A5059935329- Hip disorders and treatments
- Shoulder Injury and Treatment
- Orthopaedic implants and arthroplasty
- Orthopedic Surgery and Rehabilitation
- Sports injuries and prevention
- Spinal Fractures and Fixation Techniques
- Bone fractures and treatments
- Elbow and Forearm Trauma Treatment
- Scoliosis diagnosis and treatment
- Hip and Femur Fractures
- Cerebral Palsy and Movement Disorders
- Knee injuries and reconstruction techniques
- Pelvic and Acetabular Injuries
- Cardiovascular Effects of Exercise
- Lower Extremity Biomechanics and Pathologies
- Cardiac Valve Diseases and Treatments
- Orthopedic Infections and Treatments
- Spine and Intervertebral Disc Pathology
- Bone and Joint Diseases
- Foot and Ankle Surgery
- Family and Disability Support Research
- Cardiovascular and exercise physiology
- Musculoskeletal synovial abnormalities and treatments
- Congenital limb and hand anomalies
- Metabolomics and Mass Spectrometry Studies
Boston Children's Hospital
2016-2025
Boston Children's Museum
2013-2025
Harvard University
2015-2025
Boston University
2020-2024
IS practice
2024
Rhythm (United states)
2023
Shore Memorial Hospital
2023
Gillette Children's Specialty Healthcare
2023
Cincinnati Children's Hospital Medical Center
2023
Florida College
2022
The Bernese periacetabular osteotomy (PAO) continues to be a commonly performed nonarthroplasty option treat symptomatic developmental hip dysplasia, but there are few long-term followup studies evaluating results after PAO.(1) What is the survivorship of PAO? (2) were validated outcomes scores among patients who had PAO more than 14 years ago? (3) factors associated with failure?One hundred fifty-eight dysplastic hips (133 patients) underwent between May 1991 and September 1998 by single...
Background: Whereas regular exercise is associated with lower risk of cardiovascular disease and mortality, mechanisms exercise-mediated health benefits remain less clear. We used metabolite profiling before after acute to delineate the metabolic architecture response patterns in humans. Methods: Cardiopulmonary testing was performed on Framingham Heart Study participants (age 53±8 years, 63% women) blood drawn at rest (n=471) peak (n=411). Results: observed changes circulating levels for...
The most serious complication of femoral neck fractures in children and adolescents is osteonecrosis. Although a number factors have been implicated the development osteonecrosis, no specific cause-and-effect relationship has determined. primary purpose this study was to determine prevalence osteonecrosis after identify risk for its development.This retrospective review identified 70 patients between ages 1.3 18.1 years who were treated fracture 2000 2011 at single level I pediatric trauma...
The primary aim of this study was to evaluate the relationship migration percentage (a radiographic metric quantifying hip displacement) in children with Gross Motor Function Classification System (GMFCS) level-IV or V cerebral palsy and spastic dysplasia acetabular index health-related quality life (HRQOL) as measured Caregiver Priorities Child Health Index Life Disabilities (CPCHILD) before after reconstructive surgery.In a prospective cohort (n = 38), percentage, index, CPCHILD scores...
Surgical treatment is recommended for patients with unstable osteochondritis dissecans (OCD) of the elbow. However, little information available comparing anticipated results from host techniques. In this investigation, clinical and radiographic resolution as well return to sports rates were assessed in adolescent following loose body (LB) removal drilling/microfracture grade IV lesions.We reviewed 21 adolescents treated LB elbow OCD. Patients additional pathology, prior surgery, or <1 year...
Tibial spine fractures involve an avulsion injury of the anterior cruciate ligament (ACL) at intercondylar eminence, typically in children and adolescents. Displaced are commonly treated with either suture or screw fixation.To investigate differences various outcomes between patients arthroscopic versus fixation for tibial one largest patient cohorts literature.Cohort study; Level evidence, 3.A search medical records was performed goal identifying all type 2 3 surgically 2000 2014 a...
The Bernese periacetabular osteotomy (PAO) is controversial as a treatment for symptomatic acetabular dysplasia in patients ≥40 years of age. We conducted retrospective study to evaluate the outcomes, measure survival rate, and identify factors associated with PAO failure age.We performed age undergoing PAO. Study eligibility criteria were met by 166 (149 women; mean age, 44 ± 3 years), 145 (87%) followed ≥4 after used Kaplan-Meier curve right-censoring calculate survivorship, "failure"...
Background: There is a paucity of published data regarding the management osteochondritis dissecans (OCD) lesions patellofemoral joint in children and adolescents. Purpose: To evaluate functional outcomes surgical OCD patella trochlea Secondary aims included elucidating predictors for higher determining complication rates, satisfaction, ability to return sports. Study Design: Case series; Level evidence, 4. Methods: Patients aged 18 years younger who were surgically treated or identified....
