Ortho Times Vol 24 - Children's Hospital Boston

a newsletter for our patient families
Exceptional Care. Exceptional Service. Vol 9, Issue 3, Sep 2012
Around the bend [Andrea Mooney]
For most children with scoliosis, the path to
recovery is marked by simple observation and
bracing. But when one patient battles two curves,
her path—and spine—take an unexpected turn.
At 11 years old, it wasn’t normal for Anjellina
Giuliano to have back pain. At first, she thought
she might have slept on it awkwardly, and
shrugged it off. When it continued to hurt for
weeks, her mother, Francine, began to rub her
daughter’s back with a topical pain reliever each
night to make the pain go away.
But as Anjellina took her zombie costume off
after trick-or-treating on Halloween, Francine
noticed something that she hadn’t seen before:
two large bumps—one under her right shoulder
and one near her left hip. “I noticed it right away
and my eyes filled up instantly,” says Francine.
“When I had been rubbing her back, she had always
been sitting, but standing up, it looked like
she was hiding mini watermelons under her skin.”
Panicked, she made a doctor’s appointment for
the next day.
At Anjellina’s primary care doctor’s office, it was
clear that Anjellina needed specialized care. “I
heard the doctor yell to the receptionist, ‘Get
Boston Children’s on the phone,’ and it really
scared me,” says Francine.
Ask the expert: Scoliosis
Daniel Hedequist, MD, staff orthopedist, talks to us about examination,
detection and treatment of scoliosis.
What’s the most common kind of scoliosis?
Idiopathic scoliosis is the most common type of
scoliosis and is a curve of more than 10 degrees on
an X-ray in an otherwise healthy child. Scoliosis
entails a wide range of curvatures, from a
10-degree curve with no long-term problems to a
90-degree curve requiring surgery.
What’s the best age to start examining?
There is a wide range of patients with scoliosis, so
typically a visual inspection of the back should be done at all yearly well
visits. Most commonly, we start to see asymmetries in the back during
periods of rapid growth, typically in the pre-pubertal years—for girls ages
10-12, and boys ages 12-16.
What are the treatment options?
Depending on the child’s age and degree of the curve, he or she may need
simple observation, which means keeping an eye on the curve to see if it
progresses. If a child’s spine curves more than 20 or 25 degrees, a child
Her suspicions were confirmed at Boston Children’s
Hospital a few days later, when they met
with orthopedist Daniel Hedequist, MD. After a
physical examination, X-ray and MRI, Anjellina
was diagnosed with severe idiopathic scoliosis
that only surgery could fix. “He didn’t even need
a scoliometer,” remembers Anjellina. “He could
already tell it was serious while I was standing up.”
Scoliosis affects three to five out of every 1,000
children, and the most common form, idiopathic
scoliosis—which just means it doesn’t have a
known cause—usually appears as children enter
growth spurts. While there isn’t a cause or a
specifically identified genetic link, adolescent
females who have family history of scoliosis are
most likely to get it.
Often, children with scoliosis who have curves
ranging from 10 to 30 degrees only need occasional
observation and check-ups through their growing
years, but others need bracing—a technique
that requires the child to wear a hard, custom-designed
brace 18 hours a day to stop the curve from
worsening. Even with bracing, most children and
teens with scoliosis can usually still participate in
sports and live normal lives. But since Anjellina’s
two curves measured 83 and 97 degrees, her path
to recovery would be more complicated.
—Continued on page 5
© GretjenHelen.com
may need to wear a brace—a hard shell that is custom-made to fit a child’s
torso and padded specially to keep the back straight. Typically, the brace
is worn 18 hours a day, with the goal of stopping the curve from worsening,
not correcting it. For more severe curves, there are surgical options to
straighten the spine.
What does an examination entail?
Having a child put their hands together and touch their toes in an Adam’s
Forward Bend helps reveal asymmetries in the back. If you place a scoliometer
on the child’s spine and notice a rise or dip on one side, note the
degree of asymmetry. While a Cobb angle measurement of 10 degrees on
an X-ray is what is used for the diagnosis, a scoliometer reading of 5 to 7
degrees is enough to raise concern.
