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Children
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Pediatric Orthopedic Injuries: Diagnosis and Treatment
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Pediatric Orthopedic Injuries: Diagnosis and Treatment

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Orthopedics & Sports Medicine".

Deadline for manuscript submissions: 20 May 2025 | Viewed by 1259

Special Issue Editors

Dr. Ioan Sarbu

E-Mail Website
Guest Editor
2nd Department of Surgery–Pediatric Surgery and Orthopedics, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iași, Romania
Interests: pediatric trauma; pediatric orthopedics; pediatric surgery; minimal invasive surgery; prenatal diagnosis; congenital anomalies
Dr. Calin M. Popoiu

E-Mail Website
Guest Editor
Department of Pediatric Surgery and Orthopedics, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania
Interests: pediatric surgery; pediatric trauma; neonatal surgery; minimal invasive surgery

Special Issue Information

Dear Colleagues,

Pediatric orthopedic injuries present a unique challenge in both diagnosis and treatment, demanding specialized knowledge and a tailored approach. Children’s growing bodies and developing musculoskeletal systems require precise and often innovative medical strategies to ensure optimal outcomes and long-term health. This Special Issue, “Pediatric Orthopedic Injuries: Diagnosis and Treatment”, seeks to bring together the latest research, clinical advancements, and expert insights in the field. By exploring a range of topics from acute trauma management to long-term rehabilitation, this compilation aims to enhance understanding and improve the quality of care for young patients. We hope that the diverse contributions within this issue will inspire further advancements and collaboration in pediatric orthopedic medicine, ultimately benefiting the children who rely on our expertise.

Dr. Ioan Sarbu
Dr. Calin M. Popoiu
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pediatric trauma
  • pediatric fractures and dislocations
  • pediatric orthopedics
  • injury diagnosis
  • trauma management
  • birth related trauma

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Published Papers (2 papers)

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Research

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9 pages, 682 KiB  
Article
The Impact of the COVID-19 Pandemic on the Epidemiology and Management Strategies of Forearm Fractures in Children—a Retrospective Study
by Vlad Laurentiu David, Cristina Ana-Maria Garjoaba, Diana Popescu-Rohlicek, Larisa Anca Szentpeteri, Bogdan Ciornei, Calin Marius Popoiu and Eugen Sorin Boia
Children 2024, 11(12), 1495; https://doi.org/10.3390/children11121495 - 8 Dec 2024
Viewed by 797
Abstract
Background: The COVID-19 pandemic has had a considerable influence over the management strategies in pediatric trauma all over the world. We are making a comparative assessment of all pediatric forearm fracture presentations in a tertiary center in Romania in a pre-pandemic year 2019 [...] Read more.
Background: The COVID-19 pandemic has had a considerable influence over the management strategies in pediatric trauma all over the world. We are making a comparative assessment of all pediatric forearm fracture presentations in a tertiary center in Romania in a pre-pandemic year 2019 (NPG) versus a pandemic year 2021 (PG). Material and Methods: We retrospectively compared the epidemiological, the anatomopathological, and the management features of forearm fractures for the two years. Results: A total of 1403 patients with forearm fractures, 720 in NPG and 683 in PG, ages < 1 year–19 years (mean for NPG = 9.38 years and mean for PG = 9.39 years), were included in the study. There are no differences in demographics of the patients. There was an increase in the angulation ratio in the PG group and no other differences in the anatomopathological features. Most of the patients were treated by non-surgical means with no differences between groups. In PG, titan elastic nails were more often used than K-wire for the stabilization of diaphyseal fractures. There was no difference in terms of complication rates and reinterventions between groups. The number of hospital admissions (p < 0.01) and the length of hospital stay were significantly higher in NPG versus PG, (p < 0.01). Conclusions: The COVID-19 pandemic has had little impact on the epidemiology, anatomopathological features, and management strategies of forearm fractures in children. The only significant change in the medical strategy in our series was towards reducing the hospitalization rate and duration, reducing the follow-up visits. Full article
(This article belongs to the Special Issue Pediatric Orthopedic Injuries: Diagnosis and Treatment)
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Review

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14 pages, 1598 KiB  
Review
Modern Treatment of Supracondylar Humeral Fractures in Children
by Adrian Surd, Rodica Muresan, Carmen Iulia Ciongradi, Lucia Maria Sur, Lucia Raluca Ardelean, Lia Oxana Usatiuc, Kriszta Snakovszki, Camelia Munteanu and Ioan Sârbu
Children 2025, 12(5), 556; https://doi.org/10.3390/children12050556 - 25 Apr 2025
Viewed by 181
Abstract
Supracondylar humeral fractures are the most common type of elbow fractures in children. The treatment methods vary depending on the type of fracture (Gartland classification), which can be conservative or surgical. There is no clear consensus or guidelines to dictate the treatment of [...] Read more.
Supracondylar humeral fractures are the most common type of elbow fractures in children. The treatment methods vary depending on the type of fracture (Gartland classification), which can be conservative or surgical. There is no clear consensus or guidelines to dictate the treatment of complicated supracondylar humeral fractures (Gartland types II and III). Gartland type II and III fractures are most frequently treated with closed reduction and percutaneous Kirchner-wire pinning or open reduction with K-wire pinning, depending on the degree of displacement and the orthopedic surgeon’s preference. Most studies recommend avoiding open reduction because of prolonged hospitalization and higher rates of complications. Orthopedic surgeons have different opinions regarding the Kirschner pin placement technique. Studies suggest that only lateral pinning is safe and effective, but medial and lateral pinning is proven to give more stability; there is always a risk of iatrogenic ulnar nerve damage during surgery. Modern treatment of supracondylar humeral fracture in children should focus on minimally invasive techniques and avoid open reduction, when possible, to ensure the best outcome for the patients. This scoping review’s purpose is to gather the available information on the topic in one place and to underline the lack of clear protocols. Full article
(This article belongs to the Special Issue Pediatric Orthopedic Injuries: Diagnosis and Treatment)
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