Peds Ortho
POSNA Annual Meeting 2022 Part I

POSNA Annual Meeting 2022 Part I

May 18, 2022

Part I of the POSNA 2022 Annual Meeting content.  In this episode, we interview moderators and course chairs from the first few days of the POSNA 2022 Annual Meeting in Vancouver, BC, Canada--INCLUDING the Pre-Course, Wednesday Scientific Sessions, POPS (Pediatric Orthopedic Practitioners Society) Conference, and the ever-popular Sub-Specialty Day.

Your hosts are Dr. Craig Louer from Vanderbilt , Dr. Carter Clement from Children's Hospital of New Orleans, and Dr. Julia Sanders of Children's Hospital Colorado.  Music by A. A. Aalto.  Support for this episode provided by Nemours Children's Health network.

Lit. Update with Peter Newton

Lit. Update with Peter Newton

May 9, 2022

Peter Newton from Rady Children's Hospital in San Diego discusses 15 of his recent studies, spanning many areas of spine surgery as well as trauma. Your hosts are Carter Clement from Children's Hospital of New Orleans, Julia Sanders from Children’s Hospital Colorado, Craig Louer from Vanderbilt, and Josh Holt from University of Iowa. Music by A. A. Aalto.

 

Papers discussed:

 

1) To tether or fuse? Significant equipoise remains in treatment recommendations for idiopathic scoliosis. https://pubmed.ncbi.nlm.nih.gov/35316524/

 

2) The classification of scoliosis braces developed by SOSORT with SRS, ISPO, and POSNA and approved by ESPRM. https://pubmed.ncbi.nlm.nih.gov/35190896/

 

3) Surgical outcomes of severe spinal deformities exceeding 100° or treated by vertebral column resection (VCR). Does implant density matter?: an observational study of deformity groupings. https://pubmed.ncbi.nlm.nih.gov/35305251/

 

4) Elastic Intramedullary Nails in the Treatment of Pediatric Length Unstable Femur Fractures. https://pubmed.ncbi.nlm.nih.gov/35089881/

 

5) Are patients who return for 10-year follow-up after AIS surgery different from those who do not? https://pubmed.ncbi.nlm.nih.gov/35067897/

 

6) When successful, anterior vertebral body tethering (VBT) induces differential segmental growth of vertebrae: an in vivo study of 51 patients and 764 vertebrae. https://pubmed.ncbi.nlm.nih.gov/35064912/

 

7) Anterior vertebral body tethering for thoracic idiopathic scoliosis leads to asymmetric growth of the periapical vertebrae. https://pubmed.ncbi.nlm.nih.gov/34982419/

 

8) Distal adding-on in adolescent idiopathic scoliosis results in diminished health-related quality of life at 10 years following posterior spinal fusion. https://pubmed.ncbi.nlm.nih.gov/34822135/

 

9) Selecting the "Touched Vertebra" as the Lowest Instrumented Vertebra in Patients with Lenke Type-1 and 2 Curves: Radiographic Results After a Minimum 5-Year Follow-up. https://pubmed.ncbi.nlm.nih.gov/32804885/

 

10) Factors associated with increased back pain in primary thoracic adolescent idiopathic scoliosis 10 years after surgery. https://pubmed.ncbi.nlm.nih.gov/34251608/

 

11) Paraspinal muscle morphology and composition in adolescent idiopathic scoliosis: A histological analysis. https://pubmed.ncbi.nlm.nih.gov/34611591/

 

12) In Search of the Ever-Elusive Postoperative Shoulder Balance: Is the T2 UIV the Key? https://pubmed.ncbi.nlm.nih.gov/30348348/

 

13) Is Anterior Release Obsolete or Does It Play a Role in Contemporary Adolescent Idiopathic Scoliosis Surgery? A Matched Pair Analysis. https://pubmed.ncbi.nlm.nih.gov/31368923/

 

14) What is the effect of intraoperative traction on correction of adolescent idiopathic scoliosis (AIS)? https://pubmed.ncbi.nlm.nih.gov/34133013/

