A5012420238- Lower Extremity Biomechanics and Pathologies
- Sports injuries and prevention
- Shoulder Injury and Treatment
- Bone fractures and treatments
- Knee injuries and reconstruction techniques
- Foot and Ankle Surgery
- Orthopedic Surgery and Rehabilitation
- Total Knee Arthroplasty Outcomes
- Hip disorders and treatments
- Elbow and Forearm Trauma Treatment
- Shoulder and Clavicle Injuries
- Occupational Health and Performance
- Sports Performance and Training
- Tendon Structure and Treatment
- Musculoskeletal Disorders and Rehabilitation
- Orthopaedic implants and arthroplasty
- Hip and Femur Fractures
- Pelvic and Acetabular Injuries
- Spinal Fractures and Fixation Techniques
- Trauma Management and Diagnosis
- Neurogenetic and Muscular Disorders Research
- Child and Adolescent Health
- Orthopedic Infections and Treatments
- Vascular Malformations Diagnosis and Treatment
- Nerve Injury and Rehabilitation
Cincinnati Children's Hospital Medical Center
2016-2025
Children's Hospital & Medical Center
2025
Boston Children's Hospital
2003-2025
Harvard University
2025
Children's Hospital of Philadelphia
2024-2025
Children's Medical Center
2017-2025
Hospital for Special Surgery
2021-2024
Children's Healthcare of Atlanta
2024
University of Cincinnati
2002-2023
The University of Texas Southwestern Medical Center
2023
The medial patellofemoral ligament (MPFL) has been recognized as the primary restraint to lateral subluxation of patella. Reconstruction MPFL for patellar instability demonstrated early clinical success, but postoperative complications have rarely reported, especially in young patients.To assess (<3 years) reconstruction patients.Case series; Level evidence, 4.The charts and radiographs all patients who underwent between 2005 2011 were retrospectively reviewed identify complications. A...
Patellar dislocations are one of the most common knee injuries in children and adolescents challenging to treat. Recurrence rates relatively high many patients have functional limitations, even absence a recurrent instability episode. The purpose this study was examine risk factors with first-time patellofemoral develop prediction model recurrence.A single institution retrospective review all dislocation from 2002 2013 performed. Demographic (age, sex, laterality, mechanism injury, history...
1Division of Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, ML 2017, Cincinnati, OH 45229. E-mail address for S.N. Parikh: [email protected]
Background: The management of first-time patellar dislocation remains variable, with limited evidence to support or compare different operative and nonoperative modalities. primary aim was establish consensus-based guidelines for components treatment following a dislocation. secondary develop related after failed treatment. tertiary the concomitant osteochondral fracture. Methods: A 29-question, multiple-choice, case-based survey developed by 20 members Patellofemoral Research Interest Group...
Background: Anterior cruciate ligament (ACL) injuries are common in pediatric and adolescent patients. Understanding this population's injury characteristics treatment strategies is vital for managing high-risk group. Purpose: To report the descriptive epidemiology of a large cohort skeletally immature patients with complete ACL tears. Study Design: Cross-sectional study; Level evidence, 2. Methods: Consecutive diagnosed tears were enrolled at 10 institutions across United States. Treatment...
Background: Radiological risk factors for an osteochondral fracture (OCF) associated with patellar instability are rarely studied, particularly in patients recurrent instability. Purpose: To identify specific radiological characteristics that relate to the increased prevalence of OCFs Study Design: Case-control study; Level evidence, 3. Methods: Patient data (n = 730) from Justifying Patellar Instability Treatment by Early Results (JUPITER) multicenter study were reviewed findings. Trochlear...
The contribution of lower limb rotational malalignment to patellofemoral pain and instability has been well recognized. purpose the present study is review role computed tomography (CT) magnetic resonance imaging (MRI) in assessment abnormal alignment limb.An analysis all available literature English language through 2010 was performed provide data on a comparison between MRI CT-specifically, techniques normative values used determine alignment.CT are highly accurate defining limb....
Background: Physical examination may be inconclusive in adolescents presenting with an acute traumatic knee effusion because of pain and guarding. The purpose this study was to describe the magnetic resonance imaging (MRI) findings effusions compare injuries based on age, sex, physeal maturity. Methods: All MRIs using a trauma protocol performed at our institution over 2-year period were evaluated. One hundred thirty-one patients between ages 10 18 years age clinical history confirmed MRI...
Background: The purpose of this study was to compare the reliability triplane fracture classification, displacement measurement, and treatment planning with use radiographs without computed tomography. Methods: One pediatric radiologist, one musculoskeletal three fellowship-trained orthopaedic surgeons rated a spectrum twenty-five fractures alone then tomography scans on two separate occasions (two four weeks apart). Raters classified pattern Rapariz classification system, measured maximum...
Femoral trochlear dysplasia is a known risk factor for patellar instability. The growth pattern of the normal trochlea known, but there have been no studies investigating and development dysplastic trochlea. purpose this study was to assess in adolescents.In retrospective analysis, magnetic resonance images adolescents with instability were evaluated. These measured lateral medial condylar height, cartilaginous bony bump, sulcus angle. type classified as per Dejour classification....
Background: Nonoperative treatment after first-time patellar dislocation is the standard of care. There evidence that certain patients may be at high risk for recurrent instability. The aim this study was to develop a multivariable model guide management based on their individual dislocation. Methods: A developed using 291 from 4 institutions identify which were higher within 2 years. This informed by univariable logistic regression test factors patient’s history, physical examination, and...
Background: Patellar instability is frequently encountered in patients with Ehlers-Danlos syndrome (EDS). The clinical outcomes of isolated medial patellofemoral ligament reconstruction (MPFLR) for patellar EDS are unknown. Purpose: To evaluate midterm MPFLR and factors affecting these outcomes. Study Design: Case series; Level evidence, 4. Methods: In a retrospective study, 31 (n = 47 knees) who underwent recurrent between 2008 2017 had minimum 2-year follow-up were identified. Preoperative...
Operating room (OR) human traffic has been implicated as a cause of surgical site infection. We first observed the normal pattern in our Pediatric Orthopedic ORs, and then examined effect surveillance on that pattern.This study consisted 2 phases: phase I sought to observe OR (number door swings, maximum minimum number personnel, personnel at 30-minute intervals, or changes nursing, anesthesia, surgeon staff) during cases without being notified, for II, same was monitored with their...
Elastic stable intramedullary nailing (ESIN) for pediatric fracture management has gained increasing popularity since its introduction in the late 1970s. Relatively few modifications have been made to original technique last forty years, which illustrates sound biomechanical principles and simplicity of technique. Jean-Paul Metaizeau, originator technique, pointed out that poor results after ESIN were typically due incorrect constructs, indications, insufficient surgeon training1. The...
Genu valgum is a risk factor for patellar instability. The study purpose was to report on preliminary results of medial patellofemoral ligament (MPFL) reconstruction and simultaneous growth modulation, in patients with instability genu valgum. A total seven (eight knees) MPFL transphyseal screw insertion correction were assessed using full-length radiographs. corrected from 13.1° 3.7° at mean 11.7 months, without compromising stability. One patient each had 6° overcorrection 5° rebound...
The incidence of meniscus tears and ACL in pediatric patients continues to rise, bringing question the risk factors associated with these injuries. As are commonly repaired populations, epidemiology repairable is an important for consideration surgeons evaluating treatment options.To describe meniscal tear patterns adolescent who underwent repair across multiple institutions surgeons, as well evaluate relationship between age, sex, body mass index (BMI) their effect on prevalence, type,...