How important is early detection?
The earlier a curve is detected, the better the chance for intervention with
brace treatment. Sometimes, early detection helps avoid surgery.
Learn more about scoliosis at bostonchildrens.org/spine

Welcome Aboard [Krystal Spencer]
The Orthopedic Center at Boston Children’s Hospital is pleased to announce the following additions to our medical team.
Bryce Gillespie, MD
Dr. Gillespie received his medical degree, with
distinction in research, from the University of
Rochester School of Medicine and Dentistry
in Rochester, NY. He completed a residency in
orthopedic surgery at the Harvard Combined
Orthopaedic Residency Program, where he
rotated though the Massachusetts General
Hospital, Brigham & Women’s Hospital, Beth
Israel Deaconess Medical Center, the Veterans
Affairs Healthcare System, and Boston Children’s
Hospital. Dr. Gillespie completed the
Harvard Hand and Upper Extremity Surgery
Fellowship at Brigham & Women’s Hospital and Boston Children’s Hospital.
Dr. Gillespie is joining us as an instructor in orthopedic surgery at Harvard
Medical School, and a staff surgeon at Boston Children’s. Dr. Gillespie
will be seeing hand and upper extremity patients at our Boston, Peabody,
Waltham, and Weymouth locations. This includes patients of all ages with
congenital differences, sports-related injuries, traumatic injuries, and other
conditions affecting the shoulder, arm, elbow, forearm, wrist and hand.
Michael Beasley, MD
Dr. Beasley received his medical degree
from the University of Iowa Carver College
of Medicine in Iowa City, IA. He completed
an internship and residency in pediatrics at
Phoenix Children’s Hospital/Maricopa Medical
Center, in Arizona. Dr. Beasley completed
a primary care sports medicine fellowship
at Boston Children’s Hospital and Harvard
Medical School.
Dr. Beasley is joining us as a staff physician
in the Division of Sports Medicine. He will be
seeing patients with sports medicine injuries, with a focus on concussions,
at our Boston, Peabody and Waltham locations.
Sports related concussions
[Alexandra Wade & William Meehan, MD]
The new school year and fall sports season is fast approaching. Before the
sports season begins it is important for parents and children to be aware of the
risks associated with contact sports, particularly sport-related concussions.
Sport-related concussion is an increasingly common diagnosis in
young athletes. Many athletes don’t recognize concussions because they
do not know the signs and symptoms of this injury. By learning more
about what a concussion is parents and children will be able to recognize
it and seek treatment.
A concussion is a type of traumatic brain injury caused by a sudden,
rotational acceleration of the brain. Because the rotational acceleration is
not a natural movement of the brain, it causes a temporary disruption in
normal brain function.
Common symptoms of a concussion include but are not limited to
headaches, dizziness, nausea, vomiting, difficulty concentrating, difficulty
with balance, sensitivity to light and sensitivity to noise. In addition to the
athlete experiencing symptoms, people surrounding the athlete may notice
signs or changes in their behavior.
Signs of a concussion vary greatly but may include loss of consciousness,
forgetfulness, depression, disorientation, poor physical coordination, and
changes in personality. These signs and symptoms may also be associated
with other medical ailments. This is why it is important to see a medical
Chandlee Gore Holland, NP, RN
Prior to joining us, Chandlee was an information
systems analyst at Beverly Hospital in
Beverly MA. She has also held positions as a
registered nurse, and pediatric nurse practitioner
at Kaiser Permanente in San Francisco.
Chandlee received a bachelor of arts in
Spanish from Whitman College in Washington.
She then went on to receive a masters of
science in nursing from the Massachusetts
General Hospital’s Institute of Health Professions,
here in Boston.
Kathleen Massey, RN, BSN
Kathleen comes to us from the fast paced,
emergency department here at Boston
Children’s. Kathleen has held previous
clinical positions at Spaulding Rehabilitation
Hospital, and Yale New Haven Hospital. She
completed her student internship at Brigham
and Women’s Hospital.
