Musculoskeletal Research

Gillette Children's Specialty Healthcare's musculoskeletal research area consists of several initiatives that focus on musculoskeletal care for Gillette patients.


 

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Bone Health

The bone health research initiative assesses bone health in patients who have underlying medical conditions.

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Bone Health

Led by Steven Koop, M.D., Walter Truong, M.D. and Susan Novotny, Ph.D.

The bone health research initiative assesses bone health in patients who have underlying medical conditions. Our goal is to measure typical bone development in patients and create tools to identify those at risk for poor bone health and fractures. We also study the use of physical activity as a means of improving bone health in children who have cerebral palsy.

Ongoing studies:

  • Steven Koop, M.D.: Fracture Incidence in Individuals with Developmental Disabilities
  • Walter Truong, M.D.: Pediatric Standing Study
  • Bone Mineral Density in Adults with Cerebral Palsy: A Retrospective, Cross-Sectional Study

 


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Congenital and Developmental Hip Conditions

Our research focuses on slipped captial femoral epiphysis (SCFE), developmental dysplasia of the hip (DDH), adolescent hip dysplasia, congenital coxa vara, hip pathology and Legg-Calvé-Perthes disease.

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Congenital and Developmental Hip Conditions

Led by Tom Novacheck, M.D., Stephen Sundberg, M.D., Jennifer Laine, M.D., Walter Truong, M.D. and Angela Drummond P.N.P.

The congenital and developmental hip conditions research initiative focuses on slipped captial femoral epiphysis (SCFE), developmental dysplasia of the hip (DDH), adolescent hip dysplasia, congenital coxa vara, hip pathology associated with congenital short femur or other lower extremitity deficiencies, and Legg-Calvé-Perthes disease. We focus on determining the causes of these conditions to better understand their natural histories and pinpoint effective treatments.

Ongoing studies:

  • Jennifer Laine, M.D.: Multicenter Prospective Cohort Study on Current Treatments of Legg-Calvé-Perthes Disease.
  • Stephen Sundberg, M.D.: Prevalence of Hip Dysplasia in Patients with Clubfood Diagnosis.
  • Angela Drummond, P.N.P: DDH Research

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Spine

Our research focuses on long-term outcomes in patients who have scoliosis, muscular dystrophy and other neuromuscular conditions.

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Spine

Led by John Lonstein, M.D. and Tenner Guillaume, M.D.

Gillette's orthopedic surgeons are internationally recognized for their expertise in treating pediatric spine conditions. John Lonstein, M.D., focuses on long-term outcomes in patients who have idiopathic scoliosis and secondary scoliosis associated with cerebral palsy, muscular dystrophy and other neuromuscular conditions. Other areas of research include selective dorsal rhizotomy, effectiveness of orthoses in the treatment of scoliosis, and safety and effectiveness of intrathecal baclofen pumps.

Ongoing studies:

  • John Lonstein, M.D.: Long-term Function Outcomes of Early Fusions for Congenital Scoliosis, Idiopathic Scoliosis and Skeletal Dysplasia
  • John Lonstein, M.D.: Sagittal Profile in the Adolescent Idiopathic Scoliosis
  • John Lonstein, M.D.: Treatment of Juvenile Idiopathic Scoliosis

 


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Limb-Length Discrepancy and Limb Deformity

Our research focuses on understanding how surgical treatment of congenital and acquired limb deformity and limb-length discrepancy improves outcomes in pediatric and adolescent patients.

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Limb-Length Discrepancy and Limb Deformity

Led by Mark Dahl, M.D., Jennifer Laine, M.D. and Libby Webber, M.D.

Gillette offers comprehensive diagnosis, treatment and management of limb-length discrepancies and limb differences for infants, children and teens. We offer one of the nation's highest concentrations of orthopedic surgeons who specialize in typical and atypical growth and development. Our specialization allows us to conduct retrospective and prospective investigations to better understand how surgical treatment of congenital and acquired limb deformity and limb-length discrepancy improves the radiographic and clinical outcomes in pediatric and adolescent patients.

Ongoing studies:

  • Mark Dahl, M.D.: Guided Growth for Limb Deformity Correction in the Growing Child
  • Mark Dahl, M.D.: Single Subject IDW FITBONE Implantation for Limb Lengthening

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Recent Publications in Orthopedics Research

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Recent Publications (2012-2013)

  1. Femoral derotational osteotomy: Surgical indications and outcomes in children with cerebral palsy. Schwartz MH, Rozumalski A, Novacheck TF. Gait Posture. 2013 Oct 27. PMID: 24268697
  2. Hip dysplasia in patients with Hurler syndrome. (mucopolysaccharidosis type 1H). Thawrani DP, Walker K, Polgreen LE, Tolar J, Orchard PJ. J Pediatr Orthop. 2013 Sep;33(6):635-43. PMID: 23812141
  3. Predicting the outcome of intramuscular psoas lengthening in children with cerebral palsy using preoperative gait data and the random forest algorithm. Schwartz MH, Rozumalski A, Truong W, Novacheck TF. Gait Posture. 2013 Apr;37(4):473-9. PMID: 23079586
  4. Coping among parents of children with special health care needs with and without a health care home. Drummond A, Looman WS, Phillips A. J Pediatr Health Care. 2012 Jul-Aug;26(4):266-75. PMID: 22726711
  5. Radiolucent tissue and the straight child: commentary on an article by Sanjeev Sabharwal, MD, et al.: "Intra-articular morphology of the knee joint in children with Blount disease: a case-control study using MRI". Zaleske DJ. J Bone Joint Surg Am. 2012 May 16;94(10):e71.  PMID: 22617937
  6. Rasch analysis of items from two self-report measures of motor function: determination of item difficulty and relationships with children's ability levels. Stout JL, Gorton GE 3rd, Novacheck TF, Bagley AM, Tervo RC, Bevans K, Tucker CA. Dev Med Child Neurol. 2012 May;54(5):443-50. PMID: 22414116
  7. Results and complications after spinal fusion for neuromuscular scoliosis in cerebral palsy and static encephalopathy using luque galveston instrumentation: experience in 93 patients. Lonstein JE, Koop SE, Novachek TF, Perra JH. Spine (Phila Pa 1976). 2012 Apr 1;37(7):583-91. PMID: 21673625

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