Update
June 29, 2026
Blount's Disease: Recent Literature Review and Treatment Strategies
Blount's disease, or pathological tibia vara, is a progressive deformity of the proximal tibia where recent literature has shifted focus from a…
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Blog
Articles and insights on pediatric orthopaedics to help parents better understand their children's musculoskeletal health.
This page has been automatically translated using AI technology. Some content may differ from the original Italian version.
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Update
June 17, 2026
Pediatric Septic Arthritis: Why the Score Isn't Enough and the Pathway Matters More Than a Single Test
There are diagnoses in pediatric orthopedics where the problem isn't remembering what it could be. The problem is deciding how quickly to act. Septic…
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Update
June 10, 2026
Medial Epicondyle Fracture in Children: Cast or Surgery? Why Measuring Millimeters Isn't Enough
Among pediatric elbow fractures, the medial epicondyle fracture has a particular characteristic: it may seem small, almost marginal, but it is not…
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Daily Life
June 2, 2026
Wrist Fracture in Children: Why Early Check-ups Can Change Everything
A child falls, puts their hand on the ground, cries, and their wrist swells. They go to the emergency room, X-rays are taken, and a cast or brace is…
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Update
May 29, 2026
Ankle sprain in children: when a small avulsion changes recovery times and return to sport
Ankle Sprain in Children: When a Small Avulsion Changes Recovery Times and Return to Sport Lateral ankle sprain is one of the most common injuries in…
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Update
May 25, 2026
Pediatric Forearm Fractures Treated with TEN/ESIN: Is the 4-Week Follow-up X-ray Always Necessary?
In pediatric traumatology, there are routines that seem almost automatic. One of these is the radiographic check-up at approximately 4 weeks after…
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Daily Life
May 20, 2026
X-rays in Children: Are They Harmful? A Clear Explanation, Without Alarmism
“Doctor, do all these X-rays hurt?” This is one of the most frequent questions when discussing X-rays in children. And it's a fair question. X-rays…
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Daily Life
May 16, 2026
Sudden limping in children: causes change with age
When a child suddenly starts limping, it's natural to immediately think of a fall, a sprain, or a minor injury during play. In many cases, this is…
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May 11, 2026
DDH: osteonecrosis after surgery — what really matters? A commentary on a 2026 meta-analysis
Osteonecrosis after surgical treatment for DDH is one of those complications that we all fear, but which we often discuss with a mixture of…
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Update
May 6, 2026
Perthes Disease: after a hundred years, the point is not just to “contain” the femoral head
Legg-Calvé-Perthes disease is one of those conditions that seems to have been known forever, yet continues to defy simplification. We often describe…
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Update
May 2, 2026
Guided growth in the pediatric knee: PETS or 8-plates? Why faster correction isn't always the best choice
In pediatric guided growth of the knee, we are all drawn to a simple promise: correct better, correct sooner, correct with less morbidity. This is…
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Update
April 23, 2026
SCFE (Slipped Capital Femoral Epiphysis): Why Diagnosis is Still Delayed and How to Reduce Delays in Clinical Practice
SCFE (Slipped Capital Femoral Epiphysis) is a diagnosis that carries significant weight: because it is common in practice, because it can present…
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Update
April 20, 2026
Rapid MRI in pediatric musculoskeletal infections: Is it truly changing the diagnostic pathway?
In recent years, rapid MRI has evolved from an interesting idea to a truly hot topic in pediatric osteoarticular infections. The reason is simple: in…
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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 scene. The child starts to limp, perhaps after a trivial fall or even without clear trauma. An X-ray is taken. The report says…
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Daily Life
April 10, 2026
Early competitive activity and specialization in a single sport: do they really help the child?
In recent years, a very strong idea has spread: to become truly good, a child should start early, train a lot, and focus almost immediately on a…
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Update
April 8, 2026
Proximal Radius Fractures in Children: When to Truly Worry About Initial Displacement
Proximal radius fractures in children have a bad habit: they often seem simpler than they really are. Sometimes the young patient arrives with a…
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Update
April 1, 2026
Congenital pseudarthrosis of the tibia: what the literature says today about union, refracture, and management of sequelae
Congenital pseudarthrosis of the tibia (CPT) is a diagnosis that allows for no shortcuts: it requires integrating biology and mechanics, and thinking…
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Update
March 30, 2026
Diaphyseal fractures of the radius and ulna in children: when casting is truly enough and when TEN changes the course
Diaphyseal fractures of the radius and ulna in children are a classic in pediatric orthopedics. Precisely because of this, however, they risk being…
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Update
March 25, 2026
Ball impact on the finger and volar plate avulsion fractures of the PIP in children: Is conservative treatment an option?
Volar plate injuries of the PIP joint in children are one of those diagnoses that, at first glance, seem minor. A swollen, painful finger, held…
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Daily Life
March 23, 2026
Bowlegs or Knock-knees in Early Childhood
"Bowlegs" or "knock-knees" are one of the most frequent reasons parents seek an orthopedic evaluation in the early years of life. And, in fact, I…
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Daily Life
March 19, 2026
Toe walking in children: red flags, observation, and treatment. What the literature tells us today
A child who walks on their toes is one of those situations where the way it's approached matters more than the diagnosis itself. This is because the…
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Update
March 15, 2026
Osgood-Schlatter: What Recent Literature Tells Us About Treatments
Osgood-Schlatter is one of those diagnoses that seems simple until you enter the real life of a young athlete. In theory, the picture is well-known:…
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Update
March 10, 2026
Low-Grade Acromioclavicular Joint Injuries in Pediatric Athletes: What Does Conservative Treatment Really Tell Us?
A shoulder injury in a young athlete is one of those situations that, in the clinic, seems simple until you start talking about recovery times. The…
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Update
March 5, 2026
Virtual Reality in Pediatric Orthopedic Outpatient Clinics: What Does the Evidence Say?
