A5061255013- Bone fractures and treatments
- Spinal Fractures and Fixation Techniques
- Hip and Femur Fractures
- Scoliosis diagnosis and treatment
- Spine and Intervertebral Disc Pathology
- Hip disorders and treatments
- Orthopedic Surgery and Rehabilitation
- Shoulder Injury and Treatment
- Pelvic and Acetabular Injuries
- Trauma and Emergency Care Studies
- Orthopedic Infections and Treatments
- Neurogenetic and Muscular Disorders Research
- Injury Epidemiology and Prevention
- Traumatic Brain Injury and Neurovascular Disturbances
- Child Abuse and Related Trauma
- Sports injuries and prevention
- Elbow and Forearm Trauma Treatment
- Muscle Physiology and Disorders
- Orthopaedic implants and arthroplasty
- Cardiac, Anesthesia and Surgical Outcomes
- Musculoskeletal Disorders and Rehabilitation
- Spinal Dysraphism and Malformations
- Neurosurgical Procedures and Complications
- Streptococcal Infections and Treatments
- Musculoskeletal pain and rehabilitation
Campbell Clinic
2015-2024
University of Tennessee Health Science Center
1993-2024
University of Tennessee at Knoxville
2013-2023
Le Bonheur Children's Hospital
2011-2023
Nationwide Children's Hospital
2020
St. Jude Children's Research Hospital
2004-2017
Children's Hospital of Philadelphia
2016
American Academy of Pediatrics
2016
Columbia University
2013
Medtronic (Ireland)
2011
Fractures in children are an important public health issue and a frequent cause of emergency room visits. The purpose this descriptive epidemiological study was to identify the most pediatric fractures per 1000 population at risk United States using 2010 National Electronic Injury Surveillance System (NEISS) database US Census information.The NEISS queried for all between ages 0 19 years. national estimates were compared with data extrapolate occurrence rates.The annual increased from 14,...
Thirty-one femoral-shaft fractures in 30 patients were treated with interlocking intramedullary nails. The 19 boys and 11 girls ranged age from 10 to 15 years (average 12 + 3 years) at the time of injury. All united, average leg-length discrepancy (comparing injured uninjured extremity) was 0.51 cm. Two had overgrowth > 2.5 cm; none angular or rotational malunions. One patient developed asymptomatic segmental avascular necrosis femoral head, which not seen on radiographs until months after...
The permanent defects in bone growth observed preclinical studies of hedgehog (Hh) pathway inhibitors were not substantiated early phase clinical vismodegib children. Consequently, advanced into pediatric trials for malignancies suspected being driven by aberrant activation the Hh pathway. In one multicenter II trial, was added to therapy regimen newly diagnosed activated medulloblastoma. Herein, we report on 3 children (2 trial and off trial) treated with who developed widespread plate...
: Distal femoral epiphyseal fractures are uncommon but have a high incidence rate of complications. It is not clear whether there any reliable predictor factors and the type fracture, displacement (degree direction), treatment method alter outcome.: We retrospectively reviewed medical charts images all patients who sustained distal fracture were treated at 2 large level I pediatric centers during past 10 years.: The selected group included 73 (boys, 59; mean age, years). On basis...
Herman, Martin J. MD; Brown, Kristin O. MS; Sponseller, Paul D. Phillips, Jonathan H. Petrucelli, Philip M. Parikh, Darshan BS; Mody, Kush S. Leonard, Julie C. MD, MPH; Moront, Matthew Brockmeyer, Douglas L. Anderson, Richard C.E. Alder, Adam John T. Bernstein, Robert Booth, Timothy N. Braga, Bruno P. Cahill, Patrick Joglar, Jeanne Martus, Jeffrey E. Nesiama, Jo-Ann Pahys, Joshua Rathjen, Karl Riccio, Anthony I. Schulz, Jacob F. Stans, A. Shah, Manish Warner, William Jr. Yaszay, Burt MD...
Background: Over half of children and adolescents with spinal trauma have associated injuries, most commonly involving the appendicular skeleton, head neck, thorax. The incidence characteristics these injuries been well described, but to our knowledge there has no evaluation relationship between injury patient age. Methods: Data were obtained from registries local pediatric adult level 1 centers, patients aged 0 19 years identified. For analysis, divided into 3 age groups: 3, 4 12, 13 years....
Background: A prospective, randomized study examined the effect of interventional preoperative education and orientation for scoliosis surgery (PEOSS) on anxiety levels patients undergoing posterior spinal fusion (PSF). Secondary outcomes analyzed were caregiver anxiety, length stay, morphine equivalent usage, patient/caregiver satisfaction. Methods: Patients PSF randomly distributed into a control group (N=39) or (N=26). All subjects caregivers completed State (current)-Trait (typical)...
All-terrain vehicle (ATV) accidents are considerable sources of morbidity and mortality for children adolescents. This study was done to investigate the types severity injuries role age body mass index on fractures sustained in younger than 16 years.A retrospective chart review 96 consecutive who ATV-related during a 30-month period. Sixty-four patients were boys 32 girls. The mean 11.0 years. To determine differences fracture type, Glasgow Coma Scale, Pediatric Trauma Score, length...
Musculoskeletal infections, including osteomyelitis, septic arthritis, and pyomyositis, are a substantial cause of morbidity in children adolescents. The increased virulence infectious agents the prevalence antimicrobial-resistant pathogens, particularly methicillin-resistant Staphylococcus aureus, have resulted more complicated clinical course for diagnosis management, which is evidenced by an length hospital stays, incidence complications, number surgical interventions. infections...
