Orthopedic Research

No. 8 in the Nation for Orthopedics and Sports Medicine
Children’s Orthopedics and Sports Medicine Center ranks among the nation’s top 10 pediatric hospitals on the U.S. News & World Report list of “Best Children’s Hospitals” for Orthopedics and Sports Medicine. The report ranks hospitals for excellence in outcomes, program structure and national reputation.
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Children’s Healthcare of Atlanta and Emory University: A partnership of pediatric excellence
Children’s is one of the largest freestanding healthcare systems in the country. Emory is one of the nation’s leading research universities. Together, the two share a passion for pediatric innovation and advancements. In 1956, Children’s Healthcare of Atlanta Henrietta Egleston Hospital for Children and Emory University first established a pediatric teaching relationship. This relationship has developed to facilitate leading-edge pediatric research, training and innovation.
Children’s and Emory University School of Medicine partner together on pediatric residency and fellowship training programs as well as the management and execution of clinical trials. Discoveries in Emory’s research laboratories are translated into lifesaving treatments at Children’s. Emory and Children’s share a unique employment agreement; more than 500 physicians hold titles at both independent institutions. Our partnership is now stronger than ever with nearly a decade of National Institutes of Health (NIH) funding ranking in the top five nationally, according to the Blue Ridge Institute for Medical Research.
High-quality clinical research is a top priority for Children’s Orthopedics and Sports Medicine Center. With more than 100 years of expertise in orthopedics, our team’s orthopedic research studies are designed to lead to better outcomes for our patients, including shorter lengths of hospital stay than the national average, lower infection rates, and lower rates of reinjury after surgery. In addition to conducting ongoing research in spine, sports medicine, hip, limb difference and other areas, our Orthopedics Program performs more orthopedic surgeries than any other pediatric hospital in the country*, and trains the next generation of leaders through our Orthopedic Fellowship.
Ongoing Research
- Osteochondral Allograft Transplantation for the Treatment of Capitellar Osteochondritis Dissecans – A prospective single center study on an innovative treatment technique for elbow OCDs
- Atlanta ACL Study (ATLAS) – A prospective single center study of adolescent ACL and multi-ligament knee reconstruction
- Evaluating the natural history of limb length differences in children with osteogenesis imperfecta
- Multicenter, prospective comparison study of nighttime vs. full time bracing for adolescent idiopathic scoliosis
- A prospective study on post-operative inflammation in patients treated with perioperative dexamethasone following PSF
Pediatric Orthopedic Quality and Outcomes Center
In 2017, Children’s Healthcare of Atlanta established the Orthopedic and Sports Medicine Outcomes Center. Crystal Perkins, MD, a pediatric orthopedic surgeon, serves as the Medical Director for Orthopedic Quality and Outcomes. Children's participates in several multicenter prospective study groups with other leading pediatric centers across the country, including the below.
International Perthes Study Group
The International Perthes Study Group is a group of specialists and researchers with a common goal of advancing knowledge and care of patients with Legg-Calvé-Perthes disease. Tim Schrader, MD, a pediatric orthopedic surgeon at Children’s, was a founding member of this group and is actively involved in collaborative studies with researchers across the world.
Children's Spine Foundation and Study Group
The Children’s Spine Foundation is a community dedicated to improving the quality of care and outcomes for patients and families dealing with chest wall and spine deformities. Children's works with the Spine Study Group on research projects to help improve patient outcomes. Michael Schmitz, MD; Nicholas Fletcher, MD; and Joshua Murphy, MD, all pediatric orthopedic surgeons at Children’s, are actively involved in this collaboration.
Harms Study Group
Children's is one of only 25 centers that participate in this invitation-only research group. In an effort to standardize post-operative spinal fusion care, the team has provided research and data collection from the Children’s spinal fusion post-operative pathway. This research helps to guide best practices nationwide with the goal of improving spinal fusion patient outcomes. Dr. Fletcher provides leadership on behalf of Children’s in this collaboration with the Harms Study Group.
Research in Osteochondritis Dissecans of the Knee (ROCK)
The Research in Osteochondritis Dissecans of the Knee (ROCK) group is committed to developing improved methods for the diagnosis, evaluation and treatment of osteochondritis dissecans. Our team works closely with other members of this group to identify better treatment plans for patients. Michael Busch, MD; S. Clifton Willimon, MD; and Dr. Perkins represent Children’s through research efforts in this group.
