JPO Podcast

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   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   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   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   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   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   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'   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   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

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: Forearm Fractures in Older Children and Adolescents: ORIF is Safer Than IMN With Equivalent Outcomes. JPO. 2025 Mar. PMID: 39445700 Practice Patterns Vary Widely in the Care of Pediatric and Adolescent Pelvic and Acetabular Fractures: A CORTICES Survey. JPO. 2025 Mar. PMID: 39428588. Pediatric Lateral Condyle Fractures with Elbow Dislocation: Revisiting the Song Classification of the Most Severe Injuries. JPO. 2025 Mar. PMID: 3990788. Percutaneous Screw Fixation for the Management of Delayed Unions in Pediatric Lateral Humeral Condylar Fractures. JPO. 2025 Mar. PMID: 39523729. 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. Remodeling of Sagittal Plane Malunion After Pediatric Supracondylar Humerus Fractures. JPO. 2020 Nov/Dec. PMID: 32604347. From Sheep to Sling: Pediatric Injuries Due to Rodeo Mutton Bustin'. JPO. 2025 Apr. PMID: 39831656.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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.

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.

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. This episode is sponsored by OrthoFix. 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.

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.

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.

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

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/  

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.

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.

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.

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.

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.

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/        

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.

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.

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.

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

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:   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   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   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   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   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  

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    

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/

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.

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.

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.

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.

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: 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. 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:   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. 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 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. 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. 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.

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.

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/  

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.

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.

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.

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.

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/            

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.

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.

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. ____________________________________________ 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.  

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  

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