Shows
Straight From The HipMaurizio De Pellegrin: Mythbusting and decoding hip dysplasiaToday I’m joined by Maurizio De Pellegrin from Parma, Italy, and we’re going to do something I enjoy: highlight a set of practical contributions, then stress-test what the data really support. We start with a question parents ask all the time—often more urgently than they ask about the hip itself: Will treatment delay my child’s milestones? De Pellegrin’s recent work examines walking age and motor development in severe DDH, and it helps us speak to families with greater precision about timing, severity, and what happens when treatment begins early.From there, we tackle...
2026-02-251h 00Straight From The HipTom Youm: Borderline hip dysplasia and femoroacetabular impingementToday’s guest is Dr. Thomas Youm from NYU Langone Health a high-volume hip arthroscopist.The focus of the conversation is a niche but common clinical scenario: femoroacetabular impingement syndrome in the setting of borderline hip dysplasia—typically defined by a lateral center-edge angle between 20 and 25 degrees. We use several recent papers from Dr. Youm’s group as the starting point, but the discussion stays practical: when a hip lives near that borderline zone, where undercoverage and potential instability may coexist with impingement morphology, who truly benefits from arthroscopy, who should be screened out, and what long...
2026-02-0453 minStraight From The HipRecap & Ask me anything December 2025This 50th-episode recap of Straight from the Hip brings together some of the most important themes we’ve covered over the past block of conversations: how we share knowledge, how we generate and question evidence, and how we safely push the field forward. I revisit episodes with Nick Fletcher on podcasting as a serious medium for medical education; Simon Thomas and Emily Dodwell on long-term outcomes, fragile statistics, and what that means for counseling families; Perry and Jon Schoenecker on the tension and harmony between clinical experience and basic science; and Valerie Parrish on what IHDI 2.0 is actually doing fo...
2025-12-2435 minStraight From The HipDan Sucato: Femoral Head Reduction Osteotomy & LeadershipToday I’m joined by Dan Sucato, Chief of Staff at Texas Scottish Rite for Children, an institution that currently sits at the top of the U.S. News & World Report rankings for pediatric orthopedics.We start with Perthes, specifically, one of the most complex reconstructions we have for the post-Perthes deformity: femoral head reduction osteotomy. Dr. Sucato is one of the few surgeons worldwide to have published on this procedure. I was able to pick his brain about when he considers it, how he executes it, whether it can realistically be taught, and how to think ab...
2025-12-0249 min
Straight From The HipMike Vitale & Safety in SurgeryMichael Vitale, Chief of Pediatric Spine Surgery at Columbia, joins me to talk about one thing: how to make surgery safer.We walk through why he became obsessed with safety, and how high-stakes spine surgery forced a rethink of teams, errors, and systems under pressure.We break down core principles: planning, standardization, human factors, checklists that actually work, and psychological safety in the OR.We talk innovation: navigation, robotics, AR—how to adopt new tech without creating new failure modes.Finally, we discuss metrics, outcomes, and performance measures, and why the fu...
2025-11-1949 minStraight From The HipValerie Parrish & the IHDI 2.0 SymposiumIf you’ve listened to this show in the past or our sister show (Hip & Happening), you already know today’s guest: Valerie Parrish, the Director of Patient Advocacy and Engagement at the IHDI. This episode was recorded right after our IHDI 2.0 symposium in New York, In this conversation:We talk about baby positioning and baby-wearing. We get into early detection and why we still miss hips — and how that might change with smarter imaging and motion tools.We discuss improving brace treatment We explain why kids are not just “...
2025-10-2645 minStraight From The HipPerry & Jon Schoenecker: Wisdom, innovation & the hipToday’s episode is a real privilege. I had the chance to sit down with Perry and Jon Schoenecker, a father and son who represent two distinct but complementary approaches to orthopedics. Perry is a giant in clinical orthopedics, with decades of work shaping how we think about hip dysplasia, hip preservation, and surgical decision-making. Jon, meanwhile, brings a different perspective, grounded in basic science and biomechanics, with a focus on the biology of bone and cartilage and how those insights can drive the future of our field.In this conversation, we talked about how each of th...
