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Children
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Pediatric Trauma and Rehabilitation
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Pediatric Trauma and Rehabilitation

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Orthopedics & Sports Medicine".

Deadline for manuscript submissions: closed (1 November 2024) | Viewed by 4959

Special Issue Editors

Dr. Stephan Payr

E-Mail Website
Guest Editor
University Clinic of Orthopedics and Trauma Surgery, Department of Trauma Surgery, Medical University of Vienna, Vienna, Austria
Interests: pediatric trauma; conservative/operative treatment; prevention; epidemiology; rare injuries; new concepts; rehabilitation; reconstructive surgery
Dr. Thomas Tiefenboeck

E-Mail Website
Guest Editor
Department of Trauma Surgery, Medical University of Vienna, Vienna, Austria
Interests: trauma and orthopedic surgery; arthroscopic surgery on the knee and ankle; reconstructive surgery on the knee joint (ligament plasty); cartilage surgery; foot surgery; hip surgery (joint replacement); knee surgery (joint replacement)

Special Issue Information

Dear Colleagues,

The WHO recommends the enhancement of both the quality and quantity of data on morbidity and outcomes of children’s injuries. This will facilitate targeted investment in injury prevention. Causes of injuries in infants, children and teenagers have a broad spectrum and and variety of causes, as sometimes the anatomical regions of interest vary between different age groups. Further, children and teenagers are often curious and tend to be more available to participate in sports trends with kick-scooters, skateboarding, snowboarding, on trampolines, etc. Therefore, the identification of injury patterns will always be of great intrest, as will their prevention and therapy. In the case of growing injuries, it is important to minimize possible long-term effects. Depending on the child’s age, the potential of spontaneous correction of fractures is different. This potential and the prognosis is not only age-related but more linked to the overall biological maturity of the patient. Therefore, it would be of interest if changes in fracture types and patterns have occurred among children and teenagers.

Further, infrequent injuries are associated with diminished experience. As such, in the attempt to develop possible recommendations it is important to re-evaluate and update old paradigms. Concluding, this should further lead to an update to the common treatment guidelines and an improvement in therapies for the paediatric population across different age groups.

Dr. Stephan Payr
Dr. Thomas Tiefenboeck
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pediatric trauma
  • therapy
  • outcome
  • growth disturbances
  • epidemiology
  • prevention
  • rare injuries
  • recommendations
  • adolescents
  • sports

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Published Papers (3 papers)

