Peds Ortho

Lit. Update with Aaron Huser

Dr. Aaron Huser from Washington University in St. Louis joins us to discuss his recent article on the 2-year outcomes of a surgical technique for treating knee flexion contracture in patients with arthrogryposis. This episode also includes a surprise drop-in from Dr. Perry Schoenecker.

We also highlight recent studies on arthrogryposis, radiolucent lesions in children with osteogenesis imperfecta, and rod deformation after cutting.

Your hosts are Tyler McDonald (University of South Alabama), Craig Louer (Vanderbilt), Carter Clement (Manning Family Children's Hospital in New Orleans), and Will Morris (Texas Scottish Rite in Dallas).

Music by A. A. Aalto.

References:

1) Increasing the Knee Arc of Motion in Patients With Arthrogryposis: Minimum 2-year Follow-up. Huser et al. JPO. 2025 Feb. PMID: 39466235.

2) Analysis of Scoliosis Rod Deformation After Cutting with a Surgical Rod Cutter. Egan et al. Spine Deformity. 2025 Jan. PMID: 39881049.

3) Do Not Forget the Spine MRI in Children with Arthrogryposis Multiplex Congenita: High Prevalence of Tethered Spinal Cord and Preliminary Clinical Findings Following Detethering. Nugraha et al. JPO. 2025 Feb. PMID: 39380182.

4) Evaluation of Radiolucent Lesions in Cortices of Long Bones in Osteogenesis
Imperfecta Patients. Cook et al. JPOSNA. 2024 Oct. 

5) Long-term Clinical and Radiographic Results of Posteromedial Lateral Release for Neuromuscular Clubfoot Deformity. May et al. JPO. 2025 Feb. PMID: 39501684.

Lit. Update with Nathalie Alexander & Florian Dobler

Florian Dobler and Nathalie Alexander from the Laboratory for Gait Analysis in St. Gallen, Switzerland, join the show to discuss their recent research on the impact of obesity on femur development. The conversation spans several of their gait-related studies on lower extremity rotation and the effects of femoral and tibial osteotomies. Your hosts are Carter Clement from Children's Hospital of New Orleans and Tyler McDonald from University of South Alabama. Music by A. A. Aalto.

 

References:

1) Body Mass Index is Related to Femoral Anteversion, Hip Rotation During Gait, and Passive Hip Range of Motion in Children and Adolescents. Dobler et al. JPO, Oct 2024. PMID: 39482988.

2) Effect of femoral derotational osteotomy in patients with idiopathic increased femoral anteversion on joint loading and muscular demands. Alexander et al. JCO, Aug 2024. PMID: 39391579.

3) Compensatory gait deviations in patients with increased outward tibial torsion pre and post tibial derotation osteotomy. Alexander et al. Gait & Posture, 2020. PMID: 31981934.

4) Does pathologically increased or decreased tibial torsion affect muscle activations during walking in typically developing adolescents? Alexander et al. Journal of Biomechanics, 2021. PMID: 34509912.

IPOS 2024, Part II

Drs. Will Morris from Texas Scottish Rite, Phil Nowicki from Helen DeVos Children's Hospital, and Cory Bryan from Children's Hospital of Georgia team up to host the 2024 IPOS® episodes. In this Part II episode, special guests include Dr. Michael Glotzbecker, who examines current surgical controversies in AIS; Dr. Maryse Bouchard, who highlights key points from the flatfoot session; Dr. Eric Edmonds, who reviews takeaways from the pediatric sports controversies session; Valerie Parrish, MPAS, PA-C, and Shelia Marceron, DNP, who outline the POPS program; Dr. Bob Cho, who showcases aspects of the Author’s Preferred Techniques session; and Dr. Derek Kelley, who presents some of this year’s IPOS winners.

The Author’s Preferred Technique videos from IPOS 2024 can be found here: https://posna.org/ipos/past-ipos-info

This episode is produced by Will Morris along with Tyler McDonald from the University of South Alabama. Music by A.A. Aalto.