2025-08-261h 07Straight From The HipNick Fletcher and the future of sharing orthopedic knowledgeToday’s episode is a bit meta, in the best way. We’re talking about podcasting as a medical medium: not just a way to pass time on a commute, but a tool to reshape how we communicate, teach, and share orthopedic knowledge.My guest is Dr. Nick Fletcher from Atlanta. He’s a Professor of Orthopaedic Surgery at Emory, the Medical Director of the Spine Program at Children’s Healthcare of Atlanta, and the host of Interview with a PediPod, the official podcast of The Pediatric Orthopedic Society of North America. He’s published more than 70 peer-reviewed...
2025-08-0650 minStraight From The HipDror Paley: Innovation, Moral Ambition, and the Future of Orthopedic SurgeryOn this episode I have a candid conversation with: Dror Paley, the founder of the Paley Orthopedic & Spine Institute in Florida, the Paley European Institute in Poland, and the Paley Institute Middle East in Abu Dhabi. He’s a pioneer in deformity correction and one of the surgeons who introduced the Ilizarov method to North America. In hip surgery, he developed the SUPER Hip procedure, along with more than a hundred other techniques.But this episode isn’t about applause. It’s about ambition, controversy, and what it means to innovate in a field that often resists disrup...
2025-07-141h 07Straight From The HipEmily Dodwell and the fragility of the science in orthopedic surgeryOn today’s episode, I talk with Emily Dodwell of the Hospital for Special Surgery in New York. We begin discussing her background and how she views some of the known facts about hip dysplasia, such as risk factors and current best practices for non-operative treatment, leading into variation in screening strategies around the world. We talk about a population-based study she published using data from New York state to determine the rate of surgery for hip dysplasia in infants and variations thereupon how this sheds light on the state of affai...
2025-06-1847 minStraight From The HipDave Bailey & the intersection of industry and patient careThis week, I speak with Dave Bailey, the CEO of OrthoPediatrics, an American bioscience company based in Warsaw, Indiana, that designs, develops, manufactures, and distributes orthopedic implants and instruments for pediatric issues.I invited Dave to discuss the intersection of industry and patient care. His vision talk at a recent event resonated with my mission to provide the best care to as many patients as possible.We explore Dave's professional background and leadership journey, his vision for OrthoPediatrics, and the company's commitment to education and its vital role in the industry.We delve...
2025-06-0444 minStraight From The HipSimon Thomas, 45 year follow ups for hip dysplasia and standardizing treatmentOn today’s episode, I talk with Simon Thomas, Consultant Paediatric Orthopaedic Surgeon at the Bristol Royal Hospital for Children. Trained in both the United Kingdom and Canada, including under the legacy of John Wedge and Robert Salter in Toronto, Simon offers a perspective shaped by two systems with different approaches to developmental dysplasia of the hip.We begin by examining how training lineage and institutional norms influence clinical decisions, particularly concerning surgical timing, the use of the Pavlik method, and criteria for progression to open or closed reduction. We discuss the landmark study he co...
2025-06-0446 minStraight From The HipRecap and Ask me Anything (April 2025)In this special recap episode, I revisit highlights from recent episodes of Straight from the Hip, covering topics including social media’s influence on patient narratives, burnout and work-life boundaries, and the evolving landscape of hip preservation. I share insights from conversations with Joel Wells, Chris Iobst, and Ben Domb, respond to listener questions, and reflect on how centers of excellence and training in hip surgery should be defined. The episode also touches on recent findings in infantile hip dysplasia from guests like Evelyn Kuong, Harry Kim, Shevaun Doyle, and Wesley Theunissen, emphasizing thoughtful, evidence-based car...
2025-04-1321 minStraight From The HipSimulation in healthcare: Rodrigo Rubio & Carlos Vidal. Magic, Aviation and the future of simulation in healthcareThis week, I’m talking about simulation in healthcare and medical education. Whether in surgery, anesthesiology, or even hip dysplasia screening, simulation allows for repeated practice, error correction, and improved confidence—all without putting patients at risk.To explore this, I’m joined by Rodrigo Rubio, professor of anesthesiology and director of the Center for Simulation at the American British Cowdray Hospital in Mexico City, and Carlos Vidal, an orthopedic surgeon leading an initiative to teach physicians how to perform ultrasound screening for hip dysplasia using a simulation model.We begin with a unique perspective—how the princi...
2025-04-0245 minStraight From The HipWesley Theunissen & spontaneous resolution of the majority of stable hip dysplasiaOn today’s episode, I sit down with Wesley Theunissen, an orthopedic surgeon based at the Máxima Medical Center in Veldhoven, Netherlands. He recently published a compelling study on spontaneous recovery in stable dysplastic hips, challenging the traditional approach of immediate bracing.Hip dysplasia management remains a controversial topic, particularly in mild cases. Some hips initially classified as dysplastic can normalize over time with natural development and adherence to hip-healthy practices. Theunissen and his team found that over 90% of Graf IIb hips improved spontaneously, raising important questions about the necessity of early intervention. We discuss the predictors...
2025-03-1944 minStraight From The HipEvelyn Kuong: The Hong Kong Experience and hip dysplasia in Spinal Muscular AtrophyOn today’s episode, I’m joined by Dr. Evelyn Kuong, a consultant in the Department of Orthopedics and Traumatology and an Honorary Clinical Associate Professor at the University of Hong Kong. We start by discussing her recent research on predicting residual dysplasia at skeletal maturity after closed reduction for developmental dislocation of the hip, identifying age-specific acetabular index cutoffs that can help guide decision-making when monitoring patients post-reduction.From there, we dive into her work on establishing normative radiographic values for hip dysplasia in a pediatric Chinese population. Her findings reveal significant differences compared to N...
2025-02-271h 03Straight From The HipShevaun Doyle & nerve palsies during Pavlik treatment of hip dysplasiaOn today’s episode, I’m joined by Dr. Shevaun Doyle, a pediatric orthopedic surgeon from the Hospital for Special Surgery in Manhattan, New York. Dr. Doyle has an extensive practice focusing on both operative and nonoperative treatments for infantile hip dysplasia.
We dive into her recent paper on nerve palsy in children undergoing brace treatment for hip dysplasia. We discuss whether the term "palsy" is accurate, explore rare nerve issues that can arise, and unpack possible mechanisms behind these complications. While these nerve issues almost always resolve, they can complicate treatment of the underlying condition.
In...
2024-12-1227 minStraight From The HipShevaun Doyle and nerve palsies after Pavlik treatment for hip dysplasiaOn today’s episode, I’m joined by Dr. Shevaun Doyle, a pediatric orthopedic surgeon from the Hospital for Special Surgery in Manhattan, New York. Dr. Doyle has an extensive practice focusing on both operative and nonoperative treatments for infantile hip dysplasia.
We dive into her recent paper on nerve palsy in children undergoing brace treatment for hip dysplasia. We discuss whether the term "palsy" is accurate, explore rare nerve issues that can arise, and unpack possible mechanisms behind these complications. While these nerve issues almost always resolve, they can complicate treatment of the underlying condition.
In...
2024-12-1227 minStraight From The HipHarry Kim: Legg-Calvé-Perthes, Perfusion MRI and outcomesIn today's episode, I speak with Dr. Harry Kim from Texas Scottish Rite for Children about a condition that I have often said that I love to think about but hate to treat:Legg-Calvé-Perthes, or juvenile osteochondritis of the proximal femoral epiphysis. This condition has intrigued and frustrated orthopedic surgeons for over a century due to its unpredictability.
We begin by delving into Dr. Kim's groundbreaking research utilizing perfusion MRI to better characterize this enigmatic disease. Perfusion MRI offers new insights into the vascular dynamics of the femoral epiphysis, shedding light on the revascularization proces...
2024-11-2647 minStraight From The HipBen Domb: Borderline Hip Dysplasia and Building the American Hip InstituteIn today’s episode, I speak with Dr. Ben Domb, a leading orthopedic surgeon and founder of the American Hip Institute in Chicago, a center dedicated to advancing hip treatments through education and innovation.
