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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).

Screen Shot 2016-08-19 at 10.06.41 AM

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

Scottish Rite Hospital Announces New Patents

Our Center for Excellence in Limb Lengthening and Reconstruction has recently received two new patents. The patents are related to critical components of the TL-HEX external fixation device (pictured at Screen Shot 2016-08-18 at 12.11.22 PMright), which is used for patients undergoing limb lengthening and reconstruction treatment. The device has the capability to perform multiple corrections to the bone simultaneously, including lengthening, rotation and compression.

With these recent innovations to the device, the hospital now has more than 25 patents. That number is expected to grow with the hospital’s ongoing research initiatives. These advancements reflect how Scottish Rite Hospital’s research efforts continually improve treatment methods for children with orthopedic conditions here and around the world.

For more information on our Center for Excellence in Limb Lengthening and Reconstruction, please visit scottishritehospital.org/cellr.

Patient Embraces the Chance to Help Others

It’s not every day you see a 10-year-old in a scoliosis brace organizing a crawfish boil, but that’s exactly what Scottish Rite Hospital patient Rowan, of Dallas, does each year at her annual Crawfish for the Curve event. Since 2012, Rowan and her family have been serving up a Cajun feast as a way to raise awareness and money for the hospital where Rowan receives treatment for scoliosis. Motivated by a desire to help patients like her, Rowan has grown this event from a backyard family gathering to a full-blown neighborhood block party.

“Through this event, we have been able to tell others about the hospital and all the kids they help,” says Rowan. Crawfish for the Curve has not only successfully raised awareness, the event has raised more than $40,000 for the treatment of scoliosis.

Screen Shot 2016-08-11 at 1.04.13 PMOne of Rowan’s most vivid memories from the hospital is visiting the Child Life playroom. “I felt really happy there,” she recalls. “It was the first time I smiled after getting my body cast.”

Rowan wants to give other patients the same positive experience, so a special part of her donation includes iPads specifically for the playroom. She hopes the devices will make other patients smile just like she did.

Rowan is a shining example of overcoming challenges and putting others first. Her advice to kids newly diagnosed with scoliosis is to embrace the condition. “What makes you different also makes you unique and special,” she explains, “and that’s a really good thing.”

Are Your Young Athletes Asking about Cupping and Other Non-Traditional Treatments? – TSRHC Sports Medicine

Athletes on the international stage frequently bring light to alternatives to common medical treatments. For instance, in the 2012 games, beach volleyball players and many others raised awareness of using special taping to help with injuries and muscle activation. In the early days of the 2016 games, a new technique has come to the surface and we’re betting your young athletes may want to know more about it.

Our Sports Medicine team knows there are numerous tools in the toolbox for treating sports injuries, improving recovery and in some cases naturally improving performance. Consistently, their advice to young athletes is to learn the risks and benefits associated with a treatment before trying something new. Here are some thoughts on the latest trend, cupping therapy.

Cupping Therapy

Originally requiring an incision in the skin, this ancient Chinese therapy used to increase blood flow is now practiced as “dry cupping.” Cups, typically made of silicone, are placed on areas of pain or soreness before or after an event. A small pump on the cup is used to separate the layers of skin and underlying fascia and muscle. The separation allows blood vessels in sore areas to fill with blood for healing. The increased blood flow shows up as redness in the area inside the cup, leaving purple circular spots for several days after the treatment.

Risks for this treatment are low, but the process can be painful. The treatment should not be used during early stages after an injury.

Read our recent article to help you evaluate supplements and how to educate your young athlete on this topic.

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

Patients Rock the Runway in JCPenney Fashion Show

The ninth annual JCPenney Successful Bridges Fashion Show recently gave some of our spina bifida patients an opportunity to shine in the spotlight. The event took place Friday, August 5, at the JCPenney Home Office, in Plano, Texas. Learn more about this event and discover how the Successful Bridges Teen program at Scottish Rite Hospital gives patients confidence, self-esteem, and the courage to empower themselves and inspire others like them.

Scottish Rite Patients Rock the Runway

Thanks to a friendship with JCPenney, the Successful Bridges Fashion Show gives teens being treated for spina bifida a setting to showcase their individuality amid community support. This friend-raising, rather than fundraising, event boosts teens’ self-confidence.