IPOS 2024, Part I

Drs. Will Morris from Texas Scottish Rite, Phil Nowicki from Helen DeVos Children's Hospital, and Cory Bryan from Children's Hospital of Georgia team up to host the 2024 IPOS® episodes. Special guests include Dr. Jennifer Laine, who shares insights about the Arabella Leet Residents and Fellows Forum; Drs. Jon Schoenecker and Nick Fletcher, who explore strategies for excelling during call; Drs. Suken Shah and Jim McCarthy, who highlight the Practicing PediPod program; Dr. Mihir Thacker, who shares key takeaways from the Osteomyelitis and Bone Tumor session; Drs. Lindsay Andras and Jack Flynn, who offer a review of the Multidisciplinary and Complex Problems session; and Drs. Lindley Wall and Andrea Bauer, who provide practical tips on pediatric upper extremity trauma. This episode is produced by Will Morris along with Tyler McDonald from the University of South Alabama. Music by A.A. Aalto.

Lit. Update with Bob Kay

Dr. Bob Kay from CHLA joins the show to discuss his recent research on access to hip reconstruction surgery for neuromuscular patients in the Los Angeles area. The Lightning Round discussion spans numerous hip topics including hip preservation surgery and Perthes as well as recent studies on MPFL reconstruction. Your hosts are Carter Clement from Children's Hospital of New Orleans, Josh Holt from Iowa, and Tyler McDonald from University of South Alabama. Music by A. A. Aalto.

 

References:

X-Ray Adventures: https://www.amazon.com/X-ray-Adventures-Carter-Clement/dp/B0D9C5CRTF

1) Timely Hip Surgery Access in Children with Cerebral Palsy: Unaffected by Social Disadvantage at a Large Urban Safety Net Hospital. Wimmer et al. JPO, Oct 2024. PMID: 39350583.

2) Exploring the Experiences and Expectations of Adolescent Females Undergoing Periacetabular Osteotomy. Luck et al. JPO, Aug 2024. PMID: 39171434.

3) Risk of Venous Thromboembolism in Adolescents Undergoing Pelvic Osteotomy: Insights From a Propensity-matched Retrospective Cohort Study. Mittal et al. JPO, Oct 2024. PMID: 39363394.

4) Prevalence and Risk Factors for Stiffness Following Open Reduction for Developmental Dysplasia of the Hip. Desai et al. JPO, Nov-Dec 2024. PMID: 39021118.

5) Adherence to Wide-Abduction Brace Treatment is Associated With Improved Hip Abduction and Radiographic Outcomes in Legg-Calvé-Perthes Disease. Prasadh et al. JPO, Nov-Dec 2024. PMID: 39187945.

6) Medial Patellofemoral Ligament Reconstruction in Adolescents: What Parents Care About. Culpepper et al. JPO, Aug 2024. PMID: 39171383.

7) Medial Patellofemoral Ligament Reconstruction Improves Patella Alta. Yang et al. JPO, Sep 2024. PMID: 39279747.

Lit. Update with Jennifer Bauer

Dr. Jennifer Bauer from Seattle Children’s Hospital is our special guest on this episode in which we discuss her recent randomized controlled trial which tested the effect of pre-operative carbohydrate drink on post-operative return of bowel function in pediatric spine fusion patients. This episode also highlights some recent work looking at the reversibility of hemiepiphysiodesis after PETS technique, a multicenter study of short versus long leg casting for distal tibial physeal fractures, and a 3D study of the distal femoral physis. Your hosts are Tyler McDonald from University of South Alabama, Craig Louer from Vanderbilt, and Julia Sanders from Children’s Hospital Colorado. Music by A. A. Aalto.

References:

1) Pre-operative carbohydrate drink in pediatric spine fusion: randomized control trial. Bauer et al. Spine Deform. 2024 Sep. PMID: 38769218.

2) Transphyseal Hemiepiphysiodesis: Is it Truly Reversible? Abdelaziz et al. JPO. 2024 Aug. PMID: 39187967.

3) Long Leg Versus Short Leg Cast Immobilization for Treatment of Salter-Harris II Distal Tibial Fractures After Closed Reduction: A Multisite Retrospective Study. Souder et al. JPOSNA. 2024 Aug.

4) Physeal Location on the Distal Femoral Cortical Surface Is Consistently Proximal to Apparent Location on the Perfect Lateral Radiograph: A 3-Dimensional Digitally Reconstructed Radiograph Study. Rosenthal et al. JAAOS. 2024 Aug. PMID: 38773850.

Lit. Update with Dan Sucato

Dr. Dan Sucato from TSRH joins the show to discuss his recent research comparing osteotomy types for severe stable SCFE: Modified Dunn vs. Imhauser. The episode also covers multiple controversies in the worlds of hip preservation and spine deformity. The crew also discusses research spanning Perthes, CP, compartment syndrome, and more. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Josh Holt from University of Iowa, Craig Louer from Vanderbilt, and Tyler McDonald from University of South Alabama. Music by A. A. Aalto.

