Peds Sports

JPOSNA Update with JR Cruz

Dr. Aristides "JR" Cruz of Brown University joins the podcast for a special JPOSNA episode. Dr. Cruz serves at Deputy Editor of Research for JPOSNA (the Journal of the Pediatric Orthopaedic Society of North America). He discusses 4 recent sporty articles from the journal along with some of his own techniques and clinical pearls. Your host is Carter Clement from Children's Hospital of New Orleans. Music by Eric Nelson and Sparkhammer at Stu Stu Studio.

 

---------------------------------------------------

 

Featured Articles:

 

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

 

 

 

Quad Tendon ACL’s with Dan Green

Dr. Dan Green of HSS discusses his recent research showing better graft incorporation of quad tendon ACL's compared to hamstrings as well as some pearls from his clinical experience. Your host is Carter Clement from Children's Hospital of New Orleans. Music by Eric Nelson and Sparkhammer at Stu Stu Studio.

 

"MRI Signal Intensity of Quadriceps Tendon Autograft and Hamstring Tendon Autograft 1 Year After Anterior Cruciate Ligament Reconstruction in Adolescent Athletes." AJSM.

https://pubmed.ncbi.nlm.nih.gov/34612708/

 

What‘s New?! (Oct 2021)

The gang discusses the latest pediatric sports medicine research across all the top journals. Your hosts are Neeraj Patel (Lurie Children's Hospital), Pam Lang (U. Wisconsin), Cordelia Carter (NYU), Dominic Gargiulo (Children's Hospital of New Orleans), and Carter Clement (Children's Hospital of New Orleans). Music by Eric Nelson and Sparkhammer at Stu-Stu-Studio. 

 

From JBJS: 

• Prevalence of Trochlear Dysplasia and Associations with Patellofemoral Pain and Instability in a Skeletally Mature Population

• ACL Reconstruction Delay in Pediatric and Adolescent Patients Is Associated with a Progressive Increased Risk of Medial Meniscal Tears

• Elbow Overuse Injuries in Pediatric Female Gymnastic Athletes

 

From JPO:

• Functional Outcomes of Arthroscopic Os
  Trigonum Excision in Adolescents

 

From JCO:

• Prevalence of trochlear dysplasia in infants evaluated for developmental dysplasia of the hip

 

From AJSM: 

• Does Insurance Status Affect Treatment of Children With Tibial Spine Fractures?
• Surface-Related High School Football Game Injuries on Pad and No-Pad Fields

 

 

Blood Flow Restriction (BFR) with Mary Mulcahey

Dr. Mary Mulcahey of Tulane discusses her research on blood flow restriction (BFR) training and Relative Energy Deficiency (RED). Your host is Carter Clement from Children's Hospital of New Orleans. Music by Eric Nelson and Sparkhammer at Stu Stu Studio.

 

"Blood Flow Restriction Training for Athletes: A Systematic Review." AJSM. https://pubmed.ncbi.nlm.nih.gov/33196300/

 

"Relative Energey Deficiency in Sport: An Orthopaedic Perspective." JAAOS. https://pubmed.ncbi.nlm.nih.gov/33273407/

Bonus Episode - POSNA 2021 Sports Subspecialty Day

Jennifer Beck and Eric Edmonds from UCLA and Rady, respectively, moderate the POSNA 2021 Virtual Sports Subspecialty Day episode, discussing key abstracts from the upcoming annual meeting. This session is also featured on Peds Ortho, the official POSNA podcast. Guest authors include John Schlechter from CHOC, Kathleen Maguire from CHOP, Samuel Van de Velde from Columbia, and Eric Edmonds (in addition to his moderator role). Your host is Carter Clement from Children’s Hospital of New Orleans. Music by A. A. Alto.

 

Abstracts discussed:

 

Do Continuous Peripheral Nerve Blocks Decrease Home Opioid Use Following Anterior Cruciate Ligament. John Schlechter, DO; Bryn Gornick; Benjamin Sherman, DO; Tanner Harrah. CHOC.

 

Predicting Outcomes of Talar Osteochondritis Dissecans Lesions in Children. Kathleen Maguire, MD; Mitchell Johnson; Kunbo Park, MD; Divya Talwar; J Todd Lawrence, MD. CHOP.

 

Anatomic versus Non-anatomic Anterolateral Tenodesis in Combination with Anterior Cruciate Ligament Reconstruction – Sometimes Cheaper is Better? Samuel Van De Velde; Gregory Schmale, MD; Scott Telfer. U.W.

 

Clinical Outcomes, Survivorship, and Return to Sports After Arthroscopic Capsular Repair with Suture Anchors for Adolescent Multidirectional Shoulder Instability at Mean Follow-Up of 6 Years. Brendon Mitchell; Matthew Siow; Alyssa Carroll; Andrew Pennock, MD; Eric Edmonds, MD. Rady Children's Hospital.