Introduction: Spondylolysis, a defect in the pars interarticularis, can be symptomatic or asymptomatic with an estimated prevalence of 4% by age 6 years and 6% adulthood. This study's goal was to determine lumbar spondylolysis found on CT scans children characterize patient-specific risk factors. Methods: Abdominopelvic done (2017 2020) patients up 18 were reviewed. The radiology report retrospectively reviewed for spondylolysis, radiologist rereviewed scan. Patient demographics indications...
Summary: Injuries to the anterior cruciate ligament (ACL) in young children and adolescents are becoming more common as youngsters participate organized sports. The dilemma for orthopaedic surgeon is that untreated ACL ruptures may result meniscal damage joint degeneration, whereas surgical treatment physeal arrest, with shortening angular deformity. To help determine appropriate timing repair skeletally immature patients, graphs have been developed predict amount of deformity expect after repair.
Background: Advancements in emergency care and diagnostic methods have increased the number of children who survive atlanto-occipital dislocation. We report our experience with one largest series pediatric patients Methods: Patients ranging age from newborn to sixteen years old had a diagnosis dislocation 1991 through 2011 were identified. Inclusion criteria complete radiographic clinical records duration follow-up at least six months. Basic patient characteristics, mechanism injury,...
Calcaneal apophysitis (Sever disease) is most often diagnosed clinically, and radiographic evaluation believed to be unnecessary by many physicians. To evaluate the need for in children with a clinical diagnosis of calcaneal apophysitis, we determined frequency abnormal findings group patients this diagnosis.Clinical records radiographs all between age 4 17 years who presented chief complaint heel pain were retrospectively reviewed. Patients an insidious onset included; those acute trauma...
Tibial tuberosity fractures have been described as uncommon injuries, but their frequency appears to be increasing. Because of the relatively few cases reported in literature, little is known regarding risk factors for complications. In a large group adolescents with tibial fractures, we noted more frequent complications patients who had posterior metaphyseal addition avulsion fractures. The purpose this study was examine outcomes associated fracture pattern and compare them without...
Pediatric orthopaedic fellowship applicants commonly use online-based resources for information on potential programs. Two primary sources are the San Francisco Match (SF Match) database and Orthopaedic Society of North America (POSNA) database. We sought to determine accessibility quality that could be obtained by using these 2 sources.The online databases SF POSNA were reviewed availability embedded program links or external included If not available in data, Web sites listed programs...
The options for treating femoral fractures in children and adolescents have evolved over the last 2 decades to include a variety of nonoperative operative methods. purpose this study was identify changes types treatment pediatric United States from 1997 2012.From discharge estimates 1997, 2000, 2003, 2006, 2009, 2012 Kids' Inpatient Database, data were extracted using International Classification Diseases, 9th revision, Clinical Modification fracture treatments. Patients included 0 17 years...
Summary: Thirty-three patients with myelodysplasia had kyphectomies for correction of spinal deformities. Harrington compression instrumentation was used fixation in 21 patients, postoperative immobilization a orthosis 6 months. Twelve Luque rod instrumentation, through the first sacral foramina modification Dunn technique and no immobilization. Kyphosis recurred eight none those instrumentation. Nine rods required 15 procedures problems. Only five significant complications, although...
Background: Chance fractures or flexion-distraction injuries of the spine are uncommon in children. Previous reports have been limited to isolated case very small retrospective series. This is largest series reported English literature. Methods: was a multicenter review pediatric treated at 3 large level-1 trauma centers. We analyzed demographics, causes, circumstances, treatment, complications, and clinical outcome 35 patients younger than 18 years old with fracture. hypothesize that...
Objective To compare the costs of two spinal implants—hook and hybrid constructs pedicle screw constructs—in posterior fusion for adolescent idiopathic scoliosis (AIS) as they relate to intraoperative deformity correction. Study design method This retrospective study examined 50 patients with AIS who were treated using segmental hook-hybrid (23) or screws (27). Radiographic parameters measured on immediate preoperative initial standing postoperative films coronal Cobb angles upper thoracic,...
Although the vertical expandable prosthetic titanium rib (VEPTR) has been shown to be useful in treating congenital scoliosis (CS) with fused ribs, no studies date have specifically evaluated efficacy of VEPTR treatment CS without ribs. The purpose this study was determine effectiveness sagittal/coronal curve correction and spine growth compare its complication rate use other conditions methods used for CS.A multicenter database queried patients ribs treated VEPTR. Anteroposterior (AP)...
Limited data exist on pediatric subaxial cervical spine injuries. The goal of this study was to characterize the injuries and initial treatment a large consecutive series patients with from C3 C7.Medical records radiographs admitted fractures and/or dislocations at single level 1 trauma center 2003 2013 were reviewed. Data abstracted included age, injury type level, mechanism injury, associated nonspine injuries, neurological status, length hospitalization, treatment.Fifty-one grouped into 3...
Next only to burns and bruises, fractures are the second most common sign of physical form child abuse. Although there is not a pathognomonic fracture pattern associated with abuse, distal femur "corner" often considered clue diagnosis, particularly in children younger than 1 year old. We contend that complete metaphyseal potential harbinger abuse before walking age.This was retrospective study performed at 2 level pediatric trauma centers. Query database 10-year period yielded 29 sustained...