Peds Ortho

Deep Dive in DDH is a three-part limited series where experts in the field of DDH have been invited to discuss the controversies in the management of hip dysplasia. Episode 1 was published in August and discussed management of DDH in infants under 6 months of age. Episode 2 was published in January and discussed the controversies in the management of developmental hip dislocations in the operating room. For the final episode we are joined by Drs. Rachel Goldstein from Children’s Hospital of Los Angeles and Steve Frick from Atrium Health in Charlotte. This episode focuses on evaluation and management of residual dysplasia including nonoperative management with bracing, surveillance, and if/when to operate.

Hosted by Will Morris (Scottish Rite for Children). Music by A. A. Aalto.

Referenced Publications:

1. Gans I, Flynn JM, Sankar WN. Abduction bracing for residual acetabular dysplasia in infantile DDH. J Pediatr Orthop. 2013 Oct-Nov;33(7):714-8. doi: 10.1097/BPO.0b013e31829d5704. PMID: 23812157.
2. Swarup I, Talwar D, Sankar WN. Part-time Abduction Bracing in Infants With Residual Acetabular Dysplasia: Does Compliance Monitoring Support a Dose-dependent Relationship? J Pediatr Orthop. 2021 Feb 1;41(2):e125-e129. doi: 10.1097/BPO.0000000000001704. PMID: 33165268.
3. Morris WZ, Kak A, Mayfield LM, Kang MS, Jo CH, Kim HKW. Does brace treatment following closed reduction of developmental dysplasia of the hip improve acetabular coverage? Bone Joint J. 2023 Dec 1;105-B(12):1327-1332. doi: 10.1302/0301-620X.105B12.BJJ-2023-0255.R1. PMID: 38035597.
4. Albinana J, Dolan LA, Spratt KF, Morcuende J, Meyer MD, Weinstein SL. Acetabular dysplasia after treatment for developmental dysplasia of the hip. Implications for secondary procedures. J Bone Joint Surg Br. 2004 Aug;86(6):876-86. doi: 10.1302/0301-620x.86b6.14441. PMID: 15330030.
5. Novais EN, Pan Z, Autruong PT, Meyers ML, Chang FM. Normal Percentile Reference Curves and Correlation of Acetabular Index and Acetabular Depth Ratio in Children. J Pediatr Orthop. 2018 Mar;38(3):163-169. doi: 10.1097/BPO.0000000000000791. PMID: 27261963.
6. Haider S, Mayfield L, Kim HK, Gill CS, Sucato DJ, Podeszwa DA, Morris WZ. The Impact of Age on Outcomes Following Secondary Reconstructive Surgery for Residual Dysplasia in DDH. J Pediatr Orthop. 2026 Jan 1;46(1):e61-e66. doi: 10.1097/BPO.0000000000003067. Epub 2025 Jul 21. PMID: 40686010; PMCID: PMC12688450.
7. Koura T, Tetsunaga T, Yamada K, Inoue T, Okuda R, Masada Y, Tetsunaga T, Okazaki Y, Ozaki T. MRI at 5 years predicts upsloping acetabular sourcil at skeletal maturity in developmental dysplasia of the hip. Hip Int. 2026 May 6:11207000261436397. doi: 10.1177/11207000261436397. Epub ahead of print. PMID: 42093127.
8. Sucato DJ, Brabham CE, De La Rocha A, Podeszwa DA, Karol LA. Radiographic Outcome Following Treatment of Residual Hip Dysplasia with Pemberton Versus Salter Osteotomy: Comparison of Results in Patients Followed to Skeletal Maturity. J Bone Joint Surg Am. 2025 Jan 1;107(1):46-52. doi: 10.2106/JBJS.23.01346. Epub 2024 Nov 7. Erratum in: J Bone Joint Surg Am. 2025 Aug 20;107(16):e82. doi: 10.2106/JBJS.ER.23.01346. PMID: 39509475.

 

A special episode recorded live from the 2026 POSNA Annual Meeting in Orlando, FL. Your hosts Tyler McDonald from University of South Alabama and Carter Clement from Manning Family Children’s interview Michael Vitale and Noelle Larson about the new SRS-Lenke-Aubin 3D classification for Adolescent Idiopathic Scoliosis in front of a live audience! 