We discuss a recent paper he published on the treatment of so-called Borderline Hip Dysplasia. The study found no significant difference in outcomes for the condition when patients underwent either a Periacetabular Osteotomy or arthroscopic capsular plication.
We talk about the nuances of borderline hip dysplasia, the difficulty in standardizing surgical treatment, and the development of a compr...
2024-10-2846 minStraight From The HipChris Iobst & Overcommitment and Burnout: The importance of saying "no"!On today’s episode, I have the privilege of speaking with
Dr. Chris Iobst, a world-renowned expert in limb deformity surgery and, more importantly, a remarkable human being. While my focus is usually on hip pathology, today’s discussion is especially timely as it touches on a critical
issue that impacts all professionals, including orthopedic
surgeons—overcommitment and burnout.
Dr. Iobst recently experienced a life-changing event that
shifted his perspective, prompting deep introspection about his career and life. He was gracious enough to share insights from a book he is writing, designed as a manual for surgeons, offeri...
2024-10-1433 minStraight From The HipJoel Wells & the Role of Social Media in Hip dysplasiaThis week I speak with Joel wells MD associate professor of orthopedic surgery at the University of Texas A&M and we discussed the complexities of the role that social media plays in patient perception and self reported outcomes specifically after having periacetabular osteotomy for the correction of acetabular dysplasia.
We talk about the complexities of social media in medicine and discuss how it is crucial to consider both the benefits and risks these platforms pose. Social media has become a powerful tool for sharing health information and connecting patients, it also has a darker s...
2024-09-3034 minStraight From The HipRecap & Ask me anythingThis week, join me for a recap and 'Ask Me Anything' episode! I've shifted to a bi-weekly or monthly format to better fit your schedules and allow you to catch up on past episodes. Over the last ten episodes, we’ve explored topics beyond the hip, including surgical techniques and medical publishing, and your feedback has been invaluable. Tune in as I answer your questions and delve into the topics you’ve been curious about. Keep those questions coming to keep our discussions engaging and relevant!
2024-09-0228 minStraight From The HipPaul Beaulé: PAO & Hip ArthroscopyThis week, I speak with Dr. Paul Beaulé, Professor and Chief of the Division of Orthopedic Surgery at the University of Ottawa, Canada. He has dedicated his career to understanding the hip and is a world-renowned author and hip preservation surgeon.
In our conversation, we delve into a recent randomized controlled trial he led and published. It compared the outcomes of patients undergoing arthroscopy in conjunction with periacetabular osteotomy versus those who did not have arthroscopy. This groundbreaking study earned the 2024 Hip Society Otto Aufranc Award.
We explore the complexities of conducting randomized controlled trials in...
2024-08-0739 minStraight From The HipNancy Muir, Shared Decision Making & UltramarathonsThis week, I speak with Nancy Muir, a pediatric physical therapist based at the University of Colorado Aurora, beyond this, she is an expert on hip dysplasia, having been diagnosed running an ultra-marathon and she has been very forthcoming and gracious in sharing her story.
My relationship with Nancy spans several years, and we have worked closely together since she founded the nonprofit organization, Miles for Hips. This organization, which she established in partnership with the International Hip Dysplasia Institute, serves as a beacon of patient advocacy and awareness.
She shares he...
2024-07-2448 minStraight From The HipDebbie Eastwood & The Trans Atlantic Divide!This week I talk with Deborah Eastwood of the Royal National Orthopedic Hospital in London, England.
The name Debbie Eastwood is synonymous with excellence in Orthopedics stands as a beacon of inspiration and is one of the most influential women in orthopedic surgery. Her remarkable contributions to pediatric orthopedics have left an indelible mark in the field.
Debbie Eastwood's unwavering dedication was recently honored with the lifetime achievement award from the European pediatric orthopedic society. This prestigious recognition, coupled with her involvement in numerous national and international organizations, and her role as a teacher, is a...