Function After Adolescent Clavicle Trauma and Surgery (FACTS) Multicenter Study Group
Children’s is one of eight centers nationwide that participate in the FACTS Study Group. These centers represent the highest-volume pediatric hospitals in the country that are combining their clinical experience to determine treatment outcomes for teenagers who have displaced clavicle fractures. Drs. Busch, Willimon and Perkins contribute to this group.
Pediatric ACL: Understanding Treatment Options (PLUTO)
PLUTO is a national study group investigating the safety and effectiveness of treatment of pediatric anterior cruciate ligament (ACL) injuries, specifically in children with open growth plates. Children’s sports medicine surgeons, including Drs. Busch, Willimon and Perkins, are active members of this group.
Pediatric Research in Sports Medicine (PRiSM)
PRiSM is devoted to the care of pediatric and adolescent athletes. Many pediatric sports injuries and conditions are unique to young athletes and do not occur in other age groups. By combining research across multiple centers and different practitioners, the group aims to increase the impact of research. Drs. Busch, Willimon and Perkins participate in this study group and lead research interest groups studying complex knee injuries and shoulder instability.
Multicenter Pin Site Infection Study
Jill Flanagan, MD, a pediatric orthopedic surgeon at Children’s, is actively involved in the Multicenter Pin Site Infection Study led by British Columbia Children’s Hospital. It aims to measure and document pin site infection rate and pin site care across Canada, the U.S. and United Kingdom through a multicenter pin site infection database. By identifying the factors contributing to pin site infections, this study will take another step toward improving clinical care for children in external fixation devices.
Multicenter Study Group for Pediatric Limb Deformity
This study group, led by University Hospitals Cleveland Medical Center, is committed to establishing a multicenter prospective study group to define the appropriate indications and expected outcomes in children treated for pediatric limb deformity. The establishment of this large coalition, including Dr. Flanagan, will offer substantial improvements to the current literature and ultimately make a significant impact in our care of children with these conditions.
CORTICES Trauma and Infection Study Group
CORTICES is a collaboration of pediatric orthopedic surgeons dedicated to improving quality, safety and value in the management of emergent orthopedic conditions through education, research and development of optimal care guidelines. Dell McLaughlin, MD, as well as Drs. Fletcher and Murphy, help lead research efforts on behalf of Children’s in this group.
Leadership
- Joshua Murphy, MD, Director, Spine Quality and Outcomes
- Crystal Perkins, MD, Director, Orthopedic Quality and Outcomes
Team
Flexor Carpi Radialis Tendinitis: A Case Series and Algorithm. Spratt JD, Mehl A, Lourie GM. J Hand Surg Glob Online. 2024 Jun 5.
Failed surgical treatment for lateral epicondylitis: literature review and treatment considerations for successful outcomes. Hanson ZC, Stults WP, Lourie GM. JSES Rev Rep Tech. 2023 Aug 26.
Descriptive epidemiology of upper extremity septic arthritis in children – review of a retrospective multicenter database. Li Y, Snaborn RM, Cook D, CORTICES Study Group (Murphy, McLaughlin), et al. J Pediatr Orthop. 2023 Jan 1.
Age and CRP associated with improved tissue pathogen identification in children with blood culture negative osteomyelitis: results from the CORTICES multicenter database. Burns JD, Upasani VV, Bastrom TP, CORTICES study group (Murphy, McLaughlin). J Pediatr Orthop. 2023 Sep 1. Epub ahead of print.
Access to care among patients with osteogenesis imperfecta during the COVID-19 pandemic. Malina SN, Flanagan JC, Loechner KJ, Wu M. Arch Osteoporos. 2023 Nov 28.
Osteogenesis imperfecta patients wish orthopedic surgeons had better strategies to help with… -Results of a patient and parent-oriented survey. Flanagan J, Tosi L, Carter E, Hart T, Franzone J, Wallace M. Children (Basel). 2023 Aug 4.
Comparing Relative Value Units for Intramedullary Limb Lengthening Procedures to Common Pediatric Orthopaedic Surgeries to Determine Adequate Compensation. Flanagan JC, Gilani S, Bafor A, Iobst CA. J Pediatr Orthop. 2024 Sep 1.
Prospective Multi-Center Preliminary Validation of Limb Deformity-Modified Scoliosis Instruments in Pediatric Patients with Limb Deformity. Moon T, Carnita E, Amakoutou K, Jasty N, Sachwani N, Flanagan JC, Liu RW. J Pediatr Orthop. 2024 Mar 1.