Arianna Trionfo from Nemours joins the show this month to discuss her recent research on early weightbearing after flatfoot reconstruction in CP. The gang also delves into DDH, trauma, congenital scoliosis and more in the lightning round. Your hosts are Carter Clement from Manning Family Children’s, Tyler McDonald from University of South Alabama, Steph Logterman from Central Texas Pediatric Orthopedics, and Will Morris from TSRH. Music by A.A. Aalto.

 

The Effect of Immediate Weight Bearing After Planovalgus Foot Reconstruction in Ambulatory Children With Cerebral Palsy. Church et al. JPO. PMID: 41178517. https://pubmed.ncbi.nlm.nih.gov/41178517/

 

Screening MRI in Congenital EOS: Is It Safe to Delay Advanced Imaging to Decrease Early Anesthesia? Mostafa et al. JPO. PMID: 41582879. https://pubmed.ncbi.nlm.nih.gov/41582879/

 

Treatment of Displaced Femoral Neck Fractures in Children: Mid-Term Outcomes and Predictors of Failure. Liu et al. JPO. PMID: 41587289. https://pubmed.ncbi.nlm.nih.gov/41587289/

 

To Wean or Not to Wean: A Randomized Controlled Trial of Pavlik Harness Weaning in Infantile Developmental Dysplasia of the Hip. Kuka et al. JPO. PMID: 41641599. https://pubmed.ncbi.nlm.nih.gov/41641599/

 

Is the Hip Located? What is the Value of Advanced Imaging at the Time of Spica Exchange for Infantile Hip Dysplasia? Beck et al. JPO. PMID: 41552950. https://pubmed.ncbi.nlm.nih.gov/41552950/

 

Revisiting Traditional Risk Factors: Implications for Risk Stratification in Developmental Dysplasia of the Hip. Nielsen et al. JPO. PMID: 41563881. https://pubmed.ncbi.nlm.nih.gov/41563881/

 

The Effect of Pre-Bending Flexible Nails on Outcomes Following Stabilization of Paediatric Forearm Fractures. Levitt et al. JPO. PMID: 41358790. https://pubmed.ncbi.nlm.nih.gov/41358790/

This is a special combined episode of the POSNA Peds Ortho and PRISM Pediatric Sports Lab podcasts which recaps the 2026 PRiSM Annual Meeting held in Austin, TX. It features AMSSM exchange speaker Dr. Jason Zaremski and Keynote Speaker Dr. John DiFiori.

Dr. Kevin Klingele, fellowship director and chief of pediatric orthopaedics at Nationwide Children’s, joins the show to discuss his recent research on ligamentum teres reconstruction. As an interlude, Dr. Dan Perry also returns to the podcast to provide an update on the SCIENCE Trial, comparing surgery and non-surgical care for children with displaced medial epicondyle fractures. Your hosts are Carter Clement from Manning Family Children’s in New Orleans, Will Morris from TSRH, Tyler McDonald from USA, Stephanie Logterman from the Arnold Palmer Hospital for Children, and Josh Holt from Iowa. Music by A.A. Aalto.

 

References:

 

“Open Reduction With Ligamentum Teres Reconstruction—Preliminary Results of a Novel Technique for the Management of Pediatric Developmental Dysplasia of Hip.” Englert et al. JPO 2025.

 

“Early-Onset Perthes Disease in Patients Under 4 Years of Age: Natural Disease History, Radiographic Findings, and Prognostic Factors.” Garcia-Fernandez et al. JPO 2025.

 

“More Amputations and Open Fractures: Pediatric Utility Task Vehicle (UTV) Injuries Are More Severe Than All-terrain Vehicle (ATV) Injuries.” Jaggers et al. JPO 2026.

 

“Long-Term Outcome of Idiopathic Increased Femoral Anteversion in 58 Untreated Individuals at a Mean Age of 46.2 Years.” Gronseth et al. JPO 2026.

 

“Improving Postoperative Pain Management in Pediatric Supracondylar Humerus Fractures With Local Anesthesia.” Gunda et al. JPO 2026.

 

“Risk Factors for Nonunion After Femoral Rotational Osteotomy for Idiopathic Anteversion and Retroversion in Adolescents.” Roper et al. JPO 2026.

 

“Off With the Head: Decreasing Complications With Headless Compression Screws for Tibial Tubercle Fracture Fixation.” Menapace et al. JPO 2026.