 

References:

1) Surgeon recommendations for physical activity in patients with pediatric hip conditions. Li et al. JPO 2024. PMID: 38835293.

2) Hip Surgery is Not More Painful Than Spine Surgery in Children With Cerebral Palsy. Padilla et al. JPO 2024. PMID: 38934603.

3) The Prevalence of Acute Compartment Syndrome in Pediatric Tibial Tubercle Fractures. Martinez et al. JPO 2024. PMID: 39021084.

4) Preliminary Study of Motion Preservation Following Posterior Dynamic Distraction Device in Adolescent Idiopathic Scoliosis Patients. Todderud et al. JPO 2024. PMID: 38946041.

5) Single Versus 3-incision Triple Pelvic Osteotomy: Comparison of Clinical and Radiologic Results. Kolac et al. JPO 2024. PMID: 38783820.

6) Predictors of Persistent Limp Following Proximal Femoral Varus Osteotomy for Perthes Disease. Orellana et al. JPO 2024. PMID: 38659309.

Lit. Update with Todd Blumberg

Dr. Todd Blumberg from Seattle Children's joins the show to discuss his recent research proving the importance of careful patient positioning while obtaining a hip ultrasound in a Pavlik Harness. This episode also covers recent research on intra-op imaging after reducing a dislocated hip, screening scoliosis patients for hip dysplasia, and more. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Josh Holt from University of Iowa, and Craig Louer from Vanderbilt. Music by A. A. Aalto.

 

References:

1) Standardized in-harness Ultrasound Protocol Improves Success Rate of Brace Treatment for Dislocated Hips. Pargas-Colina et al. JPO 2024. PMID: 38647138.

2) Epidemiology of Pediatric Dog Walking-Related Injuries Among Children Presenting to US Emergency Departments, 2001 to 2020. Maxson et al. JPO 2024. PMID: 38899976.

3) Adolescent Athletes with Stronger Athletic Identity Perceptions Have Weaker Fear Avoidance Perceptions During Musculoskeletal Injury Rehabilitation Return to Sports Preparation. Ferman et al. JPO 2024. 38767118.

4) The Prevalence of Hip Dysplasia on Radiographs for Adolescent Idiopathic Scoliosis. Fowler et al. JPO 2024. 38826034.

5) Intraoperative 3D Fluoroscopy During Open Reduction for DDH: An Effective Alternative to Postoperative CT/MRI. Baljoun et al. JPO 2024. 38779959.

"Enabling Tech" in Pediatric Spine Surgery

The Pediatric Spine Study Group (PSSG), Scoliosis Research Society (SRS), and POSNA collaborate in this episode about new technology in spine surgery, including navigation, robotics, AI, 3D-printed screw guides, patient-specific rods, and more. Your hosts Carter Clement (Children’s New Orleans), Dominick Tuason (Yale), and Anthony Catanzano (Duke) lead a discussion with an esteemed panel of pediatric spine surgeons including Mark Erickson (Colorado Children’s), Chris Hardesty (Rainbow Babies and Children’s), Jason Anari (CHOP), Jaysson Brooks (TSRH), and David Skaggs (Cedars-Sinai). Panelists discuss their individual work flows, learning curves, and pearls/pitfalls for new adopters.

EPOSNA 2024 Part II

This episode concludes our coverage of EPOSNA 2024, the combined meeting of POSNA and EPOS. Guests include: Dr. Jack Flynn (POSNA) and Dr. Manoj Ramachandran (EPOS) – co-moderators of Session 5 ("Bag O’ Bones"), Dr. Nick Fletcher (POSNA) and Dr. Dan Sucato (POSNA) – moderators of Sessions 6 & 7 (Award-Nominated Papers), Dr. Jill Flanagan (POSNA) and Dr. Franck Accadbled (EPOS) – co-moderators of Session 8C (Lower Extremity & Deformity), Dr. Corinna Franklin (POSNA) and Dr. Marco Turati (EPOS) – co-moderators of Session 9B (ACL & Misc. Sports), Dr. Eric Edmonds (POSNA) – winner of best clinical paper, and Dr. Pooya Hosseinzadeh (POSNA) – winner of best e-poster. Your hosts are Tyler McDonald from University of South Alabama, Jessica McQuerry from University of Florida, Melissa Allen from Duke, and Breann Tisano from Boston Children’s. Music by A. A. Aalto.