There are moments in pediatric orthopedics that, on paper, seem "minor": removing a cast, taking out a percutaneous pin, changing a dressing. Then…
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Update
March 3, 2026
“Growing Pains”: When it's Really Harmless and When it's Not
It's a phrase I hear constantly: "Doctor, he has growing pains." Sometimes the parent says it, sometimes it comes as a label after a visit to the…
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Update
February 25, 2026
Venous Thromboembolism in Pediatric Orthopedics: Low Risk, but Not Equal Across Age, Puberty, and Clinical Presentation
In daily practice, venous thromboembolism (VTE) in pediatric orthopedics remains an uncomfortable topic: rare, but not negligible. Precisely because…
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Update
February 21, 2026
Pediatric Overweight in Italy and Orthopedic Impact: What Recent Literature Says
In Italy, childhood overweight and obesity remain very common, despite an improvement compared to the past. For pediatric orthopedics, this is not a…
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Update
February 18, 2026
Tarsal Coalition: How Reliable is MRI? (and when can it replace CT)
In the clinic, a similar scenario often unfolds: "He's always had somewhat flat feet, but now he's complaining. And he frequently sprains his ankle."…
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Daily Life
February 16, 2026
“My child’s bones are cracking”: when it's normal and when it needs to be checked
"Cracks" in Children: What They Really Are One of the phrases I hear most often is: "Doctor, their knee/shoulder/fingers are cracking... is it…
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Update
February 13, 2026
Pediatric Trigger Thumb: The Value of Observation (and When Surgery Makes Sense)
Trigger Thumb: A "Small" Diagnosis That Generates Big Discussions In the clinic, a very similar scene often occurs: worried parents, a small child…
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Update
February 11, 2026
Hip Dysplasia: Abrupt Brace Discontinuation or Gradual Weaning? An RCT Quantifies a Daily Choice in DDH Management
This is not a theoretical question When the ultrasound results are normal, families expect a clear ending: "great, no more brace." And from a human…
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Update
February 6, 2026
Low-Risk Ankle Fractures in Children: Less Plaster, More Selection (and More Clarity)
It often happens in the clinic: a child with a low-energy trauma, lateral ankle pain, unimpressive (or even negative) X-ray, a parent who looks at…
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Update
February 3, 2026
Clavicle in Adolescents: "Growing" Surgery, but When Does the Outcome Truly Change?
A "crooked" clavicle fracture is concerning, especially if the bone fragment seems to "point" towards the skin. In most children, it heals well even…
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Daily Life
January 31, 2026
Walk barefoot and an arch forms”: true or false? (Spoiler: it's often a myth)
Today's Common Myth "If I let him walk barefoot, his arch will form, and his flat feet will go away." This is a phrase I hear often. And it's…
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Update
January 28, 2026
Neonatal Septic Arthritis: A Meta-Analysis Attempts to Quantify Sequelae. The Rest is (Still) a Journey.
Today we analyze this study Tang QingSong, Miao XinLing, Ren Xiang, Zhao Kang, Hu Jie. Prognostic outcomes of neonatal septic arthritis: a systematic…
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Daily Life
January 22, 2026
Flatfoot in children: are orthotics really necessary? (and when they are)
When a parent tells me, "Doctor, he has flat feet," the second sentence is almost always: "So he needs orthotics, right?" It's a legitimate question:…
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Update
January 19, 2026
Pediatric femoral neck fractures: plate or screws? A systematic review attempts to tip the scales
In pediatric orthopedics, there are fractures we see often and fractures we see rarely but which, when they occur, require clarity: the femoral neck…
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Update
January 16, 2026
Ankle valgus in children: how much does "guided growth" really correct and what to expect in follow-up
Ankle valgus in pediatric age is one of those problems that sometimes "can be seen from afar" (leaning on the inner edge, shoes worn strangely), but…
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Update
January 12, 2026
First Patellar Dislocation in Children or Adolescents: How Often MRI Changes the Story
Why the "first time" deserves extra attention It often happens in the clinic: an adolescent reports "my kneecap popped out" during a sprint or a…
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Update
January 8, 2026
Overweight and the risk of slipped capital femoral epiphysis (SCFE): what two recent studies tell us (epidemiology + 3D morphology)
In the clinic, it happens: an overweight adolescent, limping for a few days, poorly localized pain ("my knee hurts"), no clear trauma. In these…
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January 5, 2026
Painful pronation ("nursemaid's elbow"): what it is, how to recognize it, and when to seek immediate medical attention
Nursemaid's Elbow: A Practical Guide for Parents It happens suddenly: your child cries, then holds their arm still by their side and "stops using…
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January 4, 2026
Shoes, backpacks, and sports: 5 daily choices that truly help
Shoes, Backpacks, and Sports: 5 Daily Choices That Truly Help (Without Obsession) In the clinic, it's common for a parent to start with: "Doctor,…
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January 4, 2026
Osteochondrosis in Children and Adolescents: A Reasoned Update from a Review
Today we analyze an article on osteochondroses of the lower limb in developmental age In the clinic, the word "osteochondrosis" often comes with a…
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December 31, 2025
Neonatal Hip Ultrasound: When to Do It, How It's Performed, and What the Report Means
Newborn Hip Ultrasound: When to Do It, How It's Performed, and What the Report Means Hip ultrasound is the most useful examination in the first…
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December 31, 2025
Active lumbar spondylolysis in adolescent athletes: physiotherapy immediately or rest first? (commentary on a randomized trial)
Today we analyze this article Selhorst and colleagues published a multicenter randomized trial in the British Journal of Sports Medicine that…
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Email: daniele.priano@ortopediaevolutiva.com