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Shoulder Arthroscopy in Children and Adolescents

Arthroscopy is increasingly being used to manage a wide range of pathologies in the pediatric population. Knee arthroscopy is an efficacious treatment method for skeletally immature patients, and an increasing number of shoulder conditions can be managed with minimally invasive techniques. Special considerations are needed with regard to anatomy, anesthetic technique, equipment, and patient positioning when performing shoulder arthroscopy in a child or an adolescent. Several shoulder ailments can be managed arthroscopically in this patient population, including infection, contractures resulting from brachial plexus palsy, traumatic instability, atraumatic multidirectional instability, hemophilia, and rotator cuff injuries.

Displaced Clavicle Fractures in Adolescents: Facts, Controversies, and Current Trends

There is an increasing trend toward stabilization and fixation of markedly displaced midshaft clavicle fractures in adolescents. Recent studies in the adult literature have shown a greater prevalence of symptomatic malunion, nonunion, and poor functional outcomes after nonsurgical management of displaced fractures. Fixation of displaced midshaft clavicle fractures can restore length and alignment, resulting in shorter time to union. Symptomatic malunion after significantly displaced fractures in adolescents may be more common than previously thought. Adolescents often have high functional demands, and their remodeling potential is limited. Knowledge of bone biology and the effects of shortening, angulation, and rotation on shoulder girdle mechanics is critical in decision making in order to increase the likelihood of optimal results at skeletal maturity. Selection of fixation is dependent on many factors, including fracture type, patient age, skeletal maturity, and surgeon comfort.

The OKOJ Review Process

Peer review is a critical element in the rigorous and efficient evaluation of manuscripts submitted for consideration for publication and contributes significantly to the quality and integrity of articles that appear in OKOJ.

Sports Medicine Poster Takes Top Honors

During this morning’s “Breakfast in the Posters” event, Central Program Committee Chair Brian J. Cole, MD, recognized the winner of the Best Poster in each classification and the best overall poster for the 2014 Annual Meeting.

The overall honors went to Poster P427, Prospective Comparative Study of ACL Reconstruction Between Using Hamstring Autograft and Soft-Tissue Allograft, prepared by Jong-Keun Seon, MD; Eun K. Song, MD; Hasung Kim; Kyung Jai Lee, MD, of the Center for Joint Disease at Chonnam University Hwasun Hospital, Korea.

The winning posters follow: