Peds Ortho: Recent Episodes

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Alexander Aarvold from the University Hospital Southampton joins the show this month to discuss his eagerly anticipated publication on the outcomes of the incomplete acetabuloplasty (or “pelletoplasty”) as an adjunctive treatment during open reduction of developmental hip dislocations. The group also discusses recent publications on treatment of infant femur fractures, open forearm fractures, and the outcomes of periacetabular osteotomy in skeletally immature patients. Your hosts are Carter Clement from Children’s Hospital Colorado, Julia Sanders from Children’s Hospital Colorado, and Will Morris from Scottish Rite in Dallas. Music by A.A. Aalto.

Aarvold A, Uren N, Rhodes A, Elliott KG, Lindisfarne EA, Carsi B, Clarke NMP. Growth Stimulating Minimal Acetabuloplasty, Alongside Hip Open Reduction: A Simpler One-stop Operative Treatment for Developmental Dysplasia of the Hip. J Pediatr Orthop. 2026 Apr 16. doi: 10.1097/BPO.0000000000003259. Epub ahead of print. PMID: 41988894.
https://pubmed.ncbi.nlm.nih.gov/41988894/

Murphy-Zane MS, Keeter C, Baumann A. Hip Abduction Brace Is an Effective Treatment Alternative for Femur Fractures in Infants 12 Months and Younger. J Pediatr Orthop. 2026 Jul 1;46(6):e535-e541. doi: 10.1097/BPO.0000000000003172. Epub 2025 Nov 25. PMID: 41490478; PMCID: PMC13232693.
https://pubmed.ncbi.nlm.nih.gov/41490478/

Kronk TA, Steiner RP, Ritzman TF, Floccari LV. Surgical Treatment of Pediatric Open Forearm Fractures: A Comparison of Outcomes With or Without Internal Fixation. J Pediatr Orthop. 2026 Jul 1;46(6):e524-e528. doi: 10.1097/BPO.0000000000003159. Epub 2025 Nov 5. PMID: 41191825.
https://pubmed.ncbi.nlm.nih.gov/41191825/

Pun SY, Kha ST, Park MO, Richey AE, Pham NS, Millis MB. Is the Bernese Periacetabular Osteotomy Safe for the Treatment of Acetabular Dysplasia When the Triradiate Cartilage is Still Open? A Preliminary Study. J Pediatr Orthop. 2026 Jul 1;46(6):335-341. doi: 10.1097/BPO.0000000000003275. Epub 2026 May 5. PMID: 42084192.
https://pubmed.ncbi.nlm.nih.gov/42084192/

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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.

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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!

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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/

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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.

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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.

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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.

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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.

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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.

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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

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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 7th 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.

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Dr. Lindsay Andras from Children’s Hospital of Los Angeles joins the show to discuss her recent randomized control trial comparing outcomes of functional bracing and spica casting for pediatric femoral shaft fractures. Drs. Andras and co-author Dr. Julia Sanders share insights from their experience conducting a randomized control trial and the pearls and pitfalls of implementing the functional brace. The lightning round highlights articles on spinal involvement in hereditary multiple osteochondromas, outcomes of pediatric multi-ligamentous knee injuries, and the impact of Pavlik harness treatment on breastfeeding efficacy.

Your hosts are Will Morris (Scottish Rite for Children in Dallas), Julia Sanders (Children’s Hospital of Colorado), Tyler McDonald (University of South Alabama), and Steph Logterman (Arnold Palmer Hospital for Children). Music by A. A. Aalto.

Disclosure: Drs. Lindsay Andras and Julia Sanders each receive royalties from Orthopediatrics who produce a version of the fracture brace discussed in this episode.

References:

1. Andras LM, Sanders JS, Phan TN, Purtell SR, Gasca J, Wren TAL, Sim AT, Skaggs D, Kramer A, Chavez M, Kay R. A Prospective, Randomized Comparison of Functional Bracing and Spica Casting for Femoral Fractures Showed Equivalent Early Outcomes. J Bone Joint Surg Am. 2025 Jun 26;107(16):1769-1776. doi: 10.2106/JBJS.24.01081. PMID: 40570075.

2. Casey VF, Chandler CC, Graham GD, Frick SL. Dynamic Femur Fracture Brace vs Hip Spica Cast for Pediatric Femoral Shaft Fractures: A Retrospective Comparative Cohort Study. J Pediatr Soc North Am. 2025 May 23;12:100203. doi: 10.1016/j.jposna.2025.100203. PMID: 40704087; PMCID: PMC12284357.

3. Lang PJ, Feroe A, Franco H, Hussain ZB, Tepolt FA, Kocher MS. Outcomes of Operative Management of Multi-Ligament Knee Injuries in an Adolescent Population: A Retrospective Case Series. J Pediatr Soc North Am. 2024 Feb 5;5(4):742. doi: 10.55275/JPOSNA-2023-742. PMID: 40432936; PMCID: PMC12088175.

4. Bram JT, Tracey OC, Trotzky Z, Jones RH, Jochl O, Cirrincione PM, Nichols E, Dodwell ER, Scher DM, Doyle SH, Sink EL. Pavlik Harness Treatment for Infantile Hip Dysplasia Lowers Breastfeeding Self-efficacy. J Pediatr Orthop. 2025 Sep 1;45(8):e701-e705. doi: 10.1097/BPO.0000000000002976. Epub 2025 Apr 21. PMID: 40256838.

5. Legler J, Benaroch LR, Pirshahid AA, Serhan O, Cheng D, Bartley D, Carey T, Rasoulinejad P, Singh S, Thornley P. Rate of Spinal Osteochondromas Diagnosed in Pediatric Patients With Hereditary Multiple Osteochondromas: A Systematic Review and Meta-Analysis. J Pediatr Orthop. 2025 Sep 1;45(8):e718-e723. doi: 10.1097/BPO.0000000000002975. Epub 2025 Apr 23. PMID: 40266849.

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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 discusses the management of DDH in infants under 6 months of age from stable sonographic dysplasia through refractory developmental hip dislocation. We are joined by Kishore Mulpuri from BC Children's hospital, Simon Kelley from Texas Children's Hospital, and Wudbhav Sankar from Children's hospital of Philadelphia as we discuss areas of consensus and discord in Pavlik harness treatment, second line therapy, and what to do when problems arise.

Hosted by Will Morris (Scottish Rite for Children). Edited by Carter Clement (Manning Family Children's Hospital). Music by A. A. Aalto.

Referenced Publications

• Behman AL, Bradley CS, Maddock CL, Sharma S, Kelley SP. Testing of an Ultrasound-Limited Imaging Protocol for Pavlik harness Supervision (TULIPPS) in developmental dysplasia of the hip: a randomized controlled trial. Bone Joint J. 2022 Sep;104-B(9):1081-1088. doi: 10.1302/0301-620X.104B9.BJJ-2022-0350.R2. PMID: 36047018.
• 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.
• 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.
• Striano B, Schaeffer EK, Matheney TH, Upasani VV, Price CT, Mulpuri K, Sankar WN; International Hip Dysplasia Institute. Ultrasound Characteristics of Clinically Dislocated But Reducible Hips With DDH. J Pediatr Orthop. 2019 Oct;39(9):453-457. doi: 10.1097/BPO.0000000000001048. PMID: 31503230.
• Harper P, Joseph BM, Clarke NMP, Herrera-Soto J, Sankar WN, Schaeffer EK, Mulpuri K, Aarvold A; International Hip Dysplasia Institute (IHDI). Even Experts Can Be Fooled: Reliability of Clinical Examination for Diagnosing Hip Dislocations in Newborns. J Pediatr Orthop. 2020 Sep;40(8):408-412. doi: 10.1097/BPO.0000000000001602. PMID: 32555048; PMCID: PMC7458090.
• Murnaghan ML, Browne RH, Sucato DJ, Birch J. Femoral nerve palsy in Pavlik harness treatment for developmental dysplasia of the hip. J Bone Joint Surg Am. 2011 Mar 2;93(5):493-9. doi: 10.2106/JBJS.J.01210. PMID: 21368082.

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Dr. Reid Nichols from Nemours joins the show to discuss her recent article on Ponseti treatment of arthrogrypotic clubfeet. The discussion spans numerous foot pathologies including bunions, coalitions, flatfeet, and some stuff you've probably never heard of! The gang is also excited to welcome a new host, Steph Logterman, to the podcast!

Your hosts are Carter Clement (Manning Family Children’s in New Orleans), Tyler McDonald (University of South Alabama), Craig Louer (Vanderbilt), and Steph Logterman (Arnold Palmer Hospital for Children). Music by A. A. Aalto.

References:

The 10-Year Functional Outcome of Ponseti Treatment of Idiopathic and Arthrogrypotic Clubfeet With an Age-Matched Control. Church et al. JPO 2025.

Surgical Treatment for Painful Pediatric Pes Planovalgus: How Does Subtalar Extra-articular Screw Arthroereisis Compare to the Standard Technique of Modified Evans Reconstruction? Nasreddine et al. JPO 2025.

Bedside Aspiration for Workup of the Pediatric Septic Hip: Avoid Trips to the OR and Expedited Time to Diagnosis. K Skaggs et al. JPO 2025.

Timing Matters: Challenges in Delayed Surgical Management of Pediatric Humeral Medial Epicondyle Fractures. Lee et al. JPO 2025.

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Part 2 of a 2-part series recapping the 2025 POSNA Annual Meeting in Las Vegas. In this episode, we sit down with the 2025 Program Committee — Drs. Julie Samora, Tony Riccio, John Vorhies, and Christine Ho — to hear what’s new and what makes this year’s meeting stand out. Drs. Lindsay Andras, Apurva Shah, Firoz Miyanji, and Christine Ho highlight some standout presentations from the Awards Papers session. Drs. Stu Weinstein and John Birch share their thoughts on memorable Case Reports and how this new format adds a unique dimension to the meeting. We also chat with Dr. Jon Schoenecker, winner of the Best Basic Science Paper, and Dr. Dan Sucato, winner of the Best Clinical Paper, to learn more about their award-winning research. Hosted by Tyler McDonald (University of South Alabama) and Will Morris (Scottish Rite for Children). Music by A. A. Aalto.

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Part 1 of a 2-part series recapping the 2025 POSNA Annual Meeting in Las Vegas. In this episode, we’re joined by Drs. Julia Sanders and David Spence (Trauma Session), Drs. Amy McIntosh and Lorena Flocarri (Spine Session), Drs. Ray Liu and Sean Tabaie (Neuromuscular and Lower Extremity Session), and Drs. Eduardo Novais and Eric Fornari (Hip Session) to discuss highlights from their respective sessions. Hosted by Tyler McDonald (University of South Alabama) and Will Morris (Scottish Rite for Children). Music by A. A. Aalto.

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April 2025 Show Notes

Drs. Jill Larson and Vineeta Swaroop from Northwestern University and Lurie Children’s Hospital in Chicago join the podcast for a journal club-style discussion of their group’s studies concerned with care for children with Spina Bifida and Neuromuscular Conditions. The lightening round articles touch on determination of femoral anteversion in the operating room, regional anesthesia for hip surgeries, and the value of tapping for pedicle screws during spine deformity surgery.

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

Main Event – Spina Bifida Journal Club

1. Dias LS, Swaroop VT, de Angeli LRA, Larson JE, Rojas AM, Karakostas T. Myelomeningocele: a new functional classification. J Child Orthop. 2021;15(1):1-5. doi:10.1302/1863-2548.15.200248
2. May JM, DeMaio EL, Larson JE. Long-term Clinical and Radiographic Results of Posteromedial Lateral Release for Neuromuscular Clubfoot Deformity. J Pediatr Orthop. 2025;45(2):87-92. doi:10.1097/BPO.0000000000002848
3. Poggiali P, May JM, Larson JE, Dias LS. Talectomy for the Treatment of Rigid Nonidiopathic Clubfoot Deformity: Long-term Follow-up. Journal of the Pediatric Orthopaedic Society of North America, Volume 9, 100112
4. Arkin C, Ihnow S, Dias L, Swaroop VT. Midterm Results of the Ponseti Method for Treatment of Clubfoot in Patients With Spina Bifida. J Pediatr Orthop. 2018;38(10):e588-e592. doi:10.1097/BPO.0000000000001248
5. Thompson RM, Foley J, Dias L, Swaroop VT. Hip Status and Long-term Functional Outcomes in Spina Bifida. J Pediatr Orthop. 2019;39(3):e168-e172. doi:10.1097/BPO.0000000000001266

Lightning Round

1. Yao B, Li D, Cui J, et al. Establishment of an Accurate and Precise Alternative Intraoperative Technique for Determination of Femoral Version. J Pediatr Orthop. Published online March 21, 2025. doi:10.1097/BPO.0000000000002920’
2. Reysner M, Reysner T, Janusz P, et al. Pericapsular Nerve Group (PENG) Block Versus Lumbar Erector Spinae Plane Block (ESPB) in Pediatric Hip Surgery: A Randomized, Double-Blinded, Controlled Trial. J Pediatr Orthop. 2025;45(4):e324-e330. doi:10.1097/BPO.0000000000002882
3. Tate A, Brouillet K, Braithwaite Iv HC, Luhmann SJ. Pedicle Screw Placement in Pediatric and Adolescent Spinal Deformity Surgery: Does Tapping of the Pedicle Screw Tract Increase Safety?. J Pediatr Orthop. 2025;45(5):269-273. doi:10.1097/BPO.0000000000002909

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Dr. Jeff Martus from Vanderbilt University joins the podcast to discuss his recent article on comparative outcomes between plating and intramedullary nails for the treatment of forearm fractures in children and adolescents. The theme for the episode is trauma and touches on management of a variety of fractures including lateral condyles, supracondylar humerus fractures, pelvic and acetabular trauma, and even the pitfalls of mutton bustin’.

Your hosts are Will Morris (Scottish Rite for Children). Tyler McDonald (University of South Alabama), Craig Louer (Vanderbilt), and Julia Sanders (University of Colorado). Music by A. A. Alto.

References:

1. Forearm Fractures in Older Children and Adolescents: ORIF is Safer Than IMN With Equivalent Outcomes. JPO. 2025 Mar. PMID: 39445700
2. Practice Patterns Vary Widely in the Care of Pediatric and Adolescent Pelvic and Acetabular Fractures: A CORTICES Survey. JPO. 2025 Mar. PMID: 39428588.
3. Pediatric Lateral Condyle Fractures with Elbow Dislocation: Revisiting the Song Classification of the Most Severe Injuries. JPO. 2025 Mar. PMID: 3990788.
4. Percutaneous Screw Fixation for the Management of Delayed Unions in Pediatric Lateral Humeral Condylar Fractures. JPO. 2025 Mar. PMID: 39523729.
5. Presentation to the Emergency Department Increases the Likelihood of Surgical Management of Minimally Displaced Gartland Type IIa Pediatric Supracondylar Humerus Fractures. JPO.2025 Mar. PMID: 39327894.
6. Remodeling of Sagittal Plane Malunion After Pediatric Supracondylar Humerus Fractures. JPO. 2020 Nov/Dec. PMID: 32604347.
7. From Sheep to Sling: Pediatric Injuries Due to Rodeo Mutton Bustin’. JPO. 2025 Apr. PMID: 39831656.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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This episode covers highlights from EPOSNA 2024, the combined meeting of POSNA and EPOS. Guests include: Dr. Jonathan Schoenecker (POSNA) and Dr. Melinda Witbreuk (EPOS) – co-moderators of Session 1 (Trauma), Dr. Peter Newton (POSNA) and Dr. Carol Hasler (EPOS) – co-moderators of Session 2 (Best of Spine), Prof. Deborah Eastwood (EPOS) and Dr. Steven Frick (POSNA) – co-moderators of Session 3B (Foot & Ankle), Dr. Yrjänä Nietosvaara (EPOS) and Dr. Julie Samora (POSNA) – co-moderators of Session 4B (Hand & Upper Extremity), Dr. Unni Narayanan (POSNA) and Dr. Ana Presedo (EPOS) – co-moderators of Session 4C (Neuromuscular). 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.

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Dr. Jonathan Schoenecker from Vanderbilt joins the show to discuss his recent research on using CRP to manage musculoskeletal infections. This episode also covers recent research on the value of axial imaging in infections, numerous hip preservation treatments and considerations, and more. This episode is sponsored by OrthoFix. Your hosts are Craig Louer from Vanderbilt, Carter Clement from Children’s Hospital of New Orleans, Josh Holt from University of Iowa, and Julia Sanders from Children’s Hospital Colorado. Music by A. A. Aalto.

"Main Event" Citations

1. CRP Predicts the Need to Escalate Care After Initial Debridement for Musculoskeletal Infection. Moore-Lotridge et al. JPO. 2024 Mar. PMID: 37997444

2. Clinical Utility of Repeat Magnetic Resonance Imaging Studies Among Children With Acute Hematogenous Osteomyelitis. Thorne et al. JPO. 2024 Mar. PMID: 38477331

"Lightning Round" Citations

1. A Role for Thyroid Testing in Slipped Capital Femoral Epiphysis? 32% Rate of Abnormal Values in Tested Patients. Nielsen et al. JPO. 2024 Feb. PMID: 38415747

2. Intraoperative Epiphyseal Perfusion Monitoring Does Not Reliably Predict Osteonecrosis Following Treatment of Unstable SCFE. Ellsworth et al. JPO. 2024 Feb. PMID: 38411144

3. Traditional Versus Water-resistant Short Leg Casting: A Randomized Controlled Pilot Study. Carveth et al. JPO. 2024 Feb. PMID: 38329338

4. Microwave Ablation of the Pig Growth Plate: Proof of Concept for Minimally Invasive Epiphysiodesis. Noonan et al. CORR. 2024 Mar. PMID: 38471002

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This month we are joined by Dr. Raymond Liu from Case Western Reserve and Rainbow Babies in Cleveland to discuss his work on skeletal maturity grading systems, patient reported outcomes in limb deformity, and 3D anatomical studies. Hear about Mongolia pushing the limits in rigid nailing of pediatric femur fractures and stick around for highlights from the lightning round including ultrasound for fracture diagnosis, guided growth for patellar instability and 3D analysis after spinal fusion.

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

For more information on the JPO Journal Club organized by Dr Liu, please contact Caroline Eaton from Advancing Pediatric Orthopaedics at ceaton@faportho.org.

To download the "What's the Skeletal Maturity" app for free, visit your device app store (Android currently undergoing upgrades, but available soon!)

Citations for papers discussed:

Moon TJ, Canitia E, Amakoutou K, et al. Prospective Multicenter Preliminary Validation of Limb Deformity-modified Scoliosis Instruments in Pediatric Patients With Limb Deformity. J Pediatr Orthop. 2024;44(3):e260-e266.

Furdock RJ, Sun KJ, Ren B, et al. The Reliability of the Modified Fels Knee Skeletal Maturity System. J Pediatr Orthop. 2024;44(2):e192-e196.

Nedder VJ, Chen KJ, May CC, Abzug JM, Liu RW. Developmental Anatomy of the Radial Bow in Pediatric Patients using 3D Imaging. J Pediatr Orthop. Published online February 23, 2024.

Catanzano, A. , Upasani, V. , Bryan, T. , Yaszay, B. & Newton, P. (2024). Breaking the Rules in Three Dimensions: What to Expect After a Thoracic-only Fusion With Structural Thoracic and Thoracolumbar Curves. Journal of Pediatric Orthopaedics, 44 (3), e242-e248.

Combs, K. & Kocher, M. (2024). US for Initial Diagnosis of a Suspected Distal Radial Fracture in Children Was Noninferior to Radiography for Arm Function at 28 Days. The Journal of Bone and Joint Surgery, 106 (4), 354. doi: 10.2106/JBJS.23.01337.

Tomasevich, Kelly M.a; Kantor, Adam H.a; Metz, Allan K.a; Hanson, Indiana T.b; Froerer, Devin L.c; Rosenthal, Reece M.a; Aoki, Stephen K.a. Mid-term outcomes of temporary medial distal femoral hemiepiphysiodesis with and without medial patellofemoral ligament repair for recurrent patellar instability in skeletally immature patients with genu valgum. Journal of Pediatric Orthopaedics B 33(2):p 119-129, March 2024.

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Dr. Mark Seeley from Geisinger Health System joins the show for a stimulating discussion on a wide range of topics including his practice as an employed surgeon in a healthcare system with its own health plan and some of the unique opportunities this provides. We discuss the role of surgeons in stewardship of healthcare spending. Dr. Seeley elaborates on his work in education and his recent study evaluating a novel femur osteotomy simulation tool. Articles selected for the lightning round include MRI predictors of residual hip dysplasia 10-years after hip reduction, risks of refracture after operatively treated both bone forearm fractures, and complications of operative treatment for lateral condyle humeral fractures with associated elbow dislocation. Your hosts are Josh Holt from University of Iowa and Julia Sanders from Children's Hospital Colorado. Music by A. A. Aalto.

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Dr. Dan Perry, a children’s orthopaedist and NIHR research professor from Liverpool, joins the show to discuss his recent research, including numerous ongoing multicenter trials spanning the UK and beyond: SCIENCE, CRAAFT, FORCE, BASIS, ODD SOCKS, to name a few. The lightning round touches on compartment syndrome in ECMO, why pedipods get low online reviews, and more. Your hosts are Carter Clement from Children’s Hospital of New Orleans and Craig Louer from Vanderbilt. Music by A. A. Aalto.

References:

Joseph et al. Radiological assessment of hip disease in children with cerebral palsy: development of a core measurement set. Bone & Joint Open. Nov 2023. PMID 37909150.

Bridges et al. Acute Compartment Syndrome in Pediatric Patients on Extracorporeal Membrane Oxygenation Support. JPO. Dec 2023 Epub. PMID 38084004.

Torres-Izquierdo et al. Is There a Role for Isolated Closed Reduction in the Emergency Department Without Fixation for Displaced Proximal Humerus Fractures in Adolescents? JPO. Dec 2023 Epub. PMID 38151963.

Martino et al. The Optimal Age for Surgical Management of DDH Differs by Treatment Method. JPO. Nov 2023 Epub. PMID 37970702.

Hitchman et al. An Analysis of Negative One-star Patient Reviews and Complaints for Pediatric Orthopaedic Surgeons throughout the United States: A Retrospective Study. JPO. Nov 2023 Epub. PMID 37970712.

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Drs. Tyler McDonald from the University of South Alabama and Phil Nowicki from Grand Rapids host this year’s coverage of the IPOS meeting. Guests include Dr. Todd Milbrant from Mayo who discusses IPOS planning and Ponseti casting pitfalls, Dr. Kishore Mulpuri from the University of British Columbia who discusses orphan hip conditions, Dr. Tony Riccio from TSRH who discusses foot deformities including pearls for the arthrogrypotic foot, Dr. Christine Ho from TSRH who discusses operative vs. nonoperative management of various dislocations and other sports-related injuries, Dr. Reid Nichols from Nemours who discusses teaching and bunions, Valerie Parrish, PA-C and Tracy Warhoover, RN who discuss the education of APP’s at IPOS, and Dr. Derek Kelly from Campbell Clinic who presents the 2023 IPOS award winners. This episode is produced by Tyler McDonald and Phil Nowicki along with Carter Clement from Children’s Hospital of New Orleans. Music by A.A. Aalto.

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Drs. Phil Nowicki of Grand Rapids and Tyler McDonald of University of South Alabama host this year’s coverage of the IPOS meeting. Guests include Dr. Woody Sankar of CHOP who discusses hip preservation in Charcot Marie Tooth and balancing our national workforce, Dr. Wade Shrader of Nemours who discusses neuromuscular care including 1st ray fusions, Dr. Bob Cho of the Los Angeles Shriners who presents tips for severe scoliosis cases, course directors Drs. Derek Kelly and Suken Shah who discuss the evolution of the IPOS meeting, Dr. Phil McClure of the University of Maryland who discusses limb length differences, and Dr. Kali Tileston of Stanford who discusses the emotional side or scoliosis bracing. This episode is produced by Tyler McDonald and Phil Nowicki along with Carter Clement from Children’s Hospital of New Orleans. Music by A.A. Aalto.

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Dr. Noelle Larson from Mayo Clinic joins the show to discuss her recent research. We discuss pearls and pitfalls of RCTs in orthopedics when discussing her famed Minimize Implants Maximize Outcomes study. We discuss new ways for eliciting patient and family surgery preferences with regards to VBT vs. PSF choices. We also touch on the evolving role of AI in pediatric orthopedics and enabling technologies such as navigation-assisted surgery. Highlights from the lightning round include long-term Dega osteotomy outcomes and some impressive results from Halo-Pelvic traction for severe spine deformities. Your hosts are Craig Louer from Vanderbilt, Carter Clement from Children’s Hospital of New Orleans, and Josh Holt from University of Iowa. Music by A. A. Alto.

Nov 2023 Show Notes – Noelle Larson

Main Event

The Effect of Implant Density on Adolescent Idiopathic Scoliosis Fusion: Results of the Minimize Implants Maximize Outcomes Randomized Clinical Trial. The Journal of Bone and Joint Surgery ():10.2106/JBJS.23.00178, November 16, 2023. | Larson, A. Noelle MD1,a,; Polly, David W. MD2,; Sponseller, Paul D. MD3; Kelly, Michael P. MD, MSc4; Richards, B. Stephens MD5; Garg, Sumeet MD6; Parent, Stefan MD, PhD7; Shah, Suken A. MD8; Weinstein, Stuart L. MD9; Crawford, Charles H. MD10; Sanders, James O. MD11; Blakemore, Laurel C. MD12; Oetgen, Matthew E. MD13; Fletcher, Nicholas D. MD14; Kremers, Walter K. PhD15; Marks, Michelle C. PT, MA16; Brearley, Ann M. PhD17; Aubin, Carl-Eric PhD18; Sucato, Daniel J. MD, MS5; Labelle, Hubert MD7; Erickson, Mark A. MD6; the Minimize Implants Maximize Outcomes Study Group†

Non-Fusion Versus Fusion Surgery in Pediatric Idiopathic Scoliosis: What Trade-Offs in Outcomes Are Acceptable for the Patient and Family?

A Noelle Larson, Michelle Claire Marks, Juan Marcos Gonzalez Sepulveda, Peter O Newton, Vincent J Devlin, Raquel Peat, Michelle E Tarver, Olufemi Babalola, Allen L Chen, David Gebben, Patrick Cahill, Suken Shah, Amer Samdani, Keith Bachmann, Baron Lonner

Journal of Bone and Joint Surgery. American Volume 2023 November 10

Radiation exposure in navigated techniques for AIS: is there a difference between pre-operative CT and intraoperative CT?

Mikaela H Sullivan, Lifeng Yu, Beth A Schueler, Ahmad Nassr, Julie Guerin, Todd A Milbrandt, A Noelle Larson

Spine Deformity 2023 October 24

• Settings on the intraoperative scanner typically were 80 kV, 20 mA, and 20 mAs, but occasionally 70 kV, 16 mA, and 64 mAs for patients < 60 kgs.

Automated Measurements of Interscrew Angles in Vertebral Body Tethering Patients with Deep Learning.

Kellen L Mulford, Christina Regan, Charles P Nolte, Zachariah W Pinter, Todd A Milbrandt, A Noelle Larson

Spine Journal : Official Journal of the North American Spine Society 2023 September 28

Lightning Round

Twelve to Twenty-year Follow-up of Dega Acetabuloplasty in Patients With Developmental Dysplasia of the Hip: Is it as Effective as Expected?

Murat Danişman, Gökay Dursun, İsmail Aykut Koçyiğit, Caglar Yilgor, Mehmet Cemalettin Aksoy

Journal of Pediatric Orthopedics 2023 November 2

Evaluation of Pulmonary Function After Halo-Pelvic Traction for Severe and Rigid Kyphoscoliosis Utilizing CT with 3D Reconstruction.

Lijin Zhou, Hanwen Zhang, Honghao Yang, Zhangfu Li, Chaofan Han, Yiqi Zhang, Yong Hai

Journal of Bone and Joint Surgery. American Volume 2023 September 22

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Dr Henry Ellis from TSRH joins the show to discuss his research on the functional outcomes of open vs. arthroscopic cam resection. Highlights from the lightning round include the impacts of seemingly benign parts of care like saw blades/Dermabond/Pavlik harnesses, the recovery process after femoral flex nails, and more. 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. This episode is sponsored by Nuvasive. Music by A. A. Alto.

Citations for papers discussed:

1) Morris et al. Comparison of Gait and Functional Outcomes between Arthroscopic and Open Treatment of Adolescent and Young Adult Femoroacetabular Impingement. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37791636/

2) Koritz et al. Incidence of Skin Sensitivity Following Dermabond Application in Pediatric Orthopaedic Surgery. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37820062/

3) Gettleman et al. Use of Surgical Adjuvants does not Decrease Recurrence of Aneurysmal Bone Cysts in Surgical Intervention with Pediatric Patients. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37815299/

4) Greenhill et al. Metaphyseal Fracture Displacement is Predictive of Intra-articular Diastasis in Adolescent Triplane Ankle Fractures. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37779308/

5) Batley et al. What are the Psychosocial Effects of Pavlik Harness Treatment? A Prospective Study on Perceived Impact on Families and Maternal-Infant Bonding. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37807604/

6) Stevens et al. Coated Cast Saw Blades Decrease Temperature During Cast Removal. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37796155/

7) Flinck et al. Recovery of Gait in Children and Adolescents after Pediatric Femoral Shaft Fracture treated with Intramedullary Nail Fixation: a Longitudinal Prospective Study. JPO E-pub Oct 2023. https://pubmed.ncbi.nlm.nih.gov/37791633/

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Dr Ishaan Swarup from UCSF joins the show this month to discuss distal tibial physeal fractures. Highlights from the lightning round include the interplay of race, socioeconomic status and self-image in scoliosis, measuring rotation with advanced imaging and clinical examination, and selective dorsal rhizotomy. Your hosts are Julia Sanders from Children’s Hospital Colorado, Carter Clement from Children’s Hospital of New Orleans, Craig Louer from Vanderbilt, and Josh Holt from University of Iowa. Music by A. A. Alto.

Citations for papers discussed can be found below:

Swarup I, Pearce R, Sanborn R, Shore BJ; Children’s Orthopaedic Trauma and Infection Consortium for Evidence Based Studies (CORTICES). Variations in the Management of Closed Salter-Harris II Distal Tibia Fractures. J Pediatr Orthop. 2023;43(9):e742-e746.

Onay T, Çelen ZE, Bayhan M, Kandemir İ, Kiliç NC, Kayaalp ME. A More Conservative Approach in the Surgical Management of Pediatric Physeal Ankle Fractures Should be Preferred: Mid to Long-term Functional Outcomes of Three Different Surgical Techniques for Salter-Harris Type II and Triplane Distal Tibial Fractures. J Pediatr Orthop. 2023;43(9):e734-e741.

Sheth M, Kitziger R, Bindner C, Rosenfeld SB. Computed Tomography Analysis of Distal Tibia Physeal Fracture Patterns: A Classification and Technique for Optimizing Screw Trajectory [published online ahead of print, 2023 Aug 29]. J Pediatr Orthop. 2023;10.1097/BPO.0000000000002498.

Erkkila, I. P., Reynolds, C. A., Weissman, J. P., Levine, O. P., Aronson, H., Knoll, J. M., & Larson, J. E. (2023). Factors Associated with Presentation of Severe Adolescent Idiopathic Scoliosis: Original Research. Journal of the Pediatric Orthopaedic Society of North America, 5(3).

Cirrincione PM, Thakur A, Zucker CP, et al. Exploring Correlations Between Pain and Deformity in Idiopathic Scoliosis With Validated Self-reported Pain Scores, Radiographic Measurements, and Trunk Surface Topographic Measurements [published online ahead of print, 2023 Aug 21]. J Pediatr Orthop. 2023;10.1097/BPO.0000000000002493.

Edmonds, E. W., Parvaresh, K. C., Price, M. J., Farnsworth, C. L., Bomar, J. D., Hughes, J. L., & Upasani, V. V. (2023). The Reliability of Measurements for Tibial Torsion: A Comparison of CT, MRI, Biplanar Radiography, and 3D Reconstructions With and Without Standardized Measurement Training: Original Research. Journal of the Pediatric Orthopaedic Society of North America, 5(3).

Miller SD, Juricic M, Bone JN, Steinbok P, Mulpuri K. The Effect of Selective Dorsal Rhizotomy on Hip Displacement in Children With Cerebral Palsy: A Long-term Follow-up Study. J Pediatr Orthop. 2023;43(9):e701-e706.

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Dr. Christopher Makarewich from University of Utah and the Salt Lake City Shriners Hospital returns to the show to discuss his recent research on guided growth in achondroplasia. The lightning round delves deeper into achondroplasia including medical treatment and elective limb lengthening. Your hosts are 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. Aalto.

Citations

Hemiepiphysiodesis for Lower Extremity Coronal Plane Angular Correction in the Distal Femur and Proximal Tibia in Children with Achondroplasia. Makarewich et al. JPO Sept 2023.

Once-daily, subcutaneous vosoritide therapy in children with achondroplasia: a randomised, double-blind, phase 3, placebo-controlled, multicentre trial. Savarirayan et al. Lancet 2020.

What’s New in Limb Lengthening and Deformity Correction? Bafor and Iobst. JBJS Aug 2023.

Achondroplasia and limb lengthening: Results in a UK cohort and review of the literature. Donaldson et al. Journal of Orthopaedics 2015.

Extensive Limb Lengthening for Achondroplasia and Hypochondroplasia. Paley. Children 2021.

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Ira Zaltz, Peter Newton, James Wall, Rene Caissie, and Manoj Ramachandran join the show to discuss their experiences developing innovative products in the field of pediatric orthopaedic surgery and beyond. The broad-ranging conversation covers their personal journeys, raising funding for new ventures, partnering with industry, mistakes they made, and more! Your hosts are Carter Clement from Children's Hospital of New Orleans and Kevin Shea from Stanford. Music by A.A. Aalto.

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Ira Zaltz, Peter Newton, James Wall, Rene Caissie, and Manoj Ramachandran join the show to discuss their experiences developing innovative products in the field of pediatric orthopaedic surgery and beyond. The broad-ranging conversation covers their personal journeys, raising funding for new ventures, partnering with industry, mistakes they made, and more! Your hosts are Carter Clement from Children's Hospital of New Orleans and Kevin Shea from Stanford. Music by A.A. Aalto.

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Dr. Ben Shore from Boston Children's joins the show to discuss his recent research on trauma, infection, discharge planning, neuromuscular hips, and more. The lightning round covers Vitamin D deficiency, scoliosis bracing, guided growth, and shared decision making. This episode is sponsored by Depuy Synthes Spine. Your hosts are Craig Louer from Vanderbilt, Carter Clement from Children’s Hospital of New Orleans, Julia Sanders from Children's Hospital Colorado, and Josh Holt from University of Iowa. Music by A. A. Aalto.

References:

Watkins et al. The Reliability of Intraoperative Hip Arthrography in Cerebral Palsy Hip Reconstruction. JPOSNA 2023. https://doi.org/10.55275/JPOSNA-2023-595

Flaugh et al. Barriers to Discharge After Hip Reconstruction Surgery in Non-ambulatory Children With Neurological Complex Chronic Conditions. JPO Sept 2022.

Upasani et al with CORTICES Study Group. Practice Variation in the Surgical Management of Children With Acute Hematogenous Osteomyelitis. JPO 2022.

Montgomery et al. Minimizing Surgeon Radiation Exposure During Operative Treatment of Pediatric Supracondylar Humerus Fractures. JPO 2023.

Lightning Round

Karkenny et al. Pediatric Fractures: Does Vitamin D Play a Role? JPO 2023.

Catanzano et al. Cast or Nail? Using a Preference-Based Tool for Shared Decision-Making in Pediatric Femoral Shaft Fracture Treatment. JPO 2023.

Zapata et al. Early brace treatment for idiopathic scoliosis may change the paradigm to improve curves. Spine Deformity 2023.

McGinley et al. Faster Rate of Correction with Distal Femoral Transphyseal Screws Versus Plates in Hemiepiphysiodesis for Coronal-Plane Knee Deformity: Age- and Sex-Matched Cohorts of Skeletally Immature Patients. JBJS 2023.

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Dr. Coleen Sabatini from UCSF joins the show to discuss implicit bias and bullying in our field, changing and international trends in supracondylars, and two international orthopedic public health issues she is immersed in solving: gluteal fibrosis and post-injection paralysis. The lightning round highlights new ultrasound techniques, SCFE implants, and more.

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

References:

New Injury Patterns in Pediatric Supracondylar Fractures During COVID-19: Beds Are the New Monkey Bars. Soriano et al. JPO Apr 2023. https://pubmed.ncbi.nlm.nih.gov/36662751/

Supracondylar humerus fractures in low- and lower middle-income countries: a scoping review of the current epidemiology, treatment modalities, and outcomes. Challa et al. International Orthopedics 2020. https://pubmed.ncbi.nlm.nih.gov/32691122/

Implicit Racial Bias in Pediatric Orthopaedic Surgery. Guzek et al. JPO 2022. https://pubmed.ncbi.nlm.nih.gov/35522848/

The Prevalence of Bullying Among Pediatric Orthopaedic Patients. Carrillo et al. JPO 2021. https://pubmed.ncbi.nlm.nih.gov/34294669/

Epidemiology and treatment outcomes in pediatric patients with post-injection paralysis. Song et al. BMC Musculoskeletal Disorders 2022. https://pubmed.ncbi.nlm.nih.gov/35932071/

Surgical Release of Gluteal Fibrosis in Children Results in Sustained Benefit at 5-Year Follow-up. Reilly et al. JPO 2021. https://pubmed.ncbi.nlm.nih.gov/33481480/

Gluteal Fibrosis and Its Surgical Treatment. Alves et al. JBJS 2019. https://pubmed.ncbi.nlm.nih.gov/30801376/

Gluteal fibrosis, post-injection paralysis, and related injection practices in Uganda: a qualitative analysis. Alves et al. BMC Health Services Research 2018. https://pubmed.ncbi.nlm.nih.gov/30477506/

Burden of gluteal fibrosis and post-injection paralysis in the children of Kumi District in Uganda. BMC Musculoskeletal Disorders 2018. https://pubmed.ncbi.nlm.nih.gov/30249239/

Lightning Round:

The Usefulness of Dynamic Ultrasonography in Nursemaid's Elbow: A Prospective Case Series of 13 Patients Reconsideration of the Pathophysiology of Nursemaid's Elbow. Tsai et al. JPO July 2023. https://pubmed.ncbi.nlm.nih.gov/36962080/

Seven-year Outcomes of Adolescent Forearm Fractures Treated With Plate Fixation. Folkman et al. JPO June 2023. https://pubmed.ncbi.nlm.nih.gov/37072917/

The Addition of Daytime Physiotherapeutic Scoliosis-specific Exercises to Adolescent Idiopathic Scoliosis Nighttime Bracing Reduces Curve Progression. Zapata et al. JPO July 2023. https://pubmed.ncbi.nlm.nih.gov/36922003/

Who Benefits From Allowing the Physis to Grow in Slipped Capital Femoral Epiphysis? Winger et al. JPO July 2023. https://pubmed.ncbi.nlm.nih.gov/36977364/

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This special episode brings you highlights from the 2023 annual POSNA meeting in Nashville. Guests include Pat Cahill from CHOP, Jeanne Franzone from Nemours, Neeraj Patel from Lurie Children's Hospital, Greg Mencio from Vanderbilt, and Jonathan Schoenecker from Vanderbilt. Your hosts are Carter Clement from Children's Hospital of New Orleans, Craig Louer from Vanderbilt, and Julia Sanders from Children's Hospital Colorado. Music by A.A. Aalto.

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This special episode brings you highlights from the 2023 annual POSNA meeting in Nashville. Special guests include Colin May from Boston Children's and Jaime Denning from Cincinnati Children's (foot & ankle subspecialty session), Ben Sheffer from Campbell Clinic and Ryan Muchow from the Lexington Shriners Hospital (trauma subspecialty session), Ben Shore from Boston Children's (CORTICES study group), Salil Upasani from Rady Children's Hospital (hip subspecialty session), and Nirav Pandya from UCSF (sports subspecialty session). Your hosts are Carter Clement from Children's Hospital of New Orleans, Craig Louer from Vanderbilt, and Julia Sanders from Children's Hospital Colorado. Music by A.A. Aalto.

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Dr Matt Ellington from Central Texas Pediatric Orthopedics joins the show this month! We discuss pain management for ACL reconstruction and the danger of opioid use disorders, as well as grit scores and Dr Ellington’s pearls for a variety of sports cases. The lightning round highlights the outcomes of THA in pediatric patients, spinal trauma classification systems, and long term outcomes after scoliosis surgery.

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

References:

Akazawa et al. Health-Related Quality of Life of Patients With Adolescent Idiopathic Scoliosis at Least 40 Years After Surgery. Spine (Phila Pa 1976). 2023.

Pascual-Leone N et al. Higher Grit Scores Are Associated With Earlier Increases in Knee Flexion Following Anterior Cruciate Ligament Reconstruction With Meniscus Repair in Pediatric Patients. JPO. 2023.

Sborov KD et al. Thoracolumbar Injury Classification and Severity Scale Can Help Identify Intra-Abdominal Injury in Children Injured in an MVC. JPOSNA. 2023.

Whitmarsh-Brown MA et al. Modernizing Our Understanding of Total Hip Arthroplasty in the Pediatric and Young Adult Patient: A Single-center Experience. JPO. 2023..

Cahan et al. Opioid Represcriptions After ACL Reconstruction in Adolescents Are Associated With Subsequent Opioid Use Disorder. JPO. 2023..

O'Neill NP et al. The Reliability of the AO Spine Upper Cervical Classification System in Children: Results of a Multi-Center Study. JPO. 2023.

Wagner et al. Variability in Pain Management Practices for Pediatric Anterior Cruciate Ligament Reconstruction. JPO. 2023.

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Joshua Klatt of The University of Utah joins the show to discuss his recent randomized prospective trial on casting material in pediatric forearm fractures. He will then enlighten the audience with the "one right way" to approach a variety of controversial spine, hip, and trauma conditions. Host Joshua Holt from University of Iowa leads the session with co-hosts Carter Clement (Children's Hospital of New Orleans) and Julia Sanders (Children's Hospital Colorado).
Plaster Versus Ortho-Glass®: Does Initial Splint Material Matter in Pediatric Forearm Fracture Outcomes? A Randomized, Prospective Trial. Ludwig et al. JPOSNA 2023. https://doi.org/10.55275/JPOSNA-2023-597
 Does Transitioning to a Brace Improve HRQoL After Casting for Early Onset Scoliosis? Henstenburg et al and the PSSG. JPO Epub 2023. PMID: 36728464 Normative Femoral and Tibial Lengths in a Modern Population of Twenty-First-Century U.S. Children. Chen et al. JBJS Am Epub 2023. PMID: 36727888. Imposter Syndrome Among Surgeons Is Associated With Intolerance of Uncertainty and Lower Confidence in Problem Solving. Lin et al. and The Science of Variation Group. CORR Epub 2022. PMID: 36073997. A Practical Guide for Improving Orthopaedic Care in Children with Autism Spectrum Disorder. Maloy et al. JPOSNA 2023. https://doi.org/10.55275/JPOSNA-2023-640

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Dr. Derek Kelly from Campbell Clinic Orthopedics in Memphis, TN joins the show to discuss his recent article about Ponseti casting performed by MDs and PTs. We will "stir the pot" by asking Dr. Kelly about his treatment preferences in controversial foot and hip cases. The lightning round focuses on recent publications from top peds orthopedic journals. Your hosts are Craig Louer from Vanderbilt, Josh Holt from University of Iowa, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Alto.

“Main Event” article:

Chen, Stephanie N. MD; Ragsdale, Tyler D. MD†; Rhodes, Leslie N. DNP, PPCNP-BC‡,§; Locke, Lindsey L. MSN, CPNP-PC§; Moisan, Alice BSN, RN∥; Kelly, Derek M. MD. Prospective, Randomized Ponseti Treatment for Clubfoot: Orthopaedic Surgeons Versus Physical Therapists. Journal of Pediatric Orthopaedics 43(2):p e93-e99, February 2023. | DOI: 10.1097/BPO.0000000000002291

Lightning Round articles:

1. Yu, Sze-Hon1; Ng, Cheuk-Man1; Pui-Yin Cheung, Jason MD, MS, MMedSc, PDipMDPath, Med, FRCSEd1; Ka-Hon Shea, Graham MBBS, PhD, FRCSEd1,a. Post-Maturity Progression in Adolescent Idiopathic Scoliosis Curves of 40° to 50°. The Journal of Bone and Joint Surgery ():10.2106/JBJS.22.00939, January 23, 2023. | DOI: 10.2106/JBJS.22.00939
2. Stults, William P. MD*; Peljovich, Allan E. MD, MPH†. Surgical Excision of Postaxial Polydactyly Type B in the Office Setting. Journal of Pediatric Orthopaedics ():10.1097/BPO.0000000000002346, January 10, 2023. | DOI: 10.1097/BPO.0000000000002346
3. Pradhan, Pratik BS; Townsend, Tracy K. MD; Cook, Danielle MA; Feldman, Lanna MS; Canizares, Maria Fernanda MD, MPH; Watkins, Colyn MD; Shore, Benjamin J. MD, MPH. Do All Pediatric Femoral Shaft Fractures Need a Computed Tomography Scan of the Ipsilateral Femoral Neck? Calculating the Incidence of Concomitant Femoral Neck and Shaft Fractures. Journal of Pediatric Orthopaedics ():10.1097/BPO.0000000000002334, December 26, 2022. | DOI: 10.1097/BPO.0000000000002334
4. Shah, Hitesh MS Orth; Singh, Kumar Amerendra MS Orth; Joseph, Benjamin MS Orth, MCh Orth, FRCS Ed. Does Prolonged Weight Relief Increase the Chances of a Favourable Outcome After Containment for Perthes Disease?. Journal of Pediatric Orthopaedics 43(2):p e144-e150, February 2023. | DOI: 10.1097/BPO.0000000000002302
5. Sanders, Julia S. MD*; Ouillette, Ryan J. MD†; Howard, Roland MD†; Boutelle, Kelly BS‡; Carroll, Alyssa N. MPH‡; Bastrom, Tracey P. MA‡; Paik, Christina PA-C‡; Stearns, Philip CPNP‡; Pennock, Andrew T. MD†,‡; Upasani, Vidyadhar V. MD†,‡. Nonoperative Versus Operative Treatment of Type IIA Supracondylar Humerus Fractures: A Prospective Evaluation of 99 Patients. Journal of Pediatric Orthopaedics 43(1):p e9-e16, January 2023. | DOI: 10.1097/BPO.0000000000002282

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Spine enthusiasts, rejoice!  An expert panel joins the podcast to discuss and debate the techniques, indications, and all aspects of performing Posterior Column Osteotomies for pediatric spine deformity. Your hosts are Lorena Floccari from Akron Children's Hospital, Kenneth Illingworth from Cedars-Sinai Hospital LA, and Craig Louer from Vanderbilt Children's Hospital. Music by A. A. Alto.

Expert Panel:

Haemish Crawford, FRACS.  Starship Children’s Hospital; Auckland, New Zealand

James O. Sanders, MD.   University of North Carolina; Chapel Hill, NC

Suken A. Shah, MD.  Nemours Children's Health; Wilmington, DE

Daniel J. Sucato, MD, MS.   Scottish Rite Hospital; Dallas, TX

This installment is performed in conjunction with the Journal of the Pediatric Orthopedic Society of North America (JPOSNA). The Feb 1, 2023 release of JPOSNA includes a critical concepts review article on PCO technique and use in addition to a transcript form of this panel discussion. 

February 2022 JPOSNA Table of Contents: https://jposna.org/index.php/jposna

PCOs in AIS Current Concepts Review: https://jposna.org/index.php/jposna/article/view/638

PCO Expert Panel: https://jposna.org/index.php/jposna/article/view/639

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Jack Flynn and Alex Gornitzky from CHOP and University of Michigan, respectively, join the show to discuss their recent article on the psychology of scoliosis bracing. The lightning round focuses on recent publications by Dr. Flynn with some controversies mixed in to give the guests a chance to "stir the pot." Your hosts are Carter Clement from Children’s Hospital of New Orleans, Josh Holt from University of Iowa, and Craig Louer from Vanderbilt. The episode is sponsored by nView Medical. Music by A. A. Alto.

“Main Event” article:

Why Don't Adolescents Wear Their Brace? A Prospective Study Investigating Psychosocial Characteristics That Predict Scoliosis Brace Wear. Gornitzky et al. JPO Jan 2023. https://pubmed.ncbi.nlm.nih.gov/36194756/

Lightning (a.k.a. “Jumpin Jack Flash”) Round articles:

Lengthening Behavior of Magnetically Controlled Growing Rods in Early-Onset Scoliosis: A Multicenter Study. Heyer et al. JBJS Oct 2022. https://pubmed.ncbi.nlm.nih.gov/36367763/

Best Practice Guidelines for Surgical Site Infection in High-risk Pediatric Spine Surgery: Definition, Prevention, Diagnosis, and Treatment. Badin et al. JPO Nov-Dec 2022. https://pubmed.ncbi.nlm.nih.gov/36037438/

A Modern Day Timeline for In-Hospital Monitoring in Perfused, Pulseless Pediatric Supracondylar Humerus Fractures. Heyer et al. JPO Nov-Dec 2022. https://pubmed.ncbi.nlm.nih.gov/35980760/

Preoperative MRI Reliably Predicts Pedicle Dimensions on Intraoperative CT Images in Structural Main Thoracic Curves in Patients With Adolescent Idiopathic Scoliosis. Mitchell et al. Spine (Phila PA 1976) Sept 2022. https://pubmed.ncbi.nlm.nih.gov/35867611/

Early Knee Range of Motion Following Operative Treatment for Tibial Tubercle Avulsion Fractures Is Safe. Huang et al. JPO Oct 2022. https://pubmed.ncbi.nlm.nih.gov/35968996/

Getting the Message: The Declining Trend in Opioid Prescribing for Minor Orthopaedic Injuries in Children and Adolescents. Krakow et al. JBJS Jul 2022. https://pubmed.ncbi.nlm.nih.gov/35793795/

Complications following surgical treatment of adolescent idiopathic scoliosis: a 10-year prospective follow-up study. Hariharan et al. Spine Deformity Sept 2022. https://pubmed.ncbi.nlm.nih.gov/35488969/

Evidence Behind Upper Instrumented Vertebra Selection in Adolescent Idiopathic Scoliosis: A Systematic and Critical Analysis Review. Baghdadi et al. JBJS Reviews Sept 2021. https://pubmed.ncbi.nlm.nih.gov/35417439/

Better Patient Care Through Physician Extenders and Advanced Practice Providers. Milewski et al. JPO May-June 2022. https://pubmed.ncbi.nlm.nih.gov/35405696/

Thoracic Curve Correction Ratio: An Objective Measure to Guide against Overcorrection of a Main Thoracic Curve in the Setting of a Structural Proximal Thoracic Curve. Landrum et al. Journal of Clinical Medicine Mar 2022. https://pubmed.ncbi.nlm.nih.gov/35329871/

Benchmarking surgical indications for adolescent idiopathic scoliosis across time, region, and patient population: a study of 4229 cases. Heyer et al. Spine Deformity July 2022. https://pubmed.ncbi.nlm.nih.gov/35258846/

When Is an Isolated Olecranon Fracture Pathognomonic for Osteogenesis Imperfecta? VanEenenaam et al. JPO May-June 2022. https://pubmed.ncbi.nlm.nih.gov/35200208/

Unplanned Return to the Operating Room (UpROR) After Pediatric Diaphyseal Femoral Fractures. Baghdadi et al. JPO Feb 2022. https://pubmed.ncbi.nlm.nih.gov/34923506/

Awake serial body casting for the management of infantile idiopathic scoliosis: is general anesthesia necessary? LaValva et al. Spine Deformity Oct 2020. https://pubmed.ncbi.nlm.nih.gov/32383143/

Do Year-Out Programs Make Medical Students More Competitive Candidates for Orthopedic Surgery Residencies? Bram et al. Journal of Surgical Education Nov-Dec 2020. https://pubmed.ncbi.nlm.nih.gov/32505668/

Why Irrigate for the Same Contamination Rate: Wound Contamination in Pediatric Spinal Surgery Using Betadine Versus Saline. Cohen et al. JPO Nov-Dec 2020. https://pubmed.ncbi.nlm.nih.gov/33044376/

Mistakes Made and Lessons Learned: A Mid-Career Pediatric Orthopaedic Surgeon's Journey to Sustain Energy and Avoid Burnout. Flynn. JPO July 2020. https://pubmed.ncbi.nlm.nih.gov/32502065/

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A special episode recorded live at IPOS, the International Pediatric Orthopaedic Symposium. Esteemed guests include Woody Sankar from CHOP, Jennifer Bauer from Seattle Children's, David Skaggs from Cedars Sinai, Jaysson Brooks from TSRH, Sandra Jarvis-Selinger from University of British Columbia, Suken Shah from Nemours, and Derek Kelly from Campbell Clinic. This episode is sponsored by Depuy Synthes. Your hosts are Carter Clement from Children's Hospital of New Orleans and Craig Louer from Vanderbilt. Music by A.A. Aalto.

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A special episode recorded live at IPOS, the International Pediatric Orthopaedic Symposium. Esteemed guests include Jon Schoenecker from Vanderbilt, Will Mackenzie from Nemours, Michelle Wellborn from the Portland Shriners Hospital, Tom McPartland from Rutgers, Haemish Crawford from Starship Hospital in New Zealand, and Deborah Eastwood from Great Ormond Street Hospital in London. In lieu of sponsorship, the episode includes a feature on OrthoKids.org, POSNA's informational website for patients and parents (posters and other material for your clinic available at www.cliniccreative.net). Your hosts are Carter Clement from Children's Hospital of New Orleans, Craig Louer from Vanderbilt, and Nick Fletcher from Children's Healthcare of Atlanta. Music by A.A. Aalto.

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Dustin Greenhill from St. Luke’s in Pennsylvania discusses femur fractures, subspecialty consultation before high-risk spine surgery, forearm fractures in obese children, and a variety of hip-related issues from recent publications. Your hosts are Julia Sanders from Children’s Hospital Colorado, Carter Clement from Children’s Hospital of New Orleans, Craig Louer from Vanderbilt, and Josh Holt from University of Iowa. This episode is sponsored by OrthoFix. Music by A. A. Aalto.

Papers discussed:

Greenhill, Allred, Feldman, Herman. Vascular Safe Zone During Percutaneous Pinning of the Distal Femur. JPO 2022.

Greenhill, Herman. Treatment of Pediatric Femoral Shaft Fractures. JAAOS 2022.

Bauer, Sienko, Roy, et al. The incidence of avascular necrosis in children with cerebral palsy after hip containment surgery. JCO 2022.

Visser, Lehman, Armstrong. Does Routine Subspecialty Consultation Before High-Risk Pediatric Spine Surgery Decrease the Incidence of Complications? JPO 2022.

Murphy, Howells, Gallagher, et al. Children's Hip Predictive (CHiP) Score: A Triage Tool for Hip Dislocation in Children Referred With Suspected Hip Dysplasia. JPO 2022.

Lyons, McGregor, Hoyt, et al. Do Forearm Fracture Characteristics and Outcomes Differ Between Obese and Non-Obese Children? Original Research. JPOSNA 2022.

Smith, Block, Eisenberg, Shoenecker, Clohisy, Nepple. Characterizing the Residual SCFE Deformity: Utility of the 45-degree Dunn View. JPO 2022.

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Heather Kowalski of The University of Iowa joins the show to discuss her recent JPOSNA publications on resident education through state-of-the-art simulation and her efforts to promote diversity and inclusion in our field. She “stirs the pot” on a variety of controversial topics in pediatric trauma and limb length inequality. Your hosts are Josh Holt from University of Iowa, Carter Clement from Children’s Hospital of New Orleans, Craig Louer from Vanderbilt, and Julia Sanders from Children’s Hospital Colorado. Music by A.A. Aalto.

Main Event Articles:

1) Holt et al. Integrating Simulation for Developing Pediatric Supracondylar Humeral Fracture Reduction and Fixation Skills into an Orthopaedic Surgery Residency Program. JPOSNA 2022.

2) Holt et al. Integrating Simulation for Developing Slipped Capital Femoral Epiphysis Fixation Skills into an Orthopaedic Surgery Residency Program. JPOSNA 2022.

3) Thomas et al. A Vision for Using Simulation & Virtual Coaching to Improve the Community Practice of Orthopedic Trauma Surgery. Iowa Orthop J. 2020.

Lightning Round Articles:

1) Georgiadis et al. Motorized Plate Lengthening of the Femur in Children: A Preliminary Report. JPO 2022.

2) Mahan et al. Fully displaced pediatric supracondylar humerus fractures: Which ones need to go at night? JCO 2022.

3) Weinmayer et al. Angular deformities after percutaneous epiphysiodesis for leg length discrepancy. JCO 2022.

4) Miller et al. Unilateral versus bilateral reconstructive hip surgery in children with cerebral palsy: A survey of pediatric orthopedic surgery practice and decision-making. JCO 2022.

5) Vij et al. Ethnic and Sex Diversity in Academic Orthopaedic Surgery: A Cross-sectional Study. JAAOS Glob Res Rev. 2022.

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Heather Kowalski of The University of Iowa joins the show to discuss her recent JPOSNA publications on resident education through state-of-the-art simulation and her efforts to promote diversity and inclusion in our field. She “stirs the pot” on a variety of controversial topics in pediatric trauma and limb length inequality. Your hosts are Josh Holt from University of Iowa, Carter Clement from Children’s Hospital of New Orleans, Craig Louer from Vanderbilt, and Julia Sanders from Children’s Hospital Colorado. Music by A.A. Aalto.

Main Event Articles:

1) Holt et al. Integrating Simulation for Developing Pediatric Supracondylar Humeral Fracture Reduction and Fixation Skills into an Orthopaedic Surgery Residency Program. JPOSNA 2022.

2) Holt et al. Integrating Simulation for Developing Slipped Capital Femoral Epiphysis Fixation Skills into an Orthopaedic Surgery Residency Program. JPOSNA 2022.

3) Thomas et al. A Vision for Using Simulation & Virtual Coaching to Improve the Community Practice of Orthopedic Trauma Surgery. Iowa Orthop J. 2020.

Lightning Round Articles:

1) Georgiadis et al. Motorized Plate Lengthening of the Femur in Children: A Preliminary Report. JPO 2022.

2) Mahan et al. Fully displaced pediatric supracondylar humerus fractures: Which ones need to go at night? JCO 2022.

3) Weinmayer et al. Angular deformities after percutaneous epiphysiodesis for leg length discrepancy. JCO 2022.

4) Miller et al. Unilateral versus bilateral reconstructive hip surgery in children with cerebral palsy: A survey of pediatric orthopedic surgery practice and decision-making. JCO 2022.

5) Vij et al. Ethnic and Sex Diversity in Academic Orthopaedic Surgery: A Cross-sectional Study. JAAOS Glob Res Rev. 2022.

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Dr. Maryse Bouchard from The Hospital for Sick Children ("SickKids") in Toronto honors the show with her presence this month. The conversation focuses on her specialties of foot & ankle and limb deformity but also branches into other areas. Thanks to our sponsor, Nemours Children's Health. Your hosts are Craig Louer from Vanderbilt, Carter Clement from Children's Hospital of New Orleans, Josh Holt from Iowa, and Julia Sanders from Children's Hospital Colorado. Music by A.A. Aalto.

Main Event articles:

1. Addar A, Bouchard M. Clinically Detected Leg Length Discrepancy in Patients With Idiopathic Clubfoot Deformity: Prevalence and Outcomes. J Pediatr Orthop. 2022 Aug 1;42(7):e772-e776. doi: 10.1097/BPO.0000000000002178. Epub 2022 May 10. PMID: 35543605.
2. Trottier ÉR, Hatcher L, Feng J, Camp M, Bouchard M. Incidence of secondary interventions after early spica casting for diaphyseal femur fractures in young children. Can J Surg. 2022 Jul 5;65(4):E417-E424. doi: 10.1503/cjs.006521. PMID: 35790240; PMCID: PMC9337866.

Lightning Round articles:

1. Sisman A, Avci O, Cepni SK, Cullu E. Is There a Chance to Treat Modified Gartland Type IIB Pediatric Supracondylar Humerus Fractures With Closed Reduction and Casting? J Pediatr Orthop. 2022 Sep 1;42(8):e821-e827. doi: 10.1097/BPO.0000000000002210. Epub 2022 Jul 14. PMID: 35834371.
2. Mahan, S. T., Miller, P. E., May, C., Kasser, J. R., & Spencer, S. A. (2022). Bilateral Tarsal Coalitions: Are Postoperative Outcomes Different From Unilateral? Original Research. JPOSNA®, 4(3). Retrieved from https://jposna.org/index.php/jposna/article/view/428
3. Cummings JL, Hosseinzadeh P. Patient-Reported Pain and Function Outcomes in Children with Congenital Vertical Talus Treated With the Minimally Invasive Method. J Pediatr Orthop. 2022 Sep 2. doi: 10.1097/BPO.0000000000002259. Epub ahead of print. PMID: 36053022.
4. Badin D, Raad M, Sponseller PD. Tibial Tuberosity Fracture: A Highly Selective Injury. J Pediatr Orthop. 2022 Aug 24. doi: 10.1097/BPO.0000000000002247. Epub ahead of print. PMID: 35998240.
5. Paek S, Mo M, Hogue G. Treatment of paediatric Lisfranc injuries: A systematic review and introduction of a novel treatment algorithm. J Child Orthop. 2022 Jun;16(3):198-207. doi: 10.1177/18632521221092957. Epub 2022 May 10. PMID: 35800659; PMCID: PMC9254024.

