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Category Archives: Research & Innovation

Scottish Rite Hospital’s Movement Science Team Travels to Annual Gait Meeting to Present Their Most Recent Research

Scottish Rite Hospital’s team in the Movement Science Lab is in Salt Lake City, Utah participating in the Gait and Clinical Movement Analysis Society (GCMAS) Annual Meeting. The conference brings together professionals from diverse medical backgrounds to improve the quality of life for individuals with any movement disorder through research and collaboration.

Team members from our Movement Science Lab are among other medical professionals from around the country that have the opportunity to present their most recent research. With four podium and two poster presentations accepted, the hospital is presenting on various topics within pediatric orthopedics. Director of the Movement Science Lab and an executive officer for GCMAS, Kirsten Tulchin-Francis, Ph.D., is proud of the representation the hospital has at this year’s meeting. “For our team, this is a great opportunity to showcase our expertise in how we study the movement and function of our patient population,” says Tulchin-Francis. “Our orthopedic staff supports the work we conduct and believe that the research can truly help determine better treatment plans for our patients.”

The team is presenting on the following topics:

  • The Periacetabular Osteotomy Improves Radiographic And Gait Functional Outcomes Of Adolescents With Cerebral Palsy
  • Plantar Pressures Following Surgical Intervention For Clubfoot: Intermediate Follow Up At 5 Years Of Age
  • Outcomes Following Treatment For Idiopathic Clubfoot At Age 10yrs: Gross Motor Function, Strength & PODCI
  • The Development And Treatment Of Adolescent Hip Pain In A Patient With Legg-Calve-Perthes Disease
  • Differences In Squatting Biomechanics In Individuals With Unilateral And Bilateral Adolescent Hip Dysplasia
  • Rectus Sparing Approach To Periacetabular Osteotomy In Adolescents Preserves Hip Flexion Strength At Short Term Follow-Up

Our state-of-the-art Movement Science Lab brings a unique view into how our patients function to better understand their condition and to determine the best treatment plan. This annual meeting allows our staff to further their knowledge and share their expertise with fellow medical professionals. It is a privilege to be a part of a specialized meeting in order to bring more discussion and groundbreaking innovation back to the hospital to ultimately give patients back their childhood.

Scottish Rite Hospital Staff Return from Spain with Two Major Awards

Last week, our medical staff and researchers attended the 2017 EPOSNA conference in Barcelona, Spain. This inaugural meeting combined two established pediatric orthopedic societies, POSNA (Pediatric Orthopaedic Society of North America) and EPOS (European Pediatric Orthopaedic Society) to foster education and research on a global scale.

Scottish Rite Hospital had a tremendous showing with presentations throughout the four-day meeting. The hospital returned from Spain with two of the three major awards given at the meeting – Best Quality, Safety, Value Initiative (QSVI) presentation and Best Basic Science Research podium presentation. Staff Orthopedist, Amy McIntosh, M.D., and Director of Performance Improvement, Kerry Wilder, received the QSVI award on their work in quality improvement regarding reductions in surgical site infections (SSI) in patients undergoing spine surgery. This is a great accomplishment as this is the first quality improvement award the hospital has won at an international meeting.

Staff orthopedist, Lawson Copley, M.D., received the award for Best Basic Science Paper for his research work on acute hematogeonous osteomyelitis (AHO), which is a bone infection that is most commonly caused by bacteria called, Staphylococcus aureus. Copley and his team conducted a thorough analysis of bacterial virulence genes (genes responsible for causing infection) isolated from children with osteomyelitis to determine which ones were associated with a severe illness.

The 2017 EPOSNA combined meeting provided a great opportunity for our staff to learn and present their work to fellow medical professionals from around the world. Research and education continues to be at the forefront to help answer the challenging questions we face and is critical in carrying out the hospital’s mission to ultimately provide the very best care to our patients and children everywhere.

Medical Staff and Researchers Attend Inaugural 2017 EPOSNA Conference

Our medical staff and researchers are attending the 2017 EPOSNA meeting this week in Barcelona, Spain, which combines experts in pediatric orthopedics from North America and Europe. This is the first year the Pediatric Orthopaedic Society of North America (POSNA) and the European Pediatric Orthopaedic Society (EPOS) will join in collaboration to highlight pediatric orthopedic education and research. The meeting will begin with the educational pre-course titled “Cutting-Edge Pediatric Orthopedics 2017: A Global Perspective.” Chief of Staff, Dan Sucato, M.D., M.S., states “The combined meeting is very exciting as it brings pediatric orthopedic surgeons from all over the world together to share ideas, experiences and research that will improve the care of our patients. Scottish Rite Hospital is at the heart of all of the activities at this combined meeting.”

