Volume IV
Issue 7

              Weekly Updates in Pediatrics         February 13, 2013

EDITOR:  Jack Wolfsdorf, MD, FAAP                   

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Prediction rule can help pediatric trauma patients avoid CT scans


Mike Bassett  

Fierce Medical Imaging


Researchers have identified several factors physicians should consider in helping them decide whether or not to perform a CT scan on young traumatic injury 


The prospective study, reported online in the Annals of Emergency Medicine, involved evaluating children who arrived at emergency departments in the Pediatric Emergency Care Applied Research Network (PECARN) after blunt trauma to their torsos, such as those caused by a fall or car or bicycle crash. Of the more than 12,000 children evaluated, 761 were diagnosed with intra-abdominal injuries, and 203 received acute interventions.




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'Inflatable bouncer' injuries


In the past two decades more 64,000 children under the age 17 years have been injured using inflatable bouncers. It has been reported the in the recent past, 31 children a day on average are being treated in ED's for springs, strains, fractures and concussions associated with its use, primarily because of the ease of acquiring them for playroom, sport, or recreation use and home use.


Inflatable bouncers, like trampolines are hazardous to children's health and safety.


Source: Pediatrics 

Video Feature
Study Shows Inflatable Bouncer-Related Injuries on the Rise
Study Shows Inflatable Bouncer-Related Injuries on the Rise
NationwideChildrens via YouTube

Pedicled skin flap of foreskin to treat 'concealed penis'


A congenital 'concealed' or 'buried' penis describes a normal size, frequently uncircumcised penis that lacks the appropriate sheaths of skin closest to the scrotum and which hides the penis within the sack of the lower belly. Parents are often concerned because the penis appears too small and the foreskin appears to swell 'or dribble continually' when the baby urinates. In most children the condition improves without treatment over time. The completely concealed penis usually requires surgical correction.


While there are numerous operative procedures to correct a completely concealed penis it appears that the most satisfactory results may be obtained by utilizing a pedicled foreskin skin flap to enhance penile exposure, hygiene and accessibility.


Source:  Journal of Pediatric Surgery 

Toe-walking and neuropsychiatric problems 

Idiopathic toe-walking (ITW) is a diagnosis of exclusion. A study of 51 children aged 9 years with ITW, utilized the completion by parents of the "Five to Fifteen" validated screening questionnaire for neuropsychiatric problems and compared them to an age-matched normal group.


39% of ITW children have motor skill, 17.6% executive functions, 25.5% perception, 23.5 memory and language, 25.9% learning, 25.5% social skills and 21.6% emotion/behavioral problems/difficulties respectively.


Source:  Journal of Pediatric Orthopaedics 

Preschooler delay of gratification predicts their body mass 30 years later


A longitudinal study of 4 year old children (conducted over a 30 year period) from a university-based preschool, completed the classic delay of gratification task. As adults each additional minute that a preschooler could delay gratification apparently predicts a 0.2 reduction in BMI 30 years later. There appears to be a strong correlation between a great difficulty in delaying gratification and subsequent adult obesity.


Source: The Journal of Pediatrics