Scientific, technological, surgical, and prosthetic advances in pediatric limb deficiency. Schmitz ML, Hernandez R. Atlas of Amputations and Limb Deficiencies (5th ed.). Wolters Kluwer Health. 2023.
Limb Deficiencies and Amputations. Coulter C, Hernandez R, Giavedoni B, Stanger M, Campbell SK, Palisano RJ, Orlin M, Schreiber J, eds. Physical Therapy for Children. 2023.
Physical Therapy Management in Children with Congenital and Acquired Limb Differences. Coulter C, Cannoy J, Krajibich I, Pinzur M. Potter B, and Stevens P. Atlas of Amputations and Limb Deficiencies. American Academy of Orthopedic Surgeons. 2023.
Practice Patterns Vary Widely in the Care of Pediatric and Adolescent Pelvic and Acetabular Fractures: A CORTICES Survey. Roper B, Purtell SR, De S, McLaughlin D, Truong WH, Miller ML, Swarup I, Ramalingam W, Sanders JS; Children’s Orthopaedic Trauma and Infection Consortium for Evidence-Based Studies (CORTICES). J Pediatr Orthop. 2024 Oct 21.
Changes in Fracture Shortening Occur in the First 2 Weeks Following Completely Displaced Adolescent Clavicle Fractures. Perkins CA, Nepple JJ, Pang JH, Busch MT, Edmonds EW, Ellis HB, Kocher MS, Li Y, Pandya NK, Pennock AT, Sabatini CS, Spence DD, Willimon SC, Wilson PL, Heyworth BE. J Pediatr Orthop. 2024 Sep 1.
Nonoperative Versus Operative Treatment of Z-Type Comminuted Clavicle Fractures in Adolescents: A Prospective Substratified Cohort Analysis. Sabatini CS, Edmonds EW, Nepple JJ, Liotta ES, Hergott K, Quinn M, Perkins CA, Wilson PL, Li Y, Ellis HB, Pandya NK, Pennock AT, Spence DD, Willimon SC, Bae DS, Kocher MS, Busch MT, Williams DN, Heyworth BE. J Orthop Trauma. 2024 Jul 1.
Tibial Spine Fractures. Perkins CA. Sports Med Arthrosc Rev. 2024 Dec 1.
Regional anesthesia as an alternative to procedural sedation for forearm fracture reductions in the pediatric emergency department. Sulton CD, Fletcher N, Murphy J, Gillespie S, Burger RK. Pediatr Emerg Care. 2024 Feb 1.
Bony remodeling of adolescent displaced clavicle fractures: A FACTS study. Pennock AT, Bastrom TP, Perkins CP, Willimon SC, Busch MT, et al. Am J Sports Med. 2023 March.
Variability in Evaluation and Treatment of Tibial Tubercle Fractures Amongst Pediatric Orthopaedic Surgeons. Fields MW, Kaushal NK, Patel NM, McCormick SK, Eberson CP, Schmitz ML, Swarup I, Blanco JS, Crawford LM, Edobor-Osula OF. J Pediatr Orthop B. 2022 Mar 1.
Predictors of Persistent Limp Following Proximal Femoral Varus Osteotomy for Perthes Disease. Orellana KJ, Bram JT, Batley M, Novotny S, Shah H, Laine JC, Kelly DM, Martin B, Schrader T, Kim H, Sankar WN; International Perthes Study Group. J Pediatr Orthop. 2024 Aug 1.
Routine ultrasound screening for hip dysplasia in children with clubfoot is not supported. McLaughlin D, De Salvo S, Brewerton K, Hui C, Bouchard M. Int Orthop. 2024 Jul.
Do weightbearing restrictions cause excess weight gain in children with Legg-Calve-Perthes Disease? Novotny SA, Hailer YD, Laine JC, Schrader T, et al. J Pediatr Orthop. 2023 Jan 1.
Slipped capital femoral epiphysis associated with endocrinopathy: a narrative review. Shaw KA, Shiver AL, Oakes T, Fletcher ND. JBJS Rev. 2022 Feb 7.
Controversies in the management of unstable slipped capital femoral epiphysis. Davey S, Fisher T, Schrader T. Orthop Clin North Am. 2022 Jan.
