Peds Ortho

Special Edition - Live at POSNA2021 with Collin May, Coleen Sabatini, Jon Schoenecker, & Salil Upasani

Special Edition recorded as a live panel at the POSNA2021 Annual Meeting with content from the first day of scientific presentations covering Trauma and Infection. Featured authors include Drs. Collin May of Boston Children's Hospital, Coleen Sabatini of UCSF, Jon Schoenecker of Vanderbilt, and Salil Upasani of Rady Children's Hospital.

Your hosts are Carter Clement from Children’s Hospital of New Orleans, Nick Fletcher from Children's Healthcare of Atlanta/Emory, Josh Holt from University of Iowa, & Craig Louer from Vanderbilt University.  Music by A. A. Alto.

 

Abstracts discussed with the Case Pictures:

Abstract #14:

Intraoperative Internal Rotation Stress Test in Displaced Pediatric Supracondylar Humerus Fractures Improves Outcomes.  Andrew Bateman Rees; Jacob Schultz; Lucas C. Wollenman; Stephanie N. Moore-Lotridge PhD; Jeffrey E. Martus MD; Gregory A. Mencio MD; Jonathan G. Schoenecker MD

Abstract #16:

Operative Versus Non-operative Treatment of Z-Type Comminuted Clavicle Fractures in Adolescents: A Substratified Cohort Analysis.  Coleen S. Sabatini MD; Eric W. Edmonds MD; Elizabeth Liotta; Katelyn Hergott; Donald S. Bae MD; Michael T. Busch MD; Henry Bone Ellis MD; Mininder S. Kocher MD; G Ying Li MD; Jeffrey Jerome Nepple MD; Nirav Kiritkumar Pandya MD; Andrew Pennock MD; Crystal Perkins MD; David D. Spence MD; David Williams PhD; Samuel Clifton Willimon MD; Philip Wilson MD; Benton E. Heyworth MD

Abstract #8

Practice Variation in the Surgical Management of Children with Non-Abscess Forming Acute Osteomyelitis: Policy or Clinical Judgement.  Vidyadhar S V Upasani MD; Jessica Davis Burns MD; Tracey P. Bastrom MA; Keith D. Baldwin MD; Jonathan G. Schoenecker MD; Benjamin J. Shore MD.

Abstract #19

Management of Syndesmotic Injuries in Children and Adolescents: Results of a Cross-Sectional Survey.  Caroline Williams; Benjamin J. Shore MD; Nicholas Sullivan; Blair Stewig; Dennis Kramer MD; Yi-Meng Yen MD; Collin May MD.

 

For further information, see annual meeting program and abstracts:

https://posna.org/POSNA/media/Documents/Events/2021%20Annual%20Meeting/2021-Abstract-Book.pdf

 

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Best of POSNA 2021 - Hip Subspecialty Day

Rachel Goldstein of CHLA moderates the POSNA 2021 Virtual Hip Subspecialty Day episode, discussing key abstracts from the upcoming meeting. Featured authors include Ernie Sink of HSS, Jeffrey Nepple of St. Louis Children's, and David Chong of Oklahoma University. Your host is Carter Clement from Children’s Hospital of New Orleans. Music by A. A. Alto.

 

Abstracts discussed:

 

Patients That Undergo Concomitant Hip Arthroscopy and Periacetabular Osteotomy Obtain Minimal Clinically Important Difference More Than Patients That Undergo Isolated Periacetabular Osteotomy: An analysis of 231 hips. Anthony Essilfie; Stacy Robustelli BS; Ernest Sink MD The Hospital for Special Surgery, New York, NY

 

Intermediate Term Results of Combined Surgical Dislocation and Periacetabular Osteotomy for Complex Perthes Deformities: Can We Save the Hip? Serena Freiman; Jeffrey Jerome Nepple MD; Gail Pashos; Perry L. Schoenecker MD; John Clohisy MD Washington University School of Medicine, St. Louis Missouri

 

Reliability and Validity of Assessment of Legg-Calve-Perthes Disease Hypoperfusion with Perfusion MRI. David Y. Chong MD; Tim Schrader MD; Jennifer C. Laine MD; Scott Yang MD; Shawn R. Gilbert MD; Harry KW Kim MD; International Perthes Study Group