 

15) Intraoperative neuromonitoring practice patterns in spinal deformity surgery: a global survey of the Scoliosis Research Society. https://pubmed.ncbi.nlm.nih.gov/33230669/

 

 

 

 

 

 

Lit. Update with Brian Scannell

Lit. Update with Brian Scannell

March 31, 2022

Brian Scannell from CMC discusses his research on pre-operative antibiotics for CRPP of supracondylar humerus fractures as well as the residency match process and resident education. We also highlight papers on toddler’s fractures, slip progression after in-situ SCFE pinning, and stem cell treatment for physeal injuries.

 

Your hosts are Julia Sanders from Children’s Hospital Colorado, Craig Louer from Vanderbilt, and Josh Holt from University of Iowa. Music by A. A. Aalto.

 

Citations for papers discussed:

 

Chen AF, Secrist ES, Scannell BP, Patt JC. Matching in Orthopaedic Surgery. J Am Acad Orthop Surg. 2020 Feb 15;28(4):135-144. doi: 10.5435/JAAOS-D-19-00313. PMID: 31567523.

 

Bloomer AK, Coe KM, Brandt AM, Roomian T, Brighton B, Scannell BP. Hold the Antibiotics: Are Preoperative Antibiotics Unnecessary in the Treatment of Pediatric Supracondylar Humerus Fractures? J Pediatr Orthop. 2022 Feb 24. doi: 10.1097/BPO.0000000000002118. Epub ahead of print. PMID: 35200212.

 

Fox J, Enriquez B, Bompadre V, Carlin K, Dales M. Observation Versus Cast Treatment of Toddler's Fractures. J Pediatr Orthop. 2022 Feb 18. doi: 10.1097/BPO.0000000000002086. Epub ahead of print. PMID: 35180728.

 

Makarewich CA, Wait ES, Fedorak GT, MacWilliams BA. Factors Affecting Slip Progression After In Situ Screw Fixation of Stable Slipped Capital Femoral Epiphysis. J Pediatr Orthop. 2022 Feb 24. doi: 10.1097/BPO.0000000000002098. Epub ahead of print. PMID: 35200211.

 

Wong KL, Zhang S, Heng Tan SS, Cheow YA, Lai RC, Lim SK, Po Hui JH, Toh WS. Mesenchymal Stem Cell Exosomes Promote Growth Plate Repair and Reduce Limb-Length Discrepancy in Young Rats. J Bone Joint Surg Am. 2022 Feb 17. doi: 10.2106/JBJS.21.00789. Epub ahead of print. PMID: 35175995.

Social Media Pearls & Pitfalls

Social Media Pearls & Pitfalls

March 9, 2022

Jennifer Weiss of Kaiser Permanente in Los Angeles, Dave Bennett of Phoenix Children's Hospital, and Matt Schmitz of San Antonio Military Medical Center are POSNA Social Media Ambassadors and join the show to share some pearls and pitfalls for Twitter, Instagram, Facebook, and other platforms (including lots of pointers for beginners!). Kaitlyn Petrando, POSNA's social media mastermind, also joins the episode to share some wisdom. Your hosts are Carter Clement from Children's Hospital of New Orleans, Phil Nowicki with Spectrum Health in Grand Rapids, Corinna Franklin of the Philadelphia Shriner's, and Craig Louer of Vanderbilt. Music by A.A. Aalto.

Lit. Update with Chuck Goldfarb & Chris Dy

Lit. Update with Chuck Goldfarb & Chris Dy

February 21, 2022

Special guests and hosts of "The Upper Hand" Podcast, Dr. Charles Goldfarb and Dr. Chris Dy from Washington University in St. Louis, join the podcast crew for a wide-ranging discussion on upper extremity conditions and the role of information technology in modern orthopedic care.  We review a recent article from the Wash U group about thematic analysis of online message boards for congenital upper extremity differences. Our guests contribute their insights on elbow stiffness and nerve injuries following pediatric trauma, as well as thoughts on bruise location in supracondylar humerus fractures, treatment of Monteggia injuries, cost-consciousness in parents, nerve transfers for brachial plexus birth palsy, and predicting radial head dislocations in MHE. Hosts of the episode are Craig Louer from Vanderbilt, Josh Holt from University of Iowa, Carter Clement from Children’s Hospital of New Orleans, and Julia Sanders from Children’s Hospital Colorado. Music by A.A. Alto.

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Feb 2022 Podcast Session Notes:

Guests – Charles Goldfarb MD, Chris Dy MD MPH

Hosts – Craig Louer MD, Carter Clement MD MBA, Joshua Holt MD, Julia Sanders MD

 

Links:

pedsorthopodcast@gmail.com

Twitter: @CraigLouer

Twitter: @CarterClementMD

 

Upper Hand Podcast:

https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

Dr. Goldfarb Blog: https://congenitalhand.wustl.edu/

Dr. Goldfarb Twitter: @CongenitalHand

Dr. Dy Twitter: @ChrisDyMD

 

Primary article:

Cogsil T, Kim DJ, Morris M, Goldfarb CA, Wall LB. Congenital Upper-Extremity Differences: A Thematic Analysis of On-Line Discussion Boards. J Hand Surg Am. 2021 Apr;46(4):337.e1-337.e10. doi: 10.1016/j.jhsa.2020.08.006. Epub 2020 Oct 3. PMID: 33023778.

 

Lightning Round:

Schultz JD, Rees AB, Wollenman LC, Lempert N, Moore-Lotridge SN, Schoenecker JG. Bruise Location in Supracondylar Humerus Fractures Predicts Specific Neurovascular Injuries. J Pediatr Orthop. 2021 Dec 20. doi: 10.1097/BPO.0000000000002027. Epub ahead of print. PMID: 34923508.

 

Lawrence, J. Todd R. MD, PhD*,†; MacAlpine, Elle M. BA*,‡; Buczek, Matthew J. MSEd*; Horn, B. David MD*,†; Williams, Brendan A. MD*,†; Manning, Kassidy BSc*; Shah, Apurva S. MD, MBA*,† Impact of Cost Information on Parental Decision Making: A Randomized Clinical Trial Evaluating Cast Versus Splint Selection for Pediatric Distal Radius Buckle Fractures, Journal of Pediatric Orthopaedics: January 2022 - Volume 42 - Issue 1 - p e15-e20

doi: 10.1097/BPO.0000000000001980

 

Kluemper, Chase MD*; Aversano, Mike MD†; Kozin, Scott MD†; Zlotolow, Dan A. MD*,† Long Thoracic Nerve Transfer for Children With Brachial Plexus Injuries, Journal of Pediatric Orthopaedics: July 2021 - Volume 41 - Issue 6 - p 374-378

doi: 10.1097/BPO.0000000000001774

 

Hart, Christopher M. MD*; Alswang, Jared BS†; Bram, Joshua BS‡; Kim, Samuel T. BA§; Arkader, Alexandre MD‡; Silva, Mauricio MD*,† Operative Versus Nonoperative Management of Acute Pediatric Monteggia Injuries With Complete Ulna Fractures, Journal of Pediatric Orthopaedics: August 2021 - Volume 41 - Issue 7 - p 412-416

doi: 10.1097/BPO.0000000000001868

 

Feldman, D. , Rand, T. , Deszczynski, J. , Albrewczynski, T. , Paley, D. & Huser, A. (2021). Prediction of Radial Head Subluxation and Dislocation in Patients with Multiple Hereditary Exostoses. The Journal of Bone and Joint Surgery, 103 (23), 2207-2214. doi: 10.2106/JBJS.20.02205.

 

JPOSNA Update II: Sports Medicine with JR Cruz

JPOSNA Update II: Sports Medicine with JR Cruz

February 10, 2022

Dr. Aristides "JR" Cruz of Brown University returns to the podcast for a 2nd JPOSNA episode. This installment focuses on sports medicine (and you may also catch it on Peds Sports, which is available on all the same podcast platforms as Peds Ortho). Dr. Cruz serves as Deputy Editor of JPOSNA, and on today's episode, he shares his thoughts on 4 recent sports-related JPOSNA articles as well as some of his own techniques and clinical pearls. Your host is Carter Clement from Children’s Hospital of New Orleans. Music by A. A. Alto.

 

JPOSNA Publications Discussed:

 

Arthroscopic Saucerization and Repair of the Lateral Discoid Meniscus. JPOSNA. Nov 2021. https://www.jposna.org/ojs/index.php/jposna/article/view/373

 

The Bare Bones of Concussion: What the Sideline Orthopaedic Surgeon Needs to Know. JPOSNA. Nov 2021. https://www.jposna.org/ojs/index.php/jposna/article/view/320

 

Physical Exam for Sports Medicine Knee Injuries in Pediatric Patients. JPOSNA. Nov 2021. https://www.jposna.org/ojs/index.php/jposna/article/view/369

 

Youth Elbow Throwing Injuries. JPOSNA. Nov 2021. https://www.jposna.org/ojs/index.php/jposna/article/view/355

 

Lit. Update with Steve Frick

Lit. Update with Steve Frick

January 28, 2022

Special guest Dr. Steven Frick of Stanford Children’s Health, and past President of POSNA, joins the podcast crew for a discussion on clubfoot, centered on his recent study assessing the physical activity levels in children after treatment for relapse of clubfoot deformity. Dr. Frick remains on the show to add his thoughtful insights in the lightening round conversation on hip dysplasia, lower limb length assessment, lumbar scoliosis, use of routine osteotomies of the spine, and outcomes of vertebral body tethering. Hosts of the program are Josh Holt from University of Iowa, Carter Clement from Children’s Hospital of New Orleans, Craig Louer of Vanderbilt, and Julia Sanders from Children’s Hospital Colorado. Music by A.A. Alto.

 

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Featured Article:

 

Clubfoot Activity and Recurrence Exercise Study (CARES). EL-Banna, Ghida MPP; Baskar, Danika BA; Segovia, Nicole BS; Frick, Steven M. Journal of Pediatric Orthopaedics: January 2022 - Volume 42 - Issue 1 - p e91-e96. PMID: 34889836

JPOSNA Update with Ken Noonan and JR Cruz

JPOSNA Update with Ken Noonan and JR Cruz

December 24, 2021

Drs. Ken Noonan of U. Wisconsin and Aristides "JR" Cruz of Brown join the podcast for a special JPOSNA episode. They serve as Editor-in-chief and Deputy Editor of the journal, respectively, and they have exciting news to share about JPOSNA. We also discuss some of our favorite JPOSNA content from 2021. Your hosts are Carter Clement from Children’s Hospital of New Orleans and Josh Holt from University of Iowa. Music by A. A. Alto.

 

JPOSNA Publications Discussed:

 

"Effectiveness of Various Cast Covers in the Pediatric Population."

https://www.jposna.org/ojs/index.php/jposna/article/view/302

 

"Operative Versus Nonoperative Treatment of Z-Type Comminuted Clavicle Fractures in Adolescents: A Sub-stratified Cohort Analysis."

https://www.jposna.org/ojs/index.php/jposna/article/view/301

 

"What are the Causes and Consequences of Delayed Surgery for Pediatric Tibial Spine Fractures?"

https://www.jposna.org/ojs/index.php/jposna/article/view/297

 

Video: "Tibial Spine/Eminence Fracture – Suture Fixation."

https://www.jposna.org/ojs/index.php/jposna/article/view/298

 

"Nonoperative Management of Femoroacetabular Impingement: Clinical Outcomes at 5-years – A Prospective Study."

https://www.jposna.org/ojs/index.php/jposna/article/view/299

 

"Activation of a Central Immunosuppressive Cascade Prevents Ischemia Reperfusion Injury After Acute Compartment Syndrome in a Murine Model."

https://www.jposna.org/ojs/index.php/jposna/article/view/300

 

 

Lit. Update with Pooya Hosseinzadeh

Lit. Update with Pooya Hosseinzadeh

November 30, 2021

Dr. Pooya Hosseinzadeh from Wash. U. discusses the risk factors for failure of hip reconstruction in children with cerebral palsy. We also highlight papers on Pavlik harness complication rates and comparisons of magnetically controlled growing rods with traditional growing rods from the newest editions of JBJS, JCO and JPO.

 

Your hosts are Carter Clement from Children’s Hospital of New Orleans, Craig Louer from Vanderbilt, Josh Holt from University of Iowa and Julia Sanders from Children’s Hospital Colorado. Music by A. A. Alto.

 

Citations for papers discussed:

 

Minaie A, Gordon JE, Schoenecker P, Hosseinzadeh P. Failure of Hip Reconstruction in Children With Cerebral Palsy: What Are the Risk Factors? J Pediatr Orthop. 2021 Oct 18. doi: 10.1097/BPO.0000000000001989. Epub ahead of print. PMID: 34657091.

 

Masrouha K, Gibon E, Roof MA, Castañeda P. What Are the Rate and Risk Factors for Developing a Complication With the Pavlik Method for the Treatment of Hip Dysplasia? J Pediatr Orthop. 2021 Nov-Dec 01;41(10):e894-e898. doi: 10.1097/BPO.0000000000001960. PMID: 34534158.

 

Novais E, Nunally K, Ferrer M, Miller P, Wylie J, Dodgen W. Asymmetrically increased femoral version with high prevalence of moderate and severe femoral anteversion in unilateral Legg-Calve-Perthes disease. J Child Orthop. 2021 Aug 27. https://doi.org/10.1302/1863-2548.15.200247.

 

Saarinen AJ, Sponseller PD, Andras LM, Skaggs DL, Emans JB, Thompson GH, Helenius IJ; Pediatric Spine Study Group. Matched Comparison of Magnetically Controlled Growing Rods with Traditional Growing Rods in Severe Early-Onset Scoliosis of ≥90°: An Interim Report on Outcomes 2 Years After Treatment. J Bone Joint Surg Am. 2021 Oct 13. doi: 10.2106/JBJS.20.02108. Epub ahead of print. PMID: 34644282.

 

Sun MM, Buckler NJ, Al Nouri M, Howard JJ, Vaughan M, St Hilaire T, Sponseller PD, Smith JT, Thompson GH, El-Hawary R; Pediatric Spine Study Group. No Difference in the Rates of Unplanned Return to the Operating Room Between Magnetically Controlled Growing Rods and Traditional Growth Friendly Surgery for Children With Cerebral Palsy. J Pediatr Orthop. 2021 Oct 7. doi: 10.1097/BPO.0000000000001892. Epub ahead of print. PMID: 34619723.

 

Liyanarachi S, Hulleberg G, Foss OA. Is Gastrocnemius Tightness a Normal Finding in Children?: A Cross-Sectional Study of 204 Norwegian Schoolchildren. J Bone Joint Surg Am. 2021 Aug 25. doi: 10.2106/JBJS.20.01273. Epub ahead of print. PMID: 34432740.

Lit. Update with Muharrem Yazici

Lit. Update with Muharrem Yazici

October 25, 2021

FIRST TRANS-ATLANTIC EPISODE featuring special guest and SRS immediate past-president Dr. Muharrem Yazici from Ankara, Turkey.  Featured discussion focuses on graduation strategies for Early-Onset scoliosis patients treated with distraction-based growing rods. We also dive into other recent studies in the lightning round discussing long-term follow-up of discoid meniscus surgery, THA in patients with open tri-radiates, the use of antibiotics in supracondylar humerus fractures, and what steps individuals can take to promote diversity in orthopedic surgery.  Your hosts are Craig Louer from Vanderbilt University, Josh Holt from The University of Iowa, and Carter Clement from Children’s Hospital of New Orleans. Music by A.A. Alto.

