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A Review of Pediatric Orthopedic Disorders: Diagnosis and Treatment Updates
Sanjay P1, Ravi Diwakar2, Subeg Singh3
1Sports Medicine, Saveetha Institute of Medical and Technical Sciences, Chennai, IND.
Insights
Pediatric orthopedic disorders impact child development and mobility. Advances like the Ponseti method improve outcomes, but standardized care and research are needed for better global musculoskeletal health.
Area of Science:
- Pediatric Orthopedics
- Musculoskeletal Health
- Child Development
Background:
- Pediatric orthopedic disorders encompass diverse congenital and acquired musculoskeletal conditions.
- These ailments significantly impact children's development, mobility, and overall quality of life.
Purpose of the Study:
- To review current evidence on managing major pediatric orthopedic disorders.
- To highlight advancements and persistent challenges in the field.
Main Methods:
- Comprehensive literature search across PubMed, EMBASE, and Cochrane Library.
- Inclusion of recent trials and consensus guidelines.
Main Results:
- Technological innovations (e.g., ultrasonography, Ponseti method, limb lengthening systems) have improved outcomes.
- Challenges include inconsistent protocols, limited comparative research, and unequal access to care.
- Emerging technologies (3D imaging, AI) show promise but require safety and cost-effectiveness evaluation.
Conclusions:
- Future research should prioritize multicenter trials and standardized patient-reported outcomes.
- Consensus guidelines are crucial for standardizing pediatric orthopedic care.
- Investment in training, infrastructure, and collaboration is essential for equitable global improvements in pediatric musculoskeletal health.
Abstract:
Orthopedic disorders in pediatrics have a broad range of congenital and acquired musculoskeletal ailments, which significantly affect development, mobility, and quality of life in children. This review summarizes the existing evidence in the management of major disorders, such as developmental dysplasia of the hip, clubfoot, scoliosis, slipped capital femoral epiphysis, fractures, and neuromuscular syndromes. The relevant studies were identified by a thorough search in PubMed, EMBASE, Cochrane Library databases, recent trials, and consensus guidelines. Technological improvements such as ultrasonographic screening, the Ponseti method, producing a success rate of more than 90%, growth modulation implants, and motorized limb lengthening systems have enhanced the outcome and minimized the surgical load. Nevertheless, there are still issues such as inconsistency in the protocols, a lack of comparative research, and inequality in access to special care. New technologies, such as three-dimensional imaging, patient-specific instrumentation, and artificial intelligence-based predictive models, have the potential to be more precise but will need tight scrutiny of safety and cost-effectiveness. In future studies, multicenter trials, standardized outcomes with patient-reported outcome measures, and consensus guidelines to standardize care should be given priority. Continued investment in training, infrastructure, and international collaboration will be needed to ensure that innovations are fairly introduced and can be measured as leading to measurable improvement in musculoskeletal health and functioning of children across the world.
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