A5078118429- Knee injuries and reconstruction techniques
- Sports injuries and prevention
- Shoulder Injury and Treatment
- Lower Extremity Biomechanics and Pathologies
- Bone fractures and treatments
- Total Knee Arthroplasty Outcomes
- Orthopedic Surgery and Rehabilitation
- Hip disorders and treatments
- Cardiovascular Effects of Exercise
- Shoulder and Clavicle Injuries
- Trauma and Emergency Care Studies
- Elbow and Forearm Trauma Treatment
- Orthopaedic implants and arthroplasty
- Hip and Femur Fractures
- Foot and Ankle Surgery
- Scoliosis diagnosis and treatment
- COVID-19 and healthcare impacts
- Diversity and Career in Medicine
- Health and Medical Research Impacts
- Evolution and Genetic Dynamics
- Malaria Research and Control
- Pediatric Pain Management Techniques
- Tendon Structure and Treatment
- Mosquito-borne diseases and control
- Cardiac Valve Diseases and Treatments
Hospital for Special Surgery
2020-2025
Children's Hospital of Philadelphia
2018-2024
Cincinnati Children's Hospital Medical Center
2024
Boston Children's Hospital
2024
Development Fund
2022
University of Pennsylvania
2020-2021
Texas Scottish Rite Hospital for Children
2020
Center for Disease Dynamics, Economics & Policy
2020
Pennsylvania State University
2015-2020
Rex Medical (United States)
2018
Background: During the COVID-19 pandemic, public health measures to encourage social distancing have been implemented, including cancellation of school and organized sports. A resulting change in pediatric fracture epidemiology is expected. This study examines impact pandemic on incidence characteristics. Methods: a retrospective cohort comparing acute fractures presenting single level I trauma hospital during with prepandemic period at same institution. The “pandemic” was gathered from...
Objective: To identify associations between race or insurance status and preoperative, intraoperative, postoperative findings in a large cohort of pediatric anterior cruciate ligament (ACL) reconstructions. Design: Retrospective study. Setting: Division Orthopaedics at an urban tertiary care children's hospital. Patients: 915 (<21) patients undergoing primary ACL reconstruction January 2009 May 2016. Independent Variables: Insurance race. Main Outcome Measures: Delay to surgery,...
In developing countries with fledgling healthcare systems, the efficient deployment of scarce resources is paramount. Comprehensive community health data and machine learning techniques can optimize allocation to areas, epidemics, or populations most in need medical aid services. However, reliable collection low-resource settings challenging due a wide range contextual, business-related, communication, technological factors. Community workers (CHWs) are trusted members who deliver basic...
Tibial spine fractures (TSFs) are relatively rare pediatric injuries. Postoperative arthrofibrosis remains the most common complication, with few studies having examined factors associated its development.To identify risk for and required MUA or lysis of adhesions in largest known cohort patients TSFs.Case-control study; Level evidence, 3.This was a multicenter study 249 ≤18 years old who had TSF between January 2000 February 2019. Patients were separated into cohorts based on whether they...
OBJECTIVES: To explore outcomes after tibial rigid intramedullary nailing (RIMN) in skeletally immature patients, with a focus on post-operative complications and iatrogenic changes slope due to anterior physeal arrest. METHODS: Design: Retrospective case series Setting: A large, tertiary care health system the rural Mid-Atlantic United States, including two Level 1 trauma centers one 2 center. Patient Selection Criteria: Included were patients within years of skeletal maturity undergoing...
Background: Osteochondritis dissecans (OCD) lesions in the knee are most commonly found medial femoral condyle (MFC). However, a paucity of literature has explored characteristics or morphology patellar OCD lesions. Purpose/Hypothesis: The purpose this study was to analyze tracking and patellofemoral measurements pediatric patients with compared MFC OCD. It hypothesized that would demonstrate an increased bony sulcus angle, cartilaginous tibial tubercle–trochlear groove (TT-TG) distance...