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Dr. Maryse Bouchard from The Hospital for Sick Children ("SickKids") in Toronto honors the show with her presence this month. The conversation focuses on her specialties of foot & ankle and limb deformity but also branches into other areas. Thanks to our sponsor, Nemours Children's Health. Your hosts are Craig Louer from Vanderbilt, Carter Clement from Children's Hospital of New Orleans, Josh Holt from Iowa, and Julia Sanders from Children's Hospital Colorado. Music by A.A. Aalto.

Main Event articles:

1. Addar A, Bouchard M. Clinically Detected Leg Length Discrepancy in Patients With Idiopathic Clubfoot Deformity: Prevalence and Outcomes. J Pediatr Orthop. 2022 Aug 1;42(7):e772-e776. doi: 10.1097/BPO.0000000000002178. Epub 2022 May 10. PMID: 35543605.
2. Trottier ÉR, Hatcher L, Feng J, Camp M, Bouchard M. Incidence of secondary interventions after early spica casting for diaphyseal femur fractures in young children. Can J Surg. 2022 Jul 5;65(4):E417-E424. doi: 10.1503/cjs.006521. PMID: 35790240; PMCID: PMC9337866.

Lightning Round articles:

1. Sisman A, Avci O, Cepni SK, Cullu E. Is There a Chance to Treat Modified Gartland Type IIB Pediatric Supracondylar Humerus Fractures With Closed Reduction and Casting? J Pediatr Orthop. 2022 Sep 1;42(8):e821-e827. doi: 10.1097/BPO.0000000000002210. Epub 2022 Jul 14. PMID: 35834371.
2. Mahan, S. T., Miller, P. E., May, C., Kasser, J. R., & Spencer, S. A. (2022). Bilateral Tarsal Coalitions: Are Postoperative Outcomes Different From Unilateral? Original Research. JPOSNA®, 4(3). Retrieved from https://jposna.org/index.php/jposna/article/view/428
3. Cummings JL, Hosseinzadeh P. Patient-Reported Pain and Function Outcomes in Children with Congenital Vertical Talus Treated With the Minimally Invasive Method. J Pediatr Orthop. 2022 Sep 2. doi: 10.1097/BPO.0000000000002259. Epub ahead of print. PMID: 36053022.
4. Badin D, Raad M, Sponseller PD. Tibial Tuberosity Fracture: A Highly Selective Injury. J Pediatr Orthop. 2022 Aug 24. doi: 10.1097/BPO.0000000000002247. Epub ahead of print. PMID: 35998240.
5. Paek S, Mo M, Hogue G. Treatment of paediatric Lisfranc injuries: A systematic review and introduction of a novel treatment algorithm. J Child Orthop. 2022 Jun;16(3):198-207. doi: 10.1177/18632521221092957. Epub 2022 May 10. PMID: 35800659; PMCID: PMC9254024.

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Drs. Peter Waters, Kristen Carroll, and Steven Frick share their personal experiences and wisdom on surgeon wellness. The discussion is led by two members of the POSNA Wellness Committee: Lauren Hyer of the Greenville Shriners Hospital and Brian Scannell of Carolinas Medical Center. Your host is Carter Clement from Children’s Hospital of New Orleans. Music by A. A. Alto.

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Drs. Peter Waters, Kristen Carroll, and Steven Frick share their personal experiences and wisdom on surgeon wellness. The discussion is led by two members of the POSNA Wellness Committee: Lauren Hyer of the Greenville Shriners Hospital and Brian Scannell of Carolinas Medical Center. Your host is Carter Clement from Children’s Hospital of New Orleans. Music by A. A. Alto.

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Jeremy Bauer and Daniel Bouton from the Portland Shriners Hospital are this month’s esteemed guests. They discuss 3 of their recent publications in JPO (listed below). They also weigh in on controversies in sports medicine and spine surgery. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Josh Holt from University of Iowa, Craig Louer from Vanderbilt, and Julia Sanders from Children’s Hospital Colorado. Music by A. A. Alto.

1) The Effects of Lower Extremity Rotational Malalignment on Pediatric Patient-reported Outcomes Measurement and Information System (PROMIS) Scores. https://pubmed.ncbi.nlm.nih.gov/35818169/

2) 3D Gait Analysis and Patient-reported Outcomes of Femoral Osteotomies for Torsional Deformity. https://pubmed.ncbi.nlm.nih.gov/35968999/

3) Patient-Reported Outcome Measurement Information System (PROMIS) Scores in Pediatric Idiopathic Toe Walkers. https://pubmed.ncbi.nlm.nih.gov/35797178/

Lightning Round Articles

1) Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy: A Systematic Review and Meta-analysis https://pubmed.ncbi.nlm.nih.gov/35980635/

2) Predictive Scoring for Recurrent Patellar Instability After a First-time Patellar Dislocation https://pubmed.ncbi.nlm.nih.gov/35797419/

3) Degree of Postoperative Curve Correction Decreases Risks of Postoperative Pneumonia in Patients Undergoing Both Fusion and Growth-friendly Surgical Treatment of Neuromuscular Scoliosis https://pubmed.ncbi.nlm.nih.gov/35709684/

4) Noninvasive Hemoglobin Monitoring for Postoperative Pediatric Orthopaedic Patients: A Preliminary Study https://pubmed.ncbi.nlm.nih.gov/35819308/

5) An Anatomic Study of the Proximal Tibial Epiphysis With Relevance to Percutaneous Epiphysiodesis Using Transphyseal Screws (PETS) https://pubmed.ncbi.nlm.nih.gov/35941093/

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Jeremy Bauer and Daniel Bouton from the Portland Shriners Hospital are this month’s esteemed guests. They discuss 3 of their recent publications in JPO (listed below). They also weigh in on controversies in sports medicine and spine surgery. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Josh Holt from University of Iowa, Craig Louer from Vanderbilt, and Julia Sanders from Children’s Hospital Colorado. Music by A. A. Alto.

1) The Effects of Lower Extremity Rotational Malalignment on Pediatric Patient-reported Outcomes Measurement and Information System (PROMIS) Scores. https://pubmed.ncbi.nlm.nih.gov/35818169/

2) 3D Gait Analysis and Patient-reported Outcomes of Femoral Osteotomies for Torsional Deformity. https://pubmed.ncbi.nlm.nih.gov/35968999/

3) Patient-Reported Outcome Measurement Information System (PROMIS) Scores in Pediatric Idiopathic Toe Walkers. https://pubmed.ncbi.nlm.nih.gov/35797178/

Lightning Round Articles

1) Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy: A Systematic Review and Meta-analysis https://pubmed.ncbi.nlm.nih.gov/35980635/

2) Predictive Scoring for Recurrent Patellar Instability After a First-time Patellar Dislocation https://pubmed.ncbi.nlm.nih.gov/35797419/

3) Degree of Postoperative Curve Correction Decreases Risks of Postoperative Pneumonia in Patients Undergoing Both Fusion and Growth-friendly Surgical Treatment of Neuromuscular Scoliosis https://pubmed.ncbi.nlm.nih.gov/35709684/

4) Noninvasive Hemoglobin Monitoring for Postoperative Pediatric Orthopaedic Patients: A Preliminary Study https://pubmed.ncbi.nlm.nih.gov/35819308/

5) An Anatomic Study of the Proximal Tibial Epiphysis With Relevance to Percutaneous Epiphysiodesis Using Transphyseal Screws (PETS) https://pubmed.ncbi.nlm.nih.gov/35941093/

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Dr. Sponseller from Johns Hopkins joins Peds Ortho this month to discuss his work on long term outcomes and pelvic osteotomies after sacral-alar-iliac (SAI) fixation. Dr. Sponseller shares his expertise on several controversies in spine surgery during our new “stirring the pot” segment, and we highlight recent papers on AIS, trauma, sports medicine, deformity, and infection.

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

Papers discussed:

Mun, Vankara, Suresh, Margalit, Crasta, Sponseller. Pelvic Osteotomy in Patients With Previous Sacral-Alar-Iliac (SAI) Fixation. JPO.

Mun, Vankara, Suresh, Margalit, Kebaish, Sponseller. Sacral-Alar-Iliac (SAI) Fixation in Children With Spine Deformity: Minimum 10-Year Follow-Up. JPO.

Zloof, Ankory, Braun, et al. The Hereditary Nature of Adolescent Spinal Deformities: A Study of Over 600,000 Adolescents. Spine (Phila Pa 1976).

Stavinoha, Randhawa, Trivedi, Dingel, Shea, Frick. The Axillary Nerve Danger Zone in Percutaneous Fixation in the Pediatric Shoulder: The "1-Mountain-3-Valleys" Principle. JBJS.

Dahmen, Steman , Buck, et al. Treatment of Osteochondral Lesions of the Talus in the Skeletally Immature Population: A Systematic Review [published online ahead of print, 2022 May 20]. JPO.

Gerges, Messner, Lim, Chhina, Cooper. Efficacy and Safety of "Sleeper Plate" in Temporary Hemiepiphysiodesis and the Observation of "Tethering". JPO.

Bisht, Burns, Smith, Kang, Shrader, Belthur. The modified Kocher criteria for septic hip: Does it apply to the knee?. JCO.

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Crystal Perkins from Children's Healthcare of Atlanta joins the show to discuss her recent research on pediatric hip dislocations and several additional topics and controversies in pediatric trauma and sports medicine. This episode was sponsored by Orthofix (www.orthofix.com). Your hosts are 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. Aalto.

Articles discussed:

Clifton Willimon, Anthony C. Egger, Crystal A. Perkins.Traumatic Hip Dislocations in the Pediatric Patient: Injury Patterns, Need for Axial Imaging, Outcomes, and Selective Hip Arthroscopy. JPOSNA, May 2022.

Bhargavi Maheshwer, Evan M Polce, Kevin C Parvaresh et al. Establishing Clinically Significant Outcomes After Anterior Cruciate Ligament Reconstruction in Pediatric Patients. JPO, July 2022.

Allyson M Zakrzewski, Austin J Bryant, James J McCarthy. Can Over-containment Prevent Recurrence in Children With Cerebral Palsy and Hip Dysplasia Undergoing Hip Reconstruction? JPO, July 2022.

Andrew T Pennock, Benton E Heyworth, Tracey Bastrom, et al. Changes in superior displacement, angulation, and shortening in the early phase of healing for completely displaced midshaft clavicle fractures in adolescents: results from a prospective, multicenter study. J Shoulder Elbow Surg, Dec 2021.

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Part II of the POSNA 2022 Annual Meeting content.  In this episode, we interview moderators and course chairs from the final days of the POSNA 2022 Annual Meeting in Vancouver, BC, Canada--INCLUDING the Awards Sessions, Friday's Concurrent Spine, Sports, and Hip Sessions, and the Saturday Critical Issues Symposia.

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.

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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.

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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/

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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.

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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.

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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.

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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

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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.

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

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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

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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.

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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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Special live session from the 2021 AAOS Meeting in San Diego. Featuring special guest Rachel Goldstein from CHLA who joins us to discuss DDH. Discussion focuses on ultrasound assessment of children with dysplasia and the ominous finding of an inverted labrum. We also dive into other recent studies in the lightning round discussing the femoral head-shaft angle in children with Cerebral Palsy, NOF of the distal tibia, the effects of lumbar fusion on cervical sagittal alignment in patients with Lenke 5 AIS, and the ease of acquiring skills to diagnose DDH via ultrasound enhanced physical examination. Your hosts are Josh Holt from The 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.

Featured article:

An Inverted Acetabular Labrum is Predictive of Pavlik Harness Treatment Failure in Children with Developmental Hip Dysplasia. Adrian Lin, Ali Siddiqui, Lillian Lai, Rachel Goldstein. JPO. Sept 2021.

