A5052976546- Scoliosis diagnosis and treatment
- Spinal Fractures and Fixation Techniques
- Spine and Intervertebral Disc Pathology
- Hip disorders and treatments
- Bone fractures and treatments
- Pelvic and Acetabular Injuries
- Orthopedic Surgery and Rehabilitation
- Shoulder Injury and Treatment
- Orthopaedic implants and arthroplasty
- Elbow and Forearm Trauma Treatment
- Hip and Femur Fractures
- Orthopedic Infections and Treatments
- Infectious Diseases and Tuberculosis
- Medical Imaging and Analysis
- Bone Tumor Diagnosis and Treatments
- Musculoskeletal Disorders and Rehabilitation
- Sports injuries and prevention
- Connective tissue disorders research
- Cerebral Palsy and Movement Disorders
- Congenital limb and hand anomalies
- Streptococcal Infections and Treatments
- Musculoskeletal pain and rehabilitation
- Dental Implant Techniques and Outcomes
- Surgical site infection prevention
- Knee injuries and reconstruction techniques
Hospital for Special Surgery
2016-2025
Development Fund
2020
American Academy of Orthopaedic Surgeons
2012-2018
Cornell University
2001-2016
Committee on Publication Ethics
2013
Orthopaedic Research
2003
Children's of Alabama
2003
Boston Children's Hospital
1999-2003
University of Virginia
2003
Wilmington University
2003
Having simple and reliable validated outcome measures is vital to conducting high-quality outcomes research in the field of orthopaedic surgery. Activity level a key prognostic variable for patients with sports injuries. There paucity such activity scales children adolescents who are otherwise healthy athletically active. In addition frequency intensity athletic activity, play coach/trainer supervision important variables unique that not captured available adult scoring systems.To create...
There is no standardized complication classification system that has been evaluated for use in pediatric or general orthopaedic surgery. Instead, subjective terms such as major and minor are commonly used. The Clavien-Dindo-Sink demonstrated high interrater intrarater reliability hip-preservation surgery increasingly used within other subspecialties. This based on the magnitude of treatment required potential each to result long-term morbidity. purpose current study was modify application...
Study Design. A cross-sectional radiologic and clinical study of patients with osteogenesis imperfecta. Objectives. To determine whether pulmonary compromise is more closely correlated scoliosis, kyphosis, or chest wall deformity in the population imperfecta, to assess impact spinal deformity, function on quality life. Summary Background Data. The incidence scoliosis imperfecta between 39% 80%. Up 60% have significant deformities. Pulmonary leading cause death adults Methods. Fifteen ages 20...
Thirty-four patients were enrolled in a prospective randomized study comparing cast immobilization alone versus percutaneous pin fixation following closed reduction of distal radial metaphyseal fractures. Patients older than 10 years age with greater 30 degrees dorsal angulation or complete fracture displacement eligible for enrollment. Average follow-up was 10.5 weeks. All fractures healed uneventfully without deformity, growth arrest, functional limitations. Overall complication rates...
Retrospective cohort study.To describe long-term clinical and imaging results focusing on the uninstrumented lumbar spine after posterior spinal fusion for adolescent idiopathic scoliosis.Although previous studies found rates of low back pain long scoliosis which are comparable to in general population, many surgeons believe that lever arm associated with mass will result increased stress at caudal intervertebral discs accelerated degenerative changes.This is a retrospective chart review...
Background: The cause of adolescent idiopathic scoliosis (AIS) is unknown and currently believed to be multifactorial. AIS a largely asymptomatic condition many adolescents with are involved organized athletics physical activity. To date, no data exist indicating predictors return activity after posterior spinal fusion for AIS. In this cohort study, who underwent were evaluated determine what clinical, surgical, demographic variables predicted rate play in athletics. Methods: Forty-two...
Background: The prevalence of intraspinal pathology associated with scoliosis has been reported to be as high 26% in some series1, and, on the basis this finding, preoperative magnetic resonance imaging is used screening patients adolescent idiopathic scoliosis. However, practice continues highly controversial. In order better resolve issue, we performed what believe largest prospective study evaluate need for requiring arthrodesis spine. Methods: A total 327 consecutive were evaluated...
Orthopedic surgery for patients with cerebral palsy addresses motion impairments, assuming that this will improve motor function. This study evaluates the relationships among clinical impairment measures standardized assessments of function and disability as an initial step in testing assumption. A total 129 ambulatory children adolescents across six institutions participated a prospective evaluation consisted passive spasticity examination lower extremities, three-dimensional gait...
Background: When operative stabilization of forearm fractures in older children is necessary, the optimal method fixation controversial. This study compared radiographic and functional outcomes intramedullary nailing to plating between 10 16 years age. Methods: Thirty-one patients who underwent midshaft radius ulna were divided into groups retrospectively according perioperative data patient outcome measures (fracture union at 3 6 months, loss rotation, restoration radial bow magnitude...
Radiographic assessment of skeletal age in pediatric patients is a common practice among orthopaedic surgeons. Current methods remain labor intensive and require special resources. This study sought to investigate novel, abridged method bone that may serve as simpler more efficient alternative the current standard.A shorthand (SBA) developed at our institution was compared against Greulich Pyle from which it derived. Standard left hand radiographs 140 male 120 female patients, previously...
Study Design. Cross-sectional survey. Objective. To determine the prevalence of back pain in American children and adolescents, with a focus on anatomic region, duration, severity, treatment patterns, to investigate for any predictive variables. Summary Background Data. No study has examined adolescents last 15 years. Because varies greatly by country year investigation, previous studies are not generalizable. Methods. A United States epidemiologic cross-sectional survey-based investigation...
Multiple studies report a correlation between congenital muscular torticollis (CMT) and developmental dysplasia of the hip (DDH) at rate 2% 29%. Most these were completed before routine use ultrasound. This study assesses incidence DDH in referral population with CMT DDH. We retrospectively reviewed 186 patients referred primary diagnosis 109 1995 2004. All screened for ultrasound if they younger than 4 months plain radiographs older children. Among DDH, 5.9% subsequently diagnosed CMT....
The purpose of this study was to assess interobserver and intraobserver variability in the assessment clinical radiographic measurement lower limb length discrepancy. Clinical measurements included direct with a tape measure from anterior superior iliac spine (ASIS) lateral malleolus ASIS medial as well block measurement. Slit scanogram also evaluated. All three had excellent reliability, but relatively large mean differences 95% confidence intervals for limit usefulness these techniques....
Background: Recent data have shown an increase in youth sports participation at younger ages, which may be linked to greater musculoskeletal injury risk. The Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) is a validated 8-item instrument designed quantify the activity of children between 10 and 18 years old. Normative on pediatric adolescent level are unknown. Purpose: To establish normative activity-level American determine if there natural decrease...
Background: K-wireless robotic pedicle screw instrumentation with navigation is a new technology large potential. Barriers to adoption are added registration time robotic-navigated system and reliable positioning. Understanding the learning curve limitations crucial for successful implementation. The purpose of this study was describe k-wireless assisted placement compare conventional techniques.Methods: A retrospective review prospectively collected data 65 consecutive adult patients...