Search

➤: Femoral neck stress fractures (FNSFs) are an infrequent condition in athletic and military populations.➤: A high index of suspicion with liberal use of magnetic resonance imaging (MRI) is vital for early recognition and treatment initiation.➤: An associated hip effusion on MRI is a risk factor for an evolving stress injury and requires close assessment and consideration for repeat MRI.➤: Stress reactions and stable, incomplete FNSFs (<50% of femoral neck width) can be treated nonsurgically.➤: Surgical intervention is accepted for high-risk, incomplete (≥50% of femoral neck width), and complete FNSFs.➤: Overall, there is a paucity of high-quality literature on the rates of return to activity following FNSF. [ABSTRACT FROM AUTHOR]

An 8 yo 15 kg male child with an undiagnosed congenital syndrome presented with painful, recurrent atraumatic bilateral knee dislocations. Recurrent dislocations were reduced in the emergency department and were never associated with neurovascular compromise. Magnetic resonance imaging identified congenital agenesis of the anterior cruciate ligament (ACL) bilaterally. He underwent staged bilateral physeal-sparing ACL reconstructions with autograft iliotibial band and had no subsequent dislocations during 14 month follow-up. To our knowledge, this is the only reported case of atraumatic spontaneous bilateral knee dislocations in a patient with bilateral congenital absence of the ACL. This case describes a novel indication for physeal-sparing ACL reconstruction in a rare clinical entity., Competing Interests: Dr. Flanagan or an immediate family member serves as a paid consultant to to Nuvasive and Orthofix, neither of which represents a conflict of interest with regard to this manuscript. Neither of the following authors nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Moreland and Dr. Christino., (Copyright © 2020 Written work prepared by employees of the Federal Government as part of their official duties is, under the U.S. Copyright Act, a “work of the United States Government” for which copyright protection under Title 17 of the United States Code is not available. As such, copyright does not extend to the contributions of employees of the Federal Government.)

The Pavlik method is the most common method used for treatment of developmental dysplasia of the hip (DDH). Late acetabular dysplasia despite successful treatment, however, has had varied reporting. A systematic review was performed, investigating the long-term outcomes of DDH treated with the Pavlik method. Seventeen studies met inclusionary criteria, including 6029 hips treated with an average of 5.29 years follow-up. Radiographic evidence of late dysplasia was present in 280 hips, with 109 hips requiring additional surgery. A specified treatment algorithm had significantly decreased rates of radiographic dysplasia (3.8% vs 17.6%, p = 0.004)., Level of Evidence: IV.