Clinical insights, updates from the literature and practical guidance for parents and professionals.
68 of 68 articles
In brief - Surgery is not the first step for every child who walks on their toes. It is considered when symptoms or a fixed calf–Achilles contracture…
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Falls can be part of learning to walk. Frequent tripping still needs some context: how long has it been happening? Is the child learning to walk, or…
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When you turn over a child’s shoes, you may find more wear along the inner or outer edge, or on part of the heel. It is natural to wonder: “Are they…
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Kirschner wires are used very frequently in paediatric trauma. In the vast majority of children, the course is uneventful: the fracture consolidates,…
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An X-ray of a proximal humerus fracture can be difficult to accept at first glance: the fragment is displaced, the bone is angulated, and it is…
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Guided growth with an eight-plate: what happens after surgery? Guided growth is often described as a small operation. Surgically, it can be: a plate…
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Growth plate fractures: why does follow-up continue after the bone has healed? When a fracture has healed, adults often think of the problem as over.…
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When an X-ray taken after an injury or because of pain reveals a “bone lesion”, parents often focus first on the name. A practical question soon…
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For flexible pectus carinatum, compression bracing is an established first-line non-operative treatment. The principle is straightforward: apply…
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A discussion of the literature, intended primarily for healthcare professionals. A child with CNO may have pain at just one site and several other…
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After cast removal, a child’s arm or leg may not look the way the parent expected. A hard prominence can be felt at the fracture site, sometimes…
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Cast removal is often seen as the end of a fracture. Then the child tries to move the elbow, wrist, or ankle, and the picture may seem less…
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A normal X-ray after an injury is generally reassuring: it shows no obvious fractures, dislocations, or other bone alterations recognizable in the…
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The period between 4 and 6 years of age has become a grey area in the management of femoral shaft fractures. A hip spica cast remains an effective…
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The 30.4% rate of physeal bars reported in a recent series from Seattle Children's is high: 17 of 56 children with Salter–Harris III or IV medial…
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More than 18,000 paediatric fractures associated with electric scooters were estimated in the United States between 2014 and 2023. On its own, that…
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The fear that weights can “stunt growth” is still widespread. Modern guidance, however, does not prohibit strength training before skeletal maturity.…
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When a fracture has healed and the child has returned to their activities, a second question often arises: "Should the hardware be removed?" The…
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It's easy to attribute an adolescent's back pain to hours spent in front of a screen. The connection seems plausible: a lot of sitting time, neck…
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In Song V lateral condyle fractures, the fragment is completely displaced and rotated. The cartilaginous component of the joint surface is poorly…
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In symptomatic discoid lateral meniscus, saucerization serves to reshape the meniscus; suture is added when the peripheral rim is unstable or has a…
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When a supracondylar humerus fracture is severely displaced, the preoperative explanation is more or less this: we will try to realign it without…
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This study addresses a very specific problem: what happens in the days after a child's supracondylar fracture is selected for non-surgical treatment.…
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In Blount's disease, proximal tibial deformity must be considered alongside age, residual growth, weight, mechanical axis, articular component, and…
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Pediatric septic arthritis is a diagnosis where time is of the essence, but the most challenging cases are not always those with high fever, very…
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A fracture of the medial epicondyle of the elbow can present as a small avulsion or as a much more unstable injury, often associated with…
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Distal radius fractures are among the most common injuries in children. In young children, the remodeling potential is often remarkable, especially…
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Lateral ankle sprains are very common in children and adolescent athletes. In some injuries, the ligament can avulse a small fragment from the distal…
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After TEN/ESIN fixation of the radius and ulna, many centers schedule an X-ray at approximately four weeks almost automatically. A recent paper…
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"Doctor, can all these X-rays cause harm?" is an understandable question, especially when a child has already had multiple X-rays for a fracture,…
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A sudden limp can be due to a minor injury, but age significantly changes the diagnoses to consider. A 2-year-old child who refuses to bear weight…
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Osteonecrosis of the femoral head remains one of the most feared complications after surgical treatment for developmental dysplasia of the hip. A…
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Legg-Calvé-Perthes disease is an idiopathic osteonecrosis of the femoral head that goes through phases of necrosis, revascularization, resorption,…
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In pediatric knee guided growth, the correction speed is important, especially when residual growth is limited. However, it is not the only useful…