After completing a bachelor of science
degree in nursing from Fairfield University
in Connecticut, Kathleen went on to obtain
a masters degree in nursing from Boston College. She also is certified in
Pediatric Advanced Life Support (PALS) as well as BasicLife Support (BLS).
Fact or Fiction?
Girls are more likely to tear their ACLs.
Fact! Girls are five to eight times more likely to tear their anterior
cruciate ligament (ACL) than boys who play the same sports,
and 25 percent of girls will re-tear their ACLs. Fortunately, girls
can reduce their risk with a proper prevention program, which
focuses on increasing lower body strength, balance and agility.
—Martha Murray, MD
Orthopedic surgeon, Boston Children’s Hospital
professional who obtains sufficient medical history to ensure the signs and
symptoms are in fact a result of a concussion. In addition, medical professionals
can make sure the athlete is not suffering from another injury.
While concussion is the most common neurological injury in sports, it
is not the only one. Once it’s been determined that an athlete has sustained
a concussion and is not suffering from a different neurological injury, it is
important to remove the athlete from play. Concussed athletes should be
prescribed physical and cognitive rest. If symptoms worsen, they should
seek emergency medical attention immediately. Athletes who respond well
to physical and cognitive rest should schedule an appointment with a physician
trained in assessing and treating concussions, usually their primary
care physician. The doctor will decide if academic accommodations need
to be put in place and help determine when the athlete can return to play.
Sport related concussions must be taken seriously by parents and
athletes. Most concussions can heal quickly if managed appropriately. If
you believe your child has sustained a concussion during an athletic event
and you would like them to be evaluated by one of our Sports Medicine
physicians please call 781-216-1328 to make an appointment.
Learn more about sports related concussions at
bostonchildrens.org/sportsmed

Periacetabular osteotomy, easier than pulling teeth [Sam Keif]
In the fall of 2011, 18 year-old New York City
native Jared Cohen noticed some slight pain in
his right groin, and initially thought it was something
as simple as a small muscle pull or strain.
Jared continued to play competitive tennis
and recreational sports until the pain became
too severe to ignore. “Once I realized that the
pain was progressively getting worse over time
and that extra stretching was doing very little
to fix what I thought was a simple groin pull, I
decided to get it checked out” says Jared. Jared
saw an orthopedic specialist in New York City
who diagnosed Jared with a labral tear and hip
dysplasia. The specialist suggested that Jared
get a complex hip surgery called a periacetabular
osteotomy (PAO). “I thought that I was
way too young for this. I had heard about my
parents’ friends or my grandparents’ friends
having hip problems, but I’m 18 years old, had
been perfectly healthy for my entire life and
was a little bit shocked at the time.”
Jared and his family were encouraged by
family friends and various physicians to seek
treatment at Boston’s Children’s Hospital who
have a world renowned hip program, led by
Young-Jo Kim, MD, PhD.
Erin Dawicki, physician assistant for the
Child and Adult Preservation Program, explains
the process of a PAO “A PAO is a surgery
done on patients whose hip socket is too
shallow. The hip is a ball and socket joint. The
bone around the socket is cut so that the socket
can be rotated into a better position over the
ball. This makes the hip healthier and hopefully
stops the hip from getting arthritis.”
Jared first came to Boston’s Children’s in
early May to meet with Dr. Kim for a clinical
evaluation and discuss the option of a PAO
surgery. “I knew a PAO was my best option
because of how clearly and thoroughly Dr. Kim
described my choices, but realized that my
entire summer would be spent on crutches and
possibly my first few weeks of college if I went
through with it.
As for the procedure itself, I had never had any
type of surgery before, so the idea of my first
one involving the sawing of my hip didn’t sit
too well with me at first. But, Dr. Kim’s explanations
and the information in the PAO packet I
was given helped make me more comfortable.”
In June of this year, Jared came to Boston
Children’s to have PAO surgery performed on
his right hip “My overall surgical experience
exceeded my expectations in every way. The
nurses, anesthesiologists and doctors I talked
to the morning of the surgery, including Dr.
