Norwegian Perthes studyThe Journal of bone and joint surgery. British volume 2008
Prognostic factors and outcome of treatment in Perthes' disease: a prospective study of 368 patients with five-year follow-up.
Femoral head involvement and age at diagnosis were the strongest prognostic factors; in children over 6 years with more than half of the head involved, osteotomy gave significantly better femoral head sphericity than non-operative treatment.
Cohort studyPrognosisPaediatrics
Kocher supracondylar pinning RCTThe Journal of bone and joint surgery. American volume 2007
Lateral entry compared with medial and lateral entry pin fixation for completely displaced supracondylar humeral fractures in children. A randomized clinical trial.
Neither group had a major loss of reduction or an iatrogenic ulnar nerve injury; mild loss of reduction, radiographic angles, alignment and elbow motion did not differ significantly between lateral-entry and crossed pinning.
Randomised trialManagementPaediatrics
Herring Perthes multicentre studyThe Journal of bone and joint surgery. American volume 2004
Legg-Calve-Perthes disease. Part II: Prospective multicenter study of the effect of treatment on outcome.
Children over 8 years at onset with lateral pillar B or B/C border hips had significantly better outcomes with surgery, whereas younger children with these groups did well regardless of treatment, and lateral pillar C hips did poorly whatever the treatment.
Cohort studyManagementPaediatrics
Ponseti method (Morcuende)Pediatrics 2004
Radical reduction in the rate of extensive corrective surgery for clubfoot using the Ponseti method.
Very few feet required extensive corrective surgery; relapses were strongly associated with poor adherence to foot abduction bracing.
Cohort studyManagementPaediatrics
UK Hip Trial (DDH ultrasound)Lancet (London, England) 2002
Ultrasonography in the diagnosis and management of developmental hip dysplasia (UK Hip Trial): clinical and economic results of a multicentre randomised controlled trial.
Radiographic abnormality by age 2 was identical in the two arms, while the ultrasound arm needed significantly less abduction splinting; rates of surgical treatment did not differ significantly.
Randomised trialDiagnosisPaediatrics
Kocher criteriaThe Journal of bone and joint surgery. American volume 1999
Differentiating between septic arthritis and transient synovitis of the hip in children: an evidence-based clinical prediction algorithm.
The probability of septic arthritis rose steeply with the number of predictors present, being very high when all four were present and very low when none were.
Cohort studyDiagnosisPaediatrics
Loder SCFE stabilityThe Journal of bone and joint surgery. American volume 1993
Acute slipped capital femoral epiphysis: the importance of physeal stability.
Avascular necrosis developed in almost half of unstable slips and in none of the stable slips, and satisfactory results were far more frequent in stable hips; early reduction was not shown to be linked to AVN.
Cohort studyPrognosisPaediatrics
Graf ultrasound classificationArchives of orthopaedic and traumatic surgery. Archiv fur orthopadische und Unfall-Chirurgie 1980
The diagnosis of congenital hip-joint dislocation by the ultrasonic Combound treatment.
Showed that the cartilaginous infant hip can be imaged diagnostically with ultrasound, a harmless, cheap and non-invasive method suited to screening, laying the foundation for the later Graf classification.
OtherDiagnosisPaediatrics