2024-07-0333 minStraight From The HipDennis Wenger & the Ligamentum Teres TransferThis week, I speak with Dennis Wenger, the director of pediatric orthopedic surgery education emeritus at Rady Children's Hospital in San Diego, CA, and the professor of orthopedic surgery emeritus at the University of California, San Diego.
He has had a prolific career as a clinician educator and researcher in pediatric orthopedic surgery.
We discuss his approach to treating developmental dislocation of the hip, including different philosophies he learned from diverse parts of the world with a unique background.
We talk about the state of specialized surgery of the musculoskeletal system in children in...
2024-06-2647 minStraight From The HipAnders Brekke & Josefine Naili: Acetabular Retroversion, pelvic tilt, femoroacetabular impingement and physical therapy interventionsThis week I have two guests; I welcome Anders Falk Brekke, who is a registered physical therapist and PhD, affiliated with the Department of Physiotherapy at University College Absalon, Region of Zealand, Denmark, the Orthopaedic Research Unit, Department of Clinical Research, University of Southern Denmark and the Department of Orthopaedics and Traumatology, Odense University Hospital, Denmark.
Josefine E. Naili is also a registered physiotherapist and PhD associate professor of physiotherapy. Currently conducting research at the Department of Women’s and Children’s Health and working clinically in the Motion Analysis Lab at Karolinska University Hospital in Stockholm, Sweden.T...
2024-06-1936 minStraight From The HipLaura Rutterford: Physical Therapy & Help for Hip DysplasiaThis week I speak with Laura Rutterford a physical therapist based in the United Kingdom.
This is a so-called crossover podcast, as she also has a podcast called Help for Hip Dysplasia, which I highly encourage you to check out.
Today, Laura shares her journey with hip dysplasia, which inspired her to become a physical therapist. This is not uncommon in the world of hip dysplasia; people who have been affected often become strong advocates.
We talk about her treatment approach and the importance of collaborative care.
We discussed screening programs...
2024-06-1240 minStraight From The HipRay Liu: Ancient Bones, Slipped Capital Femoral Epiphysis & the Cam deformityThis week, I speak with Raymond Liu, a pediatric orthopedic surgeon at University Hospitals, Rainbow Babies & Children’s Hospital, and the Victor M. Goldberg Endowed Chair in Orthopaedics.
He is a world-renowned expert on complex hip pathology and has published extensive research focusing on sophisticated analysis of different osteological collections.
We begin by discussing slipped capital femoral epiphysis (SCFE) and its association with athletic activity, Challenging the notion that this condition is less frequent in children involved in athletic activities.
We then examine the similarities and, more importantly, the big differences between the so-c...
2024-06-0544 minStraight From The HipKen Noonan & The World of Medical PublishingThis week I talk with Ken Noonan, Professor of Orthopedic Surgery at the University of Wisconsin, in Madison, and the Editor-in-Chief of the Journal of the Pediatric Orthopedic Society of North America
We talk about understanding the landscape of medical publishing and how to measure productivity in publishing and research.
We discuss the role of Open-Access Publishing; its advantages and challenges, including maintaining quality control.
We exchange ideas about so-called predatory journals; how these can be defined, and how to identify them. We also discussed how all medical journals could be considered predatory.
2024-05-2943 minStraight From The HipErnie Sink, Surgical Dislocation of the Hip and Femoroacetabular Impingement (FAI)This week, I speak with Ernie Sink from the Hospital for Special Surgery (HSS) in New York.
Dr Sink is a world-renowned expert in hip preservation surgery, and today, we discuss surgical hip dislocation as an approach to treating hip pathology.
We talk about femoroacetabular impingement or FAI and its description by the group led by Prof. Reinhold Ganz in Bern, Switzerland, and the evolution towards arthroscopic approaches to treating it.
We discuss objective measures to quantify FAI, the importance of making an accurate diagnosis, and the difficulties in distinguishing subtle abnormalities.
2024-05-2237 minStraight From The HipRecap and ask me anything 2This week I recap the most recent episodes and answer some audience questions.