Kim obviously, were very nice and answered
any questions I had.” After Jared’s successful
surgery he spent six days at Boston Children’s.
“All of the nurses and doctors who stopped
by my room were great, as were the hospital’s
physical therapists I worked with a few days
after the surgery.” Overall, Jared was surprised
on how easy and smooth the overall surgical
process was. “I am supposed to get my wisdom
teeth pulled in the coming weeks. I’m dreading
that more so than I would getting another PAO
at Boston Children’s.”
Jared’s outlook is outstanding and he is
excited and thrilled to be starting college at
Yale University in New Haven, Connecticut in
the fall.
Image courtesy of Jared Cohen
Learn more about hip dysplasia at
bostonchildrens.org/hip
Your thoughts and opinions inspire
us to make changes to better your
experience here. Please take a moment
to visit our website and fill out
our patient satisfaction survey.
bostonchildrens.org/ortho
NEW CAST?
At Boston Children’s we have an excel-
lent group of orthopedic technicians that
will apply or remove your child’s cast.
Whether or not this is your child’s first
cast or tenth, you may have some questions
about how to care for a cast, or
what to expect during the application
or removal process.
We understand that not all concerns
come to mind while you are in the presence
of our orthopedic team. We have
provided information on our website
that can help answer these questions,
as well as additional information to
help you through your child’s healing
process.
At Boston Children’s, we are committed
to providing our patient families with
all the necessary information to help
the children we treat have the best
healing experience possible. Whether
your child has a minor injury or a
complex condition we want you and
your child to feel that you are the most
important people we are taking care of.
We will not rest until every child is well.
Learn more about caring for your cast
at bostonchildrens.org/ortho/cast

Boston Children’s Hospital Ranks #1 on U.S. News & World Report
Best Children’s Hospitals Honor Roll
Ranked in the Top 4 in all 10 Specialty Areas
Boston Children’s Hospital ranks first in the
U.S. News and World Report’s 2012-13 Best
Children’s Hospitals Rankings Honor Roll.
Boston Children’s is first in Cardiology &
Heart Surgery, Nephrology, Neurology &
Neurosurgery; second in Cancer, Diabetes &
Endocrinology, Gastroenterology and Urology;
third in Neonatology and Orthopedics; and
fourth in Pulmonology. Boston Children’s
partners with Dana-Farber Cancer Institute to
operate the Dana-Farber/Children’s Hospital
Cancer Center – an integrated pediatric oncology
program.
“We’re honored by this recognition and view
it as a challenge to continue to work tirelessly
to improve the quality of care given to each
and every family that comes through our
doors,” says James Mandell, MD, CEO of Boston
Children’s Hospital.
The rankings feature 50 hospitals in each
of 10 pediatric specialties: cancer, cardiology
How clinical research directly impacts patient care
[Adam Nasreddine and Anni Lierhaus]
For nearly a decade, one option for treating femur (thigh bone) fractures in children and adolescents
with surgery has included the use of a metal plate secured across the broken bone to hold the two
ends in place while healing takes place. Research studies from this and other institutions showed
that plate fixation was safe and resulted in similar or better outcomes than other treatment techniques
available for some types of fractures. While practice patterns varied somewhat, the consensus
among most orthopedic surgeons was that it was not necessary to remove the plate after successful
fracture healing, unless it was causing the patient problems.
Recently, physicians in the Orthopedic Center
noticed that a couple of patients returned to
clinic many months after their fracture had
healed, complaining of knee pain. X-rays
revealed that the patients were developing
a valgus deformity, in which the thigh bone
becomes bowed. This observation caused physicians
to wonder if the deformity was occurring
in other patients but going undetected.
With the approval of Boston Children’s Hospital’s
Institutional Review Board, researchers
in the Orthopedic Center reviewed the medical
records for all patients whose femur fractures
were treated, over the last five years, with a
plate. They discovered that progression of a
valgus deformity could be detected in approximately
10% of patients.