 

For further information, see annual meeting program: https://posna.org/POSNA/media/Documents/Events/Final-Program_1.pdf

 

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Best of POSNA 2021 - Sports Subspecialty Day

Jennifer Beck and Eric Edmonds from UCLA and Rady, respectively, moderate the POSNA 2021 Virtual Sports Subspecialty Day episode, discussing key abstracts from the upcoming meeting. Featured authors include John Schlechter from CHOC, Kathleen Maguire from CHOP, Samuel Van de Velde from Columbia, and Eric Edmonds (in addition to his moderator role). Your host is Carter Clement from Children’s Hospital of New Orleans. Music by A. A. Alto.

 

Abstracts discussed:

 

Do Continuous Peripheral Nerve Blocks Decrease Home Opioid Use Following Anterior Cruciate Ligament. John Schlechter, DO; Bryn Gornick; Benjamin Sherman, DO; Tanner Harrah. CHOC.

 

Predicting Outcomes of Talar Osteochondritis Dissecans Lesions in Children. Kathleen Maguire, MD; Mitchell Johnson; Kunbo Park, MD; Divya Talwar; J Todd Lawrence, MD. CHOP.

 

Anatomic versus Non-anatomic Anterolateral Tenodesis in Combination with Anterior Cruciate Ligament Reconstruction – Sometimes Cheaper is Better? Samuel Van De Velde; Gregory Schmale, MD; Scott Telfer. U.W.

 

Clinical Outcomes, Survivorship, and Return to Sports After Arthroscopic Capsular Repair with Suture Anchors for Adolescent Multidirectional Shoulder Instability at Mean Follow-Up of 6 Years. Brendon Mitchell; Matthew Siow; Alyssa Carroll; Andrew Pennock, MD; Eric Edmonds, MD. Rady Children's Hospital.

 

For further information, see annual meeting program: https://posna.org/POSNA/media/Documents/Events/Final-Program_1.pdf

 

Please subscribe and send all feedback to pedsorthopodcast@gmail.com

Best of POSNA 2021 - Trauma Subspecialty Day

Mauricio Silva and Amy McIntosh from UCLA and Texas Scottish Rite, respectively, moderate the POSNA 2021 Virtual Trauma Subspecialty Day episode, discussing key abstracts from the upcoming meeting with a focus on complications of forearm fractures treated with elastic nails, ATV accidents, and screw trajectory in Tillaux fractures. Featured authors include Arjandas Mahadev from KK Women’s and Children’s Hospital in Singapore, Brien Rabenhorst from the University of Arkansas, and Neel Kushare from Texas Children’s. Your host is Julia Sanders from Children’s Hospital Colorado. Music by A. A. Alto.

 

Abstracts discussed:

 

Titanium Elastic Nails System (TENS) in Adolescent Forearm Fractures: Using Bone Age as an Objective guide to its Limits. Chin Chuen Tan; Kenneth Pak Leung Wong; John Allen; Arjandas Mahadev, FRCS KK Women’s and Children’s Hospital, Singapore

 

Pediatric Orthopedic All-Terrain Vehicle (ATV) Injury Patterns, Surgeries, and Complications – Appreciating the True Morbidity and Impact. Brien Rabenhorst, MD; Chad Willis; David Bumpass University of Arkansas-Medical Sciences, Little Rock, AR

 

All Epiphyseal vs Trans-epiphyseal screw fixation for Tillaux fractures– Does it matter? Brett Heldt; Elsayed Attia; Isaiah Roepe; Raymond Guo; Vinitha Shenava, MD; Indranil Kushare, MD Texas Children’s Hospital, Houston, Texas

 

For further information, see annual meeting program: https://posna.org/POSNA/media/Documents/Events/Final-Program_1.pdf

 

Please subscribe and send all feedback to pedsorthopodcast@gmail.com

Best of POSNA 2021 - Lower Extremity Subspecialty Day

Megan Young and Philip McClure of Children’s National and the International Center for Limb Lengthening, respectively, moderate the POSNA 2021 virtual Lower Extremity Subspecialty Day episode, discussing key abstracts from the upcoming annual meeting. Featured authors include Vanna Rochi from Navy Medical Center at Portsmouth, Oussama (“Sam”) Abousamra from Children’s Hospital of Los Angeles, and David Feldman from the Paley Institute in West Palm Beach. Your host is Craig Louer from Vanderbilt University. Music by A. A. Alto.