Lightning Round:

1. The Femoral Head-Shaft Angle is Not a Predictor of Hip Displacement in Children Under 5 Years with Cerebral Palsy: A Population-based Study of Children at GMFCS Levels III-V. Terje Terjesen, Joachim Horn. JPO. 2021

2. Nonossifying Fibroma of the Distal Tibia: Predictors of Fracture and Management Algorithm. Soroush Baghdadi, Jie Nguyen, Alexandre Arkader. JPO. 2021

3. Does Selective Posterior Correction and Fusion Surgery Influence Cervical Sagittal Alignment in Patient with Lenke Type 5 Adolescent Idiopathic Scoliosis?- A 5-year Follow-up Retrospective Cohort Study. Toshiki Okubo, Mitsuru Yagi, Satoshi Suzuki et al. Spine. 2021

4. What is the Intraobserver Reliability of an Ultrasound-enhanced Physical Examination of the Hip in Infants? A Prospective Study on the Ease of Acquiring Skills to Diagnose Hip Dysplasia. Neha Jejurikar, Leon Moscona-Mishy, Monica Rubio, Romina Cavallaro, Pablo Castaneda. COOR. 2021

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Jennifer Beck from UCLA and the Orthopaedic Institute for Children joins us to discuss bone health in children including how to incentivize patients to take their vitamin D and relative energy deficiency in sport (RED-S). We also discuss some of Dr. Beck's preferences for ACL reconstruction and highlight new literature on screening for cervical instability in Down Syndrome, implant selection for Triplanes, whether ankle fractures with syndesmosis injuries do worse, and more! Your hosts are Carter Clement from Children's Hospital of New Orleans and Josh Holt from University of Iowa. Music by A.A. Alto.

Featured article:

What is New in Pediatric Bone Health? Jennifer J Beck, Susan T Mahan, Philip Nowicki, Verena M Schreiber, Barbara Minkowitz. JPO. Sept 2021.

Lightning Round:

1. Repeat Pediatric Trisomy 21 Radiographic Exam: Does Atlantoaxial Instability Develop Over Time? Jennifer M Bauer, Virkamal K Dhaliwal, Samuel R Browd, Walter F Krengel 3rd. JPO. Sept 2021.

2. Comparison of K-wire versus screw fixation after open reduction of transitional (Tillaux and triplane) distal tibia fractures. Neeraj Mishra, Shiyao Wang, Zackary Kerk Hsiang Chua, Kai Yet Lam, Arjandas Mahadev. JPO B. Sept 2021.

3. Local Bone Grafting Is Sufficient for Instrumented Adolescent Idiopathic Scoliosis Surgery: A Preliminary Study. Alper Yataganbaba, Abhay Gahukamble, Georgia Antoniou, Brian J C Freeman, Peter J Cundy. JPO. Sept 2021.

4. Functional outcomes of unstable ankle fractures with and without syndesmotic fixation in the adolescent population. Conner J. Paez, Benjamin M. Lurie, Vidyadhar V. Upasani, Andrew T. Pennock. JCO. Online June 2021.

5. Radiographic Coronal Imbalance and Shoulder Asymmetry Continue to Improve Between 2 and 5 Years Following Surgery of Adolescent Idiopathic Scoliosis. Hughes, Jessica; Bastrom, Tracey P.; Bartley, Carrie E.; Newton, Peter O. MD; Parent, Stefan; Cahill, Patrick J.; Lonner, Baron MD; Shah, Suken A.; Samdani, Amer; Harms Study Group; Yaszay, Burt MD. JPO. Aug 2021.

6. Comparison of Surgical Outcomes for Distal Rectus Femoris Transfer and Resection Surgeries in Children With Cerebral Palsy With Stiff Knee Gait. Jose J Salazar-Torres, Chris Church, Thomas Shields, Nancy Lennon, M Wade Shrader, Julieanne P Sees, Freeman Miller. JPO. Sept 2021.

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Jeff Nepple from Wash U in St Louis joins us to discuss cartilage wear patterns in FAI and SCFE and implications for treatment from the most recent JPO. We also highlight new literature regarding resorbable implants in pediatrics, Pavlik harness success in hip dysplasia patients with irreducible dislocations, and much more. 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.   Featured article:   Lieberman EG, Pascual-Garrido C, Abu-Amer W, Nepple JJ, Shoenecker PL, Clohisy JC. Patients With Symptomatic Sequelae of Slipped Capital Femoral Epiphysis Have Advanced Cartilage Wear at the Time of Surgical Intervention. J Pediatr Orthop. 2021 Jul 1;41(6):e398-e403.   Lightning Round:    1. Baldini M, Coppa V, Falcioni D, Senigagliesi E, Marinelli M, Gigante AP. Use of resorbable magnesium screws in children: systematic review of the literature and short-term follow-up from our series. J Child Orthop. 2021 Jun 1;15(3):194-203.    2. Patel HA, Chaudhry S, Lee MC, Solomito M. Streamlining Postoperative Care After Pediatric Supracondylar Humerus Fractures: Is Follow-up After Pin Removal Routinely Needed? J Pediatr Orthop. 2021 Jul 1;41(6):e464-e469.   3. Nicolaou N, Luo Q, Giles SN, Maruthainar K, Kitchen MP, Thomas S, Fernandes JA, Roposch A. Mechanical Analysis of Explanted Telescopic Rods in the Management of Osteogenesis Imperfecta: A Multicenter Study. J Pediatr Orthop. 2021 Jul 1;41(6):e448-e456.    4. Imerci A, Rogers KJ, Bhattacharjee A, Bowen JR, Thacker MM. Risk Factors for Failure of Pavlik Harness Treatment in Infants With Dislocated Hips That Are Evaluated by Dynamic Sonography. J Pediatr Orthop. 2021 Jul 1;41(6):e386-e391.    5. Fletcher AN, Liles JL, Pereira GF, Danilkowicz RM, Amendola A, Riboh JC. The Intrarater and Inter-rater Reliability of Radiographic Evaluation of the Posterior Tibial Slope in Pediatric Patients. J Pediatr Orthop. 2021 Jul 1;41(6):e404-e410.

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Todd Milbrandt of Mayo discusses his recent research on vertebral body tethering and bending films from Spine Deformity. We also highlight papers from the newest editions of JBJS, JPO, JPO-B, and JPOSNA. 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.

Primary articles:

1. Defining the learning curve in CT-guided navigated thoracoscopic vertebral body tethering. Smitha Mathew, A Noelle Larson, D Dean Potter, Todd A Milbrandt. Spine Deformity May 2021.

2. Comparison of slot-scanning standing, supine, and fulcrum radiographs for assessment of curve flexibility in adolescent idiopathic scoliosis: a pilot study. Lauren M Swany, A Noelle Larson, A Fettah Buyuk, Todd A Milbrandt. Spine Deformity May 2021.

Lightning Round:

1. Prolonged non-weightbearing treatment decreases femoral head deformity compared to symptomatic treatment in the initial stage of Legg-Calvé-Perthes disease. Jeffrey B Peck, Dustin A Greenhill, William Z Morris, Dang-Huy Do, Molly F McGuire, Harry K W Kim. Journal of Pediatric Orthopedics. Part B 2021 May 20.

2. Human Position Brace Versus Pavlik Harness for Infants Under 6 Months of Age With Developmental Dislocation of the Hip: A Comparison of Therapeutic Efficacy. Pan Gou, Yuan Zhang, Jun Wu, Jun Li, Xiang Li, Ming Li, Xing Liu. Journal of Pediatric Orthopedics 2021 May 13.

3. Novel device for nonsurgical correction of rigid forefoot adduction in children. Daniel Freedman, Pavel Kotlarsky, Mark Eidelman. Journal of Pediatric Orthopedics. Part B 2021 May 14.

4. Improved Bowel Function With Oral Methylnaltrexone Following Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis. Adrian J Lin, Andrew J Costandi, Eugene Kim, David L Skaggs, Lindsay M Andras, Neha Patel, Carl Lo, Kenneth D Illingworth. Journal of Pediatric Orthopedics 2021 May 18.

5. Surgical Treatment of Solitary Periarticular Osteochondromas About the Knee in Pediatric and Adolescent Patients: Complications and Functional Outcomes. Mark Wu, Evan T Zheng, Megan E Anderson, Patricia E Miller, Samantha A Spencer, Benton E Heyworth. Journal of Bone and Joint Surgery. American Volume 2021 May 24.

6. Hogue, G. (2021). Early Onset Scoliosis Series Announcement. JPOSNA, 3(2). Retrieved from https://www.jposna.org/ojs/index.php/jposna/article/view/286

7. Murphy, R., & Mooney, J. (2021). The First Generation of Early Onset Scoliosis Care. JPOSNA, 3(2). Retrieved from https://www.jposna.org/ojs/index.php/jposna/article/view/281

8. Welborn, M., Sanders, J., & D’Astous, J. (2021). The Evolution of EDF Casting. JPOSNA, 3(2). Retrieved from https://www.jposna.org/ojs/index.php/jposna/article/view/282

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Sumeet Garg of Children’s Hospital Colorado and Craig Eberson of University Orthopedics at Brown University moderate the POSNA 2021 Virtual Spine Subspecialty Day episode, discussing key abstracts from this years meeting in Dallas. Featured authors include Vishal Sarwahi of Cohen Children’s Medical Center and Burt Yaszay of Rady Children’s Hospital. Your host is Josh Holt from the Stead Family Children’s Hospital at The University of Iowa. Music by A. A. Alto.

Abstracts discussed:

Ambulatory Neuromuscular Scoliosis Patients have Similar Rates of Infection, Perioperative Complications, and Revision to Adolescent Idiopathic Scoliosis Patients. Vishal Sarwahi MBBS; Sayyida Hasan; Yungtai Lo; Terry D. Amaral MD; Jesse Galina; Aaron Atlas. Cohen Children's Medical Center, New Hyde Park, NY

Breaking the Dogma: Does UIV have to be T2 in CP Patients Undergoing Spinal Fusion for their Neuromuscular Scoliosis? Jakub Sikora-Klak; Paul D. Sponseller MD; Tracey P. Bastrom MA; Suken A. Shah MD; Patrick John Cahill MD; Mark F. Abel MD; Amer F. Samdani MD; Peter O. Newton MD; Burt Yaszay MD. Rady Children's Hospital, San Diego, CA

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

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The Arabella Leet Memorial Young Member Forum of the 2021 POSNA Annual Meeting is hosted by Dan Miller of Gillette and Siobhan Murphy-Zane of Children's Hospital Colorado. This session features three POSNA allstars who grew up as the children of pediatric orthopedists: Benjamin Roye of Columbia, Jonathan Schoenecker of Vanderbilt, and Craig Birch of Boston Children's. Produced by Carter Clement and Craig Louer. Music by A.A. Aalto.

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The Arabella Leet Memorial Young Member Forum of the 2021 POSNA Annual Meeting is hosted by Siobhan Murphy-Zane of Children's Hospital Colorado and Dan Miller of Gillette. This session features pediatric orthopedists and their spouses, discussing pearls and pitfalls of building a family together. Guests include Siobhan's husband, Richard Zane, Jennifer Weiss of Kaiser Permanente in Los Angeles, Jennifer Laine of Gillette and her husband Louis Kohl, Jay Albright of Children's Hospital Colorado and his wife Stacy Albright, and Amy Mcintosh of TSRH and her husband Rich Mcintosh. Produced by Carter Clement and Craig Louer. Music by A.A. Aalto.

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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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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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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

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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

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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

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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/

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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

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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.

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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/

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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.

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Jennifer Laine from Gillette joins the show to discuss the International Perthes Study Group’s work on early Perthes disease. We also highlight papers from the newest editions of JBJS, Spine Deformity and JPO and discuss a case of a severely displaced lateral condyle fracture. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Craig Louer from Vanderbilt, and Julia Sanders from Children’s Hospital Colorado. Music by A. A. Alto.

"Demographics and Clinical Presentation of Early-Stage Legg-Calvé-Perthes Disease: A Prospective, Multicenter, International Study." JAAOS. https://pubmed.ncbi.nlm.nih.gov/32868700/

"Can we predict the behavior of the scoliotic curve after bracing in adolescent idiopathic scoliosis? Τhe prognostic value of apical vertebra rotation." Spine Deformity. https://pubmed.ncbi.nlm.nih.gov/32839925/

"Incidence of Symptomatic Pediatric Tarsal Coalition in Olmsted County: A Population-Based Study." JBJS. https://pubmed.ncbi.nlm.nih.gov/33186000/

"The Medial Elevation Osteotomy for Late-presenting and Recurrent Infantile Blount Disease." JPO. https://pubmed.ncbi.nlm.nih.gov/33298764/

"Analysis of 280 Magnetically Controlled Growing Rod Lengthenings Comparing External Remote Control Readouts and Radiographic Measurements: Impact of Patient and Deformity Factors." JPO. https://pubmed.ncbi.nlm.nih.gov/33074922/

"Surgical Outcomes for Severe Idiopathic Toe Walkers. JPO. https://pubmed.ncbi.nlm.nih.gov/33405465/

"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/

"Surgical Treatment of Displaced Pediatric Lateral Condyle Fractures of the Humerus by the Posterior Approach." JPO-B. https://pubmed.ncbi.nlm.nih.gov/28704297/

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James Sanders, Chairman of UNC Chapel Hill, joins the show to discuss his latest research as well as some other recent studies. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Craig Louer from UNC, Josh Holt from University of Iowa, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Aalto.

