The orthopaedic team continues to publish more research. Two recent studies are highlighted below.

Study: Long-term results promising for Pavlik harness use in infants

A new study in the Journal of Pediatric Orthopaedics confirms positive long-term results for the treatment of femur fractures in infants with the Pavlik harness. Previous research included only short-term follow up.

Researchers at Le Bonheur and Campbell Clinic reviewed the multi-year clinical and radiographic records for 10 children younger than the age of 6 months who were treated with a Pavlik harness for an isolated femoral shaft fracture at a Level 1 pediatric trauma center.

The average age of the patients at the time of injury was 2.2 months. The average duration of Pavlik harness treatment was 43 days (range, 31 to 54 days). The average age at final follow-up was 5.2 years (range, 2.6 to 7.3

years). At final follow-up, average angulation was 3 degrees valgus (range, 0 to 8 degrees) and 5 degrees procurvatum (range, 0 to 24 degrees). Only one patient had a measurable leg-length discrepancy of 7mm at final follow-up. There were no complications noted.

The research team wrote “pediatric patients have a significant potential for bone remodeling and that any angulation at the time of fracture union will remodel. Treatment with the Pavlik harness provides for excellent clinical outcomes with a minimal complication rate.”

Research studies adolescent anxiety in idiopathic scoliosis undergoing posterior spinal fusion

Anxiety is a significant concern in patients who have posterior spinal fusion. A Le Bonheur and Campbell Clinic research team completed a randomized, single-blind, prospective study to compare anxiety in two groups of patients with idiopathic scoliosis undergoing posterior spinal fusion. The first group received a pre-operative orientation/tour. The second group did not.

In analysis of patient anxiety scores, both groups had higher state anxiety (how they feel at this time) than trait (how they feel in general) at all intervals. The tour group had higher state anxiety (p=0.024) at the post-op interval compared to no-tour group. There was no significant difference in caregiver state anxiety scores. Trait anxiety for both groups remained stable over time.

There was no statistical significance between the groups in the length of stay or the morphine equivalent use.

The researchers suggest that patients and their families need informa-tion correlated to their age and different interventional strategies are needed for the caregiver and the patient. Further study is needed.

Research grows with people, infrastructure

In the past five years, Le Bonheur Children’s and Campbell Clinic have invested in building a pediatric orthopaedic research program. Those investments in people, facilities and technology

have resulted in an increase in published research. “Our research program allows us to discover new treatments and

techniques, improve patient safety, draw attention to pivotal issues within our field, test and validate existing knowledge, and challenge pediatric orthopaedic dogma,” said Pediatric Orthopaedic Surgeon Derek Kelly, MD. “The ultimate goal is to improve care for the pediatric orthopaedic patient.”

The team has focused primarily on research that studies the efficacy of operative and non-operative treatments, as well as the safety and effectiveness of diagnostic tools, like EOS imaging.

Building a research teamA first step in enhancing research efforts was the creation of a

dedicated research team. In 2011, a new clinical research coordina-tor joined to focus on Institutional Review Board updates, follow-ups with patient subjects and overall coordination to keep researchers on task. The team has also added three medical editors and a grant writer in the past two years.

Winter 2014

lebonheur.org/ortho

campbellclinic.com

Memphis, Tennessee

Pediatric OrthOPaedics

“To keep the momentum going for research, we make short-, mid- and long-term goals, so we always have a project in the works.”

Derek Kelly, MD

Fig. 1 Midshaft femur fracture in a 2-month-old. The fracture is

angulated and shortened.

Fig. 2 Five-year follow-up after six weeks of treatment in a Pavlik

harness, demonstrating excellent remodeling of the fracture.

continued on page 2, Research

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Investments in people, facilities and technology have resulted in an increase in published research in the past five years.

Research Spotlight: 2013

The Campbell Clinic/Le Bonheur Pediatric Orthopaedic Fellowship Program has prepared many surgeons for a career in both private practice and academic settings. Some of the program’s recent graduates include:

Dr. Laurie Hughes graduated program in 1994 and now serves as staff orthopaedic surgeon at the Central Arkansas Veteran’s Healthcare System in Little Rock, Ark. She practiced pediatric orthopaedics until 2009.

Hughes said she chose Campbell Clinic/ Le Bonheur primarily because of Dr. Canale’s and Dr. Beaty’s reputations. She points to the expert guidance and instruction in pediatric orthopaedics,

especially in trauma and clubfeet as program strengths.“I got an excellent exposure to the care of children with all

varieties of congenital and developmental problems, especially cerebral palsy. That turned out to be a big part of my pediatric practice later on. I also learned a lot from the multidisciplinary Spina Bifida Clinic – especially from Dr. Sanford, a neurosurgeon who taught me how to diagnose shunt problems and tethered cords in that population,” she said.

Dr. Kathleen Moen graduated from the program in 1998 and now leads the rebuilding of the pediatric orthopaedic enterprise at Swedish Medical Center in Seattle. After fellowship, she spent 14 years as an attending pediatric orthopaedist at Dartmouth Hitchcock

Medical Center in Lebanon, N.H.Moen says she chose to

train in Memphis because of the opportunity to work with world-class leaders in pediatric orthopaedics and learn from them the wide spectrum patient conditions.

“You get to see a mix of academic medicine and private practice and observe a range of practice and teaching styles. Having an intimate fellowship opportunity as the only pediatric orthopedic fellow was a great opportunity,” said Moen.

Dr. Jeffrey Sawyer graduated from the program in 1999. He worked at Rush University Medical Center in Chicago before returning to Campbell Clinic/Le Bonheur in 2005. He now leads the fellowship program.

“The Campbell Clinic fellowship prepared me well for a career in pediatric orthopaedics,” said Sawyer. “The fact that you are the only fellow allows you and the staff to customize the experience to fit your needs. In addition, the mentoring relation-ships developed in fellowship have led to lifelong friendships and collaboration. It is really true that once you are a fellow you are part of the ‘Campbell Family.’”

The orthopaedic team has also garnered support through the Children’s Foundation Research Institute (CFRI) at Le Bonheur Children’s Hospital — a partnership of the University of Tennessee Health Science Center, Le Bonheur Children’s Hospital and the Children’s Foundation of Memphis. The CFRI provides infrastructure and resources for research and discovery, including a team of biostatisticians and biomedical informatics specialists. The Biomedical Informatics Core helps researchers with information databases and study planning. It also helps secure a controlled, HIPAA-compliant environment for researchers with firewall protection and data back-up and storage. Also within the CFRI, the Biostatistics Core helps investigators design high-impact, scientifically and ethically sounds studies and also helps with data interpretation and reporting.

“Medical students, residents and fellows are encour-aged to pursue research projects through the orthopaedic division and have full access to support through the program,” said Kelly. “Research provides an outlet for their intellectual curiosity.”

Support through infrastructureLe Bonheur and Campbell Clinic have invested in soft-

ware and information databases that allow for easier data review and quantification and help foster communication among clinical and translational investigators.

For instance, the Research Electronic Data Capture (REDCap), licensed by Vanderbilt University, provides secure, web-based applications through which users can intuitively enter data. The system also features study-specific data dictionaries, adaptive logic and real-time validation rules.

The Pediatric Research Database helps compile secondary data from electronic medical records for cohort discovery and allows researchers to build and test a hypothesis.

Research, continued from page 1

Briefs

Residency elective allows for mission work, outreachrob Murphy, Md, a fifth-year resident with campbell clinic Orthopaedics,

spent two weeks in Managua, Nicaragua, in May, as part of the residency

program’s new international service elective. Funded by generous contributions

to the campbell Foundation, the new elective allows residents to travel for

medical outreach and mission work.