 

Abstracts discussed: 

 

Rochi: “Patient reported PROMIS assessment in pediatric patients with tibial deficiency, fibular deficiency, and proximal focal femoral deficiency - A multicenter study”

 

Abousamra: “Angular Deformity before and after Temporary Epiphysiodesis for Leg Length Discrepancy”

 

Feldman: “Novel Treatment for Improving Knee Range of Motion in Patients with Arthrogryposis and Severe Knee Flexion Deformity”

 

For further information, see annual meeting program: https://posna.org/POSNA/media/Documents/Events/Final-Program_1.pdf

 

Please subscribe and send all feedback to pedsorthopodcast@gmail.com

Lit. Update with Ron El-Hawary and Karl Logan

Ron El-Hawary and Karl Logan from IWK Health Centre and Dalhousie University in Halifax discuss their recent research on free-gliding SCFE screws. We also highlight papers from the newest editions of JBJS, JCO, JPO, and JPO-B. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Craig Louer from Vanderbilt, Josh Holt from Iowa, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Alto.

 

"Femoral Neck Growth and Remodeling With Free-Gliding Screw Fixation of Slipped Capital Femoral Epiphysis." JPO. https://pubmed.ncbi.nlm.nih.gov/33560709/

 

"Open Reduction of Medial Epicondyle Fractures in the Pediatric Population: Supine Versus Prone Position." JPO. https://pubmed.ncbi.nlm.nih.gov/33734199/

 

"Pediatric Orthopaedic Surgeon Time Utilization in Clinic: A Pilot Study." JPO. https://pubmed.ncbi.nlm.nih.gov/33654028/

 

"Pediatric Simple Knee Value: a simple patient-reported outcome measure for the knee." JCO. https://pubmed.ncbi.nlm.nih.gov/33643462/

 

"Classifying Ischial Tuberosity Avulsion Fractures by Ossification Stage and Tendon Attachment." JBJS. https://pubmed.ncbi.nlm.nih.gov/33724973/

 

"Preliminary results: continuous double luminal catheter drainage for the management of septic hip arthritis in children." JPO-B. https://pubmed.ncbi.nlm.nih.gov/33741831/

 

"The Effect of Proximal Anchor Choice During Distraction-based Surgeries for Patients With Nonidiopathic Early-onset Scoliosis: A Retrospective Multicenter Study." JPO. https://pubmed.ncbi.nlm.nih.gov/33654027/

 

 

Best of POSNA 2021 - Neuromuscular Subspecialty Day

Andrew Georgiadis and Ben Shore from Gillette and Boston Children's, respectively, moderate the POSNA 2021 Virtual Neuromuscular Subspecialty Day episode, discussing key abstracts from the upcoming annual meeting. Featured authors include Kristen Carroll, Chief of Staff at the Salt Lake City Shriner's Hospital, Matthew Halanski, Chief of Pediatric Orthopaedics at the University of Nebraska, and Lauren Hyer from the Greenville, SC Shriner's Hospital. Your host is Craig Louer from Vanderbilt. Music by A. A. Alto.

Abstracts discussed: 

Severe Hip Subluxation in Non-ambulatory Cerebral Palsy: What Factors Lead to Lasting Success of Reduction?
Kristen Carroll, Alyssa Thorman, Whitney Moss, Bruce MacWilliams, Matthew Talmage, Mark McKulkin, Glen Baird, Alan Stotts. Salt Lake City Shriner's Hospital.

Hip Pain and Scoliosis in Non-ambulatory Children with SMA.
Nickolas Nahm, Rewais Hanna, Melissa Bent, Karen Patterson, Sarah Sound, Mary Schroth, Matthew Halanski. University of Wisconsin.

Outcomes of Patellar Tendon Imbrication for Crouch Gait.
Lauren Hyer, David Westberry, Prabhav Saraswat, Ashley Carpenter, Jon Davids.  Greenville, SC Shriner's Hospital.

