Archive for orthopedics
Lacrosse, cerebral palsy, and leadership: Luke’s story
When he returned to lacrosse after surgery on his left leg, Luke Kilfoyle wasn’t nervous. In the five and a half months since his surgery, he’d worn a cast, gone to school in a wheelchair, used a walker, then a cane and ankle-foot orthosis (AFO). He’d spent hours in physical therapy and the gym. By ... Read More
A cerebral palsy journey lands in Boston: Ashlyn’s hip surgery
Eleven-year-old Ashlyn’s parents describe her as spicy, strong willed, and determined. Those qualities have served her well through a medical journey that started soon after she was born with cerebral palsy (CP). Ashlyn has had multiple operations to manage the symptoms of CP, but when it came to the question of hip surgery, her parents ... Read More
One athlete, two hip surgeries, three Ironmans
Trevor Spence grew up playing just about every sport he could. When he was 3, he laced up his first pair of hockey skates. When he was 10, he medaled in the Junior Olympics 1500-meter Track and Field event. Throughout middle and high school, he travelled to tournaments for hockey, lacrosse, and soccer. “I did ... Read More
Robotics, spinal fusion, and the quest for 100 percent accuracy
In any spinal fusion surgery, accurate screw placement is a top priority, and for good reason. Incorrectly positioned screws are the number one cause of surgical complications and revision surgeries according to the Scoliosis Research Society. While the vast majority of malpositioned screws — between four and 15 percent of all screws placed — do not ... Read More
Hip pain is different in female dancers: New insights from dynamic ultrasound
Dancers put unique demands on their hips, achieving extreme ranges of motion that can strain the joints and damage supporting tissues around them. Not surprisingly, hip injuries account for up to 17 percent of injuries in dancers and 27 percent among professional dancers. Microinstability — no small problem for dancers Conditions such as hip dysplasia ... Read More
Reconstructing a chest wall, one virtual step at a time
It takes a village of clinicians and engineers to reconstruct a chest wall. It also takes a lot of 3D modeling. A young girl needed to have her chest wall restructured to stop life-threatening airway obstruction. To ensure the complicated operation would be efficient, Emily Eickhoff, a Boston Children’s biomedical engineer, partnered with a team ... Read More
Jenna’s comeback from PAO surgery
By the time Jenna was 14, her off-and-on hip pain had become an always-on issue. The accomplished soccer player and runner from Southern California had experienced intermittent pain since she was 12. She tried physical therapy to ease the hip pain, but it only got worse as she competed at higher levels. Over time, her ... Read More
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