“i was fortunate, that because of the excellent training i had received at campbell clinic

as part of my residency program, i was able to make an impact during each and every clini-

cal encounter. during every case in the operating room, i was asked, ‘how do they do this at

campbell clinic?’ campbell clinic is still thought of as the worldwide leader in orthopaedic care,

and i felt proud to bring that excellence in orthopaedics to other surgeons,” Murphy said.

Murphy worked side by side with Nicaraguan orthopaedists, treating adults with open

fractures and machete wounds and pediatric patients with tibial nonunions and hip dysplasia.

“during this trip, the teaching and learning was really a two-way street,” he said. “Not only

did i teach the surgeons and residents state-of-the-art orthopaedic knowledge and technical

skills, but they also taught me how to practice orthopaedics in an austere environment.”

Canale serves as editor for AAOS Now

campbell clinic Orthopaedic surgeon s. terry canale, Md, is the current

editor-in-chief for the american academy of Orthopaedic surgeon’s (aaOs)

monthly publication, AAOS Now. Featuring timely issues and reviews in

orthopaedic care, AAOS Now has a readership of 28,000 clinicians.

canale is professor and chair for the University of tennessee - campbell

clinic department of Orthopaedic surgery. he has been with campbell clinic

since 1974.

Warner completes Clinical Orthopaedic Society presidency

William Warner, Md, recently completed a one-year term as president of the

clinical Orthopaedic society, a national organization founded in 1912. Warner

has been with campbell clinic and Le Bonheur since 1989. he is also a

professor with the University of tennessee - campbell clinic department

of Orthopaedic surgery.

Fellowship program prepares surgeons for career in orthopaedics

Dr. Laurie Hughes

Dr. Jeffrey Sawyer

Dr. Kathleen Moen

Grace Tebbe: Pavlik harness

Grace Tebbe of Collierville, Tenn., was diagnosed with congenital hip dysplasia shortly after birth. Doctors detected the condition in a routine newborn screening.

“They said, if left untreated, her hip dysplasia would eventually cause more serious issues, like joint problems or leg length discrepancy, later in her life. She would eventually need surgery,” said mom Krista.

The Tebbes were referred to Orthopaedic Surgeon James Beaty, MD, who recommended a Pavlik harness.

“The Pavlik harness has been a great treatment in newborn children and young infants with hip dysplasia,” said Beaty. “We are fortunate to have excellent screening programs to detect and treat children like Grace and hopefully avoid surgical intervention.”

Grace remained in a Pavlik harness for eight weeks to help her hip joints align and become stable.

Now 3, Grace has had no more issues with her hips. She still sees Beaty once each year to monitor her growth and progress.

“Thanks to an early discovery and great treatment by Campbell Clinic/Le Bonheur and Dr. Beaty, Grace is a very active 3-year-old,” said Krista. “She loves playing soccer with her cousins. We are very grateful for everything.”

Olivia: Posterior spinal fusion

Fourteen-year-old OIivia, who lives in the Philippines with her parents and two siblings, had a spinal curvature of 84 degrees when she came to Le Bonheur Children’s Hospital. Her curvature had nearly doubled in nine months, and although she had been followed by a physician at home, she needed a surgery not available in the Philippines.

Childspring International, a faith-based organization that helps children from around the globe get the medical care they need, helped connect Olivia to Le Bonheur and Campbell Clinic Orthopaedic Surgeon William Warner, MD.

“Olivia’s scoliosis had continued to progress. Due to the size of the curve, she was at high risk for her curve to progress as an adult and cause significant back pain and respiratory restriction,” said Warner.

Olivia arrived in Memphis on Sept. 14 and underwent a posterior spinal fusion

surgery 10 days later. Surgeons used metal rods and screws to correct the deformity as much as possible and then used bone graft to fuse the spine in its corrected position. The operation helped reduce her curvature to 25 degrees.

Olivia was discharged from the hospital on Sept. 28, noticeably taller. “I am thrilled to report that Olivia was doing so well after surgery, that she was

discharged on Saturday – two days earlier than expected,” wrote Christina Porter, program director for Childspring International, in an update to Olivia’s supporters. “She is now home with the host family and continuing her recuperation from a wildly successful surgery.”

Case Studies: Pavlik harness, posterior spinal fusion

Grace Tebbe, 3

Ultrasound of hips at 1 month old

pre-op

Olivia, 14, after surgery at Le Bonheur

post-op

Pelvic X-ray in 2013 showing stable hips

“The Pavlik harness has been a great treatment in newborn children and young infants with hip dysplasia.”

James Beaty, MD

Non-Profit Org.

US POSTAGEPAID

Memphis, TNPermit No. 3093

848 adams avenueMemphis tennessee 38103

Research, Publications and PresentationsLe Bonheur Children’s Hospital and Campbell Clinic’s five surgeons are actively involved in research and presentations in the pediatric orthopaedic field. Highlights from their work are listed below:

