Nov. 1, 2017
Volume VIII |  Issue No. 44

Predictors of recurrent patellar instability after first-time dislocation
"Patellar dislocations are one of the most common knee injuries in children and adolescents and are challenging to treat".

A retrospective study examined the risk factors for recurrence in 266 knees with first-time Patellofemoral dislocation.

34.7% of knees treated non-operatively experience subsequent recurrences of patellar dislocation. Significant risk factors include age (<14 years), history of contralateral patellar dislocation, trochlea dysplasia (the groove that the patella lies in is too shallow), skeletal immaturity and patella height.
Journal of Pediatric Orthopaedics

Patellar Dislocations
Patellar Dislocations
Longitudinal analysis of Echocardiographic abnormalities in children with Sickle Cell Disease (SCD)
"SCD is characterized by recurrent episodes of ischemia-perfusion injury to multiple vital organ systems and a chronic hemolytic anemia". Cardiovascular complications are becoming increasingly evident.
A retrospective longitudinal study of cardiac abnormalities on 829 echocardiographs from pediatric patients with SCD indicates that cardiac abnormalities begin early (5 years of age) in childhood, progress with age and appear to be a marker of disease severity.
Comparison of outcomes for pediatric paraphimosis reduction using topical anesthetic (TA) vs. intravenous procedural sedation (PS)
A retrospective analysis of patients <18 years of age who presented to a tertiary pediatric Emergency Department (ED) requiring analgesia for paraphimosis reduction, compared "reduction first attempt success" ED length of stay, adverse events and return visits using topical anesthesia vs. procedural sedation.
While there appears to be no difference in "reduction first attempt success" rates between the two methods of paraphimosis reduction, TA is safe, effective and is associated with a shorter ED length of stay.
INFORMATION BONUS!  Newly Updated... 

Download, print and pin this information on your office wall.

-This is a "Must Have" (Ed.) 

Underwriting Opportunities
With a circulation over 6,800,
Updates in Pediatrics offers an excellent opportunity to promote your brand at affordable rates.


Contact AD DEPT to learn more.   
Maternal caffeine consumption during pregnancy and behavioral outcomes in 11 year old offspring
"Approximately 90% of all adults in the world consume caffeine daily". Both coffee and tea contain several compounds which can have both beneficial and adverse health effects on the neuropsychiatric, cardiovascular, endocrine and gastrointestinal systems.
A study of 47,491 children from the Danish National Birth Cohort examined data on maternal coffee/tea consumption collected at 15 and 30 weeks gestation and related it to estimated risk ratio for offspring behavioral disorders at 11 years of age.
High maternal caffeine consumption (>8 cups per day coffee or tea) at 15 weeks gestation appears to be associated with an increased risk of behavioral disorders (hyperactivity-inattention disorders, conduct-oppositional disorders, anxiety-depressive disorders and any psychiatric diagnosis).
See related video HERE, HERE and HERE
A parent-infant music therapy intervention to improve neurodevelopment after neonatal intensive care (NICU)
"Structured music therapy programs (SMTP) that focus on the progressive development of infant and caregiver dyads after hospital discharge have been associated with improvement in infants' social skills and positive parenting behaviors".
A retrospective study examined neurodevelopmental outcomes in 10-parent (NICU high risk patients) dyads following a weekly developmental music therapy class (lead by a board-certified music therapist), comparing outcomes to matched high risk non-related controls at 6 and 16 months of age (music therapy may form the structural basis for learning through improved dyad communication).
Music therapy in high-risk infants post-NICU stay appears to benefit developmental outcomes (cognition, communication and motor function) at 6 and 12 months of age (with some study design limitations; Ed.)
Video Feature
P arent-infant music therapy
Parent-infant music therapy
Operative transfer of Pectoralis Major in the management of brachial plexus palsy sequels
Neonatal brachial palsy usually occurs following stretch or tearing injury to the nerves that control the muscles of the shoulder and upper extremity (upper brachial plexus), from head, neck and shoulder manipulation, particularly during a difficult birth. (Upper arm affected; Erb-Duchenne palsy/paralysis; Lower arm and hand; Klumpke palsy/paralysis). While most nerve injury is mild and recovery usual with conservative treatment, severe tearing carries a poor prognosis and surgery may be indicated (to correct the limitation to shoulder elevation and internal rotation).
A study of a surgical procedure (modified L'Episco procedure) to improve shoulder arm function, undertaken on 22 children (49 months of age) following significant brachial plexus birth trauma/shoulder dysfunction (abduction to 77.5 degrees; external rotation to 2.5 degrees), and followed /examined 4.5 years later, indicates significant improvement (135.6 and 32 degrees respectively) in shoulder function post-surgery.
Antipyretic efficacy and safety of ibuprofen (IBU) vs. acetaminophen (APAP) suspension in febrile children
Two blinded single-dose studies randomized febrile children 6-11 years of age to receive either ibuprofen (7.5mg/kg) or acetaminophen suspension (10-15mg/kg), measured and compared temperature changes from baseline through 8 hours for each study and documented adverse incidents.
Individual and pool data indicates that ibuprofen is more effective and provides greater temperature reduction than APAP with a comparable safety profile in febrile children.
Miami Children's Health System to be Renamed Nicklaus Children's Health System

Miami Children's Health System will undergo a name change to align the health system with the branding and identity of its flagship, Nicklaus Children's Hospital. Effective November 1, the health system-which includes the nonprofit hospital, its network of outpatient centers, a research institute, a fundraising arm, an employed physician practice and more-will become Nicklaus Children's Health System in recognition of the continued support from the Nicklaus Children's Health Care Foundation and its founders, golf icon Jack Nicklaus and his wife Barbara. The hospital became Nicklaus Children's in 2015, following a multi-million-dollar commitment from the Nicklaus family and its foundation.

In addition, Miami Children's Health Foundation, the health system's fundraising arm, will soon become Nicklaus Children's Hospital Foundation, furthering the system-wide branding alignment.
Take the Quiz !

Do ingested button batteries pose a significant risk of injury or death?
Can you describe the three "profiles" of obsessive-compulsive disorder?

How dangerous are homemade zip lines?
Click HERE  to take Quiz.

Need to Study? 
Click HERE to view past issues of  Updates in Pediatrics .
Updates in Pediatrics is brought to you by:
Advertising in this e journal in no way implies MCHS endorsement of product.