Osteochondritis dissecans in the knee – For reasons that are not very clear, the surface of a bone in the knee joint can become soft and can collapse like a pothole. The soft tissue layer and bone can become damaged and torn. This problem is called osteochondritis dissecans and is often referred to as OCD. We often see this in young athletes because of the repeated wear and tear on joints with running and jumping. Watch to learn more about the diagnosis and treatment options.
Pediatric scoliosis, which is diagnosed when a curvature of the spine is detected, affects approximately 2 to 3 percent of school-aged kids. Depending on the severity of the curvature, some patients may need advanced treatment from a trusted facility like the Texas Scottish Rite Hospital for Children (TSRHC). Learn more about this condition and what types of treatment are available to find out if you or your child should see a specialist for treatment.
What’s at Stake
In order to determine the best treatment, specialists consider the following factors regarding a patient’s scoliosis:
- Degree: How severe is the curve? Does it cause problems in the child’s daily life?
- Location: Is the curve located in the upper, middle, or lower spine?
- Maturity: How much growth is left in the child’s spine?
- Progression: What is the potential for progression? Has the child reached his or her adolescent growth spurt yet?
Keeping an Eye on Things
The first type of treatment for scoliosis is observation. This method is limited to milder cases of scoliosis. Typically, a curve of less than 20 degrees are regularly monitored by a doctor to determine if and how much progression is taking place. In these situations, advanced care from a specialized facility like TSRHC is not necessary. The observation can take place through routine clinical examinations and/or radiographic monitoring.
Bracing for the Future
For more severe curves of 25 to 45 degrees, braces (also known as orthoses) are often used to treat scoliosis. Scoliosis bracing can help to keep the curve from progressing, particularly during an adolescent growth spurt. Most braces are custom-made from special plastics to conform to the patient’s body. Depending on the patient’s condition, a brace may need to be worn for most of the day and night or only at night.
Scoliosis Surgical Treatment
For the most serious cases of scoliosis, specialists may recommend surgery to treat the condition. About 30 years ago, TSRHC researchers developed a surgical implant that eliminated the need for casts or braces after surgery. TSRHC released a revised version in 2005 that is smaller, easier to use, and more versatile, allowing for improved treatment of scoliosis. This method continues to be one of the most widely used surgical implants for spinal deformity. TSRHC has also recently started utilizing magnetic spinal rod systems that can be easily adjusted in minutes with no anesthesia, surgery, or recovery required.
What’s Next in Scoliosis Research
TSRHC continues to be at the top of the field when it comes to scoliosis research. In 2007, researchers at TSRHC identified the first gene linked to idiopathic scoliosis. Two other genes lending insight to this condition were also identified. With these discoveries, TSRHC may be able to ultimately find a genetic cause for scoliosis.
Being diagnosed with scoliosis doesn’t have to be scary for kids (or their parents). At TSRHC, patients can receive highly innovative scoliosis treatments from advanced specialists in the field.
For most kids, summer camp is a time to play games, do arts and crafts and have water balloon fights with friends. The same is true for the kids who attend Constraint Induced Movement Therapy (CIMT) camp at Texas Scottish Rite Hospital for Children; but all the fun and games serve a special purpose for very special campers. CIMT camp is a two-week camp for children with Cerebral Palsy. The campers wear a brace on their dominant side in order to force their non-dominant side to do more work. Allowing them to build up strength and stability. They are able to participate in all the fun, traditional aspects of summer camp, all while exercising and conditioning their non-dominant side to be more active.
Dr. Delgado started this camp in 2011 in order for his patients to have a beneficial summer camp experience. Over the years, the camp has tripled in size and referred patients come from all over Texas to participate in this free program.
A special aspect of CIMT camp is the camper’s personal transformations. At the beginning of the two weeks, campers set goals for themselves. These goals range from being able to complete everyday tasks like tying shoes or shooting a basketball to more challenging goals like doing a handstand. At the end of camp, family members, therapists and camp volunteers are invited to watch the campers put on a talent show to demonstrate their new abilities.
By using summer camp as a playful way to build strength and confidence, the campers at CIMT camp are able to go home with new friends, fond memories and most importantly, a stronger self.
For more information on this camp, please contact Linsley.Smith@tsrh.org.
The sports medicine experts at Texas Scottish Rite Hospital for Children (TSRHC) are moving their office on September 21, 2015. Dr. Philip Wilson, Dr. Henry Ellis, Dr. Shane Miller and the sports medicine team are looking forward to this new, and larger, space at 7000 West Plano Parkway, Plano, Texas 75093.The facility will be home to TSRHC’s Center for Excellence in Sports Medicine, which will continue to offer unparalleled expertise in managing acute and recurrent sports-related injuries. In this new space TSRHC will also treat children with some general orthopedic conditions.
For more information, please visit scottishritehospital.org/sports.