Publications Intra-observer and Inter-observer Reliability and the Role of Fracture Morphology in Classifying Femo-ral Shaft Fractures in Young Children. Thompson NB, Kelly DM, Warner WC Jr, Rush JK, Moisan A, Hanna WR, Beaty JH, Spence DD, Sawyer JR. J Pediatr Orthop. 2013 Oct 29. [Epub ahead of print]Current State of Pediatric Orthopaedic Disaster Response. Pediatric Orthopaedic Society of North America Trauma and Prevention Committee 2011-2012. Kelly DM, Heyworth BE, Kruse RW, Edmonds EW, VanderHave K, Podeszwa DA, Talwalkar VR, Warner WC Jr, Gordon JE; J Pediatric Orthop. 2013 Oct 29. [Epub ahead of print]Characterization of Radiation Exposure in Early Onset Scoliosis Patients Treated With the Vertical Expandable Prosthetic Titanium Rib (VEPTR). Cannon TA, Astur N, Kelly DM, Warner WC Jr, Sawyer JR. J Pediatr Orthop. 2013 Oct 29. [Epub ahead of print]Weight Gain During External Fixation. Culotta, B; Gilbert, SR; Sawyer, JR: Ruch, A; Sellers, T. Journal of Children’s Orthopedics, March 2013, Volume 7, Issue 2, pp 147-150.Pulseless Extremity Following an Apparently Non-displaced Proximal Humeral Physeal Fracture: A Case Report. Hall JM, Sawyer JR, Warner WC Jr., Moisan A, Kelly DM. JBJS Case Connector, 2013 Sep 11;3(3):e90 1-4Medial Ulnar Collateral Ligament Origin in Children and Adolescents: An MRI Anatomic Study. Larsen N, Moisan A, Witte D, Ellzey A, Sawyer JR, Warner WC Jr, Beaty JH, Kelly DM. J Pediatr Orthop. 2013 Sep;33(6):664-6.Treatment of Pediatric Femur Fractures with the Pavlik Harness: Multiyear Clinical and Radiographic Outcomes. Rush JK, Kelly DM, Sawyer JR, Beaty JH, Warner WC Jr. J Pediatr Orthop. 2013 Sep; 33(6):614-7Atypical presentation of an osteoid osteoma in a child revisited. Sawyer JR. Am J Orthop (Belle Mead NJ). J Pediatr Orthop. 2013 Jan;42(1):19.Associated injuries in children and adolescents with spinal trauma. Rush JK, Kelly DM, Astur N, Creek A, Dawkins R, Younas S, Warner WC Jr, Sawyer JR. J Pediatr Orthop. 2013 Jun;33(4):393-7. doi: 10.1097/BPO.0b013e318279c7cb.An accessory limb with lipomyelomeningocele in a male. Murphy RF, Cohen BH, Muhlbauer MS, Eubanks JW 3rd, Sawyer JR, Moisan A, Kelly DM. Pediatr Surg Int. 2013 Jul;29(7):749-52. doi: 10.1007/s00383-013-3269-9. Epub 2013 Feb 8.Grear B. J., Neumann J., Warner W.C., Sawyer J. R., Kelly D. M. Patient follow-up in pediatric orthopaedic retrospective call-back studies. Current Orthopedic Practice. 23(6):590–594, November/December 2012.Warner W.C., Astur N., Klimo P. Jr, Muhlbauer M.S., Gabrick K. Occipitocervical fusion using a contoured rod and wire construct in children: a reappraisal of a vintage technique. J Neurosurg Pediatr. 2012 Nov 16. [Epub ahead of print] Miller D.J., Kelly D.M., Spence D.D., Beaty J.H., Warner W.C. Jr, Sawyer J.R. Locked intramedullary nail-ing in the treatment of femoral shaft fractures in children younger than 12 years of age: indications and preliminary report of outcomes. Journal of Pediatric Orthopaedics. 2012 Dec;32(8):777-80. doi: 10.1097/BPO.0b013e31826bb0ba. Grear B., Sawyer J.R., Warner W.C. Jr, Beaty J.H., Kelly D.M. Factors Affecting Research Subject Rate of Return in Pediatric Orthopedic Retrospective Review Studies. Current Orthopedic Practice. 23(6):590-594, Nov/Dec 2012. DOI: 10.1097/BCO.0B013e31826efee5. Spence D., Shore B., Graham H.K. The Role of Hip Surveillance in Children with Cerebral Palsy. Curr Rev Musculoskelet Med: 5:126-134, 2012. Sawyer, J.R., Beebe, M., Creek, A.T., Yantis, M., Kelly, D.M., Warner, W.C.  Age-related Patterns of Spine Injury in Children Involved in All-Terrain Vehicle Accidents. Journal of Pediatric Orthopaedics. 2012 Jul;32(5):435-9. PMID: 22706455. Backstrom, I.C.; Maclennan, P.A.; Sawyer, J.R.; Creek, A.T.; Rue, L.W. 3rd; Gilbert, S.T.  Pediatric obesity and traumatic lower-extremity long-bone fracture outcomes. J Trauma Acute Care Surg. 2012 Aug 17 (Epub ahead of print)           Norton, B, Mulligan, R, Rush, J.K., Kelly, D.M., Warner, W.C., Sawyer, J.R.  Proximal femoral fractures in children and adolescents:an update.  COP Volume 23   Number 5  September/October 2012 429-434       Brey J.M., Conoley J., Canale S.T., Beaty J.H., Warner W.C. Jr, Kelly D.M., Sawyer J.R. Tibial tuberosity fractures in adolescents: is a posterior metaphyseal fracture component a predictor of complications? Journal Pediatric Orthopaedics. 2012 Sep; 32(6):561-6. PubMed PMID: 22892616. Jaquith, B., Chase, A., Flinn, P., Warner, W., Sawyer, J., Freeman, B, Kelly, D. Screws versus hooks: implant cost and deformity correction in adolescent idiopathic scoliosis. (2012) Journal of Children’s Orthopaedics, Online First(TM), 23April2012Arkader, Tolo,Warner, Sponseller, Skaggs. Pediatric chance fractures: a multicenterperspective: Journal of Pediatric Orthopaedics. 2011 Oct-Nov;31(7):741-4. PMID: 21926870Larson AN, Sucato DJ, Herring JA, Adolfsen SE, Kelly DM, Martus JE, Lovejoy JF, Browne R,Delarocha A. A Prospective Multicenter Study of Legg-Calvé-Perthes Disease: Functional andRadiographic Outcomes of Nonoperative Treatment at a Mean Follow-up of Twenty Years. JBone Joint Surg Am. 2012 Apr 4;94(7):584-92.Sawyer JR, Beebe M, Creek AT, Yantis M, Kelly DM, Warner WC Jr. Age-related Patterns ofSpine Injury in Children Involved in All-Terrain Vehicle Accidents. J Pediatr Orthop. 2012Jul;32(5):435-9.Sawyer JR, Bernard MS, Schroeder RJ, Kelly DM, Warner WC Jr. (2011) Trends in all-terrainvehicle-related spinal injuries in children and adolescents. Journal of Pediatric Orthopaedics,31(6):623-7.Rachel JN, Williams JB, Sawyer JR, Warner WC, Kelly DM. (2011) Is radiographic evaluationnecessary in children with a clinical diagnosis of calcaneal apophysitis (Sever disease)?Journal of Pediatric Orthopaedics, 31(5):548-50.Sawyer JR, Kelly DM, Kellum E, Warner WC Jr. (2011) Orthopaedic aspects of all-terrain vehiclerelated injury. Journal of the American Academy of Orthopaedic Surgeons, 19(4):219-25.Nawaf CB, Kelly CM, Warner WC, Beaty JH, Sawyer JR. (2011) Fat Embolism Syndrome in anAdolescent Before Surgical Treatment of an Isolated Closed Tibial Shaft Fracture. Acceptedfor publication – American Journal of Orthopaedics.Jaquith BP, Chase A, Flinn P, Sawyer JR, Warner WC Jr, Freeman BL, Kelly DM. (2011) CostComparison of Correction Obtained with Pedicle Screw and Hook Constructs in AdolescentIdiopathic Scoliosis. Submitted for publication – Journal of Children’s Orthopaedics.Brey JM, Conoley J, Canale ST, Beaty JH, Warner WC Jr, Kelly DM, Sawyer JR. (2011) TibialTuberosity Fracture in Adolescents: Is a Salter-Harris Type IV Posterior Fracture Component aPredictor of Complications? Submitted for publication – Journal of Pediatric Orthopaedics.Miller J, Kelly DM, Spence DD, Beaty JH, Warner WC Jr, Sawyer JR. (2011) LockedIntramedullary Nailing in the Treatment of Femoral Shaft Fracture in Children Youngerthan Twelve Years of Age: Indications and Preliminary Report of Outcomes. Submitted forpublication – Journal of Pediatric Orthopaedics.Warner Jr. WC, Sawyer JR: Kyphosis In Lovell and Winter’s Pediatric Orthopaedics 7thEdition. Submitted for Publication.Rachel JN, Williams JB, Sawyer JR, Warner Jr WC, Kelly DM (2011) Is RadiographicEvaluation Necessary in Children with a Clinical Diagnosis of Calcaneal Apophysitis(Sever Disease)? Journal of Pediatric Orthopaedics, 31:548-550.Sawyer JR, Kelly DM, Beaty JH, Warner Jr. WC, Canale ST (2011) Kickstand Modificationfor External Fixation of Lower Extremity Fractures in Children. Journal of Children’sOrthopaedics, 5:63-67.Cross JD, Rush JK, Kelly DM, Warner Jr, WC, Sawyer JR (2010) The Treatment of PediatricLower Extremity Deformity Using the Taylor Spatial Frame. Current Orthopaedic Practice,22 (2): 135-141.Beaty, J.H. (2010). Fractures of the lateral humeral condyle are the second mostfrequent elbow fracture in children. Journal of Orthopaedic Trauma, 24(7):438.No abstract available. PMID: 2057707Anand, K.J., Eubanks, J.W. 3rd, Kelly, D.M., Meier, J.W., Saltzman, J.A., Crisler, S.C., Kraus,G.J., Spentzas, T. & Chesney, R.W. (2010). Pediatric Patients Seen in Port-au-Prince, Haiti.Clinical Pediatrics (Phila). 2010 Aug 19. [Epub ahead of print]Sawyer, J.R., Kellum, E.L., Creek, A.T. and Wood, G.W. 3rd. (2010) Acute compartmentsyndrome of the hand after a wasp sting: a case report. Journal of PediatricOrthopaedics, 19(1):82-5.Sawyer, J.R., Ivie, C.B., Huff, A.L., Wheeler, C., Kelly, D.M., Beaty, J.H. & Canale, S.T.(2010). Emergency room visits by pediatric fracture patients treated with castimmobilization. Journal of Pediatric Orthopaedics, 30(3):248-52.PMID: 20357591Katz, D.E., Herring, J.A., Browne, R.H., Kelly, D.M. & Birch, J.G. (2010)Brace wearcontrol of curve progression in adolescent idiopathic scoliosis. Journal of Bone and JointSurgery, American edition, 92(6):1343-52.Kelly, D.M., McCarthy, R.E., McCullough, F.L. & Kelly, H.R. (2010). Long-term outcomes ofanterior spinal fusion with instrumentation for thoracolumbar and lumbar curves in adolescentidiopathic scoliosis. Spine (Philadelphia, Pa. 1976), 35(2):194-8.

