A5092842802- Foot and Ankle Surgery
- Lower Extremity Biomechanics and Pathologies
- Cerebral Palsy and Movement Disorders
- Hip disorders and treatments
- Shoulder Injury and Treatment
- Diabetic Foot Ulcer Assessment and Management
- Neurogenetic and Muscular Disorders Research
- Orthopaedic implants and arthroplasty
- Hip and Femur Fractures
- Shoulder and Clavicle Injuries
- Elbow and Forearm Trauma Treatment
- Orthopedic Surgery and Rehabilitation
- Trauma Management and Diagnosis
- Bone fractures and treatments
- Spinal Dysraphism and Malformations
- Child Abuse and Trauma
- Pharmaceutical industry and healthcare
- Family and Disability Support Research
- Child Abuse and Related Trauma
- Injury Epidemiology and Prevention
- Autoimmune and Inflammatory Disorders Research
- Diversity and Career in Medicine
- Sports injuries and prevention
- Traumatic Ocular and Foreign Body Injuries
- Gun Ownership and Violence Research
Washington University in St. Louis
2023-2025
Development Fund
2025
Beltran (United States)
2024
Slipped capital femoral epiphysis (SCFE) is a common hip disorder in adolescents that can result substantial complications, impacting the quality of life. Human Growth Hormone (HGH) administration may elevate risk SCFE, though relationship remains unclear. Clarifying this association could enable better monitoring and earlier diagnosis SCFE patients receiving HGH. The aim study to investigate between HGH incidence SCFE.
Clubfoot is at times associated with other lower extremity abnormalities, such as leg length discrepancy (LLD). Initial studies in patients treated extensive soft tissue release (STR) have estimated that LLD prevalent 9% to 11% of children idiopathic clubfoot. However, Ponseti-style serial casting has since replaced STR the preferred clubfoot treatment method. This study aimed assess prevalence LLD, risk factors for and required deformity after Ponseti casting. A retrospective review medical...
Background: Consequences of osteochondral fractures associated with patellar dislocation can be severe for younger patients. Precise 3-dimensional characterization fracture location, size, frequency, and radiographic associations remain undefined in this population. Purpose: (1) To define the topographic characteristics pediatric adolescent patients first-time dislocations (2) to determine relationship between these patient factors. Study Design: Cross-sectional study; Level evidence, 3....
Introduction: Despite the high effectiveness of Ponseti casting in treating idiopathic clubfoot, patient-reported outcomes (PROs) are not studied well literature, necessitating further investigation into PROs to evaluate effect on patients' lives. We used Patient-Reported Outcomes Measurement Information System (PROMIS) children with Ponseti-treated clubfoot and assess recurrence these PROs. Methods: This study retrospectively reviewed medical records from patients ages 5 18 years treated...
Objective: Slipped capital femoral epiphysis (SCFE) is one of the most common hip disorders in adolescents, often linked to obesity. However, other factors, such as vitamin D deficiency, may also contribute SCFE development. This study investigates impact deficiency on development a large cohort. Methods: We utilized TriNetX national database query pediatric patients with documented calcidiol levels. Patients recorded visit below age 9 and subsequent levels were followed until occurrence or...
Previous ulnar-based treatment algorithms for pediatric Monteggia fractures advocate treating incomplete ulnar with closed reduction and casting (CRC) while complete surgically. However, recent evidence has suggested that these may result in overtreatment. This study aimed to evaluate the outcomes of CRC across all fracture patterns identify factors associated failure. A retrospective was conducted patients treated at a single institution from 2002 2022. Inclusion criteria were younger than...
Pediatric humeral lateral condyle fractures are the second most common elbow fractures. Their treatment presents challenges due to physeal and intra-articular involvement. Postoperative stiffness is a concern that can limit limb functionality. This study aims identify risk factors for postoperative in large cohort of these across multiple institutions.
The Ponseti serial casting method is the of choice in treating children with congenital clubfeet. arthrogrypotic clubfoot has traditionally been considered challenging to treat, higher rates recurrence and need for more corrective surgeries. However, initial reports have found promising results using treat feet. This study aims compare outcomes idiopathic versus clubfeet following treatment method.
Background: Proximal humerus fractures (PHFx) constitute around 2% of all pediatric fractures. Although younger children with displaced often undergo nonoperative treatments, optimal treatment for adolescents is not well defined. The study aimed to assess the outcomes operative versus proximal in via a prospective multicenter study. Methods: This assessed aged 10 16 years PHFx from 2018 2022 at 6 level 1 trauma centers. Displacement criteria inclusion were >50% shaft diameter or...