Limited data exist regarding the indications and expected outcomes of internal fixation unstable in situ osteochondritis dissecans (OCD) lesions capitellum. The objective this investigation was to characterize healing rates, clinical results, functional OCD adolescents.Retrospective analysis performed 26 elbows 24 patients who underwent for OCD. Mean age at surgery 14.1 years; 7 had open physes. lesion width thickness were 12.0 5.4 mm, respectively. Demographic, clinical, radiographic...
Little is known about the postoperative complications experienced by patients with severe cerebral palsy (CP) (GMFCS IV-V) compared otherwise healthy hip pathology requiring surgery. The purpose of this study was to determine whether differences exist between these 2 groups respect incidence, type, and severity complications. In addition, we evaluated risk factors for number cost additional visits, hospital admissions, repeat surgeries due complications.Retrospective matched cohort 55 aged 3...
Nerve injuries occur in approximately 11% of pediatric extension supracondylar humerus fractures (SCHF), yet there is scarce literature to guide clinicians on management. The primary goal this study was report the presentation, treatment, and outcome motor nerve associated with SCHF. Our secondary determine which injury treatment factors were prolonged recovery.Two hundred forty-four traumatic SCHF treated at a single institution between 1996 2012 reviewed. Patients iatrogenic or subjective...
Patellofemoral instability is a common cause of knee pain and dysfunction in paediatric adolescent patients. The purpose the study was to evaluate frequency patellar dislocations seen emergency departments (EDs) rates surgical procedures for at hospitals United States between 2004 2014.The Pediatric Health Information System database queried all patients who underwent surgery or were ED acute dislocation 2014. This compared with annual numbers overall orthopaedic procedures.Between 2014,...
There is growing evidence of increased venous thromboembolism (VTE) incidence in children with trauma or infection. The purpose this study was to conduct a systematic review existing literature related VTE the pediatric orthopaedic population, estimate overall and identify risk factors associated condition.
Background Assessment of femoral torsion at preoperative hip imaging is commonly recommended. However, it unclear whether MRI as accurate CT and how different methods affect measurements. Purpose To compare MRI- CT-based assessment by using four used measurement in terms agreement, reproducibility, reliability to angles between the methods. Materials Methods This retrospective study evaluated patients with pain who underwent 3-T including sequences pelvis distal condyles May 2017 June 2018....
Apophyseal avulsion fractures of the pelvis and hip are common injuries in adolescent athletes. However, high volume comparative studies elucidating spectrum largely absent from literature. The current study provides a comprehensive analysis demographic, anatomic, pathophysiological, clinical, athletic-related variables associated with such an extensive population affected adolescents.A retrospective review was performed records patients presenting to single tertiary care pediatric hospital...
In Brief Study Design. Cross-sectional retrospective analysis. Objective. To examine the degree of correlation between thoracic dimension outcome measures and pulmonary function in early-onset scoliosis (EOS). Summary Background Data. Change (TD) measurements spine length are commonly reported after treatment for EOS. Although ultimately improving or maintaining is goal EOS strategies, it unclear whether 2-dimensional TD represent good predictors function. Methods. A cross-sectional analysis...
In this study, we sought to elucidate the presentation, clinical course, treatments pursued, final diagnosis, and risk factors for septic arthritis in a series of children with hip pain intermediate synovial fluid values (white blood-cell [WBC] counts 25,000 75,000 cells/mm(3) [25 75 × 10(9) cells/L]).We reviewed records pediatric patients who underwent aspiration between 2005 2012 at tertiary-care hospital. Demographic data, laboratory values, treatment details were recorded subpopulation...
The purpose of this study was to examine institutional trends in the volume clavicle fractures children and adolescents. Medical records were retrospectively reviewed identify patients aged 10-18 years treated for a fracture between 1999 2011 at single tertiary-care pediatric hospital. There significant increases number seen annually, midshaft fractures, operatively. percentage with fixation also increased significantly. volumes operatively appear be increasing. Despite lack evidence-based...
Research on venous thromboembolism events (VTE), such as deep thrombosis (DVT) and pulmonary embolism (PE), in pediatric orthopaedic trauma patients is sparse. We describe the incidence USA of VTE associated with lower extremity trauma, characterize injury patterns treatment methods.The Pediatric Health Information System (PHIS) was queried from 2004 to 2013 using ICD-9 codes for fractures (pelvis, femur, tibia, ankle, foot) dislocations (hip, knee, subtalar) VTE. Records were age,...
Introduction: Ulnohumeral elbow dislocation is a rare injury in children. We reviewed large cohort of pediatric ulnohumeral dislocations and sought to identify risk factors associated with poor functional outcomes. Methods: Medical charts radiographs were for all acute evaluated at our facility during 7-year period. Charts abstracted demographics, characteristics, treatments, complications. Functional outcomes assessed minimum 6-week follow-up using combination symptoms range motion (Roberts...