- Bone fractures and treatments
- Connective tissue disorders research
- Orthopedic Surgery and Rehabilitation
- Hip disorders and treatments
- Hip and Femur Fractures
- Spinal Fractures and Fixation Techniques
- Sports injuries and prevention
- Shoulder and Clavicle Injuries
- Elbow and Forearm Trauma Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Orthopaedic implants and arthroplasty
- Neurogenetic and Muscular Disorders Research
- Knee injuries and reconstruction techniques
- Shoulder Injury and Treatment
- Foot and Ankle Surgery
- Scoliosis diagnosis and treatment
- Trauma and Emergency Care Studies
- Spine and Intervertebral Disc Pathology
- Cerebral Palsy and Movement Disorders
- Injury Epidemiology and Prevention
- Occupational Health and Performance
- Pregnancy-related medical research
- Delphi Technique in Research
- Health and Conflict Studies
- Protease and Inhibitor Mechanisms
Rogers (United States)
2024
University of South Alabama
2024
Nemours Children's Health System
2023
Dupont Hospital
2002-2022
Alfred I. duPont Hospital for Children
2011-2021
Uniformed Services University of the Health Sciences
2020
DuPont (United States)
1995-2020
Thomas Jefferson University
2020
American Academy of Orthopaedic Surgeons
2016
Globus Medical (United States)
2016
Study Design. A cross-sectional study comprising the first phase of an ongoing, longitudinal prospective was conducted. Objective. To investigate relation between backpack use and back pain in adolescents. Summary Background Data. The prevalence nonspecific increases dramatically during adolescence from less than 10% pre–teen-age years up to 50% 15- 16-year-olds. There is widespread concern that heavy backpacks carried by adolescents contribute development pain. Methods. total 1126 children,...
We reviewed the long-term functional and roentgenographic outcomes of severe Legg-Calvé-Perthes disease in two similar groups patients, one which was managed with a shelf arthroplasty other, by variety non-operative means. Twenty hips nineteen patients were treated traction and, when necessary, adductor tenotomy to attempt reduction subluxation; this followed increase arc acetabulum result coverage femoral head. The average duration follow-up years (range, forty-seven years). initial...
Previous studies have demonstrated high rates of intraspinal anomalies in patients with congenital scoliosis; however, various authors not considered the presence an isolated hemivertebra to be sufficient reason for further evaluation magnetic resonance imaging. Consequently, rate imaging-detected and subsequent neurosurgical intervention a single is unknown. Therefore, we studied all hemivertebra, after eliminating myelomeningocele, compare those who had complex hemivertebral pattern.A...
Gunshot injuries are a leading cause of morbidity and mortality in the pediatric population. The Pediatric Trauma Society supports use tourniquets for exsanguinating hemorrhage severe extremity trauma. Combat Application Tourniquet (CAT) used with success adults has not been prospectively tested children. Our objective this study was to determine if CAT is successful arresting arterial blood flow school-aged children.Sixty volunteers (ages 6-16 years) recruited by age cohort had applied an...
Abstract Background Osteogenesis Imperfecta (OI) is a genetic disorder also known as ‘brittle bone disease’. The clinical manifestation of OI shows wide variation. Therefore, care for patients with requires an interdisciplinary approach. effectiveness particular interventions and treatment protocols teams not clear due to non-standardized variation patient outcomes thus making the comparison outcome measures available in literature difficult. It only by agreeing on common, standard set...
Study Design: A retrospective study. Objective: To report the early postoperative results of scoliosis surgery in osteogenesis imperfecta (OI) patients utilizing all pedicle screw constructs and present a novel cementing technique to increase purchase osteoporotic OI spine. Summary Background Data: Scoliosis hooks wire systems have high complication rates OI. Pedicle fixation biomechanical advantage 3-column fixation, cement augmentation screws provides additional pull-out strength Methods:...
Although intramedullary fixation is the standard form of surgical long bones children with osteogenesis imperfecta (OI), it remains fraught complications. Implant breakage, implant cut out, bone fracture, nonunion, and rod bending have all been described as complications in OI. Supplemental techniques represent an attempt to decrease these risks failure devices. A supplemental plate screw construct at a fracture or osteotomy site addition device segment one such fixation. The aim this study...
