Pediatric Upper Extremity Pathology—2nd Edition

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

Deadline for manuscript submissions: closed (30 April 2026) | Viewed by 1578

Special Issue Editors


E-Mail Website
Guest Editor
1. Department of Orthopaedic Surgery, Amphia, P.O. Box 90150, 4800 RK Breda, The Netherlands
2. Department of Orthopedic Surgery and Sports Medicine, Erasmus MC University Medical Center – Sophia Children’s Hospital, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands
Interests: pediatric orthopedics; fractures; trauma; cartilage; sports
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Orthopedic Surgery and Sports Medicine, Erasmus MC University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands
Interests: pediatric orthopedics; fractures; trauma; cartilage; sports
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The arm is paramount in nearly all activities of daily living, ranging from reaching for a glass of water to swinging a bat on the baseball field. Therefore, pediatric upper extremity pathology can cause serious disability. The upper limb, including the clavicle, shoulder, elbow, wrist, and hand, can be affected by many disorders; fractures, post-traumatic lesions, sports injuries, congenital anomalies, tumors, and neuromuscular diseases such as cerebral palsy and obstetric brachial plexus palsy can significantly affect young people.

While efficient initial treatment can hold promise for these children, the threat of long-term sequelae remains daunting. Despite advances, knowledge gaps persist, with much of this field still remaining to be mapped.

As a result, we invite contributions to this Special Issue dedicated to pediatric upper extremity pathology. We will combine our expertise, share insights, and pave the way for better understanding, diagnosis, and treatment in this critical area of pediatric orthopedics. Together, we can make significant strides in improving the lives of young patients.

Considering the success and popularity of the Special Issue ‘Pediatric Upper Extremity Pathology’, previously published in Children (https://www.mdpi.com/journal/children/special_issues/389UF954Y1), we are now releasing a second edition that will address this topic by inviting scholars to share findings, perspectives, and approaches in pediatric upper extremity pathology. We look forward to receiving your contributions.

Dr. Christiaan J. A. van Bergen
Dr. Joost W. Colaris
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 250 words) can be sent to the Editorial Office for assessment.

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

  • upper limb
  • shoulder
  • humerus
  • elbow
  • forearm
  • wrist
  • hand

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Related Special Issue

Published Papers (2 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

14 pages, 1829 KB  
Article
Single-Stage Combined Embolization and Structural Allograft Reconstruction for Proximal Humerus Aneurysmal Bone Cysts in Children
by Maximilian Leiblein, Johannes Frank, Ingo Marzi, Katharina Sommer, Katrin Eichler, Thomas Vogl and Nils Wagner
Children 2026, 13(5), 591; https://doi.org/10.3390/children13050591 - 24 Apr 2026
Viewed by 192
Abstract
Background: Aneurysmal bone cysts (ABCs) of the proximal humerus in children are rare, locally aggressive lesions associated with substantial recurrence rates and risk of structural instability. Conventional treatment by curettage and bone grafting is often limited by recurrence, while selective arterial embolization (SAE) [...] Read more.
Background: Aneurysmal bone cysts (ABCs) of the proximal humerus in children are rare, locally aggressive lesions associated with substantial recurrence rates and risk of structural instability. Conventional treatment by curettage and bone grafting is often limited by recurrence, while selective arterial embolization (SAE) alone may not provide sufficient structural support. This study evaluates a single-stage treatment strategy combining embolization and structural reconstruction to address both the vascular and mechanical components of the disease. Methods: A retrospective analysis was performed on 12 pediatric patients (median age 9 years) with proximal humerus ABCs treated between 2020 and 2024. All patients underwent a standardized single-stage protocol consisting of preoperative SAE, intralesional resection with high-speed burr, and reconstruction using an allogeneic fibula graft combined with cancellous bone augmentation. Radiological consolidation, recurrence, and functional outcomes were assessed. Associations between prior surgery, cyst size, and recurrence were analyzed. Results: Primary consolidation was achieved in 75% of patients, with an overall healing rate of 91.7% after secondary interventions. Recurrence occurred in 16.7% of cases and was significantly associated with prior surgical treatment (p = 0.045). No significant correlation was found between cyst size and recurrence (p = 0.151). At final follow-up (median 8.5 months), all patients demonstrated complete healing according to the modified Neer classification following completion of treatment. Functional outcomes were favorable, with 91.7% of patients regaining full range of motion and no neurovascular complications observed. Conclusions: The presented single-stage approach combining SAE, intralesional resection, and structural allograft reconstruction addresses both the vascular supply and mechanical instability of proximal humerus ABCs. This strategy demonstrated high healing rates and favorable functional outcomes, with acceptable recurrence rates in this cohort while avoiding donor site morbidity. It represents a practical and effective treatment concept for this rare pediatric condition. Full article
(This article belongs to the Special Issue Pediatric Upper Extremity Pathology—2nd Edition)
Show Figures

