* Percutaneous low-energy osteotomy in treatment of pathological coronal knee deformities in pediatrics.
- The aim of this study was to assess the safety and efficacy of percutaneous low-energy osteotomy and casting in treatment of pathological coronal knee deformities in children equal or younger than 6 years. A prospective nonrandomized case series study was conducted. A total of 62 (109 limbs) patients with pathological coronal knee deformities were treated by percutaneous low-energy osteotomy and casting and observed over 3-10 years. The pathological nature was variable (rickets, Blount disease, dysplasia, after trauma, or after infection). The average age at the time of surgery was 4.5 years (range: 3-6 years). Clinical and radiological outcomes were evaluated annually and at the end of follow-up period. There was a statistically significant improvement of the clinical appearance and the radiological parameters regarding mechanical axis deviation and tibiofemoral angle at the end of follow-up period. The total complication rate was 6.4%, with only four limbs with overcorrection and three limbs with recurrence. Percutaneous osteotomy is a simple, safe, and effective option in the treatment of children with coronal knee deformities equal or younger than 6 years.
* Use of the Brief Shame and Guilt Questionnaire in Deaf and Hard of Hearing Children and Adolescents.
- No assessment tools are available to measure shame and guilt in children who are deaf or hard of hearing (DHH), while these self-conscious emotions might play a role in the frequently noted social and behavioral problems in this group. Therefore, the aim of this study was to validate the Brief Shame and Guilt Questionnaire (BSGQ) in DHH children. In addition, we examined associations of shame and guilt with social anxiety, self-esteem, delinquency, and psychopathic behaviors. A sum of 225 hearing (Mage = 11.62 years) and 108 DHH (Mage = 11.82 years) participants completed the self-report BSGQ. Multigroup confirmatory factor analysis confirmed the two-factor structure (i.e., shame and guilt) of the BSGQ in the DHH group. Measurement invariance was established across both groups. However, the DHH group reported lower levels of self-conscious emotions in comparison with the hearing group. The BSGQ showed good concurrent validity, where shame was associated with higher levels of social anxiety and lower levels of self-esteem, and guilt was associated with lower levels of delinquency and psychopathic behavior in both groups. Future research should investigate the potential behavioral consequences of lower reported levels of self-conscious emotions in DHH youth.