Deep Dive in DDH is a three-part limited series where experts in the field of DDH have been invited to discuss the controversies in the management of hip dysplasia. Episode 1 was published in August and discussed management of DDH in infants under 6 months of age. In Episode 2, we are joined by Eduardo Novais at Nemour Children’s Health in Jacksonville and Salil Upasani of Rady Children’s Hospital and discuss the controversies in the management of developmental hip dislocations in the operating room including the process to decide between closed and open reduction, the use of concomitant osteotomies, adjunctive imaging, and casting protocols.

Hosted by Will Morris (Scottish Rite for Children). Music by A. A. Aalto.

Referenced Publications:

1. Novais EN, Hill MK, Carry PM, Heyn PC. Is Age or Surgical Approach Associated With Osteonecrosis in Patients With Developmental Dysplasia of the Hip? A Meta-analysis. Clin Orthop Relat Res. 2016 May;474(5):1166-77. doi: 10.1007/s11999-015-4590-5. PMID: 26472583; PMCID: PMC4814411.
2. Schmaranzer F, Justo P, Kallini JR, Ferrer MG, Miller P, Bixby SD, Novais EN. Hip Morphology on Post-Reduction MRI Predicts Residual Dysplasia 10 Years After Open or Closed Reduction. J Bone Joint Surg Am. 2024 Jan 17;106(2):110-119. doi: 10.2106/JBJS.23.00333. Epub 2023 Nov 22. PMID: 37992184; PMCID: PMC12205695.
3. Morris WZ, Chilakapati S, Hinds SA, Herring JA, Kim HKW. The Clinical Significance of Infolded Limbus on Postreduction Arthrogram in Developmental Dysplasia of the Hip. J Pediatr Orthop. 2022 Apr 1;42(4):e309-e314. doi: 10.1097/BPO.0000000000002070. PMID: 35132011.
4. Morris WZ, Hinds S, Worrall H, Jo CH, Kim HKW. Secondary Surgery and Residual Dysplasia Following Late Closed or Open Reduction of Developmental Dysplasia of the Hip. J Bone Joint Surg Am. 2021 Feb 3;103(3):235-242. doi: 10.2106/JBJS.20.00562. PMID: 33252590.
5. Gans I, Sankar WN. The medial dye pool revisited: correlation between arthrography and MRI In closed reductions for DDH. J Pediatr Orthop. 2014 Dec;34(8):787-90. doi: 10.1097/BPO.0000000000000187. PMID: 24787303.
6. Novais EN, Hollnagel KF, Bixby SD, Ferrer MG, Williams DN, Kim YJ, Schmaranzer F. Predictive value of post-reduction gadolinium-enhanced magnetic resonance imaging in detecting avascular necrosis after closed and open reduction for developmental dysplasia: A minimum 5-year follow-up study. J Child Orthop. 2025 Jul 6;19(4):329-338. doi: 10.1177/18632521251350524. PMID: 40630930; PMCID: PMC12230044.
7. Paez C, Badrinath R, Holt J, Bomar JD, Mubarak SJ, Upasani VV, Wenger DR. Ligamentum Teres Transfer During Medial Open Reduction in Patients with Developmental Dysplasia of the Hip. Iowa Orthop J. 2021;41(1):47-53. PMID: 34552403; PMCID: PMC8259203.

Dr. Daniel Hoernschemeyer from the University of Missouri joins the show to discuss his recent research on vertebral body tethering as well as the past, present, and future of this new treatment. Your hosts are Josh Holt from the University of Iowa, Stephanie Logterman from Arnold Palmer Hospital for Children, Craig Louer from Vanderbilt, and Tyler McDonald from the University of South Alabama. Produced by Josh Holt and Carter Clement (Manning Family Children’s). Music by A.A. Aalto.

 

References:

 

“Growth modulation increases clinical success in vertebral body Tethering.” Hoernschemeyer et al. Spine Deformity 2025.

 

“Anterior Vertebral Body Tethering: A Single-Center Cohort with 4.3 to 7.4 Years of Follow-up.” Hoernschemeyer et al. JBJS 2024.

 

“Effect of Vertebral Body Tether Tensioning on Vertebral Body Growth Modulation.” Jackson et al. with PSSG. JOR Spine 2025.

 

“Growth modulation response in vertebral body tethering depends primarily on magnitude of concave vertebral body growth.” Louer et al. with PSSG. Spine Deformity 2024.

 

“Multicenter validation of a surgical planning tool for lumbar vertebral body tethering simulating growth modulation over 2 years.” Cobetto et al. Spine Deformity 2025.