Minimize Implants Maximize Outcomes Study Group. The effect of implant density on adolescent idiopathic scoliosis fusion: The results of the minimize implants maximize outcomes randomized clinical trial. Larson AN, Polly DW, Sponseller PD, Kelly MP, Richards BS, Garg S, Parent S, Shah SA, Weinstein SL, Crawford CH, Sanders JO, Blakemore LC, Oetgen ME, Fletcher ND, Kremers WK, Marks MC, Brearley AM, Aubin CE, Sucato DJ, Labelle H, Erickson MA. J Bone Joint Surg Am. 2024 Feb 7.
Prospective multicenter preliminary validation of limb deformity-modified scoliosis instruments in pediatric patients with limb deformity. Moon TJ, Canitia E, Amakoutou K, Jasty N, Sachwani N, Flanagan JC, Liu RW. J Pedatr Orthop. 2023 Dec 22.
Breaking the Rules in Three Dimensions: What to Expect After a Thoracic-only Fusion With Structural Thoracic and Thoracolumbar Curves. Catanzano A, Upasani VV, Bryan TP, Yaszay B, Newton PO; Harms Study Group (Fletcher ND). J Pediatr Orthop. 2023 Dec 8.
Pregnancy and childbirth after spinal fusion for adolescent idiopathic scoliosis. Landrum M, Nocka HR, Ashebo L, Hilmara D, MacAlpine E, Flynn JM, Ho M, Newton PO, Sponseller PD, Lonner BS, Cahill PJ; Harms Study Group (Fletcher ND). J Pediatr Orthop. 2023 Dec 1.
BrAIST-Calc: Prediction of individualized benefit from bracing for adolescent idiopathic scoliosis. Dolan LA, Weinstein SL, Dobbs MB, Flynn JMJ, Green DW, Halsey MF, Hresko MT, Krengel WF 3rd, Mehlman CT, Milbrandt TA, Newton PO, Price N, Sanders JO, Schmitz ML, Schwend RM, Shah SA, Song K, Talwalkar V. Spine (Phila Pa 1976). 2023 Nov 23.
Pain medication use two years after adolescent idiopathic scoliosis fusion surgery. Bastrom TP, Kelly MP, Upasani VV, Newton PO; Harms Study Group (Fletcher ND). Spine (Phila Pa 1976). 2023 Aug 15.
Consensus-based best practice guidelines for the management of spinal deformity and associated tumors in pediatric neurofibromatosis type 1: screening and surveillance, surgical intervention, and medical therapy. Xu AL, Suresh KV, Murphy JS, Pediatric Spine Study Group, et al. J Pediatr Orthop. 2023 Aug 1; online ahead of print.
SRS-22r self-image after surgery for adolescent idiopathic scoliosis at 10-year follow-up. Stone LE, Upasani VV, Pahys JM, Fletcher ND, et al. Spine (Phila Pa 1976). 2023 May 15.
Avoiding PICU admission following PSF for neuromuscular scoliosis in non-ambulatory cerebral palsy managed with ERAS protocol. Shaw KA, Harris H, Sachwani N, Ruska T, Murphy JS, Fletcher ND. Spine Deform. 2023 May 11.
Accuracy of rod contouring to desired angles with and without a template: Implications for achieving desired spinal alignment and outcomes. Sardi JP, Ames CP, Coffey S, Good C, Dahl B, Kraemer P, Gum J, Devito D, Brayda-Bruno M, Lee R, Bell CP, Bess S, Smith JS. Global Spine J. 2023 Mar.
Drain options after vertebral body tethering. Haber L, Starring H, Newcomb N, Larson AN, Desai B, Roybal J, Fant W, Milbrandt T, Boeyer M, Marks M, Newton P, Samdani A, Miyanji F, Hoernschemeyer D; Harms Study Group Investigators (Fletcher ND). Spine Deform. 2023 Mar.
Effects of distraction-based distal fixation on pelvic parameter development in early onset scoliosis. Shaw KA, Fletcher N, West J, Sachwani N, Romine M, El-Hawary R, Murphy J. Spine Deformity. 2023 Mar.
Operative differences for posterior spinal fusion after vertebral body tethering: Are we fusing more levels in the end? Boeyer ME, Groneck A, Alanay A, Neal KM, Larson AN, Parent S, Newton P, Miyanji F, Haber L; Harms Study Group (Fletcher, ND), Hoernschemeyer DG. Eur Spine J. 2023 Feb.