For most of these patients, the deformity
progression was minimal and didn’t cause any
other symptoms. This was reassuring. However,
for two patients (these were the patients
that inspired this study,) the bowing of the leg
had become so severe that surgical correction
was required.
and heart surgery, diabetes and endocrinology,
gastroenterology, neonatology, nephrology,
neurology and neurosurgery, orthopedics, pulmonology,
and urology. Eighty hospitals across
the country ranked in one or more specialties.
Boston Children’s was the only hospital in New
England named to the U.S. News Honor Roll,
and was ranked in the top 25
“The rankings reflect the dedication of our
caregivers, researchers, staff, volunteers and
referring doctors across Boston Children’s
community of care,” adds Sandra Fenwick,
President and COO of Boston Children’s. “Our
staff represents the finest in their fields, and
it’s only through working together that we can
provide such exceptional care.”
This year, U.S. News surveyed 178 pediatric
centers to obtain hard data such as availability
of key resources and ability to prevent complications
and infections. The hospital survey
made up 75 percent of the evaluation to determine
rankings. A separate reputational survey
Results of this investigation were presented at
a physician staff meeting and it was decided
that patients who were believed to be at high
risk of developing a valgus deformity should be
contacted and asked to return for clinical and
X-ray evaluation of their fractured leg. Patients
considered to be at high risk were those whose
plate was placed close to the knee joint and
who were very young immature at the time
of the fracture. Several patients returned for
follow-up and were found not to have any problems.
One patient, who initially didn’t respond
to phone calls from the research team, later
presented to the clinic a couple of months later
with knee pain and a valgus deformity severe
enough that surgical treatment was necessary.
Based on the results of this study, physicians
now believe it is important to follow patients
and continue to take X-rays as necessary,
not just until the fracture is healed, but until
the patient reaches skeletal maturity. This
study is a good example of how our clinical research
can improve our knowledge and result
in better patient care and outcomes.
in which 1,500 pediatric specialists—150 in
each specialty—were asked where they would
send the sickest children in their specialty
made up the remaining 25 percent of data used
for evaluation.
This patient’s fracture was healed at 6
months. The patient returned 3 years later
because of pain, and was found to have
a major valgus deformity (the left leg is
bowed in and closer to the right leg).
Orthopedic Center | 300 Longwood Avenue, Fegan 2 | Boston, MA 02115 | bostonchildrens.org/ortho | 617-355-6021

Around the bend... continued from cover.
“We knew the curve would only get worse as
she grew older,” explains Hedequist, “and once
I showed her family the X-rays, it was easy for
them to grasp what would need to be done.”
Francine was blindsided by the news, especially
since Anjellina had sailed through her yearly
physical. “I kept thinking to myself, ‘How could I
have missed this?’” But Hedequist explained to her
that when growth spurts happen, curves can progress
very rapidly, and the bumps that Francine saw
on her daughter’s back were the result of her spine
curving and rotating out of place. As the spine
curved it distorted the ribs too.
Though most children who have scoliosis don’t
need surgery, the ones who do often go through
a procedure called spinal fusion—a process
that fuses the spine together with rods to keep
it strong and straight. However, Anjellina’s case
was severe enough that not only would she need
to undergo the typical spinal fusion, she would
also need to go through a preparatory, monthlong
process called halo traction—which would
slowly and gently stretch her spine and correct
some of the curve before spinal fusion surgery.
The set of procedures meant that Anjellina
would need to stay in the hospital for more than
a month. The holidays, as well as Anjellina’s 12th
birthday, were rapidly approaching. Francine
worried that living in the hospital during the holidays
would be hard on both Anjellina and their
family, so Hedequist developed a timeframe that
would work for Anjellina’s comfort and for her
curves. “There was definitely risk of her curves
growing during that waiting period,” explains
Hedequist, “but we could plan it soon enough
that she would be safe, and still be able to spend
the holidays at home.”
The holidays and Anjellina’s birthday came and
went, and the night before her surgery, she was
confident. “We had a family movie night, and my
brother made whoopee pies, which was the last
thing I ate before my first surgery,” she remembers.
The next morning at 4:30 a.m., she woke up
unafraid. “More than anything I was relieved to be
on my way to getting better,” she says.