Created in May 2003, our Successful Bridges Teen Program aims to help teen patients with spina bifida build bridges of self-sufficiency. In addition, this program also supports the family members of these patients, giving moms, dads, siblings, and caregivers the knowledge and the help to guide their loved ones through important teenage developmental milestones. Community collaborations, like the friendship between Scottish Rite Hospital and JCPenney, further enhance the Successful Bridges Teen program.

Defining Developmental Disabilities

Scottish Rite Hospital treats many pediatric patients with developmental disabilities. These disabilities are generally associated with orthopedic conditions, including cerebral palsy (limited to related orthopedic conditions), specific genetic conditions with orthopedic complications, and spina bifida.

In addition to health-related support, Scottish Rite Hospital maintains two clinics for children with developmental disabilities. These clinics give children the knowledge and confidence to care for themselves, maximize their health, and remain independent as possible.

**View Media Coverage from this year’s event featured on Dallas’ local NBC and CW.

Texas Scottish Rite Hospital for Children: Patient Care, Education, & Research

Texas Scottish Rite Hospital for Children opened its doors in 1921 and over the last 95 years it has become one of the top pediatric orthopedic hospitals in the country. Ortho Group Photo 2016_FinalAt the core of our mission are three main pillars: patient care, research, and education. The outstanding patient care provided at the hospital is shown each and everyday through the interactions our medical staff has with all of our patients and families. The research conducted is designed to treat the entire child and his/her specific needs. The hospital is the training ground for the next generation of world-class pediatric orthopedic physicians through the fellowship program. It is the superior patient care, the groundbreaking research, and education of physicians that makes Scottish Rite Hospital such a special place.

Scottish Rite Hospital is a unique institution because of its many resources when it comes to innovation and research. The success of the hospital and its top of the line patient care is closely tied to the collaborative relationship with UT Southwestern Medical Center (UTSW). Monday Night Conference_26All of our medical staff hold faculty appointments in various departments at UTSW, including Orthopedic Surgery and Pediatrics. It is a strong, working relationship in which Scottish Rite Hospital has become one of the top research institutions in pediatric orthopedics. The research at Scottish Rite Hospital is regulated by the Institutional Review Board (IRB) at UTSW, which serves as the governing body for over 100 of our clinical research studies. Additionally, Scottish Rite Hospital welcomes several UTSW orthopedic residents to complete pediatric rotations throughout the year. These residents work closely with our medical staff and research department to gain experience both hands on in clinic and surgery, as well as with various research studies.

Scottish Rite Hospital is internationally known as a premier research and teaching hospital. Since research is at the forefront of providing the best patient care, it is necessary to have an environment where learning is ongoing and teaching is an everyday practice. The hospital provides several areas for medical staff, fellows, residents and all other staff to continue their education through weekly/monthly conferences, symposiums, visiting professorships and much more. An extraordinary aspect of Scottish Rite Hospital is the Dorothy & Bryant Edwards Fellowship in Pediatric Orthopedics and Scoliosis.


This program provides the fellows an opportunity to work with some of the most experienced pediatric orthopedic staff in the country. The yearlong fellowship includes becoming a member of the patient care team, high-level surgical experience, and the opportunity to work closely with the research team on a topic of their choice. Even through the fellowship, research is at the core of the curriculum. The fellows are required to complete at least one scientific manuscript at Scottish Rite Hospital and will have the opportunity to present their work at the annual Brandon Carrell Visiting Professorship. This conference, hosted by the hospital, is an annual course designed for pediatric orthopedic surgeons and others with an interest in pediatric orthopedic practices to keep up-to-date on the latest in groundbreaking research. The hospital welcomes a visiting professor each year, along with other medical professionals, who will present on their current research projects. It is another opportunity for our medical staff to discuss and debate various techniques, which facilitates ongoing education for all.

Fellowship Programs:

It is through our strong relationship with UT Southwestern Medical Center, accompanied by the continuous learning environment, which has established Scottish Rite Hospital as a leading research institution for pediatric orthopedics. Research continues to be the engine that drives important clinical decision making to improve the care by finding new and better techniques to treat our patients.