The reliability of the AO spine upper cervical classification system in children: results of a multi-center study. O’Neill NP, Mo AZ, Fletcher ND, et al. J Pediatr Ortho. 2023 April.
Machine learning for benchmarking adolescent idiopathic scoliosis surgery outcomes. Gupta A, Oh IY, Kim S, Fletcher ND, HARMS study group, et al. Spine. 2023 May.
Risk factors for the development of DJK in AIS patients undergoing posterior spinal instrumentation and fusion. Segal DN, Ball J, Fletcher ND, et al. Spine Deform. 2022 Mar.
1- vs 2-year follow-up after posterior spinal fusion for AIS: what additional information is gained. Shaw KA, Orland K, Fletcher ND. Spine Deform. 2022 Nov.
Continued increase in cost of care despite decrease in stay after posterior spinal fusion for adolescent idiopathic scoliosis. Shaw KA, Ange B, George V, Murphy JS, Fletcher ND. J AAOS Glob Res Rev. 2022 Mar.
To tether or fuse? Significant equipoise remains in treatment recommendations for idiopathic scoliosis. Shaw KA, Welborn, Murphy JS, et al. Spine Deform. 2022 July.
Complications following posterior spinal fusion for adolescent idiopathic scoliosis: a retrospective cohort study using the modified Clavien-Dindo-Sink system. Keil LG, Himmelberg SM, Fletcher ND, et al. Spine Deform. 2022 May.
Ten-year follow-up of lenke 5 curves treated with spinal fixation. Fletcher ND, Bastrotime wim TP, Larson NA, et al. Spine Deform. 2022 Sept.
Complications following surgical treatment of adolescent idiopathic scoliosis: a 10-year prospective follow-up study. Hariharan AR, Shah SA, Harms Study Group (Fletcher ND), et al. Spine Deform. 2022 Sept.
Blood loss estimation during posterior spinal fusion for adolescent idiopathic scoliosis. Fletcher ND, Gilbertson LE, Bruce RW, et al. Spine Deform. 2022 May.
Modified clavien-dindo-sink classification system for adolescent idiopathic scoliosis. Guisse NF, Stone JD, Fletcher ND, et al. Spine Deform. 2022 Jan.
Continued increase in cost of care despite decrease in stay after posterior spinal fusion for adolescent idiopathic scoliosis. Shaw, K.A., Ange, B., George, V., Murphy, J.S., Fletcher, N.D. J Am Acad Orthop Surg Glob Res Rev. 2022 Mar.
Absent baseline intraoperative neuromonitoring signals part I: Adolescent idiopathic scoliosis. Spitzer, A., Patel, R., Hasan, S., Blas, D., Floccari, L., Glotzbecker, M., Murphy, J.S., Fletcher, N.D., Gomez, J. JPOSNA. 2022 Jan.
Absent baseline intraoperative neuromonitoring signals part 2: Neuromuscular scoliosis. Spitzer, A., Patel, R., Hasan, S., Blas, D., Floccari, L., Glotzbecker, M., Murphy, J.S., Fletcher, N.D., Gomez, J. JPOSNA. 2022 Jan.
Blood loss estimation during posterior spinal fusion for adolescent idiopathic scoliosis. Fletcher, N.D., Gilbertson, L.E., Bruce, R.W. Jr., Lewis, M., Lam, H., Austin, T.M. Spine Deform. 2021 Nov.
Risk factors for the development of DJK in AIS patients undergoing posterior spinal instrumentation and fusion. Harms Study Group, including, Fletcher, N.D. Spine Deform. 2021 Sept.
Power pedicle tract preparation and screw placement: A multicenter study of early adopters. Skaggs, D.L., Compton, E., Andras, L., Illingworth, K., Vitale, M.G., Stone, J., Fletcher, N.D., Keil, L., Garg, S., Martinez, R., Kim, E., Harris, H. Spine Deform. 2021 Sept.
Surgical outcomes of obese patients with adolescent idiopathic scoliosis from endemic areas of obesity in the United States. McDonald, T.C., Heffernan, M.J., Ramo, B., Haber, L., Sheffer, B., Murphy, J.S., Murphy, R., Fletcher, N.D., Coyne, K., Lubicky, J., Bumpass, D.B., Crawford, C. 3rd, Carreon, L., Toner, S., Stafford, W.H., Poppino, K., Adams, T., Song, B.M., Gidwani, S., Taillac, H., Cornaghie, M., Sukkarieh, H., Wright, P.B., Conklin, M., Gilbert, S., Thimothee, J., Bhanat, E., Brooks, J.T. J Pediatr Orthop. 2021 Aug.