Background: Addressing patella alta often involves a distalization of the tibial tubercle with an osteotomy. Yet such osteotomies have several potential complications, including nonunion, fracture, and hardware irritation. In addition, are contraindicated in children because presence open apophysis. Purpose/Hypothesis: The primary aim this study was to quantify change Caton-Deschamps Index (CDI) maximum patellar tendon elongation achieved cyclic loading novel transection-free imbrication...
Introduction: Breastfeeding is recommended exclusively until at least 6 months of age by the American Academy Pediatrics. For mothers children with hip dysplasia (DDH), Pavlik harness treatment may impact breastfeeding. The aim this study was to assess how breastfeeding evaluating patient-reported outcomes (PRO) associated Methods: This a prospective cohort patients treated in for DDH <3 age. Controls were recruited from evaluated who had normal ultrasounds. Patients...
Purpose: to assess whether MR abnormalities of the intervertebral disks and adjacent bone marrow can predict segmental instability lumbar spine as diagnosed on functional radiographs Material Methods: A consecutive review was made 60 patients examined with imaging lateral flexion extension views spine. Sagittal T1- T2-weighted images were evaluated blindly regard disk marrow. Segmental when a.p. translation 3 mm or more present radiographs. Moreover, presence osteophytes standard Results: a...
The rapid growth and diffusion of mobile phones in the developing world has created an inclusive dynamic platform to address a smorgasbord socio-economic challenges. uptake payment (m-payment) systems is compelling example how such can be leveraged democratize access online banking financial services. M-payment encompass phone-based applications that enable transfer value while affording users' security, accessibility, efficiency helping organizations reduce overheads foster transparency....
Background: Reported rates of graft rupture and contralateral anterior cruciate ligament (ACL) after ACL reconstruction (ACLR) are higher among pediatric patients than adults. Previous series may have underestimated postoperative event risk because small sample sizes high proportions dropouts. Purpose: To calculate ACLR in a large series. Study Design: Case series; Level evidence, 4. Methods: ACLRs performed our tertiary care children’s hospital system over period >7 years were identified...
Very little is known about how vector-borne pathogens interact within their vector and this impacts transmission. Here we show that mosquitoes can accumulate mixed strain malaria infections after feeding on multiple hosts. We found parasites have a greater chance of establishing reach higher densities if another already present in mosquito. Mixed contained more but these larger populations did not detectable impact survival. Together results suggest taking infective bites may...
The diagnosis of pediatric septic arthritis (SA) can be challenging due to wide variability in the presentation musculoskeletal infection. Synovial fluid Gram stain is routinely obtained and often used as an initial indicator presence or absence SA. purpose this study was examine clinical utility results from a joint aspiration management SA.All patients with suspected SA who underwent arthrocentesis subsequent surgical irrigation debridement at urban tertiary care children's hospital...
OBJECTIVE. The purpose of this study was to investigate the performance MRI criteria for identifying meniscal ramp lesions in children with concomitant anterior cruciate ligament (ACL) tear, arthroscopy used as reference standard. MATERIALS AND METHODS. This retrospective included 85 who underwent a preoperative examination and arthroscopically guided primary ACL reconstruction between June 1, 2017, December 31, 2019. Blinded arthroscopic findings, two radiologists reviewed all examinations...
Background: Patellofemoral instability is associated with chondral injuries to the patella, trochlea, and lateral femoral condyle. Although studies have demonstrated an association between patellar dislocations injuries, influence of number on chondrosis not established. Purpose: To elucidate precise dislocation events severity in a multicenter cohort study at time stabilization procedures. Study Design: Cross-sectional study; Level evidence, 2. Methods: A prospective (JUPITER [Justifying...
Background/Purpose: During the COVID-19 pandemic, public health measures to encourage social distancing have been implemented, including cancellation of school and organized sports. A resulting change in pediatric fracture epidemiology is expected. This study examines impact pandemic on incidence characteristics. Methods: a retrospective cohort comparing acute fractures presenting single Level I trauma hospital during pre-pandemic period at same institution. The "pandemic" was gathered from...