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Our Fracture Clinic Is Here to Help

A Young Gymnast’s Experience with our Fracture Clinic

When Riley broke her arm during a front handspring at the gym, she and her mom were both afraid that she would need surgery. Thankfully, a friend at her gym told them exactly where to go for expert fracture care. On their first visit to Scottish Rite Hospital, they met with Gerad Montgomery, a certified pediatric nurse practitioner who specializes in non-operative fracture care. He explained to them that surgery was not the only option for Riley’s injury. After discussing the pros and cons of each treatment option and getting answers to all of their questions, Riley and her mother decided to continue care without surgery. Fractures like Riley’s can be challenging to manage and often require a series of several specialized casts to keep the bones aligned correctly and allow them to heal.

DSC_0251Riley tells us she has gotten lots of questions about her cast, which was specially molded to help align her bone. “I tell people my bones are sticking out,” Riley said with a smile as she talked about the bulges from spacers in the cast. Then, she laughed saying she assures them that her bones are fine.

“When I called to ask about some feelings Riley was describing, Gerad asked to speak directly with her about what she was feeling,” her mom explained. She and Riley thought this was a great example of the outstanding service they received from the moment they met the Fracture Clinic team.

Riley is now back in the gym and able to participate in some activities. She is still wearing a cast, since the healing process takes time. “She’s happy this doesn’t keep her out of her training,” her mom and former coach tells us. “In pediatrics and sports medicine, we look for ways to keep kids engaged in their activities; we know this is good for them physically and psychologically,” Gerad says.

Bumps and bruises are sometimes a normal part of kids being kids. However, if your child breaks a bone, you can call our fracture clinic directly at 469-515-7200. To learn more about our Fracture Clinic on our North Campus visit scottishritehospital.org/fracture.

Have You Ever Thought About How Climate Change Can Affect Young Athletes? – TSRHC Sports Medicine

While encouraging children to get outside and play, pediatricians have also been advocating for them on many environmental issues. Sports Medicine physicians, like Shane Miller, M.D., are particularly concerned about how the climate and other changes will impact young athletes. These concerns fall into several key categories.


Diego Hernandez age 11 of Balch Springs_071As the temperatures rise seasonally and with global changes, the risk for heat-related illness also increases. According to American Academy of Pediatrics (AAP), “the number of deaths in American high school and college football players from heat stroke has doubled from 15 to 29 from 2000-2010.” Dr. Miller and many others believe deaths from heat illness are preventable, but future global changes may make that more difficult.

Air Quality

Exercise –induced bronchoconstriction (EIB), once considered exercise-induced asthma, is the reaction of the breathing airways to the environment. Though this often happens in cold and dry environments, it is made worse by smoke, smog, pollen, and other allergens in the air. Since children already breathe a little faster than adults, the added challenges of polluted air can make sports participation difficult, or even dangerous. Prevention and treatment strategies are successful for many children with EIB.

Disease Carrying Insects

The news is filled with warnings about infectious disease and many are spread by insects. Most recently, in our area, mosquitos are known to share West Nile and Zika viruses. Though many healthy individuals have recovered from these illnesses, the risk of major health consequences continue to rise.

Dr. Miller says, “We want the world to be a place where playing outside is safe and doesn’t cause problems for young athletes.”

For more information on pediatric sports medicine and injury prevention, please visit scottishritehospital.org/sports.

Doctors Head To Prague For 51st Annual Scoliosis Research Society Meeting

The Scoliosis Research Society (SRS) is an international society that puts on an annual conference to bring together leading spine surgeons and researchers from around the world. The purpose of the meeting is to discuss the progress made towards the treatment of spinal deformities and to learn from top professionals in the field.

The 51st Annual Meeting will be held in Prague from September 22 to September 24 and include presentations from top professionals who treat spinal deformities at all levels and in all ages. The annual meeting and course consist of more than 125 presentations, which will cover an array of topics.

Every year, Scottish Rite Hospital is well represented at this conference and it provides our physicians with the opportunity to present the hospital’s finest work and showcase it on an international stage. From the thousands of abstracts submitted this past February, over ten of our studies were accepted for either podium or poster presentation at this year’s SRS meeting. The presentation topics include pediatric spine deformities, adolescent idiopathic scoliosis, bracing in AIS, and several others.

SRS Group

Chief of Staff, Dr. Dan Sucato, sees tremendous value in the quality of work that is presented at these international conferences. “The Scoliosis Research Society is, and has been, a critically important international meeting for Texas Scottish Rite Hospital for Children. It is an opportunity for us to showcase our research seeking to improve the lives of children with scoliosis and allows us to collaborate and network with surgeons and spine care providers throughout the world. We continue to have significant leadership positions within this prestigious organization, a true reflection of the hospital and the talented staff”.