Modified Clavien-Dindo-Sink classification system for adolescent idiopathic scoliosis. Guisse, N.F., Stone, J.D., Keil, L.G., Bastrom, T.P., Erickson, M.A., Yaszay, B., Cahill, P.J., Parent, S., Gabos, P.G., Newton, P.O., Glotzbecker, M.P., Kelly, M.P., Pahys, J.M., Fletcher, N.D. Spine Deform. 2021 Aug.
Current concept review: Gastrostomy tubes in children with non-ambulatory cerebral palsy and neuromuscular scoliosis: An enemy or an ally? Shiver, A.L., Shaw, K.A., Murphy, J.S., Fletcher, N.D. JPOSNA. 2021 July.
Indications for lumbar fusion in the skeletally mature athlete: How to address oblique takeoff and leg length discrepancy. Li, Y., Fletcher, N.D. J Pediatr Orthop. 2021 July.
Shoulder balance in patients with Lenke type 1 and 2 idiopathic scoliosis appears satisfactory at 2 years following anterior vertebral body tethering of the spine. Miyanji, F., Fields, M.W., Murphy, J.S., Matsumoto, H., Fano, A.N., Roye, B.D., Skaggs, D., El-Hawary, R., Vitale, M.G., Parent, S.; Pediatric Spine Study Group (PSSG). Spine Deform. 2021 June.
Comparative cost-utility analysis of postoperative discharge pathways following posterior spinal fusion for scoliosis in non-ambulatory cerebral palsy patients. Shaw, K.A., Heboyan, V., Fletcher, N.D., Murphy, J.S. Spine Deformity Journal. 2021 May.
Does body mass index affect outcomes after vertebral body tethering surgery? Mishreky, A., Parent, S., Miyojni, F., Murphy, J.S., El Hawary, R. Canadian Undergraduate Conference on Healthcare Journal. 2021 Apr.
Risk of early complication following anterior vertebral body tethering for idiopathic scoliosis. Abdullah, A., Parent, S., Miyanji, F., Smit, K., Murphy, J.S., Skaggs, D., Gupta, P., Vitale, M., et al. Spine Deformity Journal. 2021 Apr.
In-hospital opioid usage following posterior spinal fusion for adolescent idiopathic scoliosis: Does methadone offer an advantage when used with an ERAS pathway? Shaw, K.A., Fletcher, N.D., Devito, D.P., Schmitz, M.L., Fabregas, J.A., Gidwani, S., Chhatbar, P., Murphy, J.S. Spine Deformity Journal. 2021 Mar.
Risk factors for gastrointestinal complications after spinal fusion in children with cerebral palsy. Verhofste, B.P., Berry, J.G., Miller, P.E., Crofton, C.N., Garrity, B.M., Fletcher, N.D., Marks, M.C., Shah, S.A., Newton, P.O., Samdani, A.F., Abel, M.F., Sponseller, P.D., Harms Study Group, Glotzbecker, M.P. Spine Deformity Journal. 2021 Mar.
Application of a halo fixator for the treatment of pediatric spinal deformity. Shaw, K.A., Griffith, M., Schmitz, M.L., Brahma, B., Fletcher, N.D., Murphy, J.S. JBJS Essential Surgical Techniques. 2021 Mar.
Short-term outcomes of an enhanced recovery after surgery (ERAS) pathway versus a traditional discharge pathway after posterior spinal fusion for adolescent idiopathic scoliosis. Fletcher, N.D., Murphy, J.S., Austin, T.M., Bruce, R.W., Harris, H., Bush, P., Yu, A., Kusumoto, H., Schmitz, M.L., Devito, D.P., Fabregas, J.A., Miyanji, F. Spine Deformity Journal. 2021 Jan.
The reliability of the AOSpine thoracolumbar classification system in children: Results of a multicenter study. Mo, A.Z., Miller, P.E., Glotzbecker, M.P., Li Y., Fletcher, N.D., Upasani V.V., Riccio, A.I., Hresko, M.T., Krengel, W.F., Spence, D., Garg S., Hedequist, D.J. J Pediatr Orthop. 2020 Feb.
