Stories about: Orthopedic Center

Expert’s Corner: A guide to managing knee injuries in athletes

knee-pain

Knee pain and injuries are common among young athletes. Although some parents may think to bring their child to the emergency department (ED) when a knee injury occurs, there are many cases when the injury is better managed by either a primary care provider (PCP) or an orthopedic specialist.

The following guide will help you manage knee pain in athletes and provide guidance on when to refer your patient to an orthopedic specialist. …Read More

Challenging case: ABC tumor of the cervical spine

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The case

After sustaining an apparent neck injury during a routine soccer fall, a 12-year-old presented to a local hospital emergency room. An MRI was ordered and indicated an aneurysmal bone cyst (ABC) tumor in her cervical spine.

The patient was transferred from the local emergency room to the Boston Children’s Hospital Emergency Department.

A CT confirmed the original diagnosis and showed a fracture and erosion of her C-5 vertebra.

Guidelines for ABC tumors in long bones often recommend sclerotherapy prior to surgery. Initially, one recommendation was that the patient undergo sclerotherapy to shrink the tumor, and then undergo surgery to remove the remaining tumor in the future.

The patient was extremely active and eager to have surgery and begin rehabilitation. Her family asked for other options. …Read More

Innovative series of surgeries corrects leg length discrepancy in children

leg length discrepancy surgeryPerfect body symmetry is a fallacy, and nearly everyone’s legs are different lengths to some small degree. But when the difference is large enough, it can alter a person’s gait and cause back, hip, knee or ankle problems.

Some people are born with a leg length discrepancy so significant that decisions must be made early to change the course their lives.

George Davies, now 17, was born with a rare disease called Fibular Hemimelia, a rare genetic absence of the fibular bone.  Without treatment, George’s right leg would grow so much slower than his left that it would ultimately be six inches shorter than his left. George’s parents decided to pursue a course of leg-lengthening surgeries and physical therapy to help him one day stand on two legs of the same size.

Learn how George’s treatment affected him, his family and his future on our sister blog, Thriving.

Read about George’s journey to overcome leg length discrepancy.

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Q+A: What you need to know about bridge-enhanced ACL repair

Screen Shot ACL repairIt’s not uncommon for physicians and patients to refer to ACL surgery as ACL repair. The current standard of care, however, does not repair a torn ACL. The surgeon removes the ends of the torn ACL and replaces the ligament with a tendon graft. It’s ACL reconstruction.

Bridge-enhanced ACL repair (BEAR) is a promising new approach to ACL surgery that uses a protein-enriched sponge to encourage the torn ends of an ACL to reconnect and heal.

Martha Murray, MD, Boston Children’s Hospital orthopedic surgeon, and a team of researchers have spent nearly 25 years developing the BEAR surgery. The U.S. Food and Drug Administration (FDA) approved a 100-patient clinical trial at Boston Children’s to see if the BEAR surgery is as effective as ACL reconstruction.

Murray answers some questions about her ACL research and the BEAR trial. …Read More

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