A5087734365- Bone fractures and treatments
- Hip disorders and treatments
- Orthopedic Surgery and Rehabilitation
- Orthopaedic implants and arthroplasty
- Hip and Femur Fractures
- Musculoskeletal Disorders and Rehabilitation
- Diversity and Career in Medicine
- Total Knee Arthroplasty Outcomes
- Global Health and Surgery
- Orthopedic Infections and Treatments
- Global Health Workforce Issues
- Elbow and Forearm Trauma Treatment
- Congenital limb and hand anomalies
- Shoulder Injury and Treatment
- Neurogenetic and Muscular Disorders Research
- Health Literacy and Information Accessibility
- Spinal Fractures and Fixation Techniques
- Scoliosis diagnosis and treatment
- Cerebral Palsy and Movement Disorders
- Knee injuries and reconstruction techniques
- Reconstructive Surgery and Microvascular Techniques
- Foot and Ankle Surgery
- Venous Thromboembolism Diagnosis and Management
- Prosthetics and Rehabilitation Robotics
- Healthcare cost, quality, practices
University of California, San Francisco
2018-2025
UCSF Benioff Children's Hospital
2019-2024
Rutgers, The State University of New Jersey
2008-2021
Creative Commons
2019-2021
Summit Medical Group (United States)
2021
Oakland University
2019-2020
Children's Hospital & Medical Center
2020
Rutgers New Jersey Medical School
2010-2019
Chatham University
2017
Rutgers Sexual and Reproductive Health and Rights
2017
The use of accurate and reliable clinical imaging modalities for quantifying leg-length discrepancy (LLD) is vital planning appropriate treatment. While there are several methods assessing LLD, we questioned how these compared. We therefore evaluated the reliability accuracy different explored advantages limitations each method. Based on a systematic literature search, identified 42 articles dealing with various assessment tools measuring LLD. Clinical such as tape measure standing blocks...
One of the goals American Academy Orthopaedic Surgeons (AAOS) is to disseminate patient education materials that suit readability skills population. According standard guidelines from healthcare organizations, should be no higher than sixth-grade level. We hypothesized level available on AAOS Web site would recommended grade level, regardless when material was online. Readability scores all articles Internet-based information site, "Your Connection," were determined using Flesch-Kincaid...
Thirteen (3.2%) of 410 patients seen in British Columbia's Children's Hospital Vancouver from January 1984 to September 1992 with supracondylar fractures did so an absence a radial pulse otherwise well perfused hand. A combination segmental pressure monitoring, color-flow duplex scanning, and magnetic resonance angiography (MRA) appears be valid, noninvasive, safe technique evaluating patency the brachial artery collateral circulation across elbow. Based on this study, early...
Background: While a full-length standing anteroposterior radiograph of the lower extremity provides best radiographic method for assessing limb alignment, other methods must be used intraoperatively. We have employed intraoperative fluoroscopy with use an electrocautery cord to assess alignment in supine patient. Methods: retrospectively compared measurements that were obtained those extremity. A single examiner 102 sets images and radiographs mechanical axis deviation joint line convergence...
Retrospective uncontrolled case series.The purpose of this study was to determine the association, if any, between intraoperative blood loss and need for transfusion with use periapical (Ponte) osteotomies, as well other patient surgical variables among patients adolescent idiopathic scoliosis (AIS) undergoing posterior spinal instrumentation fusion.Blood during fusion AIS can be substantial. Numerous techniques are used minimize allogeneic transfusion. However, it is unclear which surgeon...
A full-length standing anteroposterior radiograph of the entire lower extremity has become standard imaging modality for assessing limb alignment. Although reference values frontal plane deformity parameters based on adult subjects have been established, such may not be applicable to pediatric population. The purpose our study was establish alignment and joint orientation angles in children a radiograph.A database at single institution searched patients who were aged between 1 18 years time...