Fusions ending above the sagittal stable vertebrae in adolescent idiopathic scoliosis: does it matter? Segal, D.N., Orland, K.J., Yoon, E., Bastrom, T., Fletcher, N.D., Harms Study Group. Spine Deform. 2020 May.
Descriptive Epidemiology of Complete ACL Tears in the Skeletally Immature Population: A Prospective Multicenter PLUTO Study. Christino MA, Hutchinson LE, Pennock AT, Cook DL, Anderson CN, Busch MT, Chambers HG, Cordasco FA, Edmonds EW, Fabricant PD, Ganley TJ, Green DW, Heyworth BE, Todd R Lawrence J, Matava MJ, Micheli LJ, Milewski MD, Nepple J, Parikh SN, Perkins CA, Saluan PM, Shea KG, Wall EJ, Willimon SC, Kocher MS. Am J Sports Med. 2025 Mar.
Isolated Fourth Carpometacarpal Joint Injury in High-Level Baseball Players: A Case Series. Stults WP, Lourie GM, Royal JT. Hand (N Y). 2024 Nov.
Recovery in Hip Range of Motion in Young Flexibility Athletes 1 Year After Periacetabular Osteotomy. Patsimas T, Howell DR, Hovater W, Drexelius K, Selberg C, Armento A, Mayer S. J Dance Med Sci. 2024 Mar.
Rotator Cuff Tears Are Related to the Side Sleeping Position. Richards DP, Miller DL, MacDonald ED, Stewart QF, Miller SD. Arthrosc Sports Med Rehabil. 2024 Feb 2.
A Simple Clinical Predictive Model for Arthroscopic Mobility of Osteochondritis Dissecans Lesions of the Knee. Milewski MD, Miller PE, Gossman EC, Coene RP, Tompkins MA, Anderson CN, Bauer K, Busch MT, Carey JL, Carsen S, Chambers HG, Coene RP, Edmonds EW, Ellermann J, Ellis HB Jr, Erickson J, Fabricant PD, Ganley TJ, Gossman EC, Green DW, Heyworth BE, Hoi Po Hui J, Kocher MS, Krych AJ, Latz K, Lyon RM, Mayer S, Milewski MD, Miller PE, Nelson BJ, Nepple JJ, Nguyen JC, Nissen CW, Lee Pace J, Paterno MV, Pennock AT, Perkins C, Polousky JD, Saluan P, Shea KG, Tompkins MA, Wall EJ, Weiss JM, Willimon C, Wilson P, Wright RW, Zbojniewicz A, Myer GD. Am J Sports Med. 2024 Dec.
Outcomes After Single-Stage Anatomic Multiligament Knee Reconstruction With Early Range of Motion in Adolescents. Willimon SC, Kim J, Perkins CA. Orthop J Sports Med. 2024 Jun 2.
Five-year radiographic and functional outcomes of nonoperative treatment of completely displaced midshaft clavicular fractures in teenagers. Polinsky SG, Edmonds EW, Bastrom TP, Manhard CE, Heyworth BE; FACTS Study Group: Bae DS, Busch MT, Ellis HB, Hergott K, Kocher MS, Li Y, Nepple JJ, Pandya NK, Perkins C, Sabatini CS, Spence DD, Willimon SC, Wilson PL, Pennock AT. Am J Sports Med. 2024 Mar 4.
Treatment of severely shortened or comminuted clavicular fractures in older adolescent athletes. Spence DD, Wilson PL, Pennock AT, Nepple JJ, Pandya NK, Perkins CA, Li Y, Ellis HB, Sabatini CS, Edmonds EW, Willimon SC, Bae DS, Busch MT, Kocher M; FACTS Study Group; Heyworth BE. Am J Sports Med. 2024 Feb.
Knee flexion angle of fixation during anterolateral ligament reconstruction or lateral extra-articular tenodesis: a systematic review and meta-analysis of lateral extra-articular reinforcement techniques performed in conjunction with ACL reconstruction. Kolin DA, Apostolakos J, Fabricant PD, Jivanelli B; SATURN Study Group; Yen YM, Kramer DE, Kocher MS, Pennock AT, Nepple JJ, Willimon SC, Perkins CA, Ellis HB Jr, Wilson PL, McClincy M, Everett Voos J, Spence DD, Heyworth BE. Orthop J Sports Med. 2024 Feb 28.
