Satisfactory results can be achieved with both early and late hamstring tendon repairs in a majority of cases with surgical repair.

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Increased athletic participation by the skeletally immature athlete and a heightened suspicion by physicians have contributed to an increase in the incidence of meniscal injuries in children and adolescents. In young patient, meniscal injury could have long-term consequences, so an understanding of recognition and treatment is essential. We review the anatomy and development of the menisci, review classification and diagnosis of meniscal tears, discuss management options and outcomes of treatment, and focus on discoid lateral meniscus and meniscal cysts.

Over the last 10 years, nurse practitioners have become an essential part of the multidisciplinary orthopaedic team within a Level 1 pediatric trauma hospital. This overview will outline the process used and noted results during the development of a new model of care for pediatric orthopaedic patients, in both the hospital setting and outpatient clinics. Data from a 12-month period was reviewed in an effort to show the benefits of establishing a 1:1 model utilizing an orthopaedic surgeon and nurse practitioner. The advantages of this team concept include increased access to care, fiscal improvement, and positive patient outcomes due to standardized protocols and patient continuity.

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Level III-retrospective review.

Septic arthritis of the hip in neonates is rare but can have devastating consequences. Presenting signs and symptoms may differ from those encountered in older children, which may result in diagnostic challenge or delay. Many risk factors predispose neonates to septic arthritis, including the presence of transphyseal vessels and invasive procedures. Bacterial infection of the joint occurs via hematogenous invasion, extension from an adjacent site, or direct inoculation. A strong correlation exists between younger age at presentation and severity of residual hip deformity. Diagnosis is based on clinical examination, laboratory markers, and ultrasound evaluation. Early management includes parenteral antibiotics and surgical drainage. Late-stage management options include femoral and pelvic osteotomies, trochanteric arthroplasty, arthrodesis, pelvic support procedures, and nonsurgical measures. Early diagnosis and management continues to be the most important prognostic factor for a favorable outcome in the neonate with septic arthritis.