PresentationsJim Beaty, MDBeaty, J. Advocacy for Orthopaedic Surgeons. IPOS. December 4-7, 2013. Lake Buena Vista, Fla.Beaty, J. Case Presentations. IPOS. December 4-7, Lake Buena Vista, Fla.Beaty, J. Slipped capital femoral epiphysis: Update. Pediatric Orthopaedics: Common Conditions and the Pediatric Hip, Le Bonheur, November 2, 2013.Beaty, J. Frequently missed upper extremity fractures. Pediatric Orthopaedics: Common Conditions and the Pediatric Hip, Le Bonheur, November 2, 2013.Beaty, J. Sports Injuries in Children and Adolescents: 2013 Update. Etteldorf Symposium 2013, Le Bonheur, May 2013.Beaty, J. The Othopaedic Lecture: Basics. AAOS Annual Meeting, Chicago, Ill. March 2013.Beaty, J. The Orthopaedic Lecture: Effective Delivery. AAOS Annual Meeting, Chicago, Ill. March 2013.Beaty, J. Developing Leadership Through Orthopaedic Organizations. AAOS Annual Meeting, Chicago, Ill. March 2013.Beaty, J. The Kids You See on Call: Slipped Capital Femoral Epiphysis. AAOS Annual Meeting, Chicago, Ill. March 2013.Beaty, J. Child Abuse: Nonaccidental Injury. AAOS Annual Meeting, Chicago, Ill. March 2013.Beaty, J. Management of the Multiply Injured Child. AAOS Annual Meeting, Chicago, Ill. March 2013.Beaty, J.H., Warner, W.C., Sawyer, J.R., Kelly, D.M., Larsen, Moisan, Witte, Elzey. Medial Ulnar Collateral Ligament Origin on the Medial Epicondylar Apophysis in the Skeletally Immature Elbow: An MRI Anatomical Study. Presented at the American Academy of Orthopaedic Surgeons, Chicago, Ill., March 2013. Beaty, J.H., Warner, W.C., Sawyer, J.R., Kelly, D.M., Larsen, Moisan, Witte, Elzey. Medial Ulnar Collateral Ligament Origin on the Medial Epicondylar Apophysis in the Skeletally Immature Elbow: An MRI Anatomical Study. Poster presented at POSNA annual meeting, Toronto, Ontario, May 2013.

Beaty, J.H., Warner, W.C., Sawyer, J.R., Spence, D., Kelly, D.M., Pretell, Murphy, Moisan. Surgical Treatment of Symptomatic Accessory Navicular in Children and Adolescent: Is Simple Excision Enough? ePoster presented at POSNA annual meeting, Toronto, Ontario, May 2013.Beaty, J., Kelly, D., Sawyer, J.R., Warner, W.C., Grear, B. Factors Affecting Research Subject Return Rate in Pediatric Orthopaedic Retrospective Review Studies. Presented at American Academy of Pediatrics, New Orleans, La., October 2012.Beaty, J., Spence, D., Stranch, E., Miller, J., Kelly, D.M., Sawyer, J.R., Warner, W.C. Retrospective chart and x-ray review of Intramedulary Nailing of Pediatric Femur Fractures in Children Less Than Twelve Years of Age. Presented at Pediatric Orthopaedic Society of North America, Denver, Colo., May 2012.Beaty, J., Brey, J., Conoley, J., Canale, S.T., Warner, W.C., Kelly, D.M., Sawyer, J.R. Tibial tuberosity fractures in adolescents: is a posterior metaphyseal fracture component a predictor of complications? Presented at Pediatric Orthopaedic Society of North America, Denver, Colo., May 2012.Beaty, J., Brey, J., Conoley, J., Canale, S.T., Warner, W.C., Kelly, D.M., Sawyer, J.R. Tibial tuberosity fractures in adolescents: is a posterior metaphyseal fracture component a predictor of complications? Presented at American Academy of Orthopaedic Surgeons, San Francisco, Calif., February 2012.Beaty, Jim. Developing Teaching Skills to Enhance Learning. Presented at the AmericanAcademy of Orthopaedic Surgeons, San Diego, Calif., February 2011.Beaty, Jim. Elbow Fractures in Children: 2011 Update. Visiting Professor , Presented at theUniversity of Pittsburgh, May 2011.Beaty, Jim. Elbow Fractures in Children. Visiting Professor, Presented at St. Luke’s Roosevelt,New York, N.Y., June 2011.Beaty, Jim. Elbow Fractures: Treatments and Complications – 2011 Update. Visiting Professor,Presented at the University of California, San Francisco, Calif., June 2011.Beaty, Jim. Elbow and Femur Fractures. Visiting Professor, Presented at the University ofCalifornia (Journal Club – SCFE), San Francisco, Calif., June 2011.Beaty, Jim. The Orthopaedic Life and Career. Visiting Professor , Presented at the University ofCalifornia, San Francisco, Calif., June 2011.Beaty, Jim. ICL; Fractures of the Lower Extremities in Children. Presented at the AmericanAcademy of Orthopaedic Surgeons, Annual Meeting, San Diego, Calif., February 2011.Beaty, Jim. ICL; The Art of The Orthopaedic Lecture. Presented at the American Academy ofOrthopaedic Surgeons, Annual Meeting, San Diego, Calif., February 2011.Beaty, Jim. Elbow Fractures in Children: 2011 Update. Visiting Professor, Presented at theUniversity of Pittsburgh, May 2011.Beaty, Jim. Elbow Fractures in Children: 2011 Update. Visiting Professor , Presented at St.Luke’s Roosevelt, New York, N.Y., June 2011.Beaty, Jim. Elbow Fractures: Treatments and Complications. Visiting Professor, Presented atthe University of California, San Francisco, Calif., June 2011.Beaty, Jim. Journal Club – SCFE, Elbow and Femur Fractures. Visiting Professor, Presented atthe University of California, San Francisco, Calif., June 2011.Beaty, Jim. The Orthopaedic Life and Career. Visiting Professor, Presented at the University ofCalifornia, San Francisco, Calif., June 2011.Beaty, Jim. Sports Injuries of the Foot and Ankle in Children. Presented at the Pediatric OrthopaedicSymposium, Le Bonheur Children’s Hospital, Memphis, Tenn., Nov. 5, 2011.Beaty, Jim. Legg Calve Perthes Disease: Treatment and Controversies. Presented at the Pediatric Orthopaedic Symposium, Le Bonheur Children’s Hospital, Memphis, Tenn., Nov. 5, 2011.Beaty, Jim. The Orthopaedic Alphabet and Leadership 25 Annual Grice Day. Presented atBoston Children’s Hospital, Boston, Nov. 9, 2011.Beaty, Jim. Developing Teaching Skills to Enhance Learning. Presented at the AmericanAcademy of Orthopaedic Surgeons, San Diego, Calif., February 2011.Beaty, Jim. The Orthopaedic Lecture. Presented at the American Academy of OrthopaedicSurgeons, Annual Meeting, New Orleans, La., March 9-12, 2010.Beaty, Jim. Fractures of the Lower Extremity in Children - Staying out of Trouble. Presented atthe American Academy of Orthopaedic Surgeons, Annual Meeting,New Orleans, La., March 9-12, 2010.Beaty, Jim. Fractures of the Shoulder in the Adolescent Athlete. Presented at the American Academy of Orthopaedic Surgeons, Annual Meeting, New Orleans, La., March 9-12, 2010.

