Showing 4 Abstracts.
Developmental dysplasia of the hip (DDH) is the leading cause of hip disease in infants. AVN is a potential complication of treatment for DDH, which is traditionally diagnosed on follow-up pelvic radiographs. But classic radiographic findings of AVN may be radiographically-occult for months to years after surgery. To investigate the performance of gadolinium-enhanced magnetic resonance imaging (MRI) for predicting avascular necrosis (AVN) of the femoral head following surgical hip reduction for developmental dysplasia of the hip (DDH) using qualitative and quantitative methods. Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Nguyen Jie, Barrera Christian, Back Susan, Patel Maya, Sankar Wudbhav
Mensicocapsular injury (ramp lesion) occurs in 9-17% of ACL tears. These injuries are a risk factor for instability and failure following ACL reconstruction. The far peripheral location has contributed to under-diagnosis during routine anterior-approach arthroscopy. While there has been increasing interest in the identification and treatment of these lesions in adults, there is a paucity of published data on children and the proposed MRI features lack specificity. Therefore, the purpose of this study was to investigate the performance of MRI criteria for identifying ramp lesions in children. Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Nguyen Jie, Bram Joshua, Ganley Theodore, Lawrence John, Patel Maya, Ho-fung Victor
The tibiotalar joint is the third most common location for osteochondritis dissecans (OCD) lesions, which poses the risk of premature osteoarthritis, and often associates with a history of prior ankle sprains and fractures. Unstable lesions require surgical intervention. A 4-stage radiographic classification system has been previously proposed, but this system has a 50% false negative rate when compared to arthroscopic assessment (reference standard). Recently, MRI and arthroscopic findings have been correlated in adults, but no such validation study has been performed in children. Thus, the purpose of our study was to identify MRI findings that predict instability of OCD lesions of the ankle in children. Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Patel Maya, Francavilla Michael, Longoria Cruz, Nguyen Michael, Barrera Christian, Nguyen Jie
Keywords: tibiotalar joint, OCD
Effective triage and timely communication are critical for optimal patient care. MSK diagnoses that are considered emergent (requiring immediate attention), urgent (warranting attention sooner), and non-urgent (necessitating follow-up) are not yet defined. The purposes of this project are 1) to define the clinical importance of MSK diagnoses and the preferred communication methods, and 2) to investigate differences between subspecialties and between those with different years in practice. Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Patel Maya, Nguyen Jie, Gaballah Marian, Arkader Alexandre, Lawrence John, Kaplan Summer, Johnson Ann, Grady Matthew, Sze Raymond, Talwar Divya
Keywords: communication