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Mark Dahl of Gillette Children's joins the podcast to discuss his recent research. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Josh Holt from University of Iowa, Craig Louer from UNC, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Aalto.

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Sarah Hunter and Anna Vergun of University of Auckland, New Zealand, and UNC, Chapel Hill, respectively, discuss their recent research. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Craig Louer from UNC, Julia Sanders from Children's Hospital Colorado, and Josh Holt from University of Iowa. Music by A. A. Aalto.

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Andrew Georgiadis, Andrew Pennock, and Jaime Burgess of Gillette, Rady Children's Hospital, and Northwestern, respectively, discuss their recent research. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Julia Sanders from Children's Hospital Colorado, and Craig Louer from the University of North Carolina. Music by A. A. Aalto.

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Vedant Kulkarni, Karl Rathjen, and Julia Nuelle of the Sacramento Shriner's Hospital, TSRH, and San Antonio Military Medical Center, respectively, discuss their recent research. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Josh Holt from University of Iowa, and Julia Sanders from Children's Hospital Colorado Music by A. A. Aalto.

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Michael Heffernan, Jason Anari, and Marc Richard of Children's Hospital of New Orleans, CHOP, and Duke, respectively, discuss their recent research. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Craig Louer from UNC, and Josh Holt from University of Iowa. Music by A. A. Aalto.

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Moderators Derek Kelly and Jennifer Laine from Campbell Clinic and Gillette Children's Hospital, respectively, lead the POSNA 2020 Annual Meeting's Foot & Ankle Subspecialty Day Session. They are joined by authors Anthony Riccio from TSRH, Kirsten Tulchin-Francis from TSRH, and Richard Davidson from CHOP. Your host is Josh Holt from University of Iowa. Music by A. A. Aalto.

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Todd Milbrandt and Jaime Gomez of Mayo and Montefiore Medical Center, respectively, discuss their recent research. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Julia Sanders from Children's Hospital Colorado, and Craig Louer from UNC. Music by A. A. Aalto.

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Steven Ralles and Felicity Fishman of Loyola, Keith Gettys of the South Carolina Shriner's, Chris Makarewich of the University of Utah, Angela Collins of McLaren-Flint Orthopedic Residency, and Jeff Peck of Children's National in D.C. discuss their recent research. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Craig Louer from UNC, Julia Sanders from Children's Hospital Colorado, and Josh Holt from University of Iowa. Music by A. A. Aalto.

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Moderators Vineeta Swaroop and Andrew Georgiadis of Lurie Children's Hospital and Gillette, respectively, lead the POSNA 2020 Annual Meeting's Neuromuscular Subspecialty Day Session. They are joined by authors Wade Shrader from Nemours Dupont and Lane Wimberly from TSRH.  Your host is Josh Holt from the University of Iowa. Music by A. A. Aalto.

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Moderators Lindley Wall and Michelle James from Washington University and U.C. Davis, respectively, lead the POSNA 2020 Annual Meeting's Hand Subspecialty Day Session. They are joined by authors Roger Cornwall from Cincinnati Childrens, Benan Dala-Ali from Great Ormand Street in London, and Chuck Goldfarb from Washington University.  Your host is Craig Louer from the University of North Carolina. Music by A. A. Aalto.

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Moderators Samantha Spencer and Thomas McPartland from Boston Children's and Rutgers, respectively, lead the Infection/Tumor Session from the POSNA 2020 Annual Meeting. They are joined by authors Salil Upasani from Rady Children's Hospital in San Diego, Todd Blumberg from Seattle Children's, and Alexandre Arkader from CHOP. Your host is Nick Fletcher from Children’s Healthcare of Atlanta. Music by A. A. Aalto.

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Moderators Ben Orlik from Halifax, Ben Roye from Columbia University, Dan Sucato from TSRH, and Amy McIntosh from TSRH lead the Spine Subspecialty Day discussion of the POSNA 2020 Annual Meeting. They are joined by authors Firoz Miyanji from British Columbia Children's Hospital, John Vorhies from Stanford, Scott Luhmann from Washington University in St. Louis, Dave Skaggs from CHLA, and Noelle Larson from the Mayo Clinic. Your host is Nick Fletcher from Children’s Healthcare of Atlanta. Music by A. A. Aalto.

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Moderators Mauricio Silva and Mark Sinclair from UCLA and Children's Mercy Kansas City, respectively, lead the POSNA 2020 Annual Meeting's Trauma Subspecialty Day Discussion Session. They are joined by authors Omar Atassi from Baylor, Salil Upasani from Rady Children's Hospital in San Diego, and Katherine Schroeder from Texas Children's. Your host is Julia Sanders from Children’s Hospital Colorado. Music by A. A. Aalto.

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Cordelia Carter and Peter Fabricant of NYU and HSS, respectively, are the moderators of the POSNA 2020 Annual Meeting's Sports Subspecialty Day. They are joined by authors Mininder Kocher of Boston Children's, Crystal Perkins of Children's Healthcare of Atlanta, Aaron Provance of Children's Hospital Colorado, and Megan Kuba from Hawaii. Your host is Carter Clement from Children’s Hospital of New Orleans. Music by A. A. Aalto.

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Moderators Jeff Sawyer and Holly Leshikar from Campbell Clinic and U.C. Davis, respectively, lead the POSNA 2020 Annual Meeting's Trauma Session. They are joined by authors Keith Baldwin from CHOP, Scott Rosenfeld from Texas Children's, and Mauricio Silva from the Orthopedic Institute for Children at UCLA. Your host is Julia Sanders from Children’s Hospital Colorado. Music by A. A. Aalto.

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Stephen Albanese from SUNY Upstate (along with questions from co-moderator, Jen Bauer from Seattle Children's) leads the POSNA 2020 Annual Meeting's Spine Session. He is joined by authors Graham Fedorak of the University of Utah and the Salt Lake City Shriners Hospital, Stefan Parent of Montreal, Ying Li of Michigan, and Daniel Hedequist of Boston Children's. Your host is Carter Clement from Children’s Hospital of New Orleans. Music by A. A. Aalto.

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Moderators Jennifer Beck and Eric Edmonds from the Orthopaedic Institute for Children at UCLA and Rady Children's Hospital in San Diego, respectively, lead the POSNA 2020 Annual Meeting's Session on Sports Medicine and Trauma. They are joined by authors Jay Lee of Hopkins, Henry Ellis of TSRH, Dan Green of HSS, and Peter Fabricant of HSS. Your host is Carter Clement from Children’s Hospital of New Orleans. Music by A. A. Aalto.

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Moderators Chris Iobst and Phil McClure from Nationwide Children's and the International Center for Limb Lengthening, respectively, lead the POSNA 2020 Annual Meeting's Subspecialty Session on Lower Extremity Deformity. They are joined by authors Harold Van Bosse of the Philadelphia Shriner's Hospital and John Birch from TSRH. Your host is Julia Sanders from Children’s Hospital Colorado. Music by A. A. Aalto.

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Moderators Julie Samora and Alfred Mansour of Nationwide Children's and UT Health in Houston, respectively, lead the POSNA 2020 Annual Meeting's Session on the Quality, Safety, and Value Initiative. They are joined by authors Kishore Mulpuri of BC Children's Hospital, Cordelia Carter of NYU, Ishaan Swarup of UCSF, and Jim Sanders of UNC. Your host is Carter Clement from Children’s Hospital of New Orleans. Music by A. A. Aalto.

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Salil Upasani and Shital Parikh of Rady and Cincinnati Children's, respectively, discuss their recent research. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Craig Louer from UNC, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Aalto.

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Patrick Cahill, Paul Sponseller, and Dan Miller of CHOP, Johns Hopkins, and Gillette, respectively, discuss their recent research. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Craig Louer from UNC, Josh Holt from Iowa, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Aalto.

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Apurva Shah, Benjamin Roye and Dennis Kramer of CHOP, Columbia, and Boston Children's, respectively, discuss their recent research. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Julia Sanders from Children's Hospital Colorado, Craig Louer from UNC, and Josh Holt from Iowa. Music by A. A. Aalto.

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Andy Pennock, Steve Frick and Robert Murphy of Rady, Stanford, and MUSC, respectively, discuss their recent research. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Craig Louer from UNC, Julia Sanders from Children's Hospital Colorado, and Josh Holt from Iowa. Music by A. A. Aalto.

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Ted Ganley and Peter Smith of CHOP and Chicago Shriner's, respectively, discuss their recent research. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Josh Holt from Iowa, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Aalto.

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Benjamin Shore, Harry Kim, and Pooya Hosseinzadeh of Boston Children's, TSRH, and Wash U., respectively, discuss their recent research. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Craig Louer from UNC, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Aalto.

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Suken Shah and Armando Vidal of Nemours/duPont and The Steadman Clinic, respectively, discuss their recent research. In total, 4 recent articles are reviewed. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Josh Holt from Iowa, Craig Louer from UNC, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Aalto.

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Lindsay Andras, Shawn Gilbert, and Walter Truong of CHLA, UAB, and Gillette, respectively, discuss their recent research. In total, 6 recent articles are reviewed. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Josh Holt from Iowa, Craig Louer from UNC, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Aalto.

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Dr. Paul Sponseller of John's Hopkins, president-elect of the Scoliosis Research Society, joins the podcast for a brief conversation about the upcoming annual meeting, hot topics in scoliosis research, the SRS agenda, global outreach, and more. Hosted by Carter Clement from Children's Hospital of New Orleans. Music by A.A. Aalto.

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This episode reviews 7 featured articles and hosts interviews with Jim Sanders from UNC, Chapel Hill, Salil Upasani from Rady, and Joseph Janicki from Lurie Children's Hospital in Chicago. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Josh Holt from Iowa, Craig Louer from UNC, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Aalto.

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This episode reviews 4 featured articles and hosts interviews with Paul Sponseller from John's Hopkins, Gaia Georgopoulos from Children's Hospital Colorado, and Andy King from Children's Hospital of New Orleans. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Craig Louer from UNC, and Julia Sanders from University of Colorado. Music by A. A. Aalto.

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This is the pilot episode of a new pediatric orthopaedics podcast featuring conversations with "giants" of the field. Today, Nick Fletcher sits down with POSNA president-elect, Mike Vitale of Columbia University, to discuss his career, work style, hobbies, and more. Music by A.A. Aalto.

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This episode reviews 4 featured articles and hosts 2 interviews. Guest speakers include Benjamin Shore from Boston Children's and Elizabeth Hubbard from Duke. The session is hosted by Carter Clement from Children’s Hospital of New Orleans, Craig Louer from UNC, and Josh Holt from Iowa. Music by A. A. Aalto.

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This episode reviews 4 featured articles and hosts 3 interviews. Guest speakers include David Skaggs from Children’s Hospital of Los Angeles and Keith Baldwin from Children's Hospital of Philadelphia. The session is hosted by Carter Clement from Children’s Hospital of New Orleans and Julia Sanders from Children’s Hospital Colorado. Music by A. A. Aalto.

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This episode reviews 8 featured articles and hosts 2 interviews with authors and 1 expert commentary. Guests include Rick Schwend of Children’s Mercy Hospital in Kansas City, Hank Chambers of Rady Children’s Hospital in San Diego, and Lorena Flocarri who will discuss research from her training at Mayo. Hosted by Carter Clement from Children’s Hospital of New Orleans, Craig Louer from UNC Chapel Hill, and Julia Sanders from Children’s Hospital Colorado. Music by AA Aalto.

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This episode reviews 8 featured articles and hosts 3 interviews with authors and 1 with an expert commentator. Guests include Woody Sankar and Alexandre Arkader from CHOP, Jason Rhodes from Chidren’s Hospital Colorado, and Hady Eltayeby, a fellow at the International Center for Limb Lengthening in Baltimore. Hosted by Carter Clement from Children’s Hospital of New Orleans, Julia Sanders from Children’s Hospital Colorado, and Craig Louer from UNC Chapel Hill. Music by AA Aalto.

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This episode reviews 7 featured articles and hosts 4 interviews with authors and an expert commentary. Guests include Salil Upasani and Burt Yaszay of Rady Children’s Hospital, Cheryl Lawing of the Tampa Shriner’s Hospital, Jeffrey Stambough of University of Arkansas, and Julia Sanders of Children’s Hospital Colorado. Hosted by Carter Clement from Children’s Hospital of New Orleans. Music is “Stepping Out,” made available by Apple GarageBand.