A5035597677- Bone fractures and treatments
- Orthopedic Surgery and Rehabilitation
- Nerve Injury and Rehabilitation
- Shoulder and Clavicle Injuries
- Hip and Femur Fractures
- Shoulder Injury and Treatment
- Elbow and Forearm Trauma Treatment
- Spinal Fractures and Fixation Techniques
- Orthopaedic implants and arthroplasty
- Cardiac Structural Anomalies and Repair
- Scoliosis diagnosis and treatment
- Musculoskeletal Disorders and Rehabilitation
- Tendon Structure and Treatment
- Total Knee Arthroplasty Outcomes
- Peripheral Nerve Disorders
- Diversity and Career in Medicine
- Trauma Management and Diagnosis
- Pelvic and Acetabular Injuries
- Innovations in Medical Education
- Spine and Intervertebral Disc Pathology
- Rabies epidemiology and control
- Cervical and Thoracic Myelopathy
- Muscle and Compartmental Disorders
- Sports injuries and prevention
- Nerve injury and regeneration
St. Luke's University Health Network
2022-2025
St. Luke's Children's Hospital
2024
Herman Miller (United States)
2024
St. Christopher's Hospital for Children
2019-2021
Drexel University
2021
Texas Scottish Rite Hospital for Children
2018
Temple University Hospital
2015-2017
Background: Tibial tubercle fractures are typically treated surgically with screws. Implant irritation is the most common complication. However, detailed investigation of this problem challenging, since research limited to small, single-center studies. Understanding who at highest risk may improve patient counseling and potentially guide surgical techniques. The purpose study identify factors for implant in patients undergoing fixation tibial fractures. Methods: This retrospective cohort...
There is limited information on the relationship between football helmet fit and concussion severity.Poor may predispose players to a more severe concussion.Descriptive epidemiology study.Level 3.Data from injury reports were obtained National High School Sports-Related Injury Surveillance System over 9-year period. Symptoms, duration, parameters (fit, interior padding) analyzed for all first-time concussions.Data 4580 concussions analyzed. Patients who suffered with that did not properly...
Few studies have investigated outcomes after adjunct botulinum toxin type A (BTX-A) injections into the shoulder internal rotator muscles during closed reduction and spica cast immobilization in children with brachial plexus birth palsy. The purpose of this study was to report success rates treatment identify pretreatment predictors success.Children palsy who underwent glenohumeral joint BTX-A casting were included. Minimum follow-up 1 year. Included patients did not receive concomitant...
Methicillin-resistant Staphylococcus aureus (MRSA) is the most commonly cultured bacteria in hand infections. Understanding common involved infections allows appropriate and efficient administration of antibiotics. Delay treatment may lead to increased morbidity, including stiffness, contracture, amputation. The purposes this study are determine whether incidence MRSA culture-positive continues increase a risk factor for length stay. Electronic medical records were queried identify patients...
In children with brachial plexus birth palsy (BPBP) undergoing tendon transfers to augment shoulder external rotation, it is unclear whether transfer of the latissimus dorsi its combined and teres major (cLT) versus isolated (iTM) yield different outcomes.Records patients BPBP who underwent rotation were retrospectively reviewed. Transfer type (cLT or iTM) was considered indiscriminate by virtue surgeon preference. Modified Mallet Scale (mMS) Active Movement scores recorded. Patients <12...
Background: The Mallet scale, Active Movement Scale (AMS), and Toronto Test are validated for use in children with brachial plexus birth palsy (BPBP). However, the inability to compare these evaluation systems has led difficulty gauging treatment efficacy interpreting available literature which multiple scoring reported. Given critical importance of physical examination, we compared 3 clarify statistical relationships between current methods. Methods: medical records BPBP treated at a single...
The purpose of this study is to investigate the potential benefit using prolonged non-weightbearing (PNWB) as a treatment option for early-stage Legg–Calvé–Perthes disease (LCPD). An Institutional Review Board (IRB) approved retrospective patients with LCPD and ≥2-year follow-up. Patients 6–12 years age were included if began in Waldenstrom stage 1 or 2A. PNWB consisted ≥6 months non- toe-touch weightbearing. was recommended perfusion MRI demonstrated ≥40% hypoperfusion femoral head parents...
Background: The claim that “50% of orthopaedic surgeons leave their first job within 2 years” did not originate from evidence. purpose this study was to investigate practice change rates among board- eligible using the American Board Orthopaedic Surgery (ABOS) database. Methods: We utilized information provided by taking ABOS Part II Examination across 6 different years. Surgeons who trained outside United States and members uniformed services U.S. were excluded. Move years starting before...
Either casting or in situ fixation (to prevent displacement) are recommended for minimally displaced pediatric lateral condyle fractures of indeterminate stability with ≤2 mm displacement and narrowed fracture extension to the epiphyseal articular cartilage. This study compares only, acute prophylactic pinning, surgery if fails due displacement.In total, 738 at a level 1 trauma center between 2008 2014 were reviewed. All assigned Song classification 2 followed union analyzed. Worsening was...
Background: Given the rare nature of tibial tubercle fractures, previous studies are mostly limited to small, single-center series. This results in practice variation. Previous research has shown poor surgeon agreement on utilization advanced imaging, but improved evidence-based indications may help balance clinical utility with resource utilization. The purpose this study is quantify diagnostic practices for fractures a large, multicenter cohort, attention usage and impact imaging. Methods:...
Background: We perform an oblique lateral closing-wedge osteotomy of the distal end humerus to correct cubitus varus deformity in children. This is often consequence undertreatment, malreduction, or malunion supracondylar humeral fractures 1 . Although standard arcs motion may be altered, cosmesis was traditionally considered a primary surgical indication. However, uncorrected leads posterolateral rotatory instability elbow (PLRI) 2 , condylar 3 snapping medial triceps, and ulnar nerve 4 A...
Diaphyseal femur fractures are common in pediatric orthopaedic settings. A patient-specific treatment plan incorporates several factors, including age, weight, fracture pattern, associated injuries, and social considerations. Nonaccidental trauma should be considered children younger than 3 years. In general, young treated with noninvasive immobilization (Pavlik harness or early hip spica casting) while school-aged internal fixation. Internal fixation options include flexible intramedullary...
Study Design. A retrospective comparative study. Objective. The aim of this study was to compare the length and diameter thoracic pedicles in patients with adolescent idiopathic scoliosis (AIS) as measured on preoperative magnetic resonance imaging (pMRI) intraoperative computed tomography (iCT) scan. Summary Background Data. Optimally sized pedicle screw placement during instrumented posterior spinal fusion for AIS can maximize correction minimize pullout. While iCT-guided navigation...
Brachial plexus birth palsy resolves spontaneously in a majority of patients, however, others may have serious permanent dysfunction. Although nerve transfers or grafts are early options for treatment, many children residual deficits present too late such procedures. In these rotational osteotomy the humerus restore improved function and motion. Unfortunately, traditional humeral osteotomies only provide correction single plane, therefore appropriate typical deformity is incomplete. Here, we...
Conservative management of most pediatric clavicle fractures is standard. Despite a predictable nonoperative course, evidence about the timeliness healing lacking. The goal this study was to identify when radiographic signs should be expected during routine conservative closed diaphyseal fractures.
Flexible intramedullary nailing is an effective method of stabilization in pediatric patients with a humeral shaft fracture when surgery indicated
Pediatric clavicle fractures are often managed by physicians with and without pediatric subspecialty training. The aim of this study is to identify if variability practice exists between orthopaedic surgeons versus nonpediatric specialists during management diaphyseal fractures.