Daily Life
August 12, 2026
Persistent pain after trauma with normal X-ray: how to interpret it
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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Paediatric orthopaedics blog
Clinical insights, updates from the literature and practical guidance for parents and professionals.
This page has been automatically translated using AI technology. Some content may differ from the original Italian version.
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Daily Life
August 9, 2026
Electric Scooters and Adolescents: How Are Injuries in Young People Changing?
For some years now, electric scooters have also entered the field of pediatric traumatology. We see this mainly in adolescents, with wrist, forearm,…
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Update
August 9, 2026
Internal Fixation Devices in Children: Always Remove Them? Timing, Benefits, and Risk of Refracture
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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Daily Life
August 9, 2026
Gym and Weights in Adolescents: Do They Really Harm Growth?
“Can they go to the gym, or is it too soon?” This is an increasingly common question. Today, many young people are becoming interested in…
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Daily Life
August 9, 2026
Screens, Sedentary Lifestyle, and Back Pain in Adolescents: What Do We Really Know?
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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August 5, 2026
Lateral condyle fractures: what possible role for intraoperative ultrasound?
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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Update
July 29, 2026
Discoidal Meniscus in Children: When is Saucerization Sufficient and When is Suture Also Needed?
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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Update
July 16, 2026
Pediatric supracondylar fractures: how much do timing and morphology influence the need for open reduction?
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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Update
July 7, 2026
Supracondylar elbow fracture: if treated with a cast, the first 14 days truly matter
This study addresses a very specific problem: what happens in the days following when a child's supracondylar fracture has been chosen for…
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Update
June 29, 2026
Blount's Disease: Diagnosis, Imaging, and Treatment Strategies
In Blount's disease, proximal tibial deformity must be considered alongside age, residual growth, weight, mechanical axis, articular component, and…
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Update
June 17, 2026
Pediatric Septic Arthritis: Diagnosis and Clinical Pathway Beyond Kocher's Criteria
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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Update
June 10, 2026
Medial Epicondyle Fracture in Children: Criteria for Choosing Between Cast and Surgery
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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Daily Life
June 2, 2026
Distal radius fractures in children: remodeling, follow-up, and indications for reduction
Distal radius fractures are among the most common injuries in pediatric age. In young children, the remodeling potential is often remarkable,…
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Update
May 29, 2026
Ankle sprain and distal fibula avulsion in children: recovery and return to sport
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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Update
May 25, 2026
Follow-up after forearm TEN/ESIN: the role of radiography at 4 weeks
After TEN/ESIN synthesis of the radius and ulna, many centers schedule an X-ray at approximately four weeks almost automatically. A recent paper…
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Daily Life
May 20, 2026
X-rays in children: real risks, doses, and radiation protection
"Doctor, do all these X-rays hurt?" is an understandable question, especially when a child has already had multiple X-rays for a fracture, scoliosis,…
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Daily Life
May 16, 2026
Sudden limping in children: causes change with age
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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May 11, 2026
DDH and Osteonecrosis After Surgery: Risk Factors in Meta-Analysis 2026
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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Update
May 6, 2026
Perthes Disease: prognosis, containment, and treatment in light of recent studies
Legg-Calvé-Perthes disease is an idiopathic osteonecrosis of the femoral head that goes through phases of necrosis, revascularization, resorption,…
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Update
May 2, 2026
Guided growth in the pediatric knee: PETS and 8-plates compared
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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Update
April 23, 2026
SCFE (Slipped Capital Femoral Epiphysis): Where Diagnostic Delays Originate
SCFE, or Slipped Capital Femoral Epiphysis, continues to be one of the pediatric orthopedic diagnoses where delay truly matters. During the waiting…
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Update
April 20, 2026
Rapid MRI in pediatric musculoskeletal infections: scan times, sedation, and clinical utility
Magnetic resonance imaging is often the most useful examination for defining the location and extent of a pediatric musculoskeletal infection. The…
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Daily Life
April 15, 2026
My child is limping but the X-ray is normal: what now?