While the Ponseti method is primary treatment for idiopathic clubfoot, its application in treating myelodysplastic clubfeet less certain. Myelodysplastic clubfoot tends to be more severe and difficult treat. Although can initially correct these cases, there conflicting evidence about recurrence rates need additional treatment. This study aims assess effectiveness of compared with over a 20-year period.
Introduction: Lateral humeral condyle (LC) fractures are the second most common pediatric elbow fractures. Traditionally, displaced have been treated with open reduction although recent studies demonstrated successful outcomes of closed for similar injuries. This study investigates comparing and in a large cohort children moderately (Song classification types 1 to 4) lateral Methods: Retrospective data from patients aged between 12 years was collected 6 academic level trauma centers 2005...
Torres-izquierdo, Beltran MD; Mittal, Mehul BBA; Hosseinzadeh, Pooya MD Author Information
Objectives: Ballistic injuries among pediatric populations have become a public health crisis in the United States. The surge firearm children has outpaced other causes of death. This study aims to assess trend gunshot (GSIs) over last decade and investigate impact, if any, pandemic on GSIs statistics. Methods: A comprehensive retrospective analysis was conducted using federated, real-time national database. total 15,267,921 without 6261 with between 2017 2023 were identified. evaluated...
Introduction: Children with cerebral palsy (CP) have high rates of foot deformity. Accurate assessment morphology is crucial for therapeutic planning and outcome evaluation. This study aims to evaluate the reliability a novel photo-based Modified Foot Posture Index (MFPI) in evaluation deformity children CP. Methods: Thirteen orthopaedic surgeons neuromuscular clinical focus from 12 institutions evaluated standardized standing photographs 20 CP, scoring using MFPI. Raters scored based on...
Slipped capital femoral epiphysis (SCFE) is a prevalent pediatric hip disorder linked to severe complications, with childhood obesity as crucial risk factor. Despite the rising rates, contemporary data on SCFE's epidemiology remain scarce in United States. This study examined SCFE incidence trends and demographic factors States over decade.
Background: Congenital Vertical Talus (CVT) is a rare form of rigid flatfoot commonly seen in patients with underlying neurologic syndromes. This study aims to evaluate the long-term effectiveness minimally invasive method for correcting CVT deformity large cohort syndromic patients. Methods: A single author recorded preoperative, 2-week postoperative, 1-year and most recent radiographic measurements complications 25 treated from 2006 2021. Patient-Reported Outcomes Measurement Information...
Flexible flatfoot is a prevalent pediatric condition, with some cases resulting in pain and mobility limitations necessitating surgical intervention such as calcaneal lengthening osteotomy (CLO). The relationship between flexible severity, BMI, symptomats remains unclear. study aims to investigate the association severity of deformity BMI impairment children undergoing CLO. A retrospective database patients symptomatic treated CLO was analyzed. Preoperative were assessed using Patient...
The frequency of multiple clubfoot recurrences following Ponseti casting and the effect on final outcomes have not been well studied. This study aims to evaluate early recurrence (during first 2 years) timing rate subsequent recurrences. A retrospective review was conducted children treated with at a single institution from 2002 2023 minimum follow-up until age 5. Patients who required comprehensive soft tissue surgery obtain initial correction were excluded. Patient-Reported Outcomes...
Background: Nonunion is a rare yet serious complication in pediatric fracture healing that can lead to patient morbidity and economic burden. The administration of nonsteroidal anti-inflammatory drugs (NSAIDs) has been associated with an increased risk nonunion adults, but data are lacking the population. This study examines relationship between postoperative ketorolac operatively managed long-bone fractures. Methods: A retrospective cohort was conducted use TriNetX, research network...
Introduction: Flexible flatfoot (FF) is a common pediatric condition that mostly asymptomatic, and surgical intervention only considered when painful FF refractory to conservative treatment. Calcaneal lengthening osteotomy (CLO) one of the most commonly used procedures address FF. Traditionally, Kirschner wires (K-wires) were for fixation, but there has been recent increase in use plates. We compared clinical radiographic outcomes these 2 fixation methods. Methods: This single-center...
Acetabular underdevelopment (acetabular dysplasia) is a common finding in children with hip dislocation, and residual acetabular dysplasia can remain after reduction. Residual leads to unsatisfactory long-term outcomes osteoarthritis. Dynamics of [measured as Index (AI)] pediatric cohort that underwent open (OR) or closed reduction are reported. Retrospective data from six tertiary orthopedic centers were gathered. Hips classified having 'Critical', 'Monitoring', 'Normal' based on...