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Pediatric Trauma and Orthopedics

Anaphylaxis due to gadolinium-based MR contrast medium

During a knee joint MRI test, a 5-year-old boy had a severe anaphylactic reaction 10 min after injection of the contrast medium. Such severe reactions are rare, but can be life-threatening.

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Editor's Choice

Unusual cause of growth arrest, primary amenorrhea, and metabolic syndrome

IGF-1 deficiency was detected in a 16-year-old girl with primary amenorrhea, height and weight at the 3rd percentile, and a waist circumference at the 90th percentile, but what was the underlying cause?

How can you establish trust with children?

Establishing trust is a foundational skill for healthcare providers who work with children, but there’s no formal training on how to do it well. Now there’s a framework to help you.

MRI improves accuracy of pediatric TBI prognosis

Magnetic resonance imaging within 30 days of severe traumatic brain injury may help to more accurately predict long-term outcomes in children.

Oral antibiotics comparable to IV treatments in bone and joint infections

Oral antibiotic therapy is noninferior to intravenous antibiotics for the treatment of bone and joint infections in children and adolescents.

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Case Studies

Anaphylaxis due to gadolinium-based MR contrast medium

During a knee joint MRI test, a 5-year-old boy had a severe anaphylactic reaction 10 min after injection of the contrast medium. Such severe reactions are rare, but can be life-threatening.

Unusual cause of growth arrest, primary amenorrhea, and metabolic syndrome

IGF-1 deficiency was detected in a 16-year-old girl with primary amenorrhea, height and weight at the 3rd percentile, and a waist circumference at the 90th percentile, but what was the underlying cause?

Vitamin D-dependent rickets complicated with RSV infection

Vitamin D-dependent rickets type 1 A causes failure to thrive, hypotonia, and increased fracture risk, and may complicate the clinical course of lower respiratory tract infections. How would you address the therapeutic challenges in this toddler?

Current Reviews

Maternal and neonatal outcomes with the use of long acting, compared to intermediate acting basal insulin (NPH) for managing diabetes during pregnancy: a systematic review and meta-analysis

The prevalence of diabetes in pregnancy is increasing and it is estimated that around 8–10% of the pregnancies, globally are affected by gestational diabetes (GDM) [ 1 , 2 ]. In the late pregnancy, there is increased production of diabetogenic …

Further Reading

Predictors of maternal and neonatal outcomes in labors complicated by shoulder dystocia: a comparative analysis

Shoulder dystocia is a term used to describe a vaginal delivery in which after delivery of the fetal head, additional obstetric maneuvers are needed to enable delivery of the fetal shoulders [ 1 ].

Clinical characteristics of 1124 children with epiphyseal fractures

The rapid advancements in science and technology and the popularization of various modern means of transportation have greatly improved living standards. However, these improvements have also increased the incidence of trauma caused by various …

Kirschner wire versus external fixation in the treatment of proximal humeral fractures in older children and adolescents: a comparative study

Paediatric proximal humeral fracture accounts for approximately 2% of all paediatric fractures, and the incidence rate is lower than that of supracondylar humerus fracture, ulnar and radial fracture, and distal radial fracture in children, with an …

Investigating the association factors of acute postpartum pain: a cohort study

Despite being a natural process, labor and delivery may turn out to be a source of major trauma to the mother mentally and physically. It is reported that around 60% of nulliparous and 45% of multiparous women may experience severe pain during the …