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Background/Purpose: As the COVID-19 pandemic continues to spread worldwide, children may account foronly 2 16% of conrmed cases Previous studies may underestimate the true incidence of COVID-19 in childrenas they are more likely to be asymptomatic, and thereby less likely to be tested We aimed to determine theincidence of COVID-19 in pediatric patients presenting for surgery Methods: After universal preoperativescreening for COVID-19 was instituted at the Children's Hospital of Philadelphia, Seattle Children's, and TexasChildren's Hospital, children

Background: The COVID-19 pandemic has prompted a multitude of public health response measures including social distancing, school cancellations, and cessation of organized sports. A change in the epidemiology of injuries commonly caused by sporting activities is expected. Hypothesis/Purpose: Examine the effect of public health measures on the incidence and characteristics of common pediatric sports injuries. Methods: This is a retrospective cohort study comparing sporting injuries presenting to a level I pediatric trauma hospital during the COVID-19 pandemic to sporting injuries during a pre-pandemic period at the same institution. Nine specific injury types were evaluated including ACL injury, meniscus injury, patellar dislocation, osteochondritis dissecans (OCD), shoulder dislocation, ankle sprain, clavicle fracture, medial epicondyle fracture, and tibial spine fracture. Patients were included if they presented for initial care between 3/15/20 and 4/15/20 for the “pandemic” group and the same time window in 2018 and 2019 for the “pre-pandemic” group. Results: 487 patients were included in our study with an average of 222.5 patients in 2018 and 2019 compared to 42 patients in 2020. The average patient age decreased during the pandemic compared to the pre-pandemic period (9.4 ± 6.0 vs 12.4 ± 4.2, p=0.007). Additionally, a decrease in the proportion of injuries attributed to sports (26.2% vs 47.6%, p=0.005) and those occurring at school/daycare (4.8% vs 10.3%, pConclusion: At our institution, we observed an over fivefold reduction in presentation for common pediatric musculoskeletal injuries typically associated with sports. The dramatic drop off in injuries occurring across both sports and non-sports injury mechanisms raises concern for presentation of untreated injuries in the future. Additionally, the increased proportion of injuries occurring in the home setting creates an opportunity for emphasis to be placed on basic safety precautions, especially for young children. Tables/Figures: [Table: see text][Figure: see text]

Purpose: Closed reduction and percutaneous pinning (CRPP) is the mainstay of operative treatment of supracondylar humerus (SCH) fractures, and is the most common operation in pediatric orthopaedic surgery. Open reduction and internal fixation (ORIF) is associated with increased risks of infection, scar formation, and iatrogenic neurovascular injury, but must sometimes be performed when there is neurovascular compromise, or in rare circumstances when the surgeon cannot obtain a satisfactory closed reduction. Although there has been much recent attention surrounding management of the SCH fracture with neurovascular …