William C. Warner Jr., MDMurphy, Moisan, Kelly, Warner, Sawyer. The Use of VEPTR for Treatment of Congenital Scoliosis without Fused Ribs (podium). ICEOS 2013, Nov 21-22, San Diego, CA.Warner, W. Avulsion injuries about hip and pelvis: Update Pediatric Orthopedics: Common Conditions and Pediatric Hip, Le Bonheur, November 2, 2013.Murphy, Moisan, Kelly, Warner, Sawyer The Use of VEPTR for Treatment of Congenital Scoliosis without Fused Ribs (podium). American Academy of Pediatrics 2013, Orlando, FL, Oct. 26-29, 2013.Flynn JM, Ramirez N, Pretell JA, Kelly DM, Warner Jr. WC, Sawyer JR. Variability of Cobb Angle and Spine Height Measurements in Non-Ambulatory Myelodysplastic Children. Clinical OrthopaedicSociety, Buffalo, NY, Sept. 19-21, 2013.Perake V, Pretell JA, Mosian A, Kelly DM, Warner Jr. WC, Spence DS, Sawyer JR (2013) The Use of Tissue Expanders in Patients with Early Onset Scoliosis Treated with VEPTR. Clinical Orthopaedic Society,Buffalo, NY, Sept. 19-21, 2013.Murphy, Moisan, Kelly, Warner, Sawyer. The Use of VEPTR for Treatment of Congenital Scoliosis without Fused Ribs (podium). SRS 2013 Lyon, France Sept 18-21.Warner, W. Occipitocervical fusion using a contoured rod and wire construct in children: a reappraisal of a vintage technique. (podium) NASS 2013 Naples, FL July 31-Aug. 3.Warner W. Pediatric Hip: Orthopedic review course. AAOS Annual Meeting, Chicago, ILL March 2013.Warner, W.C., Sawyer, J.R., Kelly, D.M., Rush, Scott, S. Magnetic Resonance and Computed Tomography Roles in Spondylolysis Diagnosis. Presented at the American Academy of Orthopaedic Surgeons, Chicago, Ill., March 2013. Warner, W.C., Sawyer, J.R., Kelly, D.M., Beaty, J.H., Larsen, Moisan, Witte, Elzey. Medial Ulnar Collateral Ligament Origin on the Medial Epicondylar Apophysis in the Skeletally Immature Elbow: An MRI Anatomical Study. Presented at the American Academy of Orthopaedic Surgeons, Chicago, Ill., March 2013. Warner, W.C., Sawyer, J.R., Kelly, D.M., Beaty, J.H., Larsen, Moisan, Witte, Elzey. Medial Ulnar Collateral Ligament Origin on the Medial Epicondylar Apophysis in the Skeletally Immature Elbow: An MRI Anatomical Study. Poster presented at POSNA annual meeting, Toronto, Ontario, May 2013.Warner, W.C., Sawyer, J.R., Kelly, D.M., Rush, Scott, S. Magnetic Resonance and Computed Tomography Roles in Spondylolysis Diagnosis. ePoster presented at POSNA annual meeting, Toronto, Ontario, May 2013.Warner, W.C., Sawyer, J.R., Spence, D., Kelly, D.M., Beaty, J.H., Pretell, Murphy, Moisan. Surgical Treatment of Symptomatic Accessory Navicular in Children and Adolescent: Is Simple Excision Enough? ePoster presented at POSNA annual meeting, Toronto, Ontario, May 2013.Warner, W.C., Astur, Klimo, Sawyer, Kelly, Muhlbauer. Traumatic Atlanto-Occipital Dislocation in Children: Evaluation, Treatment and Outcomes. ePoster presented at POSNA annual meeting, Toronto, Ontario, May 2013.Warner, W.C., Astur, N., Flynn, J.M., Glotzbecker, M., van Bosse, H.J., Hoashi, J.S., d’Amato, C.R., Moisan, A., Kelly, D.M., Sawyer, J.R. The Efficacy of Rib-Based Distraction with VEPTR in Treatment of Early Onset Scoliosis in Patients with Arthrogryposis. Presented at XIV Brazilian Spine Society, Florianópolis, SC, Brazil, April 27 – 30, 2013. Warner, W.C., Klimo, P., Astur, N., Gabrick, K., Muhlbauer, M.S., Occipitocervical fusion using a contoured rod and wire construct in children: a reappraisal of a vintage technique. Presented at XIV Brazilian Spine Society, Florianópolis, SC, Brazil, April 27 – 30, 2013.Warner, W.C., Cannon, Astur, Kelly, Sawyer. Characterization of Radiation Exposure in Early Onset Scoliosis Patients Treated with the Vertical Expandable Prosthetic Titanium Rib. ePoster presented at XIV Brazilian Spine Society, Florianópolis, SC, Brazil, April 27 – 30, 2013.Warner, W.C., Occipitocervical fusion in children using wires and Luque rod construct: a 20-year review. Presented at the American Society of Pediatric Neurosurgeons, February 2012.Warner, W.C., Astur, N., Flynn, J.M., Glotzbecker, M., Van Bosse, H.J., Hoashi, J.S., d’Amato, C.R., Moisan, A., Kelly, D., Sawyer, J.R., The Efficacy of VEPTR in Treating Patients with EOS and TIS and Arthrogryposis. Presented at International Meeting on Advanced Spine Techniques, Istanbul, Turkey, Summer 2012.Warner, W. C., Sawyer, J.R., Kelly, D. M., Murphy, R. Case report of 2 subjects with broken SCFE screws. Presented at the American Academy of Pediatrics, New Orleans, La., October 2012.Warner, W.C., Beaty, J., Kelly, D., Sawyer, J.R., Grear, B. Factors Affecting Research Subject Return Rate in Pediatric Orthopaedic Retrospective Review Studies. Presented at American Academy of Pediatrics, New Orleans, La., October 2012.Warner, W.C., Beaty, J., Spence, D., Stranch, E., Miller, J., Kelly, D.M., Sawyer, J.R., Retrospective chart and x-ray review of Intramedulary Nailing of Pediatric Femur Fractures in Children Less Than Twelve Years of Age. Presented at Pediatric Orthopaedic Society of North America, Denver, Colo., May 2012.Warner, W.C., Beaty, J., Brey, J., Conoley, J., Canale, S.T., Kelly, D.M., Sawyer, J.R. Tibial tuberosity fractures in adolescents: is a posterior metaphyseal fracture component a predictor of complications? Presented at Pediatric Orthopaedic Society of North America, Denver, Colo., May 2012.Warner, W.C., Beaty, J., Brey, J., Conoley, J., Canale, S.T., Kelly, D.M., Sawyer, J.R. Tibial tuberosity fractures in adolescents: is a posterior metaphyseal fracture component a predictor of complications? Presented at American Academy of Orthopaedic Surgeons, San Francisco, Calif., February 2012.WCWarner, PKlimo, NAstur Neto, MMuhlbauer (2012) “Occipitocervical Fusion Using aContoured Rod and Wire Construct in Children: A Reappraisal of a Vintage Technique”American Society of Pediatric Neurosurgeons, JNS: PediatricsWarner, William. Medial epicondyle fracture. Presented at POSNA annual meeting.Waikola Hawaii, 2010.