Analysis of spine-related websites available to the general public.To assess readability patient educational materials on professional society and individual surgeon or practice based websites.The Internet has become a valuable source education material. A significant percentage patients, however, find this information confusing. Healthcare experts recommend that material be less than sixth grade level. The Flesch-Kincaid level is most widely used method evaluate score textual material, with...
Although varus malalignment of the proximal tibia is primary pathology in Blount disease, other deformities may exist. To assess multiplanar lower limb deformities, children with previously untreated early- and late-onset disease who subsequently needed surgical correction were identified. Preoperative frontal sagittal plane deformity analysis using Paley's methodology rotational profile assessment prone clinical examination performed by a single examiner. Results compared between 2 groups...
Telomere length (TL) trajectories in somatic tissues during human growth and development are poorly understood. We examined a blood-and-muscle model early life, focusing on TL leukocytes, representing the highly proliferative hematopoietic system, skeletal muscle, minimally pro-liferative tissue. Leukocyte (LTL) muscle (MTL) were measured 28 fetuses 73 children. LTL MTL variable across individuals (SD: fetal = 0.72 kb, kb; children 0.81 0.82 kb) but correlated within (fetuses, r 0.76, P <...
Although a scanogram is commonly used to measure limb-length discrepancy, there are several potential pitfalls associated with this imaging technique. The purpose of the present study was evaluate results obtained use full-length standing anteroposterior radiograph lower extremities and compare them those scanogram. Both studies were performed using computed radiography.One hundred eleven patients discrepancy had made on same day. included seventy-nine children thirty-two adults in whom...
Patients with limb length discrepancy (LLD) often have associated angular deformities requiring a standing full-length radiograph of the lower in addition to scanogram. The purpose our study was determine intraobserver and interobserver reliability measuring LLD both techniques, using computed radiography. measured on 70 supine scanograms anteroposterior radiographs extremity by 5 blinded observers 2 separate occasions. Intraclass correlation coefficient (ICC) mean absolute difference (in...
Children with Blount disease tend to be heavier than their peers; however, the relationship between magnitude of obesity and severity limb deformities in has not been well studied.A retrospective review preoperative medical records radiographs patients previously untreated was conducted. Demographic information including gender, ethnicity, age when deformity first noted, at examination, body mass index recorded. Frontal sagittal plane were analyzed by one examiner using full-length standing...
The disparity in access to and delivery of health care among children has become increasingly apparent. purpose our study was analyze demographic information, including insurance status, with extremity injuries seen at a University Hospital emergency department (UH ED) after visiting another ED for the same complaint.A database pediatric orthopaedic consults requested UH reviewed. Information regarding patients' age, ethnicity, diagnosis, type insurance, time from injury presentation first...
Background: It is well recognized that the alignment of lower limb changes during early childhood. The hip-knee-ankle angle often referred to as mechanical femoral-tibial and measured on a full-length radiograph extremity. While several authors have independently reported consistent reference values for in adults, such not been documented children. purpose our study was establish assess relationship between it anatomic Methods: A database at single institution searched patients who were one...
Background: Children with Blount disease tend to be heavier than their peers; however, the relationship between magnitude of obesity and severity limb deformities in has not been well studied. Methods: A retrospective review preoperative medical records radiographs patients previously untreated was conducted. Demographic information including gender, ethnicity, age when deformity first noted, at examination, body mass index recorded. Frontal sagittal plane were analyzed by one examiner using...
Recent advances in external fixation technique and pin design have sought to minimize complications such as site infection premature removal of the fixator. Although newer forms internal gained popularity, may still a role managing pediatric femoral shaft fractures.
Background The purpose of this study was to determine the optimum pin configuration and number pins needed stabilize Milch type II lateral humeral condyle fractures in a pediatric bone model. Methods Forty synthetic humeri were sectioned through distal humerus simulate fracture. Each fracture stabilized with 0.062-in K-wires 1 5 configurations: 2 convergent pins, parallel divergent 30-degree 60-degree 3 (n=8/group). Models tested extension, flexion, varus, valgus by applying translational...