2024-05-1512 minStraight From The HipWill Morris & the Inefficacy of bracing for residual dysplasia after closed or open reduction for developmental dislocation of the hipThis week I speak with William Morris of the Texas Scottish Rite for Children, in Dallas. He recently published two papers questioning the efficacy of bracing for reducing the incidence of acetabular dysplasia after a closed or open reduction
We discuss the treatment of developmental dislocation of the hip by attaining stable reduction whether by closed or open means, and what acetabular dysplasia signifies
He talks about the challenges of performing a retrospective study which encompassed over 40 years experience at the Texas Scottish Rite, as well as the difficulties of interpreting handwritten notes in old...
2024-05-0840 minStraight From The HipBlaise Nemeth, MD. NoPo's (Non-operative Orthopedists) and how to optimize an orthopedic practiceThis week, I speak with Blaise Nemeth, a pediatric orthopedist affiliated with the University of Wisconsin in Madison. He is one of the few non-operative pediatric orthopedists in the United States also known as NoPos.
We talk about the pathway to becoming a non-operative pediatric orthopedist and the value they can bring to benefit patients as well as his career path
We discuss practical issues, including the financial aspects of incorporating non-operative orthopedists and advanced practice providers.
He explained his approach to diagnosing and managing hip dysplasia in infants and how to integrate...
2024-05-0237 minStraight From The HipStuart Weinstein & The Iowa contribution to hip dysplasiaIn today's episode, I have the honor of speaking with Dr. Stuart Weinstein, a distinguished figure in pediatric orthopedics and a renowned expert in hip dysplasia. Dr. Weinstein's illustrious career includes leadership roles in prominent orthopedic societies and groundbreaking research on the long-term outcomes of various orthopedic conditions.
Our conversation delves into the rich history of orthopedic surgery at the University of Iowa under the initial guidance of Arthur Steindler, exploring its pivotal contributions to our understanding of hip dysplasia spanning over a century. Dr. Weinstein shares insights into the transformative impact of Ignacio Ponseti's c...
2024-04-241h 01Straight From The HipValerie Parrish, PA-C. Advanced Practice Providers & teamworkThis week, I had the privilege of conversing with Valerie Parrish, a highly accomplished professional in pediatric hip pathology. Valerie is a certified physician assistant at Texas Children's Hospital and has dedicated her career to the specialized area of pediatric orthopedics. Her role as an advanced practice provider has afforded her with unique insights into the job of a physician assistant, the intricacies of pediatric orthopedics, and the efficient management of a practice.
We discussed the modern physician assistant movement, how it began, and how it can enhance surgical practices. we talk about both surgical and non-surgical P...
2024-04-1736 minStraight From The HipAlex Aarvold: The Pelletoplasty, screening for hip dysplasia in England & radiation concernsThis week I speak with Mr. Alexander Aarvold a consultant pediatric orthopedic surgeon in Southampton England.
He has published extensively in the field of hip dysplasia and has recently been advocating for a growth-stimulating procedure to improve the outcomes when treating developmental dislocation of the hip with open reduction by adding a procedure called a pelletoplasty
We begin the discussion talking about screening and the fact that despite having a national screening program in England, the rate of late-detected hip dysplasia does not seem to have changed over the last few decades, and he has l...
2024-04-1045 minStraight From The HipRafael Sierra and the Trident of studies on Hip Dysplasia and the PAOThis week, I have a conversation with Rafael Sierra, MD, an orthopedic surgeon at the Mayo Clinic in Rochester, Minnesota, who has focused his career on hip preservation as well as hip replacement with a strong focus on hip dysplasia and femoroacetabular impingement.
This week's episode is a little longer than typical because we had a lot to discuss.
We centered the conversation on three papers he termed the Trident, the first defining the Natural History of osteoarthritis in patients with hip dysplasia and impingement.
Then, a paper that discusses how the natural...
2024-04-031h 01Straight From The HipWoody Sankar, Open reduction of developmental dislocation of the hip and measuring outcomes of surgeryThis week I speak with Woody Sankar, Professor of Orthopedic Surgery by the Perelman School of Medicine at the University of Pennsylvania and Director of the Hip Preservation Team at the Children's Hospital of Philadelphia
We talk about outcomes of open reduction for developmental dislocation of the hip and the study he recently co-authored, which was the result of a multicentre effort led by the global hip dysplasia registry.