Jeffrey R. Sawyer, MDTauchi R, Tshui R, Saito T, Nohara A, Imagama S, Joshi AP, Roye DP, Glotzbecker M, Sawyer JR, Helfin JA, Flynn JM, Smith JT, Ramirez N, Cahill P, El-Harway R, Kawkami N (2013) The Reliability Analysis of Plain Radiographs and 3D CT Images. International Congress on Early Onset Scoliosis, San Diego, Nov. 2013.Garg S, LaGreca J, Gao D, St. Hilaire T, Glotzbecker M, Li Y, Smith JT, Flynn J, Sawyer JR, Vitale MG, El-Hawary, R, Flynn J (2013) Wound Complications of VEPTR Incisions. International Congress on Early Onset Scoliosis, San Diego, Nov. 2013.Park HY, Matsumoto H, McCalla, D, Roye Jr D, Kanj W, Betz RR, Glotzbecker M, Luhmann SL, Garg S, Sawyer JR, Smith JT, Flynn JM (2013) The Classification for EOS (C-EOS) Predicts Timing of Anchor Failure. American Academy of Pediatrics, Orlando, Oct. 2013.Flynn JM, Ramirez N, Pretell JA, Kelly DM, Warner Jr. WC, Sawyer JR. Variability of Cobb Angle and Spine Height Measurements in Non-Ambulatory Myelodysplastic Children. Clinical Orthopaedic Society, Buffalo, NY, Sept. 19-21, 2013.Perake V, Pretell JA, Mosian A, Kelly DM, Warner Jr. WC, Spence DS, Sawyer JR (2013) The Use of Tissue Expanders in Patients with Early Onset Scoliosis Treated with VEPTR. Clinical Orthopaedic Society, Buffalo, NY, Sept. 19-21, 2013. Yamaguchi Jr, KT, Borgella J, Lee C, Andras L, Myung K, D’Hemecourt P, Flynn J, Sawyer JR, Skaggs D (2103) Radiographic Healing of Spondylolysis Does Not Influence Pain or Return to Sports 8 Years Later. Scoliosis Research Society, Vancouver, July 10-13, 2013.