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SCFE, or Slipped Capital Femoral Epiphysis, continues to be one of the pediatric orthopedic diagnoses where delay truly matters. During the waiting…
ReadMagnetic resonance imaging is often the most useful examination for defining the location and extent of a pediatric musculoskeletal infection. The…
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A child starts limping. The X-ray is normal. It is easy to assume that the problem is settled, or to go to the other extreme and worry that the scan…
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In many youth sports, specialization comes early: more training sessions, competitions for most of the year, and gradually giving up other…
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A study published in 2026 in the Journal of Children’s Orthopaedics followed 140 proximal radius fractures in 138 children and sought to understand…
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Congenital pseudarthrosis of the tibia (CPT) remains one of the most complex conditions in pediatric orthopedics. Treatment must achieve…
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Diaphyseal fractures of the radius and ulna in children can be treated with reduction and casting or, in selected cases, with internal fixation using…
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Volar plate avulsions of the PIP are common after hyperextension trauma to the finger, often during sports or play. X-rays may show a small volar…
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In the first years of life, leg alignment changes significantly. A phase of bow-leggedness (varus) is common in young children; subsequently, the…
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Toe walking is common in the early stages of development, especially shortly after a child learns to walk. When it persists, appears later, or is…
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Osgood-Schlatter is very common in athletic adolescents and in most cases has a favorable course, but symptoms can last for months and interfere with…
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Low-grade acromioclavicular joint injuries in pediatric and adolescent athletes are almost always treated non-surgically. The most frequent question,…
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Removing a cast, changing a dressing, or taking out a percutaneous wire are brief procedures, but for some children, they become a significant source…
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"Growing pains" describes a common condition of intermittent limb pain, especially in the evening or at night, in children who are otherwise well…
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Venous thromboembolism is rare in pediatric orthopedics, but the incidence is not uniform among young children, adolescents, elective surgery,…
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The OKkio alla SALUTE 2023 data report that among Italian children aged 8–9 years, 19.0% are overweight and 9.8% are obese; severe obesity affects…
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Hindfoot pain, subtalar stiffness, and recurrent sprains are some situations where a tarsal coalition should be considered. X-rays can be…
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Noises, clicks, and joint popping are very common in children and adolescents. If the joint is not painful, does not swell, and functions normally,…
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In pediatric trigger thumb, A1 pulley release surgery generally yields good results. The decision primarily concerns the timing of surgery and how…
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After the ultrasound normalization of a stable dysplasia treated with a dynamic orthosis, the decision remains on how to discontinue treatment:…
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In stable, low-risk pediatric ankle injuries, rigid immobilization is not always necessary. Several trials have compared casts, removable braces, and…
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Diaphyseal clavicle fractures in adolescents often heal well without surgery, even when X-rays show significant displacement. In recent years,…
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Walking barefoot and walking with shoes are not biomechanically equivalent. They change foot contact, plantar pressures, and some gait parameters.…
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A systematic review with meta-analysis published in 2026 gathered 13 studies and 258 neonates with septic arthritis. The estimated proportion of…
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Flexible flatfoot is very common in children. If the arch reappears on tiptoes or when not bearing weight, and the child runs and plays without pain,…
ReadFemoral neck fractures are rare in children, but they carry a high risk of complications, particularly avascular necrosis, premature physeal closure,…
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Guided growth of the distal medial tibia allows for progressive correction of ankle valgus by utilizing residual growth. A systematic review…
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After a first patellar dislocation, X-rays may be normal or show only modest findings. Magnetic resonance imaging (MRI) allows for the evaluation of…
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Obesity is one of the most recognized risk factors for SCFE. The relationship, however, is more complex than simply an increased load on the hip…
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A young child who suddenly stops using an arm may have a pulled elbow, also called nursemaid's elbow. It often follows a pull on the hand or wrist,…
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The term osteochondrosis encompasses very different conditions of growing bone. Perthes, Osgood-Schlatter, and Freiberg's disease all occur during…
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Shoes, backpacks, and sports load are often blamed when a child experiences foot, knee, or back pain. Some daily choices can improve comfort and load…
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Hip ultrasound allows for early detection of developmental dysplasia of the hip (DDH), when treatment is generally simpler. For newborns with a…
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A multicenter randomized trial published in the British Journal of Sports Medicine compared two strategies for active lumbar spondylolysis in…
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Email: daniele.priano@ortopediaevolutiva.com