We talk about measuring outcomes for open reduction of developmental dislocation. Focusing on three suboptimal outcomes, Redislocation, proximal femoral growth disturbance, and resi...
2024-03-2741 minStraight From The HipTony Herring & 50 years of contemplating Legg-Calvé-PerthesThis week, I talk with a true legend in Legg-Calvé-Perthes. Dr Tony Herring from Texas Scottish Rite for Children in Dallas
Dr. Herring has had an illustrious career dedicated to helping children with all sorts of musculoskeletal problems. He developed a particular interest in Legg-Calvé-Perthes.
Although he has published many articles on the subject, in 2004, he was the lead author in a study that is considered by many to be the landmark study in the understanding and treatment algorithm for patients with this condition.
We talk about how he formed a st...
2024-03-2042 minStraight From The HipDan Perry, Legg-Calvé-Perthes and the BOSS StudyThis week, we are focusing on Legg-Calvé-Perthes, a condition that continues to frustrate patients, parents, and clinicians despite being described over 115 years ago. I speak with Dan Perry, a pediatric orthopedic surgeon and NIHR research professor at Alder Hey Hospital in Liverpool, England.
We centered the conversation around the results of the British Orthopedic Society Surveillance Study, or BOSS study, on Perthes.
We discussed the paper they published in 2022, looking at epidemiology in the United Kingdom.
We talk about how dogma and not necessarily scientific evidence have influenced surgical Practice worldwide.
...
2024-03-1331 minStraight From The HipRick Gardner & Global Pathways to Improve Pediatric Orthopedic CareIn this episode, I talk with Rick Gardner, a pediatric orthopedic surgeon at SickKids in Toronto. Gardner's rich experience spans various countries, notably with Cure International in Africa, providing surgical care and support to children in underserved communities. We explore our similar motivations for pursuing medicine and commitment to pediatric care, discussing topics such as effective altruism, the importance of scalability and sustainability, and the role of collaboration with local providers, governments, and NGOs. Additionally, we cover the empowerment of local healthcare professionals through training and education, the significance of conducting research with shared resources, and examine the potential...
2024-03-0735 minStraight From The HipRecap & Ask me anythingThis week marks the 10th episode in this podcast, and today’s episode is different; I thought this would be a good time to take stock of the first nine episodes and discuss future directions. I also thought it would be a good time to catch up on some questions that have come to me through different platforms. I'm very grateful to listeners who have sent in questions related to some of the topics we've brought up and please let me know about topics you'd like to hear about on the podcast.
2024-02-2813 minStraight From The HipEmily Schaeffer, The Global Hip Registry & the development and implementation of care pathways for DDH around the worldThis week I speak with Emily Schaefer PhD a researcher with the university of British Columbia in Vancouver.
We discuss a paper that she and her team recently published which details the development and implementation of a care pathway for developmental dysplasia of the hip in India.
Li J, Aroojis A, Mulpuri K, Shea KG, Schaeffer EK. Development of a DDH Care Pathway for India: A Study Methodology to Guide Similar Efforts in Other Countries and for Other Conditions. Indian J Orthop. 2021 Oct 22;55(6):1549-1558.
https://www.ncbi.nlm.n...
2024-02-2240 minStraight From The HipEduardo Novais & Residual Dysplasia after closed or open reduction of developmental dislocation of the hipThis week, I am speaking with Eduardo Novais, MD. Associate Professor of Orthopedic Surgery at Harvard Medical and part of the Orthopedic Center and the Child and Young Adult Hip Preservation Program at Boston Children’s Hospital
We discuss a paper that he recently coauthored:
Hip Morphology on Post-Reduction MRI Predicts Residual Dysplasia 10 Years After Open or Closed Reduction
We discuss whether it is possible to predict residual acetabular dysplasia based on post-reduction MRI after closed or open reduction for developmental dislocation of the hip, the logistics of obtaining MRI immediately after a pr...