Figure 1

16 pages, 1579 KB  
Article
Secondary Displacement of Forearm Fractures in Children: When to Anticipate Remodeling and When to Intervene?
by Kasper C. Roth, Linde Musters, Leon W. Diederix, Pim Edomskis, Christiaan J. A. van Bergen, Denise Eygendaal and Joost W. Colaris
Children 2026, 13(1), 98; https://doi.org/10.3390/children13010098 - 9 Jan 2026
Cited by 1 | Viewed by 1086
Abstract
Background/Objectives: Conservative management of pediatric forearm fractures remains challenging due to the high incidence of secondary displacement. Given the remarkable remodeling potential of children’s bones, clinicians must decide whether to rely on natural healing or intervene. This study evaluated whether accepted secondary displacements [...] Read more.
Background/Objectives: Conservative management of pediatric forearm fractures remains challenging due to the high incidence of secondary displacement. Given the remarkable remodeling potential of children’s bones, clinicians must decide whether to rely on natural healing or intervene. This study evaluated whether accepted secondary displacements affect long-term outcomes and sought to identify predictors of functional impairment. Methods: This retrospective cohort study assessed the long-term outcomes of a cohort of 410 consecutive children who presented with 212 distal metaphyseal and 198 diaphyseal both-bone forearm fractures between 2006–2010. In all patients, closed reduction was recommended for ≥50% displacement, ≥15° angulation (<10 years), or ≥10° angulation (10–16 years). Secondary displacements were frequently accepted, anticipating remodeling. We included 316 children (<16 years) with both-bone forearm fractures (147 diaphyseal, 169 distal metaphyseal), representing 77% of the original cohort, for long-term follow-up (mean 7.2 years, minimum 4 years). Functional and radiographic outcomes were compared between accepted secondary displacements and maintained alignments, stratified by fracture location. Multivariate logistic regression identified predictors of long-term functional impairment, defined as ≥15° loss of pro-supination or QuickDASH ≥ 20. Results: In the distal metaphyseal group there were 50 secondary displacements out of 212 fractures, of which 31 were accepted. In the diaphyseal group there were 60 secondary displacements, of which 49 were accepted. At long-term follow-up, patients with accepted secondary displacements had no clinically relevant differences in functional or radiographic outcomes compared with those with maintained alignments across both diaphyseal and distal metaphyseal fracture groups. For distal fractures, complete initial radial displacements, re-fractures, and bicortical ulnar fractures predicted pro-supination loss ≥ 15° or QuickDASH ≥ 20. For diaphyseal fractures, older age at trauma predicted increased risk of pro-supination limitation. Conclusions: Accepted secondary displacements did not worsen long-term outcomes, supporting reconsideration of strict reduction criteria. The substantial remodeling capacity of pediatric bone—especially in distal metaphyseal fractures in skeletally immature children—should be emphasized when making treatment decisions to avoid unnecessary surgical interventions. Full article
(This article belongs to the Special Issue Pediatric Upper Extremity Pathology—2nd Edition)
Show Figures

Graphical abstract

Back to TopTop