POSNA is comprised of over 1,200 members including orthopedic surgeons, physicians, and other medical professionals. EPOS is a European society with over 300 members. Both groups have a purpose of bringing better care to children and adolescents with orthopedic conditions through education and research, a mission which has been supported by Scottish Rite Hospital’s Assistant Chief of Staff, Lori Karol, M.D., who has been part of the leadership of POSNA for the last several years.

EPOSNA 2017 is the largest pediatric orthopedic scientific meeting with over 1,300 abstracts submitted. Only 200 podium and 200 posters were accepted for presentation at the three-day meeting. Scottish Rite Hospital has a strong presence with sixteen selected podiums and eleven poster presentations, which highlights the work of our current medical staff, researchers as well as our fellow and resident trainees. Director of Research, Harry Kim, M.D., says, “We are very excited to see so many of our research projects come to fruition and be on the program for presentation at this important meeting. We are truly blessed to have a great medical and research staff who value research and who are working hard to improve our understanding and treatment of various pediatric musculoskeletal disorders.” Podium and poster projects in the followings areas will be presented:

  • Spine
  • Hip
  • Trauma
  • Clubfoot
  • Limb Deformity
  • Sports Medicine
  • Basic Science
  • Biomechanics

The conference includes a session dedicated to nominees for best clinical and best scientific paper. Scottish Rite Hospital has a total of five nominations in the two categories. Harry Kim, M.D., has two presentations nominated for best scientific paper. Staff orthopedist, Lawson Copley, M.D., is also nominated for best scientific paper. Both Kim and Copley make up half of the nominations for this category. Dan Sucato, M.D., M.S., and Medical Director of Ambulatory Care, Brandon Ramo, M.D., are nominated for best clinical paper with their respective research in Perthes disease and halo gravity traction for the treatment of scoliosis.

Director of Clinical Orthopedic Research, Adriana De La Rocha, Ph.D., states “We are very proud of all the projects we will present. It’s another example of how our work with our medical staff and researchers at Scottish Rite Hospital continues to drive the innovation for the care and treatment of our patients, which are always at the forefront of our mission.”

This is a unique opportunity for our medical staff and researchers to showcase their work on a global scale. With the meeting being expanded to include the European society, it allows our staff to collaborate with professionals from across the world to ultimately bring better care back to our patients.

For more information on the innovative research and integration with education and patient care at Scottish Rite Hospital, please visit our website.

 

 

 

 

 

 

Scottish Rite Hospital: The Leader in Treating Hand Disorders

From a child’s hands, imagination becomes creation. Through their hands, children explore the world around them. For thousands of children with hand and upper limb disorders, Texas Scottish Rite Hospital for Children has been a source of hope and healing.

The Center for Excellence in Hand delivers a setting for both patient care and clinical research focused on the treatment for pediatric patients with hand and upper limb disorders, says Scott Oishi, M.D., the center’s director. “Our clinical practice [treats] a variety of children who are either born with congenital hand differences or upper extremity differences, or patients who have had trauma or something happen to them after they’re born,” he says. “There are a lot of patients who come through here and get no surgery at all because all they really need is a lot of encouragement and ability to grow and expand their horizons.”

Oishi and staff hand surgeon Christopher M. Stutz, M.D., have the privilege of seeing many of their pediatric patients from the time they’re a few days old until the time they become 18 years old. “We’re able to keep a database of our patients as far as what type of diagnosis they have, what type of surgeries they underwent, and what their outcomes were, based on very good outcome measures,” Oishi says.

The doctors of the Center for Excellence in Hand are able to understand the best form of treatment for each child through their dedication to research. One of the research studies in the center focuses on the impact of participating in Hand Camp has on school-aged children with a congenital hand difference. Our doctors and researchers evaluate a child’s self-esteem, function and participation in activities, as well as their relationship with peers before and after attending Hand Camp. From treating children with congenital hand abnormalities, such as webbed fingers, reconstructing children’s hands with extra digits, or changing the position of fingers on hands, the center strives to give children back their childhood through the hospital’s world-renowned patient care and groundbreaking research. The Center for Excellence in Hand is committed to helping children with congenital hand anomalies become active, happy, productive, and independent adults.

 

Scottish Rite Hospital’s Movement Science Lab: Experts in Analyzing How Children Move

The Movement Science Laboratory at Scottish Rite Hospital is an integrated part to the treatment of our patients. The team uses leading-edge technology to evaluate and identify movement to help our doctors make decisions about the best treatment options for the child.