Drs. Stephanie Logterman from Arnold Palmer Hospital for Children and Tyler McDonald from the University of South Alabama bring you this year's IPOS® 2025 episode. We highlight some of the exciting programming from this year's meeting delve into a few interesting topics in pediatric orthopedics. Special guests include Drs. Rachel Thompson, Michael Vitale, Jennifer Beck, Alex Arkader, Brian Kaufman, Lindley Wall, Jaysson Brooks, Henry Ellis, Wood Sankar, and Derek Kelly. This episode is produced by Tyler McDonald. Music by A.A. Aalto.

This special episode brings you inside the 79th Annual Meeting of the American Academy of Cerebral Palsy and Developmental Medicine (AACPDM), held in New Orleans, October 15–18, 2025. Join host Tyler McDonald from the University of South Alabama as he attends his first AACPDM meeting and highlights the moments, conversations, and clinical insights most relevant to pediatric orthopedic surgeons. Hosted, recorded, and produced by Tyler McDonald. Intro music by A. A. Aalto. Additional royalty-free music provided by Pixabay.

Link to Jon David's diagnostic matrix for gait analysis: https://journals.lww.com/jbjsjournal/pages/articleviewer.aspx?year=2003&issue=11000&article=00028&type=Citation

All about gymnastics! We interview Dr. Elspeth Hart from Boston Children's on her latest article on Gymnastics Medicine and what to look out for when treating gymnasts in the orthopedic setting. We also highlight recent articles on the urgency of stable SCFE, a lesser-known method for pinning supracondylar humerus fractures, and short versus long leg casting for distal tibia physeal fractures. Your hosts are Tyler McDonald (University of South Alabama), and Stephanie Logterman (Arnold Palmer Hospital for Children), Josh Holt (University of Iowa), and Carter Clement (Manning Family Children’s in New Orleans). Music by A. A. Aalto.

Gymnastics Upper Extremity Article mentioned: Hart E, Bauer AS, Bae DS. Common upper extremity gymnastics injuries and gymnastic specific return to play protocols. J Pediatr Soc North Am. 2024 Feb 28;6:100016. doi: 10.1016/j.jposna.2024.100016. PMID: 40433250; PMCID: PMC12088353.

Link to the non profit Gymnastics Medicine: Education and Research: GymnasticsMedicine.org

Link to learn more about the 7^th annual Gymnastics Medicine Symposium (use code "Gym15" to save 15% if interested in signing up!): Symposium 2025 - Gymnastics Medicine

 

References:

1. Hart E, Bair K, Broz J, Griffith K, Herrera-Set A, Lattimore D, Melvin E, Sweeney E. Gymnastics Medicine: A New Subspecialty in Sports Medicine. Curr Sports Med Rep. 2025 May 1;24(5):126-134. doi: 10.1249/JSR.0000000000001249. PMID: 40323057.

2. White AB, Keil LG, Bardsley H, Selberg C, Mansour A, Brooks AC, Manickam R, Mayassi HA, Zhao L, Uchtman M, Whitlock P, Stone J. How Urgent Are Stable SCFEs? A Multisite Retrospective Study of Surgical Timing and Complications Among Patients With Stable Slipped Capital Femoral Epiphysis. J Pediatr Orthop. 2025 Sep 1;45(8):485-491. doi: 10.1097/BPO.0000000000002997. Epub 2025 May 1. PMID: 40314216.

3. Grewal RS, Kitchen BT, Bomar JD, Cidambi EO, Dexter MJ, Edmonds EW, Pring ME, Upasani VV, Wallace CD, Pennock A. Displaced Distal Tibia Physeal Fractures: Short Leg Versus Long Leg Casting-A Prospective Study. J Pediatr Orthop. 2025 Aug 1;45(7):e614-e617. doi: 10.1097/BPO.0000000000002961. Epub 2025 Apr 7. PMID: 40191914.

4. Muto S, Niwa S, Fujihara Y, Ota H, Kumagai H. Comparative Analysis of Postoperative Rotational Malalignment in Pediatric Supracondylar Humerus Fractures: Cross Pinning Versus Lateral Para-olecranon Pinning. J Pediatr Orthop. 2025 Sep 1;45(8):458-465. doi: 10.1097/BPO.0000000000003000. Epub 2025 May 5. PMID: 40323798.