It's a very common scenario. A child starts to limp, perhaps after a minor fall or even without a clear injury. An X-ray is taken. The report says…
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Daily Life
April 10, 2026
Early sports specialization in children: injuries, burnout, and long-term outcomes
In many youth sports, specialization comes early: more training sessions, competitions for most of the year, and a progressive abandonment of other…
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Update
April 8, 2026
Proximal Radius Fractures in Children: When to Truly Worry About Initial Displacement
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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Update
April 1, 2026
Congenital pseudarthrosis of the tibia: union, refracture, and reconstructive strategies
Congenital pseudarthrosis of the tibia (CPT) remains one of the most complex conditions in pediatric orthopedics. Treatment must achieve…
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Update
March 30, 2026
Diaphyseal fractures of the radius and ulna in children: cast, TEN/ESIN, and reduction stability
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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Update
March 25, 2026
Volar plate avulsion of the PIP in children: when conservative treatment is sufficient
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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Daily Life
March 23, 2026
Bowlegs and Knock-knees in Children: What is Physiological in the Early Years
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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Daily Life
March 19, 2026
Toe Walking in Children: Red Flags, Assessment, and Treatment
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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Update
March 15, 2026
Osgood-Schlatter: Conservative Treatment, Injections, and Surgery in Recent Literature
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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Update
March 10, 2026
Low-grade acromioclavicular injuries in pediatric athletes: treatment and return to sport
Low-grade acromioclavicular joint injuries in pediatric and adolescent athletes are almost always treated non-surgically. The most frequent question,…
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Update
March 5, 2026
Virtual Reality During Pediatric Orthopedic Procedures: Effects on Anxiety and Pain
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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Update
March 3, 2026
Growing Pains in Children: Typical Characteristics and Signs to Investigate Further
"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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Update
February 25, 2026
Venous Thromboembolism in Pediatric Orthopedics: Incidence and Risk Factors
Venous thromboembolism is rare in pediatric orthopedics, but the incidence is not uniform among young children, adolescents, elective surgery,…
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Update
February 21, 2026
Pediatric Overweight and Orthopedic Problems: Italian Data and Recent Literature
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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Update
February 18, 2026
Tarsal Coalition: MRI Accuracy and the Role of CT
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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Daily Life
February 16, 2026
Joint clicks in children: when they are normal and when they should be evaluated
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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Update
February 13, 2026
Pediatric Trigger Thumb: Natural History and Timing of Surgery
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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Update
February 11, 2026
DDH: immediate or gradual brace weaning after ultrasound normalization
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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Update
February 6, 2026
Low-risk ankle fractures in children: removable brace, cast, and return to activities
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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Update
February 3, 2026
Diaphyseal clavicle fracture in adolescents: indications for surgery and outcomes
Diaphyseal clavicle fractures in adolescents often heal well without surgery, even when X-rays show significant displacement. In recent years,…
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Daily Life
January 31, 2026
Barefoot walking and foot arch development in children
Walking barefoot and walking with shoes are not biomechanically equivalent. They change foot contact, plantar pressures, and some gait parameters.…
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Update
January 28, 2026
Neonatal septic arthritis: prognosis, timing, and follow-up
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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Daily Life
January 22, 2026
Flexible flatfoot in children: when orthotics can be useful
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,…
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Update
January 19, 2026
Pediatric femoral neck fractures: plate versus screws
Femoral neck fractures are rare in children, but they carry a high risk of complications, particularly avascular necrosis, premature physeal closure,…
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Update
January 16, 2026
Ankle Valgus in Children: Results of Guided Growth and Rebound
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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Update
January 12, 2026
First Patellar Dislocation in Pediatric Age: What Magnetic Resonance Imaging Adds
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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Update
January 8, 2026
Obesity and SCFE: epidemiology and possible morphological differences of the femoral epiphysis
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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January 5, 2026
Painful pronation in children (Nursemaid's Elbow): diagnosis, reduction, and atypical signs
Nursemaid's elbow, also known as radial head subluxation, is a common injury, especially in children between 1 and 4 years old. It often occurs after…
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January 4, 2026
Osteochondrosis of the Lower Limb in Growing Age: Prognosis and Treatment
The term osteochondrosis encompasses very different conditions of growing bone. Perthes, Osgood-Schlatter, and Freiberg's disease share the…
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January 4, 2026
Shoes, backpack, and sports activity in children: practical guidelines
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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December 31, 2025
Newborn hip ultrasound: when to do it, how it's performed, and what the report means
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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December 31, 2025
Active lumbar spondylolysis in adolescent athletes: early physiotherapy or initial rest
A multicenter randomized trial published in the British Journal of Sports Medicine compared two strategies for active lumbar spondylolysis in…
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For information or questions, email me or view the locations and contact details.
Email: daniele.priano@ortopediaevolutiva.com