In the operating room, she underwent anesthesia,
and the process began. Hedequist carefully
placed the halo—a sturdy metal ring—around
Anjellina’s head, and fixed it to her skull with
pins. When the halo was firmly set, a long cord
attached to the top of it was threaded through
a pulley and then dropped toward the ground,
attaching to a five-pound weight at the bottom.
As with all halo procedures, the weight pulled
the cord, which then pulled upward on the halo,
skull and spine slowly and painlessly straightening
Anjellina’s curves. “I got used to the feeling
of having the halo on, and before I knew it, there
was much more weight – up to 30 pounds,” says
Anjellina.
Day by day, Anjellina established a new life at
the hospital. Francine, who was there each day,
would eat breakfast, lunch and dinner with her
daughter, and spend their afternoons making
crafts, playing games and watching television.
“We had a lineup of shows for every night of the
week,” remembers Francine.
As the month went by, Anjellina acclimated to
her surroundings. Even with halo traction, she
was able to get up and move around in a wheel
chair, and spend time talking and playing games
with the nurses.
Weeks went by, and Anjellina spent her time
playing with her iPad, writing in her journal,
making bracelets and keeping a scrapbook of her
time in the hospital. Anjellina’s friends, brothers
and sisters visited her, and Francine made a point
to decorate the halo with colorful beads and
flowers to remind Anjellina to look on the bright
side. “At first I was worried about her being in
the hospital so long,” says Francine, “but as time
went on, she got her teenage attitude back, and I
knew she was fine.”
Soon enough, February ended, and it was time
for Anjellina’s spinal fusion surgery. “In a spinal
fusion, we straighten the spine to a safe degree
with rods and screws, and fuse the bones so that
they can’t curve anymore,” explains Hedequist.
Anjellina prepared herself for the final step in her
recovery, and the next morning Hedequist began
to operate.
When Anjellina woke up after the surgery, the
problems in her back had been corrected–and she
was three inches taller. Recovery for this operation
would be shorter but more painful than the
halo placement. “At first, when I tried to get up
“Scoliosis affects three to five out of every 1,000 children,
and the most common form, idiopathic scoliosis—which
just means it doesn’t have a known cause—usually appears
as children enter growth spurts.”
© GretjenHelen.com
and walk, it felt like just my bones were touching
the floor,” she says. “But the next day, I could walk
more comfortably with a nurse, and day after day
I started to feel better.”
Anjellina was given a list of things to accomplish
before she could leave the hospital. The list—
which included things like walking up stairs,
finishing her scrapbook, eating and coming off
medication—seemed impossible at first, but she
was determined to fully recover, finish every item
and get back to her normal life. Five days later,
that’s exactly what she did.
“I had finished everything on the list, and
Dr. Hedequist came into the room,” remembers
Anjellina. “He asked me and my mom if we
wanted to go home, and my mom stood right up
and said ‘Yes!’”
That night, Anjellina and Francine were excited—their
long and winding journey was about
to end. They woke up early the next morning,
and Anjellina’s stepfather picked them up. “We
drove so slowly home just to be extra careful,” she
remembers. And though it was only 7:30 in the
morning when Anjellina got home, all five of her
brothers and sisters were up and waiting for her
highly anticipated arrival. “She was so happy, she
cried for the rest of the day,” says Francine.
“I was gone for over a month,” says Anjellina,
“it was just so nice to be near my family, in my
own home.” From that moment on, Anjellina’s
older sister, Ana, stayed by her side, and constantly
helped with whatever she needed.
Now back at home, Anjellina goes to school,
helps her mom in the garden and rides her scooter.
“I feel so much better,” she says. “My back
doesn’t hurt anymore, I feel good about the way
I look now, and I’m just relieved to look back on
this whole thing and be done.”
Anjellina’s journey wasn’t easy, but after everything
she’s been through, she knows that sometimes,
life’s path isn’t always straight and narrow.
Learn more about spinal fusion surgery at
bostonchildrens.org/spine

Orthopedic Center publications
Acetabular retroversion in down syndrome.
J Pediatr Orthop. 2012 Apr-May;32(3):277-81.