 

For further information, see annual meeting program: https://posna.org/POSNA/media/Documents/Events/Final-Program_1.pdf

Best of POSNA 2021 - Foot & Ankle Subspecialty Day

Derek Kelly and Maryse Bouchard from Campbell Clinic and Sick Kids, respectively, moderate the POSNA 2021 Virtual Foot & Ankle Subspecialty Day episode, discussing key abstracts from the upcoming meeting with a focus on
talectomy in rigid non-idiopathic club foot, revision surgery in
non-idiopathic club foot, and rates of calcaneocuboid arthritis
following Evan’s lengthening. Featuring authors Jill
Larson from Lurie Children’s, Katie Rosenwasser from Columbia and
Jaclyn Hill from Texas Children’s. Your host is Julia Sanders from
Children’s Hospital Colorado. Music by A. A. Alto.

Abstracts discussed: 

Talectomy for the Treatment of Rigid Non-idiopathic Clubfoot
Deformity: Long-Term Follow-Up
Jill Larson, MD Ann & Robert H. Lurie Children’s Hosptial of Chicago.

The Atypical Clubfoot: Is it doomed from the start?
Katherine Rosenwasser; Nickolas Nahm, MD; John Herzenberg, MD Sinai
Hospital of Baltimore/ Lifebridge Health.

Does the Stabilization of the Calcaneocuboid Joint With a Steinman Pin
in Evans Osteotomy Procedures Affect Its Incidence of Arthritis?
Brett Heldt; Isaiah Roepe; Elsayed Attia; Vinitha Shenava, MD; Jaclyn
Hill, MD Texas Children’s Hospital.

Lit. Update with Woody Sankar

Wudbhav Sankar from CHOP returns to the show to discuss his recent research on weaning Pavlik harnesses. We also highlight papers from the newest editions of JBJS, JCO and JPO. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Josh Holt from Iowa, and Craig Louer from Vanderbilt. Music by A. A. Alto.

 

"Is there a Benefit to Weaning Pavlik Harness Treatment in Infantile DDH." JPO. https://pubmed.ncbi.nlm.nih.gov/33448722/ 

 

"Part-time Abduction Bracing in Infants With Residual Acetabular Dysplasia: Does Compliance Monitoring Support a Dose-dependent Relationship?" JPO. https://pubmed.ncbi.nlm.nih.gov/33165268/

 

"Single-incision Extraperiosteal Triple Innominate Osteotomy: Outcomes of an Updated Technique." JPO. https://pubmed.ncbi.nlm.nih.gov/32769838/

 

"Late Hip Dysplasia after Normal Ultrasound in Breech Babies: Implications on Surveillance Recommendations." JPO. https://pubmed.ncbi.nlm.nih.gov/33560711/

 

"Paediatric Hip Ultrasound: Uncertainties in Examination and Choice of Treatment." JCO. https://pubmed.ncbi.nlm.nih.gov/33643457/

 

"Do Obese Children Have Poor Patient-reported Outcomes After Closed Reduction and Percutaneous Pin Fixation of Supracondylar Humerus Fractures?" JPO. https://pubmed.ncbi.nlm.nih.gov/33481479/

 

"Pain for Greater Than 4 Days Is Highly Predictive of Concomitant Osteomyelitis in Children With Septic Arthritis." JPO. https://pubmed.ncbi.nlm.nih.gov/33577239/

 

"Incidence and significance of findings on spinal MRIs in a paediatric population with spinal column complaints." JCO. https://pubmed.ncbi.nlm.nih.gov/33643461/

 

"The Natural History of Benign Bone Tumors of the Extremities in Asymptomatic Children." JBJS. https://pubmed.ncbi.nlm.nih.gov/33646982/

POSNA Safe Surgery Program (PSSP)

Kevin Shea of Stanford, Brian Brighton of OrthoCarolina, Bob Cho of the Pasadena Shriner's Hospital, and Kali Tileston of Stanford join the show to discuss the new "POSNA Safe Surgery Program" (PSSP), brought to you by POSNA's "Quality, Safety, and Value Initiative" (QSVI). Your host is Carter Clement from Children's Hospital of New Orleans. Music by A.A. Aalto.