffer more complex meniscus injuries that are often less repairable than previously reported, according to a study published in the December 2013 issue of the American Journal of Sports Medicine (AJSM).

By P.K. Daniel

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