Ortho Times Vol 24 - Children's Hospital Boston

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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
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Ortho Times Vol 24 - Children's Hospital Boston

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