Murphy R, Mosian A, Kelly DM, Warner Jr. WC, Sawyer JR (2013) The Use of VEPTR in the Treatment of Early Onset Scoliosis due to Congenital Scoliosis Without Fused Ribs. Scoliosis Research Society, Vancouver, July 10-13, 2013.Rhodes L, Nash C, Scott D, Barkoh K, Warner Jr. WC, Sawyer JR, Kelly DM.Do Pre-Op Hospital Tours Alleviate Anxiety in Posterior Spinal Fusion Patients? : A Prospective, Randomized Study. Scoliosis Research Society, Vancouver, July 10-13, 2013.Astur, NA, Kelly DM, Warner Jr WC, Sawyer JR. The Use of VEPTR in the Treatment of Early Onset Scoliosis Associated with Arthrogryposis Multiplex Congenita. XIV Brazilian Spine Society, Brazil, April 27-30, 2013.Sawyer, J.R., Warner, W.C., Kelly, D.M., Rush, Scott, S. Magnetic Resonance and Computed Tomography Roles in Spondylolysis Diagnosis. Presented at the American Academy of Orthopaedic Surgeons, Chicago, Ill., March 2013. Sawyer, J.R., Warner, W.C., Kelly, D.M., Beaty, J.H., Larsen, Moisan, Witte, Elzey. Medial Ulnar Collateral Ligament Origin on the Medial Epicondylar Apophysis in the Skeletally Immature Elbow: An MRI Anatomical Study. Presented at the American Academy of Orthopaedic Surgeons, Chicago, Ill., March 2013. Sawyer, J.R., Warner, W.C., Kelly, D.M., Beaty, J.H., Larsen, Moisan, Witte, Elzey. Medial Ulnar Collateral Ligament Origin on the Medial Epicondylar Apophysis in the Skeletally Immature Elbow: An MRI Anatomical Study. Poster presented at POSNA annual meeting, Toronto, Ontario, May 2013.Sawyer, J.R., Warner, W.C., Kelly, D.M., Rush, Scott, S. Magnetic Resonance and Computed Tomography Roles in Spondylolysis Diagnosis. ePoster presented at POSNA annual meeting, Toronto, Ontario, May 2013.Sawyer, J.R., Warner, W.C., Spence, D., Kelly, D.M., Beaty, J.H., Pretell, Murphy, Moisan. Surgical Treatment of Symptomatic Accessory Navicular in Children and Adolescent: Is Simple Excision Enough? ePoster presented at POSNA annual meeting, Toronto, Ontario, May 2013.Sawyer, Warner, W.C., Astur, Klimo, Kelly, Muhlbauer. Traumatic Atlanto-Occipital Dislocation in Children: Evaluation, Treatment and Outcomes. ePoster presented at POSNA annual meeting, Toronto, Ontario, May 2013.Sawyer, J.R., Warner, W.C., Astur, N., Flynn, J.M., Glotzbecker, M., van Bosse, H.J., Hoashi, J.S., d’Amato, C.R., Moisan, A., Kelly, D.M., The Efficacy of Rib-Based Distraction with VEPTR in Treatment of Early Onset Scoliosis in Patients with Arthrogryposis. Presented at XIV Brazilian Spine Society, Florianópolis, SC, Brazil, April 27 – 30, 2013. Sawyer, Warner, W.C., Cannon, Astur, Kelly. Characterization of Radiation Exposure in Early Onset Scoliosis Patients Treated with the Vertical Expandable Prosthetic Titanium Rib. ePoster presented at XIV Brazilian Spine Society, Florianópolis, SC, Brazil, April 27 – 30, 2013.Sawyer, J.R., Warner, W.C., Astur, N., Flynn, J.M., Glotzbecker, M., Van Bosse, H.J., Hoashi, J.S., d’Amato, C.R., Moisan, A., Kelly, D., The Efficacy of VEPTR in Treating Patients with EOS and TIS and Arthrogryposis. Presented at International Meeting on Advanced Spine Techniques, Istanbul, Turkey, Summer 2012.Sawyer, J.R., Warner, W. C., Kelly, D. M., Murphy, R. Case report of 2 subjects with broken SCFE screws. Presented at the American Academy of Pediatrics, New Orleans, La., October 2012.Sawyer, J.R., Beaty, J., Kelly, D., Warner, W.C., Grear, B. Factors Affecting Research Subject Return Rate in Pediatric Orthopaedic Retrospective Review Studies. Presented at American Academy of Pediatrics, New Orleans, La., October 2012.Sawyer, J.R., Beaty, J., Spence, D., Stranch, E., Miller, J., Kelly, D.M., Warner, W.C. Retrospective chart and x-ray review of Intramedulary Nailing of Pediatric Femur Fractures in Children Less Than Twelve Years of Age. Presented at Pediatric Orthopaedic Society of North America, Denver, Colo., May 2012.Sawyer, J.R., Beaty, J., Brey, J., Conoley, J., Canale, S.T., Warner, W.C., Kelly, D.M. Tibial tuberosity fractures in adolescents: is a posterior metaphyseal fracture component a predictor of complications? Presented at Pediatric Orthopaedic Society of North America, Denver, Colo., May 2012.Sawyer, J.R., Backstrom, I.C., Maclennan, P.A., Creek, A.T., Rue, L.W., Gilbert, S.R. Pediatric obesity and traumatic lower-extremity long-bone fracture outcomes. Presented at American Academy of Orthopaedic Surgeons, San Francisco, Calif., February 2012. Sawyer, J.R., Beaty, J., Brey, J., Conoley, J., Canale, S.T., Warner, W.C., Kelly, D.M. Tibial tuberosity fractures in adolescents: is a posterior metaphyseal fracture component a predictor of complications? Presented at American Academy of Orthopaedic Surgeons, San Francisco, Calif., February 2012. Sawyer JR, Kelly DM, Canale, ST, Brey, Jennifer, Conoley, J (May 2012): Salter Harris Ii Fractures of the Posterior Tibia Associated with Tibial Tuberosity Fractures: A Marker for Potentially SeriousComplications. Pediatric Orthopaedic Society of North AmericaSawyer JR, Kelly DM,Canale, ST, Brey, Jennifer, Conoley, J (February 2012): Salter Harris Ii Fracturesof the Posterior Tibia Associated with Tibial Tuberosity Fractures: A Marker for Potentially SeriousComplications. American Academy of Orthopaedic Surgeons.Sawyer JR, Kelly DM, Warner Jr, WC, NAN, TCannon (2012): “Characterization of Radiation Exposurein Early Onset Scoliosis Patients treated with the Vertical Expandable Prosthetic Titanium Rib(VEPTR). Scoliosis Research Society.Sawyer JR, Kelly DM, Warner Jr, WC, Guevara BG, Thompson NB (2011) High Prevalence ofAssociated Injuries in Children with Spinal Fractures. American Academy of Orthopaedic Surgeons.Sawyer JR, Beaty JH (2011) Staying Out of Trouble in Pediatric Orthopaedics. AmericanAcademy of Orthopaedic Surgeons.Sawyer JR, Kelly DM, Warner Jr, WC, Beaty JH, Canale ST (2011) The Kickstand Technique toPromote Elevation and Wound Care in Pediatric Lower Extremity Injuries. American Academyof Orthopaedic Surgeons.Sawyer JR, Guevara B, Thompson N, Dawkins R, Kelly DM, Warner Jr, WC (2011) HighPrevalence of Associated Injuries in Children with Spinal Fractures. American Academy ofOrthopaedic Surgeons.Sawyer JR, Beebe M, Thompson N, Creek A, Kelly DM, Warner Jr, WC, Beaty JH (2011)Age-Related Patterns of Spine Injuries Following ATV Accidents in Children. American Academyof Orthopaedic Surgeons.Sawyer JR, Warner Jr, WC, Kelly DM, Rachel JN, Williams JB (2011) Is Radiographic EvaluationNecessary in Children with a Clinical Diagnosis of Calcaneal Apophysitis (Sever Disease)?American Academy of Orthopaedic Surgeons.Sawyer JR, Guevara B, Thompson N, Dawkins R, Kelly DM, Warner Jr WC (2011) HighPrevalence of Associated Injuries in Children with Spinal Fractures. International Meeting onAdvanced Spinal Techniques.Sawyer JR, Warner Jr WC, Freeman B, Jaquith BJ, Flinn PO, Chase A, Kelly DM (2011) Cost Comparison of Thoracic Pedicle Screw Fixation vs Hook Construct for Deformity Correction in Adolescent Idiopathic Scoliosis. International Meeting on Advanced Spinal Techniques.Sawyer, Jeff. AO Basic Spinal Surgery for Operating Room Personnel. Houston, Texas, January 2011.Sawyer, Jeff. AAOS Orthopaedic Board Review: Infections, Congenital, Miscellaneous.San Diego, Calif., February 2011.Sawyer, Jeff. AAOS Instructional Course Lecture: Staying out of Trouble in Pediatric Orthopaedics.San Diego, Calif., February 2011.Sawyer, Jeff. POSNA Specialty Day: Hip Fractures in Children. San Diego, Calif., February 2011.Sawyer JR, Kelly DM, Warner Jr, WC, Beaty JH, Canale ST (2011) The Kickstand Technique toPromote Elevation and Wound Care in Pediatric Lower Extremity Injuries. American Academyof Orthopaedic Surgeons.Sawyer JR, Guevara B, Thompson N, Dawkins R, Kelly DM, Warner Jr WC (2011) HighPrevalence of Associated Injuries in Children with Spinal Fractures. American Academy ofOrthopaedic Surgeons.Sawyer JR, Beebe M, Thompson N, Creek A, Kelly DM, Warner Jr. WC, Beaty JH (2011)“Age-Related Patterns of Spine Injuries Following ATV Accidents in Children”. AmericanAcademy of Orthopaedic Surgeons Rachel JN, Williams JB, Sawyer JR, Warner Jr WC, KellyDM (2011) Is Radiographic Evaluation Necessary in Children with a Clinical Diagnosis ofCalcaneal Apophysitis (Sever Disease)? American Academy of Orthopaedic Surgeons.Sawyer JR, Kelly DM, Warner Jr, WC, Guevara BG, Thompson NB. (2011) High Prevalence of Associated Injuries in Children with Spinal Fractures. American Academy of OthopaedicSurgeons.Sawyer JR, Beaty JH. (2011) Staying Out of Trouble in Pediatric Orthopaedics. AmericanAcademy of Orthopaedic Surgeons.Sawyer JR, Kelly DM, Warner Jr, WC, Beaty JH, Canale ST (2011) The Kickstand Techniqueto Promote Elevation and Wound Care in Pediatric Lower Extremity Injuries. AmericanAcademy of Orthopaedic Surgeons.Sawyer JR, Guevara B, Thompson N, Dawkins R, Kelly DM, Warner Jr, WC. (2011) HighPrevalence of Associated Injuries in Children with Spinal Fractures. American Academy ofOrthopaedic Surgeons.Sawyer JR, Beebe M, Thompson N, Creek A, Kelly DM, Warner Jr, WC, Beaty JH. (2011)“Age-Related Patterns of Spine Injuries Following ATV Accidents in Children”. AmericanAcademy of Orthopaedic SurgeonsSawyer JR, Warner Jr, WC, Kelly DM, Rachel JN, Williams JB. (2011) Is RadiographicEvaluation Necessary in Children with a Clinical Diagnosis of Calcaneal Apophysitis(Sever Disease)? American Academy of Orthopaedic Surgeons.Sawyer JR, Bernard M, Kelly DM, Warner Jr, WC, Beaty JH. (2010) “Trends in Spine InjuryCaused by All-Terrain Vehicle Accidents”. Orthopaedic Trauma Association.Sawyer JR, Ivie C, Shroeder J, Beaty JH, Kelly DM, Warner Jr, WC, Canale ST, Huff A.(2009) Unplanned Return to the Emergency Room Following Treatment in a BusyFracture Clinic. Orthopaedic Trauma Association.Sawyer JR, Bernard M, Kelly DM, Warner Jr, WC, Beaty JH. (2010) “Trends in Spine InjuryCaused by All-Terrain Vehicle Accidents”. American Academy of Orthopaedic Surgeons.Sawyer J, Pershad J, Williams S, Wan J. (2010) “Closed Manipulation and CastImmobilization of Distal Radius Fractures by Pediatric Emergency Room Physicians.American Academy of Orthopaedic Surgeons.Sawyer JR, Rhodes L, Beaty JH, Canale ST, Kelly DM, Warner Jr, WC. (2010) Diagnosis andTreatment of Perthes Disease. American Academy of Orthopaedics – National Association ofOrthopaedic Nurses Section.Sawyer JR, Bernard M, Kelly DM, Warner Jr, WC, Beaty JH: (2010) “Trends in Spine InjuryCause by All-Terrain Vehicle Accidents”. Pediatric Orthopaedic Society of North America.Sawyer J, Pershad J, Williams S, Wan J, (2010) “Closed Manipulation and CastImmobilization of Distal Radius Fractures by Pediatric Emergency Room Physicians.Pediatric Orthopaedic Society of North America.Sawyer JR, Beebe M, Thompson N, Creek A, Kelly DM, Warner Jr, WC, Beaty JH (2010)“Age-Related Patterns of Spine Injuries Following ATV Accidents in Children”. PediatricOrthopaedic Society of North America.Sawyer JR, Rhodes LN, Kelly DM, Messman L, Warner Jr, WC, (2010) Pediatric FractureClinics: Current Status and Future Directions. Pediatric Orthopaedic Practitioners Society.Sawyer JR, Rhodes L, Beaty JH, Canale ST, Kelly DK, Warner Jr, WC (2010) Classification,Diagnosis and Treatment of Perthes Disease. Pediatric Orthopaedic Practitioners Society.Sawyer JR, Smith JT, Wade J, D’Amato C, Campbell R, Vitale M (2010) Does Rib-BasedDistraction Control Curve Progression and Prevent Parasol Deformity of the Chest inScoliosis Associated with Congenital Myopathy? 4th International Congress onEarly Onset Scoliosis.