The Movement Science Lab (MSL), also known as the gait lab, has two main focuses: clinical evaluations and research. Clinically, our MSL team works directly with our orthopedic doctors to help provide options to determine the best course of treatment for each child. Doctors are provided with a detailed analysis of their patient’s walking ability including how the joints move, when the muscles are firing, and the power generated through their legs.

Scottish Rite Hospital is one of the few institutions in the area to have a premier movement science lab. During a Movement Science appointment, small reflective markers are placed on the child’s body and special high speed motion capture cameras record the child’s movement in three dimensions while performing certain tasks (walking, running, squatting, etc.). This equipment is the same technology used to make animations, video games, and movie special effects. MSL staff processes and summaries the data so doctors can analyze and help create their treatment plan.

Other tools utilized in the lab include a special plate that is in the floor, which allows the team to measure and evaluate the patient’s footprint as they walk. It shows exactly where and how high the pressure is under different areas of the foot. This device helps with the assessment of children with specific foot problems. Other equipment in the lab measures muscle strength or how efficiently the body uses oxygen with every breath.

The other focus of the Movement Science Lab is research. As an integrated part of the hospital’s mission, the research conducted allows the team to better understand and measure how well the treatment plans our doctors provide to our patients improve their function. The lab will see patients before and after treatment in order to measure the effectiveness of the care. The purpose of the research is to compare patient outcomes following different surgical procedures, assess a specific treatment across varying types of patients, define the improvements of the child’s conditions following physical and occupational therapy, and evaluate the effectiveness of various orthoses and prosthetic limb components. The research continues to educate our staff and allows the team to provide the best possible care to each patient.

Overall, our Movement Science Lab gives our doctors a more in-depth analysis of how a patient’s body moves. Whether it is the child’s hips, knees or ankles, the equipment our lab uses guides our doctors in providing the best treatment plan. It is through the clinical evaluations and dedication to research that our movement science lab is world-renowned.

Psychology Staff Present Groundbreaking Research at Annual Conference

Texas Scottish Rite Hospital for Children is world-renowned for its groundbreaking research. Our doctors and staff travel around the country to share innovation and collaborate with other medical professionals. This week, members of our psychology team are attending the Society for Pediatric Psychology Annual Conference (SPPAC) in Portland, Oregon.

Pediatric psychologists specialize in the psychological aspects of medical conditions and the promotion of health with children, adolescents, and families in a pediatric healthcare setting. SPPAC is an annual meeting to advance the science, collaboration, research, and practice of pediatric psychologists in various medical sub-specialties.

Scottish Rite Hospital psychologist, Heather Richard, Psy.D., will be presenting recent research titled, “Integrated Team Approach to Adolescents Treated with Hip Preservation Surgery.” This collaborative study is the first to analyze an integrated team approach with adolescents undergoing hip preservation surgery. It evaluated the impact of required, pre-operative, psychological interventions as part of the team and the potential positive impacts to patient care. The team learned that patients treated with the integrated care model reported significantly reduced pain and stayed in the hospital fewer days after surgery. “This is an untapped area in pediatric psychology,” says Dr. Richard. “We are pioneering psychology as part of an integrated team in pediatric orthopedics. This is important work, as it is our mission to treat the whole child.”

It is the hospital’s dedication to ongoing research that continues to guide and help define the treatment plans for our patients now and in the future. Scottish Rite Hospital is honored to have the opportunity to present their work and collaborate with fellow medical professionals to provide the best care to every patient.

Q&A: Perthes Disease

What causes Perthes disease? The cause is unknown and the disease is not inherited in most patients. A very small number of patients have another family member with Perthes.

Should I expect a lot of complaints of pain? Pain generally suggests that there is hip joint inflammation, which can be caused by too much activity. The amount of pain experienced by a child with Perthes disease varies from patient to patient. Some patients complain of activity-related pain or night pain only. Your child may complain of groin, thigh or knee pain. They may have restricted movement and a mild limp. You and your child’s doctor will discuss how to manage pain.

What is the time frame of Perthes? Perthes disease has four stages. In general, it may take three to five years for a patient to go from the initial stage to the healed stage of the disease. The length of each stage can vary.

What activities can my child do? Your child’s doctor will help you determine the activities that are safe. The answer will depend on the stage of the disease, symptoms and hip joint stiffness.

What are long-term effects of Perthes disease? Most children have occasional periods of increased pain and stiffness for six months to two years. Most children will return to typical activities and sports once healed. However, some children may be at risk for developing arthritis as adults. Children’s hips that grow back irregularly will have more symptoms, such as pain and hip stiffness, and a greater risk of arthritis later in life.

