Surgeon training, years in practice, and risk-taking scores were not associated with the respondent's preference for surgical treatment.There was substantial variation among pediatric orthopaedic surgeons when treating type II tibial spine fractures. Kevin Shea, M.D. Further research is needed to explore Female Athlete Triad risk factors in the adolescent female athlete that may differ from the collegiate and adult athlete with an ultimate goal of preventing the long-term consequences associated with the Triad. Identifying current treatment preferences among surgeons given different patient factors can highlight current variation in practice patterns and direct efforts toward promoting the most optimal treatment strategies for controversial type II tibial spine fractures.Magnetic resonance imaging evaluation of anterolateral ligament injury may be reliable for individuals experienced and trained to identify it, but it does not reference a diagnostic gold standard. Six of 7 studies reported that the MPFL origin on the distal femur lies distal to the medial distal femoral physis in the majority of specimens.

The actions taken by Pediatric Orthopaedic Society of North America serve as a model for other professional medical societies to emulate.Osteochondritis dissecans (OCD) of the elbow is a disorder of subchondral bone and articular cartilage, of which the incidence among children is not clearly known.To assess the demographics and epidemiology of OCD of the elbow among children.Cross-sectional study; Level of evidence, 3.A retrospective chart review of an integrated health system for the years 2007 through 2011 was performed for patients with elbow OCD aged 2 to 19 years. Kevin Shea, M.D. PLUTO stands for “Pediatric ACL: Understanding Treatment Options”. Leaders should encourage teams to follow evidence-based guidelines, reduce variation, take an active role in supply chain processes, and develop new ideas to improve quality and safety of care. His advanced training includes pediatric orthopaedics at Rady Children’s Hospital in San Diego, AO Fellowship in Bern Switzerland with Drs. Chase Hand and Upper Limb Center, he has interests in hand trauma, degenerative conditions, peripheral nerve injuries, and complex upper extremity flap reconstruction. has been selected as the next recipient of the Dr. Steven Gitelis Inspiration Award from AlloSource, one of the largest nonprofit cellular and tissue networks in the country. During meniscal repair, all-inside devices may protrude beyond the posterior limits of the meniscus, putting the neurovascular structures at risk.The purposes of this study were (1) to examine the relationship between the popliteal artery and the posterolateral and posteromedial aspects of the menisci, (2) to examine the relationship of the peroneal nerve to the posterolateral meniscus, and (3) to develop recommendations for avoiding neurovascular injury during posterior meniscal repair in pediatric patients.Descriptive laboratory study.A total of 26 skeletally immature knee cadaveric specimens (7 females and 19 males) were included.

Patient differences based on age, sex, and ethnicity were analyzed, and multivariable logistic regression models were used to assess the risk of elbow OCD by group.A total of 37 patients with 40 OCD lesions fit the inclusion criteria.

Measurements were made along a line from the anterolateral portal between the popliteal neurovascular bundle and the free edge, midpoint, and meniscocapsular junctions of the posterior horn of the lateral meniscus. Orthopaedic journal of sports medicine. Kevin G. Shea, MD is an orthopaedic surgeon at Stanford University Medical Center and the Lucile Packard Children’s Hospital. For the general population of young, active adolescents, an ACL injury treated nonoperatively often leads to secondary meniscal and/or cartilage damage, which may lead to knee degeneration and functional instability.The Pediatric Orthopaedic Society of North America took actions to address the well-being of its members. Arthroscopy: The Journal of Arthroscopic & Related Surgery. These new sagittal measurement techniques evaluating the medial, central, and lateral trochlear height and length with respect to age may help guide clinicians when investigating patellar instability in skeletally immature patients.LEVELS OF EVIDENCE: Level IV.Meniscal injury in skeletally immature patients is increasingly reported. Clinical Orthopaedics and Related Research. Ganz (Hip), Dr. Diego Fernandez (Trauma), and Dr. Hans Staubli (sports), and Ilizarov Training in Lecco, Italy. In addition to descriptive statistics of these distances by age and sex, analyses of variance and linear regression analyses were performed to investigate for associations with age, sex, height, weight, BMI, and skeletal maturity.Male participants had a significantly larger mean free edge distance (14.4 ± 2.5 vs 13.1 ± 2.5 mm, respectively; P = .005) and midpoint distance (9.6 ± 2.2 vs 8.9 ± 1.8 mm, respectively; P = .011) than female participants but not a significantly larger meniscocapsular distance (5.2 ± 1.6 vs 4.6 ± 1.4 mm, respectively; P = .096). The MPFL originated distal to the medial distal femoral physis in 92.8% of participants at a mean distance of 6.9 ± 2.4 mm.The medial patellofemoral ligament originates distal to the medial distal femoral physis in the majority of cases at a mean proximal-to-distal distance of 7 mm distal to the physis.

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