As part of the conference, the SRS also gives several awards, which recognize the best paper and poster, submitted each year. Dr. Karl Rathjen, Dr. Dan Sucato, and their respective teams, have been nominated for an award. Dr. Rathjen is nominated for the Louis A. Goldstein Award, which is given to the best clinical research poster at the conference. His poster, Clinical Indications Associated with Abnormal MRIs in a Pediatric Spine Deformity Practice, shows that while pain was the most common reason to order an MRI, it was not a predictive factor of an abnormal MRI. Additionally, Dr. Dan Sucato has been nominated for the Hibbs Clinical Award for his paper with researcher, Johnny Zhang, titled Improvement in SRS22R Pain Scores after Surgery for AIS. This award is given to the best basic science and clinical papers at the conference and the nominees are selected to present their papers.

Scottish Rite Hospital continues to be recognized around the world for its groundbreaking research. The SRS, and many of the other international conferences, provide an opportunity for our doctors and researchers to not only showcase the hard work that happens here at the hospital, but it also allows them to further their education in order to provide top notch patient care.

Thursday is North Texas Giving Day!

For one day only, a portion of your gift of $25 or more given to Scottish Rite Hospital online at https://northtexasgivingday.org/npo/texas-scottish-rite-hospital-for-crippled-children will earn bonus funds.

About North Texas Giving Day

NTGD-2016_Full-Circle-Logo_4C_02mgNorth Texas Giving Day is an online giving event for people across the nation (and the world!) to come together to raise as much money as possible for North Texas nonprofits on one day: September 22, 2016. In seven years, North Texas Giving Day has pumped $119 million into the North Texas community. In 2015, $33 million was raised through more than 118,000 gifts benefiting 2,020 nonprofits.

Join in this year’s effort between the hours of 6 a.m. and midnight (Central) on Thursday, September 22. Make your online donation to Scottish Rite Hospital 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.

Wrist Complaints You Shouldn’t Ignore – Fracture Clinic Tips

Many fractures occur when a child falls on an outstretched hand. We described buckle fractures in young children in a previous article, but we want to share with you another possible injury from this kind of fall.

ScaphoidA small bone in the wrist called the scaphoid is sensitive to injury because of its position in the wrist. In older children and teens, this bone may be injured if the hand is turned slightly inward during a fall.

Ray Kleposki, our Fracture Clinic specialist, says, “In most cases, early X-rays of the wrist may not show a fracture in the scaphoid. A detailed physical exam of the bones of the wrist is important to evaluate for a small fracture. If the provider has a concern for a scaphoid fracture, or if the wrist pain has not gotten better in more than a week, we recommend a specialized X-ray series to evaluate for a scaphoid fracture or other diagnosis.” Since children’s bones tend to heal faster than adults’, early intervention is important and can help to prevent future complications.

We don’t want to see kids hurting. If a seemingly minor injury continues to bother a child after a few days, it is best to get it checked out by a pediatric orthopedic specialist.

Bumps and bruises are a normal part of kids being kids! However, if your child breaks a bone, you may call our Fracture Clinic directly at 469-515-7200. To learn more about our Fracture Clinic visit scottishritehospital.org/fracture.

Is My Ballerina Ready for En Pointe? – TSRHC Sports Medicine

Layla Brent age 16 of Dallas_040After a few years of training, many young and growing ballerinas long to begin training en pointe. This is a decision that must not be taken lightly. Many successful professional ballerinas did not begin training en pointe until age sixteen, and this did not negatively impact their careers.

Because of wide variation in child development and body maturation, many experts believe that proper ballet training cannot begin until at least 8 years of age.

Jane S. Chung, M.D., sports medicine physician at Texas Scottish Rite Hospital tells us, “Rather than focusing on an age to begin training in any sport or physical activity, the overall readiness of the child is most important. This means to look at both the physical and mental readiness before making a decision.”

What if she starts too early?

There are many risks associated with starting to train en pointe too early. In earlier stages of development, a child’s strength, mobility and coordination are all very immature. These lead to a higher risk of physical injury. These physical challenges also lead to failure to master sophisticated techniques. With early injuries and frustrations, dancers may develop lower self-esteem and in some cases become anxious or discouraged.

Who is most likely to successfully transition to en pointe?

A ballerina who:

  • is on a pre-professional track.
  • takes two or more ballet classes per week.
  • has at least three years of classical ballet training.
  • can achieve and maintain proper posture and alignment of the hips, knees and ankles.
  • can recognize when her body is in proper alignment.
  • has strong core strength.
  • has enough leg strength and range of motion.

Who is qualified to advise a dancer about readiness for en pointe?

