Peds Ortho – Détails, épisodes et analyse

All about gymnastics! We interview Dr. Elspeth Hart from Boston Children's on her latest article on Gymnastics Medicine and what to look out for when treating gymnasts in the orthopedic setting. We also highlight recent articles on the urgency of stable SCFE, a lesser-known method for pinning supracondylar humerus fractures, and short versus long leg casting for distal tibia physeal fractures. Your hosts are Tyler McDonald (University of South Alabama), and Stephanie Logterman (Arnold Palmer Hospital for Children), Josh Holt (University of Iowa), and Carter Clement (Manning Family Children’s in New Orleans). Music by A. A. Aalto.

Gymnastics Upper Extremity Article mentioned: Hart E, Bauer AS, Bae DS. Common upper extremity gymnastics injuries and gymnastic specific return to play protocols. J Pediatr Soc North Am. 2024 Feb 28;6:100016. doi: 10.1016/j.jposna.2024.100016. PMID: 40433250; PMCID: PMC12088353.

Link to the non profit Gymnastics Medicine: Education and Research: GymnasticsMedicine.org

Link to learn more about the 7th annual Gymnastics Medicine Symposium (use code "Gym15" to save 15% if interested in signing up!): Symposium 2025 - Gymnastics Medicine

References:

1. Hart E, Bair K, Broz J, Griffith K, Herrera-Set A, Lattimore D, Melvin E, Sweeney E. Gymnastics Medicine: A New Subspecialty in Sports Medicine. Curr Sports Med Rep. 2025 May 1;24(5):126-134. doi: 10.1249/JSR.0000000000001249. PMID: 40323057.

2. White AB, Keil LG, Bardsley H, Selberg C, Mansour A, Brooks AC, Manickam R, Mayassi HA, Zhao L, Uchtman M, Whitlock P, Stone J. How Urgent Are Stable SCFEs? A Multisite Retrospective Study of Surgical Timing and Complications Among Patients With Stable Slipped Capital Femoral Epiphysis. J Pediatr Orthop. 2025 Sep 1;45(8):485-491. doi: 10.1097/BPO.0000000000002997. Epub 2025 May 1. PMID: 40314216.

3. Grewal RS, Kitchen BT, Bomar JD, Cidambi EO, Dexter MJ, Edmonds EW, Pring ME, Upasani VV, Wallace CD, Pennock A. Displaced Distal Tibia Physeal Fractures: Short Leg Versus Long Leg Casting-A Prospective Study. J Pediatr Orthop. 2025 Aug 1;45(7):e614-e617. doi: 10.1097/BPO.0000000000002961. Epub 2025 Apr 7. PMID: 40191914.

4. Muto S, Niwa S, Fujihara Y, Ota H, Kumagai H. Comparative Analysis of Postoperative Rotational Malalignment in Pediatric Supracondylar Humerus Fractures: Cross Pinning Versus Lateral Para-olecranon Pinning. J Pediatr Orthop. 2025 Sep 1;45(8):458-465. doi: 10.1097/BPO.0000000000003000. Epub 2025 May 5. PMID: 40323798.

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

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

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

References:

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

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

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

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

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

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.