Will my child be able to participate in physical activities? Even with a deformed femoral head, most patients can perform daily activities and sports’ activities once the hip has healed.

Is hip replacement an option? Hip replacement is not a surgery for children. Only when a patient develops painful degenerative arthritis later in adulthood is the surgery recommended.

Developmental-Behavioral Pediatrics: Topics for Primary Care was March 3, 2017

Developmental-Behavioral Pediatrics: Topics for Primary Care was held March 3, 2017 in the T. Boone Pickens Training and Conference Center at Texas Scottish Rite Hospital. The 18th annual seminar for pediatricians, family practitioners, advanced practice nurses, physician assistants and health care professionals providing direct care to children attracted 215 attendees from across the state of Texas as well as individuals from Alabama, Oklahoma, New Mexico, Minnesota, Michigan, Georgia and New York.

Conference presentation topics included behavioral health: practical psychology and psychiatry for the primary care provider, ADHD: practical tips to improve outcomes, Fragile X: diagnosis and treatment, childhood onset psychiatric disorders, neuromotor development in infants and children and the challenges of the autistic adolescent. This activity was provided jointly by UT Southwestern Medical Center and Texas Scottish Rite Hospital for Children.

For more information, visit community.tsrhc.org/dbp.

Scottish Rite Hospital Doctors Attend the American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting

Last week, several doctors from Scottish Rite Hospital attended the American Academy of Orthopaedic Surgeons (AAOS) annual meeting in San Diego, California. AAOS was founded in 1933 and has grown to be the world’s largest medical association, serving more than 39,000 members worldwide. This association provides practice management and education for orthopedic surgeons and allied health professionals.

The five-day conference included exhibits, presentations and instructional courses covering a full range of topics in orthopedics. Our staff made presentations on various research areas including hip dysplasia, sports medicine, musculoskeletal infection, fractures, Perthes Disease, and scoliosis. It was a great opportunity for the doctors to showcase their work and collaborate with medical professionals from around the world.

On the final day of AAOS, the meeting concluded with Specialty Day. This includes sixteen Specialty Societies that feature the latest research in their areas of expertise. Members of each society are selected to present on a topic associated with their specialty. Director of Research, Harry Kim, M.D., and staff orthopedists, Christine Ho, M.D., and Lawson Copley, M.D. each made presentations on topics regarding pediatric orthopedics. This section of the meeting allows members to be a part of a concentrated program to expand their discussions and highlight their expertise.

Scottish Rite Hospital has consistently had a strong presence at AAOS each year. It is an honor that our doctors are members of this established group and are selected to present their research on an international stage. The Academy allows our staff to learn and grow as surgeons to ultimately bring better care to our patients.

Scottish Rite Hospital Hosts Inaugural Genomics Conference

Texas Scottish Rite Hospital for Children is hosting an inaugural international conference titled, “Genomic Approaches to Understanding and Treating Scoliosis.” The three-day meeting unites two distinct groups who are dedicated to scoliosis genetics research, the International Consortium for Vertebral Anomalies and Scoliosis (ICVAS) and the International Consortium for Scoliosis Genetics (ICSG). A primary goal of the conference is to promote interdisciplinary research to solve the underlying basis of scoliosis, a complex and poorly understood disorder that is common in children. The conference has attracted basic science researchers and clinicians at the faculty level, as well as fellows, graduate students, and other trainees who are focused on scoliosis and genomics. Funding for the meeting is provided by grants awarded by the National Institutes of Health, the Scoliosis Research Society, Fondation Yves Cotrel, and the Globus, Medtronic, and Nuvasive companies.

The conference includes paper presentations from various attendees and lectures from seven international keynote speakers from the United States, the United Kingdom, Japan, and Australia. These presenters represent distinct specialties including developmental biology, orthopedic surgery, clinical genetics, and human genetics. The topics will provide the audience with a diverse and insightful program.

Carol Wise, Ph.D., Director of Molecular Genetics and Basic Research at Scottish Rite Hospital, is an organizer of the conference. She views this meeting as an exciting opportunity to encourage collaborations and to bring new ideas to the treatment of the various complex forms of scoliosis. “It is a privilege to host specialists in scoliosis and scoliosis genetics from around the world here at the hospital,” says Wise. “This conference will generate a roadmap for collaborative research that will create future scientific breakthroughs. Importantly, this meeting also provides a forum for mentoring the next generation of researchers in the field.”

Continuing education for professionals and trainees is a cornerstone of the Scottish Rite Hospital mission. It is an honor to host this and other conferences to promote groundbreaking research and better care for our patients.