Casting is a fundamental technique within orthopedics that is used to fix fractures, help patients with deformities, and immobilize a limb after surgery. For a physician, it’s imperative to not only know how to apply the cast appropriately, but also how to remove it safely.
During cast removal, a cast saw can heat up to the point where it injures the patient by burning their skin. This often results in further, expensive clinical care. But more importantly, it is a painful and avoidable injury to the patient.
Donald S. Bae, MD, an orthopedic surgeon in Boston Children’s Orthopedic Center, is the lead author on an article published in The Journal of Bone & Joint Surgery that details how a simple simulation program dramatically reduced cast-saw injuries. …Read More
Boston Children’s Hospital is at the forefront of clinical research. Stay connected with Paper Trail — a monthly feature highlighting recently published outcomes data and new approaches to the diagnosis, treatment and prevention of pediatric illnesses.
This edition of Paper Trail focuses on injection drug use and street-involved youth, cast-saw reduction rates, sleep apnea, LGBTQ bullying prevention and more. …Read More
When a young athlete visits their pediatrician or primary care provider (PCP) with hip pain, the proper course of treatment isn’t always clear. The damage caused by acute and traumatic hip injuries can often be determined in imaging, while overuse injuries may be more difficult to diagnose.
For significant injuries requiring surgical intervention, it’s always in the best interest of a young athlete to be immediately referred to a pediatric orthopedic surgeon. But for nagging hip pain that doesn’t have a discernible cause, the best course of action may not be evident.
Notes talked to Mininder Kocher, MD, MPH, orthopedic surgeon and associate director of the Sports Medicine Division at Boston Children’s Hospital, about how to best handle hip pain in young athletes. …Read More
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