The purpose of this study was to evaluate the necessity early postoperative radiographs after pinning supracondylar humerus fractures by determining both percentage patients who displayed change in fracture fixation and whether these changes affected their outcome.A series 643 consecutive underwent operative management Gartland type II III at our institution between January 2002 December 2010 were reviewed. Demographic data obtained through chart review, including age, sex, extremity, type,...
Complex distal tibial physeal fractures can be difficult to characterize on plain radiographs. The role of computed tomography (CT) scans in the evaluation and treatment decision these injuries is unclear. We aimed determine whether or not addition CT would improve reliability fracture classification decision.Five independent observers evaluated 50 2 separate occasions for Salter Harris (SH) (surgical/nonsurgical) using radiographs (round 1) combination 2). During round 1, were asked if they...
Evaluation of the union osteotomies and fractures in patients with osteogenesis imperfecta (OI) is a critical component patient care. Studies OI population have so far used varied criteria to evaluate bony union. The radiographic score for tibial (RUST), which was subsequently revised modified RUST, an objective standardized method evaluating fracture healing. We sought reliability RUST setting tibias OI.Tibial radiographs 30 fractures, or were scored by 3 observers on 2 separate occasions....
Fifteen lower extremities with a spastic equinovarus foot deformity associated internal tibial torsion were identified. Each extremity underwent split tibialis posterior tendon transfer combined distal derotational osteotomy. The medical record of each patient was reviewed retrospectively. We paid particular attention to clinic visits, gait analyses, and surgical procedures performed. These patients followed up for an average 4 years 5 months after surgery. Twenty-seven percent had excellent...
In an effort to improve orthopedic clinic utilization, we reviewed the incidence of normal radiographic variants in foot referred from emergency room or outpatient clinic. The study was undertaken because are often confused with fracture. A retrospective all radiographs at Madigan Army Medical Center carried out. Distribution and their confusion fracture were evaluated. Thirty-six percent had identifiable accessory bones. most common bones descending order were: os peroneum, navicular,...
Purpose Intramedullary rodding is indicated for patients with osteogenesis imperfecta (OI) to manage deformity and help treat recurrent fractures. Historically, the focus of intramedullary stabilisation has been lower extremity. Here we report our experience humerus forearm in children OI its impact on fracture rate those bone segments. Patients Methods This a retrospective chart review all who have undergone re-alignment or between October 1994 February 2016. Patient demographics, surgical...
Fifteen lower extremities with a spastic equinovarus foot deformity associated internal tibial torsion were identified. Each extremity underwent split tibialis posterior tendon transfer combined distal derotational osteotomy. The medical record of each patient was reviewed retrospectively. We paid particular attention to clinic visits, gait analyses, and surgical procedures performed. These patients followed up for an average 4 years 5 months after surgery. Twenty-seven percent had excellent...
Study Design. A case series of patients with hemimetameric shift. Objectives. To describe the radiographic and physical findings as well treatment provided to a subset congenital scoliosis. Summary Background Data. Hemimetameric segmental displacement, or shift, is clinical entity defined by two contralateral hemivertebrae separated at least one normal vertebra. Although briefly described in textbooks, there are no published date. Methods. From 1974 2000, 186 cases scoliosis were identified...
The aim of this study was to evaluate the association contractures, fractures, and deformities in four patients with Bruck syndrome treated our facility. Data were collected from medical records, radiographs, dual-energy X-ray absorptiometry (DEXA) scans, genetic tests, gait analysis. All had contractures at birth genotypic findings including mutations PLOD2 or FPKB10. Three cases bisphosphonates improvement bone density verified by DEXA. In syndrome, orthopedic include following sequential...
Background: Pseudoachondroplasia is a diverse group of skeletal dysplasias with common pathway altered cartilage oligomeric matrix protein (COMP) production. This rhizomelic dwarfism commonly associated deformities the lower extremities, accelerated osteoarthritis, and ligamentous laxity. One most alignment problems coronal knee angulation which combined tibial torsion, results in complex deformity. The outcome surgical correction these variable. Methods: study used 3-dimensional gait...
Osteogenesis imperfecta (OI) is a genetic disorder characterized by brittle bones and long bone deformity. Realignment intramedullary rodding with telescopic rods are indicated for progressive deformity can help prevent fractures. Rod bending reported complication of common indication revision; however, the fate bent lower extremity in setting OI has not been reported.Patients at single institution who underwent rod placement least 1-year follow-up were identified. Bent identified, these...