Nonunion after arthrodesis of the first metatarsal-phalangeal joint: a systematic review.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 4. Emerg Radiol. 2024 Jun;31(3):341-348. doi: 10.1007/s10140-024-02230-4. Epub 2024 Apr 22. Pediatric foot fractures on radiographs: distribution and predictors of surgery. Fanney L(#)(1)(2), Patel V(#)(1)(3)(4), Tariq SM(1)(3), Hong S(1)(5), Davidson R(4)(6), Nguyen JC(7)(8). Author information: (1)Department of Radiology, Section of Musculoskeletal Imaging, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA. (2)Eastern Virginia Medical School, Norfolk, VA, USA. (3)Drexel University College of Medicine, Philadelphia, PA, USA. (4)Division of Orthopedic Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA. (5)New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA. (6)Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. (7)Department of Radiology, Section of Musculoskeletal Imaging, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA. nguyenj6@chop.edu. (8)Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. nguyenj6@chop.edu. (#)Contributed equally PURPOSE: To examine the distribution and characteristics of pediatric foot fractures on radiographs with respect to age and skeletal maturation, and to identify predictors of surgery. METHODS: This retrospective study included children (≤ 18 years) with foot fractures, who underwent radiographic examinations (2020-2022). Electronic medical records were reviewed to obtain demographic and clinical data. Fracture characteristics, including anatomic location, presence of displacement, angulation, articular involvement, and, if skeletally immature, physeal involvement and Salter-Harris fracture pattern were collected. Logistic regression models were used to identify predictors of surgery. RESULTS: 1,090 (596-boys, 494-girls; mean age, 11.0 ± 4.0 years) patients with 1,325 (59.8% metatarsal, 33.8% phalangeal, and 6.4% tarsal) fractures were included. Fractures of 1st metatarsal were more common among younger children whereas fractures of 2nd-4th and 5th metatarsals were more common among older children (median ages: 5.9 years vs. 10.3 years and 12.4 years, p