There is no one person best qualified to make this decision about a young dancer. A team approach with a broad perspective is important. A dance instructor, a sports medicine physician, parents, and most importantly the ballerina, should be working together to evaluate all aspects of readiness.

For a consultation about your ballerina’s physical readiness for en pointe training or other needs of a young female athlete, please call to schedule an appointment with Jane S. Chung, M.D. For more information about pediatric sports medicine, visit scottishritehospital.org/sports.

The great George Balanchine-ballet choreographer once said, “There is no reason to get a young dancer up on full pointe if she cannot do anything when she gets there!”

Fall Special Events Roundup

From golf tournaments to a Treasure Street tradition, our fall events calendar delivers a full slate of activities for those chipping shots on the greens or chipping in their bids for a benefit auction. Learn more about some of the following special events taking place; full details are available on the events calendar.

Meet and Greet Football Greats

RIC_7815Jackie Sherrill made headlines for his creation of the 12th Man Kickoff Team during his tenure as football coach at Texas A&M University. In September, Sherrill, members of Texas A&M University’s 12th Man Kickoff Team, and former Texas A&M football stars will visit the hospital for a meet-and-greet experience made possible by the 12th Man Kickoff Team Foundation (12thMKOT). These football greats will sign and autograph items for hospital patients, and copies of Sherrill’s book “No Experience Required” will be available for purchase.

  • Friday, Sept. 23, 10:30 a.m. to Noon | Atrium at Scottish Rite Hospital

Take to the Greens

Don’t put away the clubs yet. Our patients can take to the greens this fall for the remaining Learn to Golf Clinic in Dallas.

Jim Morgan; Stephen Midturi, 7; Ava Loiselle, 9; William Shewmaker, 6The Learn to Golf program gives hospital patients with physical challenges opportunities to learn golf fundamentals. For registration information, visit scottishritehospital.org/learn-to-golf.

  • Saturday, Sept. 24 | Cedar Crest Golf Course, 1800 Southerland Ave., Dallas


J. Crew Shopping Night

J.Crew will host a cocktail reception at their three NorthPark store locations for the ninth year in a row. Merchandise will be offered at a 20% discount for purchases of $100 or more, and a portion of the proceeds will benefit the hospital. The event will be hosted by Dr. Christine Ho and her family as well as Crayon Club Advisory Committee Members, Austin Lewis, Ashley McClure and Kirsten Meador.

  • Thursday, October 6 | 5 – 8 p.m. | J. Crew, J.Crew Men’s Shop and crewcuts at NorthPark Center

Sporting Clay Shoot

San Angelo Sporting Clay Shoot_smallNow entering its 19th year, the San Angelo Sporting Clay Shoot rallies the West Texas community in support of Scottish Rite Hospital. Conceived by hospital trustees Dan Davidson and Graham Childress, this event has raised more than $840,000 for Scottish Rite Hospital over the last 18 years.

  • Saturday, Oct. 8 | 8 a.m. | San Angelo Claybird Association Range (SACAR), 12026 U.S. Highway 67 South, San Angelo

Treat Yourself to Fall Treasures

celebrate TSFrom fine fare and entertainment to extraordinary auction items open for bids, the 21st annual Treasure Street event is the hospital’s signature event. Created by a group of Scottish Rite Hospital family members of patients being treated for Tuberous Sclerosis Complex (TSC), the event has grown into a community-supported event that raises funds for research and treatment for TSC and general patient care at the hospital.

  • Thursday, Oct. 13 | 6:30 to 10:30 p.m. | Old Parkland

To purchase tickets, please visit treasurestreet.org or call 214-559-7656.


Crayon Club’s Truck or Treat

We invite you to our 5th Annual Truck or Treat event in Chambers Park at TSRHC. This year, we will feature a dinner food truck, dessert, lawn games, hospital tours and live music on the lawn.

Crayon Club members and guests will decorate pumpkins and cards to be given to our patients for Halloween.

  • Thursday, October 22 | 6:30 to 9 p.m. | Chambers Park at TSRHC

To purchase tickets or find out more about Crayon Club, visit scottishritehospital.org/crayonclub.


Early Sports Specialization

We hope you enjoyed watching the summer games as much as we did! After watching multiple medal ceremonies, your child may be motivated to commit to a single sport for a chance at the world stage.

Many professional athletes have been perfecting their sport since a very young age. For some, that may have been the only sport they played for a long time. But it’s a myth to believe that this is the right way to become an elite athlete.

UntitledWe’ve seen countless examples of professional athletes change sports in their careers. For example, some professional athletes were picked up by baseball minor league teams long before they joined a football team. And several athletes have retired from their sports and picked up professional soccer. These examples help to show that multi-sport athletes can be very successful for many years.