Acute traumatic and sports-related osteochondral injury of the pediatric knee.
Orthop Clin North Am. 2012 Apr;43(2):227-36.
An information revolution in orthopaedics.
J Bone Joint Surg Br. 2012 Apr;94(4):454-8. Review.
Back pain in the pediatric and adolescent athlete.
Clin Sports Med. 2012 Jul;31(3):423-40.
Changing practice patterns: the impact of a randomized clinical trial on surgeons
preference for treatment of type 3 supracondylar humerus fractures.
J Pediatr Ortho. 2012 Jun;32(4):340-5.
Clinical stability of slipped capital femoral epiphysis does not correlate with
intraoperative stability.
Clin Orthop Relat Res. 2012 Apr 10.
Defining parameters for correcting the acetabulum during a pelvic reorientation
osteotomy.
Clin Orthop Relat Res. 2012 Jul 10.
The explosion in organized sports has resulted in a concomitant increase in
sports injuries.
Clin Sports Med. 2012 Jul;31(3):xv-xvi.
Fingertip injuries in children.
American Academy of Orthopaedic Surgeons Web site: Orthopaedic
Knowledge Online 2012;10(5):
Heterogeneity across the dorso-ventral axis in zebrafish EVL is regulated by a
novel module consisting of sox, snail1a and max genes.
Mech Dev. 2012 Apr 12. [Epub ahead of print]
Horizontal intra-articular patellar dislocation resulting in quadriceps avulsion
and medial patellofemoral ligament tear: a case report.
J Pediatr Orthop B. 2012 Jul 22. [Epub ahead of print].
Lateral condylar humerus fractures: which ones should we fix?
J Pediatr Orthop. 2012 Jun;32 Suppl 1:S5-9.
Lumbar spine surgery in athletes: outcomes and return-to-play criteria.
Clin Sports Med. 2012 Jul;31(3):487-98.
Management of pediatric trigger thumb and trigger finger.
J Am Acad Orthop Surg. 2012 Apr;20(4):206-13.
Mutations in LRP5 cause primary osteoporosis without features of OI by reducing
Wnt signaling activity.
BMC Med Genet. 2012 Apr 10;13(1):26.
Overcoming the funding challenge: the cost of randomized controlled trials in
the next decade.
J Bone Joint Surg Am. 2012. Jul 18;94 Suppl 1:101-6.
Painful pes planovalgus: an uncommon pediatric orthopedic presentation of
Charcot-Marie-Tooth disease.
J Pediatr Orthop B. 2012 Jun 28. [Epub ahead of print]
Peripheral blood mononuclear cells enhance the anabolic
effects of platelet-rich plasma on anterior cruciate ligament fibroblasts.
J Orthop Res. 2012 Jul 5. [Epub ahead of print].
Predictors for secondary procedures in walking DDH.
J Pediatr Orthop. 2012 Apr-May;32(3):282-9.
Preoperative three-dimensional CT predicts intraoperative findings in hip
arthroscopy.
Clin Orthop Relat Res. 2012 Apr 13. [Epub ahead of print]
Prevention of nerve injury after periacetabular osteotomy.
Clin Orthop Relat Res. 2012 Jun 9.
Radiographic analysis of spondylolisthesis and sagittal spinopelvic deformity.
J Am Acad Orthop Surg. 2012 Apr;20(4):194-205.
The role for hip surveillance in children with cerebral palsy.
Curr Rev Musculoskelet Med. 2012 Jun;5(2):126-34.
Somatic mosiac activating mutations in PIK3CA cause CLOVES syndrome.
Am J Hum Genet. 2012 May 30. [Epub ahead of print]
Spinal deformity in young athletes.
Clin Sports Med. 2012 Jul;31(3):441-51. Epub 2012 May 3.
Spinal tumors found in the athlete.
Anderson ME. Clin Sports Med. 2012 Jul;31(3):569-80.
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Vascular safe zones for surgical dislocation in children with healed leggcalvé-perthes
disease.
J Bone Joint Surg Am. 2012 Apr 18;94(8):721-7.
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