Musculoskeletal Disorders in Children: Symptoms, Risks and Prevention

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

Deadline for manuscript submissions: 10 June 2026 | Viewed by 895

Special Issue Editors


E-Mail Website
Guest Editor
Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD 21201, USA
Interests: pediatric orthopaedics; spine; fractures; orthopedic spine surgery

E-Mail Website
Guest Editor
Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD 21201, USA
Interests: pediatric fractures; pediatric orthopedics; pediatric upper extremity

Special Issue Information

Dear Colleagues,

Musculoskeletal disorders are among the most frequent causes of pain and functional limitation in children and adolescents, especially in organized sports. This Special Issue of Children, “Musculoskeletal Disorders in Children: Symptoms, Risks and Prevention,” will focus on conditions of the upper and lower extremities and spine, from overuse injuries to acute trauma and developmental disorders. We aim to highlight work that clarifies early symptom patterns, identifies biomechanical and psychosocial risk factors, and evaluates preventive and treatment strategies. We invite original research, reviews, technical notes, and case series on topics such as little league shoulder and AC/clavicle injuries; elbow OCD and UCL/medial epicondyle pathology; gymnast wrist, ACL, and meniscal tears; tibial tubercle and patellar disorders; ankle and hip injuries; and pediatric spine conditions.

Dr. Julio J. Jauregui
Prof. Dr. Joshua M. Abzug
Guest Editors

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Keywords

  • musculoskeletal disorders
  • sports injuries
  • growth plate
  • pediatric spine
  • injury prevention

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Published Papers (2 papers)

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Research

17 pages, 2479 KB  
Article
The Utilization of a Gait Pattern Classification System to Investigate the Effects of Ankle–Foot Orthoses on Gait in Children with Cerebral Palsy
by Tobias Goihl, David F. Rusaw, Siri Merete Brændvik and Karin Roeleveld
Children 2026, 13(5), 594; https://doi.org/10.3390/children13050594 (registering DOI) - 24 Apr 2026
Viewed by 104
Abstract
Background/Objectives: Ankle–foot orthoses (AFOs) are commonly used to improve gait in children with cerebral palsy (CP), but their effect on specific gait patterns is underreported. This study evaluates the utilization of the Gait Pattern Classification System for Children with Spastic CP (GaP-CP) [...] Read more.
Background/Objectives: Ankle–foot orthoses (AFOs) are commonly used to improve gait in children with cerebral palsy (CP), but their effect on specific gait patterns is underreported. This study evaluates the utilization of the Gait Pattern Classification System for Children with Spastic CP (GaP-CP) to investigate the effects of ankle–foot orthoses on gait kinematics, spatio-temporal parameters and the energy cost of walking. Methods: In this retrospective study, 66 ambulatory children with spastic CP underwent 3D gait analysis with and without AFOs or functional electrical stimulation. Gait patterns were classified according to GaP-CP. AFOs were articulated, flexible, or rigid. Thirty-six children also performed a 5 min walk test with gas exchange measurements. Step length, walking speed, and the energy cost of walking were calculated. Gait kinematics were analyzed with statistical nonparametric mapping. Non-parametric statistics were used to investigate orthotic effects for the total group and for each gait pattern. Results: Ankle kinematics improved in swing phase and initial contact (10 degrees less plantarflexion, p < 0.05) for the total group, dropfoot and genu recurvatum. During the stance phase, reduced knee extension in genu recurvatum (by 3 degrees, p < 0.05) and increased knee extension in crouch (by 3 degrees, p < 0.05) were observed. Median changes in non-dimensional step length were clinically significant (>0.039, p ≤ 0.02, effect size ≥ 0.55) for the total group and the dropfoot, genu recurvatum, and crouch subgroups, while changes in most gait indices, walking speed and the energy cost of walking were not clinically significant. Conclusions: The combined use of GaP-CP and kinematic analysis provided new insights into the effects of ankle–foot orthoses on gait. Articulated and flexible orthoses may not have provided adequate support for genu recurvatum and crouch gait, showing a potential value in gait pattern specific orthotic design to optimize gait kinematics. Full article
(This article belongs to the Special Issue Musculoskeletal Disorders in Children: Symptoms, Risks and Prevention)
12 pages, 218 KB  
Article
Incidence of Slipped Capital Femoral Epiphysis in Crete (2021–2024): A Prospective Population-Based Study with a Focused Review of the Recent Literature
by Emmanouela Dionysia Laskaratou, Charalampos Konstantoulakis, Ioannis Sperelakis, Georgios M. Kontakis, Nikolaos Tzanakis and Rozalia Dimitriou
Children 2026, 13(3), 362; https://doi.org/10.3390/children13030362 - 3 Mar 2026
Viewed by 422
Abstract
Background: Slipped capital femoral epiphysis (SCFE) is an adolescent hip disorder of high clinical importance in which diagnostic delay may lead to irreversible complications and long-term morbidity, and its incidence varies considerably across populations. Objective: The primary aim of this study was to [...] Read more.
Background: Slipped capital femoral epiphysis (SCFE) is an adolescent hip disorder of high clinical importance in which diagnostic delay may lead to irreversible complications and long-term morbidity, and its incidence varies considerably across populations. Objective: The primary aim of this study was to provide contemporary, population-based incidence estimates of SCFE among children aged 6–16 years in Crete (2021–2024), addressing the lack of data from Greece and Southern Europe. A secondary aim was to contextualize these findings through a focused synthesis of international incidence reports published since 2015. Methods: All pediatric orthopedic specialists in Crete reported incident SCFE cases, all of which were radiographically confirmed. All confirmed cases of SCFE were documented. Annual population data for children aged 6–16 years were obtained from the Hellenic Statistical Authority. Incidence rates were expressed per 100,000 children aged 6–16 (95% CI, exact Poisson). A structured literature search (2015–May 2025) identified recent studies reporting SCFE incidence. Results: Eleven children with SCFE were identified (14 affected hips; three bilateral cases), corresponding to an incidence of 4.6 per 100,000 person-years (95% CI 2.5–7.8) among children aged 6–16 years. Mean age at presentation was 10.72 years, 64% were female, and 82% were obese, with comorbidity findings recorded. The literature review (2015–May 2025; 14 studies) demonstrated substantial geographic variation in SCFE incidence, ranging from ~5 per 100,000 in Mediterranean settings to 57 per 100,000 boys aged 9–15 years in Sweden. The Cretan incidence rate was broadly consistent with other Mediterranean reports. Conclusions: SCFE is an uncommon condition in Crete, with incidence rates comparable to those of other Mediterranean populations. The geographically defined setting and relatively stable demographics support case ascertainment and the interpretability of the incidence estimates. Larger nationwide studies are warranted to better characterize SCFE epidemiology in Greece. Full article
(This article belongs to the Special Issue Musculoskeletal Disorders in Children: Symptoms, Risks and Prevention)
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