Some sports, with performance peaks in younger age groups like gymnastics and swimming, may require earlier specialization. With that comes risks of overuse injury and burnout. Jane Chung, M.D., says, “Parents should also consider the child’s ability to handle the sport based on his or her cognitive and motor development as well as emotional and social skills. These are often overlooked when considering a child’s readiness for a sport.”

As a rule of thumb, weekly hours of training should be less than the child’s age in years. A seven year old should aim to train in a single sport less than seven hours per week. The American Academy of Pediatrics recommends that athletes should rest 1-2 days per week and take 3 months off from a particular sport throughout the year. Before the age of twelve, athletes should look to participate in more than one sport, or at a minimum, spend off-hours cross training with a variety of physical activities. Dr. Chung says, “Most importantly, kids will naturally pick and modify activities so they can have fun!”

Watch our pediatric sports medicine surgeon Philip Wilson, M.D., explain some of the risks of early sports specialization:

To learn more about pediatric sports medicine and injury prevention, please visit scottishritehospital.org/sports.

Hospital Pioneer – Brandon Carrell, M.D. – 1910 – 1981

Born in Dallas in 1910, Brandon Carrell was the son of Beulah and W. B. Carrell, M.D., Scottish Rite Hospital’s first chief of staff. He attended Washington and Lee University and went on to earn his medical degree at Northwestern Medical School. He performed postgraduate work at both Northwestern Medical School and Johns Hopkins University and Hospital.

1944Carrell followed in his father’s footsteps and returned to dallas to specialize in orthopedics. He participated in the nation’s first orthopedic program that rotated residents through three major centers – Texas Scottish Rite Hospital for Children, Parkland Hospital and Baylor University Hospital. Following his training in 1939, he joined the Carrell Clinic, named after his father.

Shortly after W. B.’s death in 1944, the young orthopedist followed in his father’s footsteps again as the hospital’s second chief of staff, from 1945 – 78. He served as chief of staff emeritus until his death in 1981.

In addition to his hallmark patient care, Carrell’s legacy lives on through the hospital’s annual Brandon Carrell Visiting Professorship, annual Carrell-Krusen Neuromuscular Symposium and Brandon Carrell, M.D., Medical Library.

Carrell and his wife, Nancy, were married 50 years. Their daughter, Helen, and her husband, Don Mann, and the Carrell’s son Stewart, and his wife, Jacqueline, carry on the family legacy through their dedicated support of Scottish Rite Hospital.

View more historical milestones on our website timeline.

Planning for a Safe Season – What Parents and Coaches can do to be Prepared – TSRHC Sports Medicine

The to-do lists for coaches and sports administrators are very long in the fall. It’s time to meet new players, evaluate the condition and skills of each player, inform the parents of rules and schedules, and get the playbook finalized. What may get overlooked is the emergency plan and training. Shane Miller, M.D., our sports medicine physician with a background as a firefighter and EMT, has some tips for parents and coaches. These suggestions are compiled from his years of experience as well as the evidence that continues to develop in the fields of trauma and sports medicine.


  • Take the preseason physical process seriously. With an accurate and thorough history and exam, the family doctor can identify conditions that may need special attention during the season.
  • Get to know the athletic trainer and emergency protocols. Not all leagues and schools have athletic trainers, but they should all have emergency protocols.
  • Ensure your child’s equipment fits correctly and is worn properly. Poorly fitting equipment misses the mark for protecting the child in the way it is designed. In some cases, this can even cause an injury.
  • Learn signs and symptoms of problems that put young athletes at risk. No one knows your child better than you do. Learn the signs and symptoms of a concussion, heat illness, and overuse injuries. Taking the right steps when you recognize these can make all the difference for your athlete.
  • Check the condition of the field and access to emergency personnel. When arriving at practice or a competition, assess the conditions. Is the field in good condition? Is there an automatic external defibrillator (AED) present and accessible? Is there an ambulance or athletic trainer onsite or will 911 be used for emergencies?

Coaches and Athletic Trainers

  • Know your athletes’ major medical conditions and injuries. Because each athlete is unique, it has become more important to recognize individual needs. For example: An athlete with exercise-induced asthma, an extra lap may cause serious problems. For someone with an overuse injury, ignoring activity restrictions can shorten his or her season rather than improve performance.
  • Review and practice critical decisions and emergency procedures. Establish a plan for making and communicating decisions about weather conditions from heat and humidity to lightning. Identify what resources are available for first aid at each event and how to respond in various emergencies. In many organizations, this is documented in a comprehensive Emergency Action Plan (EAP).

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For more information about pediatric sports medicine and injury prevention, please visit scottishritehospital.org/sports.