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Care, innovation, education and research

news item News Wednesday, June 5, 2019 Wednesday, June 5, 2019 3:45 PM - Wednesday, June 5, 2019 3:45 PM

Shriners Hospitals for Children orthopaedic surgeons present at annual POSNA meeting

Doctors from Shriners Hospitals for Children — Northern California presented best practices and clinical research findings at the 2019 Annual Meeting of the Pediatric Orthopaedic Society of North America (POSNA) that took place in Charlotte, North Carolina, May 15–18. The POSNA meeting is a national gathering of professionals who work to advance the care of children with musculoskeletal disorders through education, research and advocacy.

Jon Davids, M.D., assistant chief of orthopaedics, Brian Haus, M.D., Joel Lerman, M.D., and Claire Manske, M.D., presented on behalf of the Northern California Shriners Hospital. Presentations covered both upper and lower extremity care as well as surgical and non-surgical interventions. 

Dr. Davids, internationally noted for his work in treating children with cerebral palsy, presented an educational lecture entitled Open Surgical Lengthening of the Muscle Tendon Unit in Children with Cerebral Palsy. Dr. Davids discussed how surgical lengthening of the muscle tendon can improve range of motion and function in children with cerebral palsy. He presented research that showed how biomechanical modeling and motion analysis studies performed at Shriners Hospital can guide clinical decision-making to minimize weakness that can occur with surgical lengthening.

Dr. Haus, director of pediatric sports medicine and joint preservation, lectured on two topics:

  • Technology and Innovation in the OR: 3D Modeling
  • Comparison of Prophylactic In-situ Screw Fixation Versus Observation of the Asymptomatic Contralateral Hip in Slipped Capital Femoral Epiphysis (SCFE), with co-authors from the Northern California Shriners Hospital and the University of California, Davis School of Medicine.

Dr. Lerman, who has special training in a non-surgical treatment for children with clubfoot known as the Ponseti method, presented an ePoster with co-authors from Shriners Hospital and the UC Davis School of Medicine. Entitled Foot Abduction Orthosis Use Greater Than 3 Years Correlates with Better PROMIS Scores for Children Ages 5-16 with Ponseti-Treated Idiopathic Clubfoot, the presentation showed how appropriately wearing a night brace improves outcomes in children with clubfoot. Progress was tracked through an electronic Patient Reported Outcomes Measurement Information System (PROMIS®).  

“After correction of club feet, it is recommended that children use a night brace until age 4. Using the PROMIS outcome assessment tool, we found that when children had used the brace for at least three years, older children and adolescents (ages 8 -16) reported better mobility than their counterparts who had stopped using the brace early, despite the feet in both groups staying corrected,” noted Dr. Lerman.

Dr. Manske presented a scientific lecture entitled The Incidence of Epidemiology of Brachial Plexus Birth Injury in California. The study described the incidence of brachial plexus birth injury (BPBI), characteristics of infants affected by BPBI, and potential targets to decrease the occurrence of this condition. A pediatric orthopaedic hand surgeon, Dr. Manske specializes in congenital, traumatic, and neuromuscular conditions of the hand and upper extremity, and has a special interest in brachial plexus birth palsy. Her research focuses on optimizing diagnosis, treatment and outcomes for kids with congenital hand difference and brachial plexus palsy.