Single-stage multiligament reconstruction in adoelscdents: outcomes of anatomic reconstruction and early range of motion. Willimon SC, Kim J, Perkins CA. Orthop J Sports Med. 2024.
Medial patellofemoral ligament reconstruction with or without tibial tubercle osteotomy in carefully selected patients results in a 5% revision rate: a preliminary analysis. Perkins CA, Egger AC, Busch MT, Murata A, Willimon SC. J Pediatr Orthop. 2024.
Arthroscopic Bankart repair for adolescent anterior shoulder instability: clinical and imaging predictors of revision surgery and recurrence. Egger AC, Willimon SC, Busch MT, Broida S, Perkins CA. Am J Sports Med. 2023.
Patient-specific iPSC-derived models link aberrant endoplasmic reticulum stress sensing and response to juvenile osteochondritis dissecans etiology. Salazar-Noratto GE, Nations C, Stevens HY, Willimon SC, et al. Stem Cells Transl Med. 2023.
Intrarater and interrater reliability of radiographic characteristics in skeletally immature patients with anterior cruciate ligament tears: a PLUTO study group reliability study. Perkins CA, Coene RP, Anderson CN, Busch MT, Willimon SC, PLUTO Study group et al. J Pediatr Orthop. 2023.
Opioid use in pediatric patients after common orthopedic surgeries. Perkins, CA, Murata A, Kim J, Willimon SC. J Pediatr Orthop. 2023.
Pediatric and Adolescent Medial Collateral Ligament Injuries. Pearce SS, Bangley RM, McHorse K, Dale K, Lopreiato NP, Schlecter J, Pennock A, Vandenberg C, Pierce L, Perkins, CA, Koehler R, Ellington M. JPOSNA. 2023.
Perioperative complications of pediatric orthopedic surgery in sickle cell disease. Lorenzana D, Perkins CA, Willimon SC. J Pediatr Orthop. 2023.
Pigmented villonodular synovitis/giant cell tumor in the knee. Chipman DE, Perkins CA, Lijesen E, Green DW. Curr Opin Pediatr. 2023.
Assessment of Skeletal Maturity and Postoperative Growth Disturbance After Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients: A Systematic Review. Fury MS, Busch MT, Perkins CA, Willimon SC, PLUTO Study Group. Am J Sports Med. 2022.
Transosseous meniscus root repair in pediatric patients and association with durable midterm outcomes and high rates of return to sports. Willimon SC, Busch MT, Murata A, Perkins CA. Am J Sports Med. 2022.
Traumatic hip dislocations in the pediatric patient: injury patterns, need for axial imaging, outcomes, and selective hip arthroscopy. Willimon SC, Egger AC, Perkins CA. JPOSNA. 2022.
Descriptive epidemiology from the research in osteochondritis dissecans of the knee (ROCK) prospective cohort. Nissen CW, Abright CN, ROCK Group (Busch MT, Perkins CA, Willimon SC), et al. Am J Sports Med. 2022.
Multiligament Knee Injuries in Young Athletes. Perkins CA, Willimon SC. Clin Sports Med. 2022.
Transosseous repair of patellar sleeve fractures: a case series and surgical technique guide. Perkins CA, Egger AC, Willimon SC. J Knee Surg. 2022.
Two-Year Functional Outcomes of Operative vs Non-operative Treatment of Completely Displaced Midshaft Clavicle Fractures in Adolescents: Results from the Prospective Multicenter FACTS Study Group. Heyworth BE, Pennock AT, Li Y, Liotta ES, Dragonetti B, Williams D, Ellis HB, Nepple JJ, Spence D, Willimon SC, Perkins CA, Pandya NK, Kocher MS, Edmonds EW, Wilson PL, Busch MT, Sabatini CS, Farley F, Bae DS. Am J Sports Med. 2022 Sept.
Navicular stress fractures in adolescent athletes: injury characteristics and outcomes of surgical fixation. Egger AC, Ramirez M, Willimon SC, Perkins, CA. JPOSNA. 2022.
Acute management of pediatric knee dislocations. Ellington M, Pearce SS, Dale K, McHorse K, Paterno M, Ryan C, Vanderberg C, Perkins CA. JPOSNA. 2022.

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learn more* Pediatric Health Information System (2024), as prepared by the Children’s Hospital Association. This report compares clinical data annually for more than 47 pediatric hospitals in the U.S.