2024-02-1537 minStraight From The HipKaya Jacobsen, The HUNT study from Trøndelag, Norway and the genetics of hip dysplasia In this episode, I engage in a conversation with Dr. Kaya Kvarme Jacobsen, an MD PhD from the University of Bergen, Norway, about genetic epidemiology and hip dysplasia. Our discussion delves into her recent co-authored paper: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10820335/
a contribution to a large-scale population study from Trøndelag, Norway. Specific single nucleotide polymorphisms associated with hip dysplasia were identified. We explore the intricacies of whole genome sequencing, the significance of SNPs, potential genetic and epigenetic factors influencing hip dysplasia, the evolving landscape of personalized medicine, and the myriad of unanswered qu...
2024-02-0740 minStraight From The HipSalil Upasani & Residual Dysplasia after successful Pavlik treatmentThis week I talk with Salil Upasani from Rady Children's Hospital in San Diego
We highlight this recent paper that he co-authored:
Paranjape CS, Bomar JD, Upasani VV. Defining the Incidence of Residual Acetabular Dysplasia After Successful Reduction With a Harness. J Pediatr Orthop. 2023 Sep 1;43(8):e619-e624. doi: 10.1097/BPO.0000000000002456.
In the podcast we talk about the phenomenon of residual dysplasia after successful treatment with the public method for developmental dislocation of the hip.
We talk about what constitutes success when treating infants with dislocated hips, whether it truly is residual or if it is a later onset version of dysplasia, future...
2024-02-0133 minStraight From The HipEstefania Birrer and the Story of the Chilean Screening Programme for DDHIn this week's episode, I speak with Estefania Birrer from Valdivia, Chile; she coauthored a paper that showed the effectiveness of a screening program for hip dysplasia in Chile. We talk about the practical and economic realities of screening.
Here is a link to the paper: https://journals.sagepub.com/doi/full/10.1302/1863-2548.15.200240?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org
2024-01-3127 minStraight From The HipHip Surveillance in Cerebral PalsyIn this week's episode, I speak with Jason Howard, MD of Nemours / Alfred I Dupont Institute & Ben Shore, MD of Boston Children's Hospital, about hip dysplasia in cerebral palsy: surveillance programs, early intervention, and outcomes. We discuss the bright future for children and their families when hip dysplasia affects the hip.
Here is a link to the paper: https://www.mdpi.com/2077-0383/12/4/1651
2024-01-1845 minStraight From The HipScott Mubarak, The Pavlik Method and Orthopedic HistoryIn this episode, I speak with Scott Mubarak, MD, Chief Emeritus of Orthopedic Surgery at Rady Children's Hospital in San Diego.
We discuss orthopedic history, including his experience visiting the former Czechoslovakia to find out about Arnold Pavlik and the Pavlik method as well as his vast experience with non-operative treatment of hip dysplasia.
We then talk about surgery for hip dysplasia, including ligamentum teres transfer and the so-called San Diego osteotomy that was developed by Dr. Mubarak and his partner Dr. Dennis Wenger.
It is insightful and i...
2024-01-0936 minStraight From The HipChad Price, the IHDI and the Buchelsberger thesisJoin me in this week's podcast episode as I chat with a personal hero: the brilliant Dr. Chad Price, the driving force behind the International Hip Dysplasia Institute. We dive into the fascinating Buchelberger thesis, unraveling its insights into the development of the human hip joint and beyond. Don't miss this engaging conversation!
Here is the Buchelsberger thesis: https://hipdysplasia.org/wp-content/uploads/2020/06/Buschelberger-English-with-images-Final.pdf
2023-12-2234 min
Straight From The HipStraight from the hipThe official podcast of the International Hip Dysplasia Institute
In this episode I am talking with Pooya Hosseinzadeh and Scott Rosenfeld about a study they published looking at the development of the acetabulum after a closed or open reduction for infants with developmental dislocation of the hip.
Fate of acetabular dysplasia after closed and open... : Journal of Pediatric Orthopaedics B https://journals.lww.com/jpo-b/abstract/9900/fate_of_acetabular_dysplasia_after_closed_and_open.163.aspx
2023-12-1534 min