Links:
pedsorthopodcast@gmail.com
Twitter: @CraigLouer
Twitter: @CarterClementMD

High-Yield OITE Webinar Link: https://zoom.us/webinar/register/4916341745008/WN_NnSH1O0TTpSvhFLiCBUxhQ
 
Featured article:
Clinical Outcomes of 3-column Osteotomy at Growing Rod Graduation
Cayli, Cem MD*; Dursun, Gokay MD*; Cetik, R. Mert MD*; Ramazanov, Rafik MD†; Demirkiran, H. Gokhan MD*; Ayvaz, Mehmet MD*; Yazici, Muharrem MD*
Hacettepe University Hospital, Ankara, Turkey.

Lightning Round:

Rate of Scoliosis Correction After Anterior Spinal Growth Tethering for Idiopathic Scoliosis
Takahashi, Yohei, MD; Saito, Wataru, MD, PhD; Yaszay, Burt, MD; Bartley, Carrie E., MA; Bastrom, Tracey P., MA; Newton, Peter O., MD;  The Journal of Bone and Joint Surgery - Scientific Articles: 08 July 2021 - Volume 103 - Issue 18 - p. 1718-1723

Minimally Invasive Fusionless Surgery for Scoliosis in Spinal Muscular Atrophy: Long-term Follow-up Results in a Series of 59 Patients
Mathilde Gaume, Etienne Saudeau, Marta Gomez-Garcia de la Banda, Viviane Azzi-Salameh, Blaise Mbieleu, Delphine Verollet, Audrey Benezit, Jean Bergounioux, Aben Essid, Isabelle Doehring, Ivana Dabaj, Isabelle Desguerre, Christine Barnerias, Vicken Topouchian, Christophe Glorion, Susana Quijano-Roy, Lotfi Miladi

Long-term Minimum 15-Year Follow-up After Lateral Discoid Meniscus Rim Preservation Surgery in Children and Adolescents
Lins, Laura A.B. MD, MPH, ATC*; Feroe, Aliya G. MPH†,‡; Yang, Brian MD§; Williams, Kathryn A. MS†; Kocher, Sophia D.∥; Sankarankutty, Saritha MBBS†; Micheli, Lyle J. MD†,‡; Kocher, Mininder S. MD, MPH†,‡
Boston CHildrens Hospital
Assessment of the Viability and Union Feature of Diaphysis Reconstruction Using Pasteurized Tumor Bone and Intramedullary Free Fibular After Tumor Resection
Ji, Tao MD*; Li, Yuan MD†; Xing, Zhili MD‡; Tang, Xiaodong MD*; Yang, Rongli MD*; Guo, Wei MD, PhD*
The Open Triradiate Cartilage: How Young Is Too Young for Total Hip Arthroplasty?
Rainer, William DO; Shirley, Matthew B. MD; Trousdale, Robert T. MD; Shaughnessy, William J. MD

Efficacy of Antibiotics in Supracondylar Fractures
Bhatt, Etasha MD*; Ridley, Taylor J. MD†; Kruckeberg, Bradley MD‡; Quanbeck, Zachary MD*; Quanbeck, Deborah S. MD*,§,∥; Schiffern, Alison MD*,§,∥

Brooks, J., & Caird, M. (2021). It’s Not a Stereotype if It’s True . . . Right? Creating Welcoming Environments in Pediatric Orthopaedics. JPOSNA, 3(3). Retrieved from https://www.jposna.org/ojs/index.php/jposna/article/view/318

Brooks, J., Cho, R., Franklin, C., Hammouri, Q., Payares-Lizano, M., Poon, S., Sabatini, C., & POSNA JEDI Committee. (2021). Just the Beginning – A Brief Look at the Past, Present, and Future of POSNA Diversity. JPOSNA, 3(3). Retrieved from https://www.jposna.org/ojs/index.php/jposna/article/view/313

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