Archive for orthopedics
Teens aren’t small adults: Rethinking surgical treatment of adolescent clavicle fracture
Until about 15 years ago, most clavicle fractures were allowed to heal with minimal medical intervention. That changed after a 2007 study reported better shoulder function after plate-fixation surgery. Although the study participants were adults, the rate of surgical treatment subsequently increased across all age groups. Now, a landmark study at Boston Children’s Hospital demonstrates ... Read More
Nerve block and a way out of pain after surgery
If she hadn’t dislocated her knee severely when she was 13, Paige Thornton probably wouldn’t have such strong feelings about pain. But most teenagers haven’t gone through an experience like hers: two surgeries at a hospital outside of Boston followed by weeks of agonizing pain and a year and half struggling to walk. Blocks use ... Read More
AI could change the way we look at hip preservation
Orthopedic surgeons and biomedical engineers are trained to approach adolescent and young adult hip pain from two different perspectives. Surgeons typically look at conditions such as femoroacetabular impingement (FAI) and hip dysplasia from a clinical point of view. Engineers more often focus on the technology angle. These two perspectives have come together at Boston Children’s ... Read More
Innovative flatfoot surgery releases Quinn’s inner athlete
By the time he was 10, Quinn’s parents had tried almost everything. Dawn would sometimes massage his feet to relieve the pain and tightness caused by flexible flatfoot, a condition in which a child has very little or no arch in their feet. Joseph did physical therapy exercises with him at night. But despite their ... Read More
Acute flaccid myelitis (AFM): What parents need to know
If you’re a parent, chances are you’ve heard the recent news reports about acute flaccid myelitis, or AFM. As of September 2022, 13 cases of AFM have been confirmed in the U.S. according to the Center for Disease Control (CDC), and experts expect that number could rise. For reasons that are still unclear, outbreaks have ... Read More
From Toronto to Boston: Osteochondritis dissecans, hockey, and hope
Hockey is a fast and physical sport. Players need to think and act quickly as their team members, opponents, and the puck zip around the ice. Wherever the puck goes, high-speed collisions often follow. Osteochondritis dissecans is a joint disorder in which a segment of bone and cartilage starts to separate from the rest of ... Read More
Always an athlete: Drew and Legg-Calve-Perthes disease
When he looks back on the diagnosis that forced him to stop playing sports entirely for more than a year, 11-year-old Drew Coperine is philosophical. “There is a bright side,” he says, “there is an end to it.” But when he first learned that he had Legg-Calve-Perthes disease, a degenerative hip condition, it was hard ... Read More
One family, two very different clubfoot experiences
Theresah Boateng and her daughter Eno Agyapomaa Agyemang both have strong wills and outgoing personalities. Both were born with a foot deformity called clubfoot, and both received treatment at Boston Children’s Hospital. Yet their experiences differ in many ways. Theresah’s treatment started when she was 15 years old and lasted more than two years. Eno’s ... Read More
A minimally invasive surgical option for children with flexible flatfoot
Most children with flexible flatfoot, a common condition in which arches do not develop in the feet, don’t need surgery, or any medical intervention at all. The few who do need surgery typically face a complicated procedure and a long recovery. Dr. Susan Mahan travelled to Italy to learn the procedure from the surgeon who ... Read More
Generations of excellence in caring for childhood bone cancers: Dr. Gebhardt and Dr. Anderson
When Dr. Mark Gebhardt was a surgical resident at Boston Children’s Hospital in the early ’80s, doctors were just starting to use chemotherapy to treat bone cancers like osteosarcoma and Ewing sarcoma. Boston Children’s and the Dana-Farber Cancer Institute were among the first places to offer this treatment. They were also among the first to ... Read More