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Research

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10 pages, 565 KiB  
Article
Consistently High Frequency of Scooter Injuries in Children—Retrospective Data Analysis in a Level I Trauma Centre
by Andrea Schuller, Anna Hohensteiner, Thomas Sator, Lorenz Pichler, Theresia Dangl, Cornelia Nass, Manuela Jaindl, Elisabeth Schwendenwein, Thomas M. Tiefenboeck and Stephan Payr
Children 2023, 10(9), 1464; https://doi.org/10.3390/children10091464 - 28 Aug 2023
Cited by 2 | Viewed by 1187
Abstract
The aim of this retrospective study was to present an epidemiological overview of paediatric nonelectric-scooter-related injuries, focusing on changes in injury mechanism and frequency. A retrospective, descriptive data analysis at a Level I trauma centre, including patients aged from 0 to 18 years [...] Read more.
The aim of this retrospective study was to present an epidemiological overview of paediatric nonelectric-scooter-related injuries, focusing on changes in injury mechanism and frequency. A retrospective, descriptive data analysis at a Level I trauma centre, including patients aged from 0 to 18 years injured by riding nonelectric scooters, was performed. The observation period ranged from January 2015 to December 2022. The total study population consisted of 983 (mean age: 7.9 ± 4.0 years) children and adolescents, with most patients being male (800/983; 81.4%). The frequency of nonelectric scooter injuries was relatively consistent over the observation period. Patients sustained mostly minor injuries (lacerations, bone contusions, sprains) (527/983; 53.6%), followed by head injuries (238/983; 24.5%), limb fractures (166/983; 16.9%) and trunk injuries (52/983; 5.3%). However, a few patients sustained severe injuries, including skull fractures (7/238; 2.9%), intracranial haematoma (4/238; 1.7%) or lacerations of abdominal organs (4/52; 7.7%). This study presented a consistently high frequency of scooter injuries in children. Children under 15 years were the most affected by scooter-related injuries. Although most injuries were minor, serious injuries occurred that should not be underestimated. Hence, we emphasise the use of protection gear and recommend raising awareness among parents and children. Full article
(This article belongs to the Special Issue Pediatric Trauma and Rehabilitation)
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11 pages, 1176 KiB  
Article
Beneficial Perioperative Aspects Favor the Use of Percutaneous Crossed Pinning over Antegrade Nailing in Pediatric Supracondylar Fractures—A Retrospective Comparative Study
by Frederik Greve, Peter Biberthaler, Christoph Castellani, Georg Singer, Holger Till and Helmut Wegmann
Children 2023, 10(5), 830; https://doi.org/10.3390/children10050830 - 2 May 2023
Cited by 2 | Viewed by 2426
Abstract
(1) Background: Displaced supracondylar humeral fractures in pediatric patients can be treated by either antegrade nailing (AN) or percutaneous crossed pinning (PCP). The aim of this study was to compare the intra- and perioperative management, complications and outcome of AN and PCP. (2) [...] Read more.
(1) Background: Displaced supracondylar humeral fractures in pediatric patients can be treated by either antegrade nailing (AN) or percutaneous crossed pinning (PCP). The aim of this study was to compare the intra- and perioperative management, complications and outcome of AN and PCP. (2) Methods: This retrospective study enrolled 271 individuals (median age 5 years, IQR 4–7 years) who underwent AN (n = 173) or PCP (n = 98). Patient history was analyzed for incidence of nerve injuries, postoperative treatment, postoperative malrotation, time of hospital stay, time to implant removal and revision rate. Operative procedures were investigated for duration and radiation exposure. (3) Results: PCP was associated with a significantly lower radiation exposure (dose area product: PCP mean 20.1 cGycm2 vs. AN mean 34.7 cGycm2, p < 0.001; fluoroscopy time: PCP mean 1.1 min, range 0.1–8.1 min, vs. AN mean 1.5 min, range 0.1–7.1 min, p < 0.001), duration of surgery (PCP mean 32.2 min vs. AN mean 48.3 min, p < 0.001) and time to implant removal (PCP mean 37 days vs. AN mean 113 days, p < 0.001). Cast removal was performed earlier in the AN group (PCP mean 30.2 days vs. AN mean 20.4 days, p < 0.001) and there were fewer iatrogenic nerve lesions (PCP: 24% vs. AN: 8%, p < 0.001). (4) Conclusions: In the investigated study population, the analyzed parameters seem to favor the use of PCP. The advantages of AN should be weighed against its drawbacks. For special indications, AN remains a relevant technique in supracondylar fracture treatment, and surgeons should be familiar with this procedure. Full article
(This article belongs to the Special Issue Pediatric Trauma and Rehabilitation)
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Review

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14 pages, 2103 KiB  
Review
Management of Acute Lateral Humeral Condyle Fractures in Children
by Mónica Álvarez Muñoz, Juan Carlos García de la Blanca, Myriam Vidart Anchía, Rafael Martí Ciruelos, Sara Calvo Calvo and María Teresa Menéndez Crespo
Children 2024, 11(12), 1421; https://doi.org/10.3390/children11121421 - 25 Nov 2024
Viewed by 326
Abstract
Pediatric elbow fractures are quite common, accounting for up to 34% of bone fractures in children. Among these, acute lateral humeral condyle (LHC) fractures represent up to 22%. The accurate diagnosis and early treatment of LHC fractures are crucial due to the potential [...] Read more.
Pediatric elbow fractures are quite common, accounting for up to 34% of bone fractures in children. Among these, acute lateral humeral condyle (LHC) fractures represent up to 22%. The accurate diagnosis and early treatment of LHC fractures are crucial due to the potential for abnormal growth and significant long-term impacts on joint motion. With the aim of enhancing the understanding of pediatric LHC fracture management among pediatric healthcare practitioners, we present a literature review combined with our technical recommendations based on our experience. Imaging through AP, lateral, and internal oblique X-rays remains the gold standard for diagnosis, although there is increasing focus on non-irradiating techniques, considering the skeletally immature nature of the patients. Several classification systems aid in fracture assessment, each varying in their simplicity, reproducibility, and inter- and intra-observer correlations. The treatment approaches for LHC fractures include conservative management with immobilization for minimally displaced fractures and surgical intervention for displaced fractures. The surgical options encompass closed and open reductions, using Kirschner wires or cannulated screws for fixation. While both methods show favorable outcomes, recent years have seen a growing interest in expanding the traditional indications for closed approaches. After a period of post-surgical immobilization of the limb, rehabilitation care is recommended to assist in the recovery of the range of motion. During the postoperative period, the most frequent complications are bony overgrowth, malunion, and infection, although with highly variable rates, which typically do not result in functional impairment if managed properly. Regular follow-up and monitoring are essential for optimal recovery and minimizing long-term complications. Full article
(This article belongs to the Special Issue Pediatric Trauma and Rehabilitation)
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