Keep Calm and Give On for North Texas Giving Day! For one day only, a portion of your gift of $25 or more given to TSRHC online at https://www.northtexasgivingday.org/#npo/texas-scottish-rite-hospital-for-children will earn bonus funds.
North Texas Giving Day is an online giving event that provides nonprofits the opportunity to gain exposure to — and start relationships with — new donors, and for people in North Texas to come together to raise as much money as possible for local nonprofits. In just six years, North Texas Giving Day has pumped more than $86 million into the North Texas community. In 2014, more than 98,000 gifts totaling $26.3 million benefited 1,580 nonprofits.
North Texas’ incredible generosity has broken the national record 3 years in a row! After last year’s national record-crushing 75,000 donations totaling $26.3 million, North Texas Giving Day is back with the hopes that North Texas will raise the giving day bar once again to benefit more North Texas nonprofits.
Join in this year’s effort between the hours of 6 a.m. and midnight on Thursday, September 17. Make your online donation to TSRHC here!
Note: Please note that gifts through NTGD may not be used to fulfill pledges or purchase tickets/sponsorships for Texas Scottish Rite Hospital for Children events. All proceeds will go directly where they are needed most…to insuring the health and happiness of our precious patients.
At age 4, TSRHC patient Alexander was adopted from Romania, where he contracted polio that paralyzed his left leg. Shortly after arriving to his new home in the United States, his adoptive parents brought him to TSRHC for proper diagnosis and treatment.
Thanks in part to the hospital that was founded in 1921 to treat children with polio, this state-champion gymnast has not allowed his paralysis to keep him out of the game or the winner’s circle.
See how Alex has learned to overcome the odds and soar so high, some might even say he’s flying, in Learning to Fly – the Alex Milner Story.
Texas Scottish Rite Hospital for Children, in partnership with the University of Texas Southwestern Medical School, is well known for preparing orthopedic specialists to care for pediatric patients. In addition to teaching surgeons, the experts in the Sports Medicine Center inspire young athletes to consider a career in the medical field. We’ve had many patients share plan to attend medical school, physical therapy school, athletic trainer programs, and training for other ancillary services. Here are two of those former patients.
The Movement Science Laboratory at Texas Scottish Rite Hospital for Children uses revolutionary technology to evaluate and identify pediatric movement, so doctors can decide on the best course of treatment.
What is the Movement Science Laboratory, and how does it benefit children, researchers and the community?
Technology Based on Video Games
The same technology that helps designers create video games contributes to the work in the Movement Science Laboratory. The laboratory’s staff employs multiple cameras that track markers on a child’s body. As the child moves through the exercises in the laboratory, the cameras record and process the information. A computer translates that data into a moving stick figure that doctors and scientists can then analyze.
Laboratory Used for Both Treatment and Research
Staff members at the Movement Science Laboratory use the technology to research disorders and conditions that impact pediatric movement. However, the laboratory also serves as a diagnostic aid, so it serves double duty, both conducting research and providing treatment. Doctors refer children to TSRHC for observation and evaluation.
Staff Can Measure Multiple Types of Movement
The camera- and computer-aided technology only constitutes part of the research conducted at the Movement Science Laboratory. Researchers at TSRHC use the facility to measure all types of movement. For example, a plate embedded in the laboratory’s floor allows researchers to measure the pressure a child exerts with each step.
Other devices help to measure a child’s limb strength, flexibility, range of motion, and dynamic joint motion. Researchers can also do electromyography (EMG) to analyze the electrical signals muscles send to the brain during movement.
Staff Is Comfortable Working With Children
Kids often develop anxiety when faced with a clinical setting. Fortunately, the TSRHC staff knows how to help children feel comfortable and safe. When kids visit for research or testing, staff members encourage parents to bring along favorite toys or stuffed animals, so their children feel more at home.
Additionally, after staff members record a child’s movements via the cameras and computers, they invite the child to show off a fun movement of his or her choice. Seeing a crazy dance on the screen, for instance, shows children the fun side of the experience.
You Can Participate
The Movement Science Laboratory at TSRHC invites participants who wish to give their time to research. You can call 214-559-7580 to talk about participation in a research study. If you meet the project’s qualifications, you have a chance to help TSRHC make an even greater impact on children’s lives.
You might also find yourself at the laboratory because of your pediatrician’s concerns about your child’s movements. In addition to movement disorders and conditions, the laboratory also works with children who wear prosthetic devices.
The Movement Science Lab creates a safe, high-tech space for studying and diagnosing movement issues in children. Whether you are visiting for research or diagnostics, you can benefit from the experience.
As a level 9 gymnast at Zenith Elite Gymnastics in McKinney, Addie knows well that an intense training schedule can lead to overuse or more serious injuries. Her sports medicine doctor is Henry Ellis, M.D. and he tells us these problems need to be addressed by specialists who know the pressures of gymnastics.