 

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

What's New?! (Apr 2021)

The gang discusses the latest pediatric sports medicine research across all the top journals. Panelists include Neeraj Patel (Lurie Children's Hospital), Dax Varkey (Greensboro, NC), Pam Lang (U. Wisconsin) and Cordelia Carter (NYU). Your host is Carter Clement (Children's Hospital of New Orleans). Music by Eric Nelson and Sparkhammer at Stu-Stu-Studio.

 

From Arthroscopy:

Cost-Effectiveness Analysis of Nonoperative Management Versus Early Drilling for Stable Osteochondritis Dissecans Lesions of the Knee in Skeletally Immature Patients

 

Predictors of pediatric anterior cruciate ligament injury: The influence of steep lateral posterior tibial slope & its relationship to the lateral meniscus

 

From the Journal of Pediatric Orthopaedics (JPO):

Anterior Cruciate Ligament Tear Following Operative Treatment of Pediatric Tibial Eminence Fractures in a Multicenter Cohort

 

From the Journal of Children's Orthopaedics (JCO):

Validity and reliability of smartphone inclinometer applications for measurement of elbow range of motion in paediatric patients

 

Modified Langenskiöld procedure for chronic, recurrent, and congenital patellar dislocation

 

From the Orthopaedic Journal of Sports Medicine (OJSM):

Tibial Tubercle Osteotomy With Distalization Is a Safe and Effective Procedure for Patients With Patella Alta and Patellar Instability

 

Operative Treatment of Bipartite Patella in Pediatric and Adolescent Athletes: A Retrospective Comparison With a Nonoperatively Treated Cohort

 

From the American Journal of Sports Medicine (AJSM):

Predictors of Failure of Return to Play in Youth Baseball Players After Capitellar Osteochondritis Dissecans: Focus on Elbow Valgus Laxity and Radiocapitellar Congruity

 

From the Knee Surgery, Sports Traumatology, and Arthroscopy (KSSTA):

An arthroscopic repair technique for proximal anterior cruciate tears in children to restore active function and avoid growth disturbances

 

ACI Biopsy from Loose Bodies with Brian Haus

Dr. Brian Haus of the Sacramento Shriner's Hospital and U.C. Davis discusses his research and clinical experience with ACI biopsy, including using loose bodies to spare harvest site morbidity. Your host is Carter Clement from Children's Hospital of New Orleans. Music by Eric Nelson and Sparkhammer at Stu Stu Studio.

 

"Assessment of Cartilage Growth After Biopsy of Osteochondral Loose Bodies in Adolescent Knees for Use in Autologous Chondrocyte Implantation." JPO. https://pubmed.ncbi.nlm.nih.gov/32028471/

 

What's New?! (Jan 2021)

The gang discusses the latest pediatric sports medicine research across all the top journals. Panelists include Neeraj Patel (Lurie Children's Hospital), Dax Varkey (Greensboro, NC), and Dominic Gargiulo (Children's Hospital of New Orleans). Your host is Carter Clement (Children's Hospital of New Orleans). Music by Eric Nelson and Sparkhammer at Stu-Stu-Studio.

 

From the American Journal of Sports Medicine (AJSM):

Use Caution When Assessing Preoperative Leg-Length Discrepancy in Pediatric Patients With Anterior Cruciate Ligament Injuries

 

From the Journal of Pediatric Orthopaedics (JPO):

Quadriceps Strength Is Influenced by Skeletal Maturity in Adolescents Recovering From Anterior Cruciate Ligament Reconstruction

 

From the American Journal of Sports Medicine (AJSM):

Lateral Extra-articular Tenodesis Reduces Failure of Hamstring Tendon Autograft Anterior Cruciate Ligament Reconstruction

 

Four Risk Factors for Arthrofibrosis in Tibial Spine Fractures A National 10-Site Multicenter Study

 

From Arthroscopy:

Arthroscopic Bankart Repair Versus Conservative Management for First-Time Traumatic Anterior Shoulder Instability: A Systematic Review and Meta-analysis

 

From the American Journal of Sports Medicine (AJSM):

Prediction of Shoulder Pain in Youth Competitive Swimmers The Development and Internal Validation of a Prognostic Prediction Model

 

Satisfaction With Elbow Function and Return Status After Autologous Osteochondral Transplant for Capitellar Osteochondritis Dissecans in High School Baseball Players

 

 

 

Trochleoplasty with Lee Pace

Dr. Lee Pace of Connecticut Children's discusses his research and clinical experience on trochleoplasties. Your host is Dominic Gargiulo from Children's Hospital of New Orleans. Music by Eric Nelson and Sparkhammer at Stu Stu Studio

What's New?! (Nov 2020)

The gang discusses the latest pediatric sports medicine research across all the top journals. Panelists include Cordelia Carter (NYU), Pam Lang (Wisconsin), Neeraj Patel (Lurie Children's Hospital), Dax Varkey (Greensboro, NC), and Dominic Gargiulo (Children's Hospital of New Orleans). Your host is Carter Clement (Children's Hospital of New Orleans). Music by Eric Nelson and Sparkhammer at Stu-Stu-Studio.