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PURPOSE Past epidemiological studies demonstrated a nearly fivefold lower incidence of slipped capital femoral epiphysis (SCFE) in New Mexico compared with Connecticut. A recent study demonstrated some regional variability but did not address this earlier finding. We sought to reexamine the incidence of SCFE in New Mexico to improve the understanding of the(More)
BACKGROUND Nonoperative management of clubfoot with the Ponseti method has proven to be effective, and it is the accepted initial form of treatment. Although several studies have shown that problems with compliance with the brace protocol are principally responsible for recurrence, no distinction has been made with regard to whether the distance from the(More)
STUDY DESIGN Case controlled study. OBJECTIVE To explore the relative effects of body mass index (BMI) and the presence or absence of adolescent idiopathic scoliosis (AIS) on bone mineral density (BMD) as evidenced by Z-scores in adolescents. SUMMARY OF BACKGROUND DATA Prior studies have identified adolescents with idiopathic scoliosis as having(More)
Controversy exists concerning pin placement for supracondylar humerus fractures in children. Both crossed pin and lateral only pin configurations have shown good results; however, prospective studies are lacking. We present a prospective, surgeon-randomized study comparing crossed pin (group A, n = 20) versus preferential lateral only pin (group B, n = 20)(More)
STUDY DESIGN Retrospective case series. OBJECTIVE This study evaluated the incidence of postoperative neurological symptoms after a freehand pedicle screw insertion technique in idiopathic posterior scoliosis surgery. SUMMARY OF BACKGROUND DATA It is generally accepted that pedicle screws can be inserted by a freehand technique in the thoracic and(More)
STUDY DESIGN A retrospective review of medical records and imaging studies of children diagnosed with spinal cord injury without radiographic abnormality (SCIWORA) or SCIWORA-like symptoms at Children's Hospital of Pittsburgh between 1965 and 1999 was undertaken. OBJECTIVES To evaluate the existence of occult segmental spinal instability and a role for(More)
STUDY DESIGN Retrospective. OBJECTIVES To identify the clinical factors suggestive of infected and non-infected drainage to help clinical decision making. SUMMARY OF BACKGROUND DATA Differentiating between drainage caused by a benign seroma and deep spinal infection may be difficult in the early postoperative period. METHODS Institutional spine(More)
BACKGROUND Performance on the Orthopaedic In-training Examination (OITE) has been correlated with performance on the written portion of the American Board of Orthopaedic Surgery examination. Herein we sought to discover whether adding a regular pediatric didactic lecture improved residents' performance on the OITE's pediatric domain. METHODS In 2012, a(More)
STUDY DESIGN Biomechanical cadaver study. OBJECTIVE To evaluate the relative effectiveness of Ponte osteotomies for spinal release in deformity correction. SUMMARY OF BACKGROUND DATA Controversy exists as to the role of Ponte osteotomy in deformity correction surgery. Very little has been written about the biomechanical effects of Ponte osteotomy. Past(More)
BACKGROUND The Joint Commission on Accreditation of Healthcare Organizations specifically mandates the dual interpretation of musculoskeletal radiographs by a radiologist in addition to the orthopaedist in all hospital-based orthopaedic clinics. Previous studies have questioned the utility of this practice. The purpose of this study was to further(More)