“All injuries need to be treated appropriately to prevent more serious injuries that will keep a gymnast from competing,” Dr. Ellis says.
Dr. Ellis and Lorenzo Vite, physical therapist, agree that many injuries may be prevented with a team approach, including a sports medicine specialist, a physical therapist, the parents and the coach. They have worked side-by-side with Addie’s parents to respond to her signs and symptoms proactively.
After years of training gymnasts, like Addie, Lorenzo can guide her and other gymnasts through comprehensive recommendations that go beyond treating an injury. He suggests an in-season strength program, which he believes will reduce the chance of injury, maintain and improve performance.
Here are some myths about strength training in gymnasts:
- Strength training leads to muscle shortening and stiffness
- Strength training always causes weight gain
- All strength training programs look alike
These are simply not true. With a proper analysis of muscle development, joint limitations, and posture, a physical therapist can identify exercises for each gymnast. Working with a gymnastics coach, the physical therapist can design an individualized program to create balance without traditional muscle bulking.
A good program, occurring twice a week for 45-60 minutes should include these components:
- Stretching and other soft tissue mobility exercises
- Specific exercises to activate core muscles
- Dynamic warm-up
- Strength training circuit using body weight for resistance
- Overall core emphasis
For information about injury prevention and pediatric sports medicine, please visit our website at scottishrite.org/sports.
Save the Date for the following events benefiting TSRHC this fall. For more information or questions about any of these events, please contact our Special Events Department at 214-559-7656.
Location: Reverchon Park
Please join us for a tree dedication in celebration of the park’s 100th anniversary.
Refreshments generously provided by Dr Pepper Snapple, Plains Capital Bank and 7-Eleven.
J. Crew Event – Thursday, September 24, 2015, 6 p.m.
Location: J. Crew, J.Crew Men’s Shop and crewcuts at NorthPark Center
J.Crew will host a cocktail reception at their three NorthPark store locations for the eighth year in a row. Merchandise will be offered at a 15% discount for purchases of $150 or more, and a portion of the proceeds will benefit the hospital. The event will be hosted by Dr. Henry Ellis and his family as well as Crayon Club Advisory Board Members, Kelly and Cameron Ongena.
Please RSVP at firstname.lastname@example.org.
Texas A&M 12th Man Kick Off Team Foundation/Coach Jackie Sherrill Visit – Friday, September 25, 2015, 10:30 a.m.
Texas Scottish Rite Hospital for Children will host a meet and greet with former Head Coach Jackie Sherrill, members of Texas A&M University’s 12th Man Kickoff Team and former Texas A&M Football players. The group will distribute and autograph 12th Man towels, and other items for TSRHC patients. Copies of Jackie Sherrill’s book, “No Experience Required,” will also be available for sale. This is the group’s seventh year to visit to TSRHC. The 12thMKOT Foundation was established in 2007 to provide scholarships to students at Texas A&M.
Location: San Angelo Claybird Association Range (SACAR)
This is the 18th year for this event, which has raised more than $800k for TSRHC. The idea for the event came from TSRHC Trustee, Dan Davidson. For more information or to register, please visit our San Angelo Sporting Clay Shoot website.
Location: Old Parkland
TSRHC will host its 20th Annual Treasure Street, the hospital’s signature event, on Thursday, October 15, 2015. Dance the night away with music from headliner Pat Green, The Project and enjoy 5-star cuisine.
Visit treasurestreet.com for more information.
Ebby Halliday Frisco Charity Golf Tournament – Thursday, October 22, 2015, 11 a.m.
Location: Stonebriar Country Club
The Ebby Halliday Frisco Office is hosting the 7th Annual Charity Golf Tournament on Thursday, October 22, 2015 to raise money on behalf of TSRHC. Funds from this tournament will help build a new ambulatory care center for outpatient services and day surgeries in Frisco.
Each golfer receives 18 holes on the exclusive Fazio course, a deluxe Goodie Bag, a gourmet lunch & dinner, as well as entrance to the Awards Dinner & Silent Auction.
Early Registration ends September 22. For more information, please visit ebbyfriscogolf.org.
Crayon Club’s fourth annual Truck or Treat is a fun Halloween-themed event that features food trucks, live entertainment, lawn games, tours and face painting. All proceeds benefit the hospital.
- Member pricing located on tsrhc.org/CrayonClub
- Non-member ticket price: $25
- At door ticket price: $30
- For more information or to purchase tickets, please visit tsrhc.org/CrayonClub.
Location: Elm Fork Shotgun Sports
Join other clay shooters in the Dallas area to raise funds and awareness for TSRHC. Visit tsrhc.org/clayshoots to register and for additional information about the 2015 Dallas Sporting Clay Shoot at Elm Fork.