Derek Kelly, MDLarsen N, Moisan A, Sawyer JR, Warner WC, Beaty JH, Kelly DM. “Medial Ulnar Collateral Ligament Origin in Children and Adolescents: An MRI Anatomical Study.” Poster. Lebonheur Children’s Hospital Research Day, Nov. 2013Naranje, S, Moisan A, Kelly DM, Beaty JH, Sawyer JR. Poster. “Changes in the Treatment of Pediatric Femur Fractures: Trends from the United States Kids’ Inpatient Database (KID)” Lebonheur Children’s Hospital Research Day, Nov. 2013Kelly DM “Perthes: What We Know and Do Not Know”. Pediatric Orthopedic Update. Lebonheur Children’s Hospital. Memphis, TN. Nov 2, 1013.Kelly DM. “Flatfoot: Newborn to Adolescent” Pediatric Orthopedic Update. Lebonheur Children’s Hospital. Memphis, TN. Nov 2, 1013.Rhodes L, Nash C, Scott D, Barkoh K, Warner WC, Sawyer JR, Kelly DM. “Do Pre-Operative Hospital Tours Alleviate Anxiety in Pediatric Posterior Spinal Fusion Patients? A Prospective Randomized Study.” Scoliosis Research Society. E-poster. September 2013. Lyon, France.Murphy R, Moisan A, Kelly DM, Warner WC, Sawyer JR. “The Use of VEPTR for Treatment of Congenital Scoliosis Without Fused Ribs.” Scoliosis Research Society. E-poster. September 2013. Lyon, France.Pretell J, Flynn J, Ramirez, Kelly DM, Warner WC, Sawyer JR. Poster. “Variability of Cobb Angle and Spinal Height Measurements in Non-ambulatory Myelodysplastic Children.” Clinical Orthopedic Society. September, 2013. Buffalo, NY.Perake V, Warner WC, Kelly DM, Sawyer JR. Poster. “Prevention and Treatment of Wound Complications with Tissue Expanders in Patients with Early Onset Scoliosis Treated with VEPTR.” Clinical Orthopedic Society. September, 2013. Buffalo, NY.Biggers M, Bert TM, Moisan A, Spence DD, Warner WC Jr, Beaty JH, Sawyer JR, Kelly DM. “Medial Humeral Epicondyle Fractures in Children. A Comparison of Operative and Non-operative Management.” Brandon Carrell Visiting Professorship. June 2013. Texas Scottish Rite Hospital, Dallas, TX.Kelly, D.M., Sawyer, J.R., Warner, W.C., Rush, Scott, S. Magnetic Resonance and Computed Tomography Roles in Spondylolysis Diagnosis. Presented at the American Academy of Orthopaedic Surgeons, Chicago, Ill., March 2013. Kelly, D.M., Sawyer, J.R., Warner, W.C., Beaty, J.H., Larsen, Moisan, Witte, Elzey. Medial Ulnar Collateral Ligament Origin on the Medial Epicondylar Apophysis in the Skeletally Immature Elbow: An MRI Anatomical Study. Presented at the American Academy of Orthopaedic Surgeons, Chicago, Ill., March 2013. Kelly, D.M., Sawyer, J.R., Warner, W.C., Beaty, J.H., Larsen, Moisan, Witte, Elzey. Medial Ulnar Collateral Ligament Origin on the Medial Epicondylar Apophysis in the Skeletally Immature Elbow: An MRI Anatomical Study. Poster presented at POSNA annual meeting, Toronto, Ontario, May 2013.Kelly, D.M., Sawyer, J.R., Warner, W.C., Rush, Scott, S. Magnetic Resonance and Computed Tomography Roles in Spondylolysis Diagnosis. ePoster presented at POSNA annual meeting, Toronto, Ontario, May 2013.Kelly, D.M., Sawyer, J.R., Warner, W.C., Spence, D., Beaty, J.H., Pretell, Murphy, Moisan. Surgical Treatment of Symptomatic Accessory Navicular in Children and Adolescent: Is Simple Excision Enough? ePoster presented at POSNA annual meeting, Toronto, Ontario, May 2013.Kelly, Sawyer, Warner, W.C., Astur, Klimo, Muhlbauer. Traumatic Atlanto-Occipital Dislocation in Children: Evaluation, Treatment and Outcomes. ePoster presented at POSNA annual meeting, Toronto, Ontario, May 2013.Kelly, D., Warner, W.C., Astur, N., Flynn, J.M., Glotzbecker, M., Van Bosse, H.J., Hoashi, J.S., d’Amato, C.R., Moisan, A., Sawyer, J.R. The Efficacy of VEPTR in Treating Patients with EOS and TIS and Arthrogryposis. Presented at International Meeting on Advanced Spine Techniques, Istanbul, Turkey, Summer 2012.Kelly, D. M., Warner, W. C., Sawyer, J.R., Murphy, R. Case report of 2 subjects with broken SCFE screws. Presented at the American Academy of Pediatrics, New Orleans, La., October 2012.Kelly, D., Beaty, J., Sawyer, J.R., Warner, W.C., Grear, B. Factors Affecting Research Subject Return Rate in Pediatric Orthopaedic Retrospective Review Studies. Presented at American Academy of Pediatrics, New Orleans, La., October 2012.Kelly, D.M., Beaty, J., Spence, D., Stranch, E., Miller, J., Sawyer, J.R., Warner, W.C. Retrospective chart and x-ray review of Intramedulary Nailing of Pediatric Femur Fractures in Children Less Than Twelve Years of Age. Presented at Pediatric Orthopaedic Society of North America, Denver, Colo., May 2012.Kelly, D.M., Beaty, J., Brey, J., Conoley, J., Canale, S.T., Warner, W.C., Sawyer, J.R. Tibial tuberosity fractures in adolescents: is a posterior metaphyseal fracture component a predictor of complications? Presented at Pediatric Orthopaedic Society of North America, Denver, Colo., May 2012.Kelly, D.M., Beaty, J., Brey, J., Conoley, J., Canale, S.T., Warner, W.C., Sawyer, J.R. Tibial tuberosity fractures in adolescents: is a posterior metaphyseal fracture component a predictor of complications? Presented at American Academy of Orthopaedic Surgeons, San Francisco, Calif., February 2012.Kelly, DM, Sawyer, JR., Canale, ST, Brey, Jennifer, Conoley, J (May 2012): Salter Harris IiFractures of the Posterior Tibia Associated with Tibial Tuberosity Fractures: A Marker forPotentially Serious Complications. Pediatric Orthopaedic Society of North AmericaKelly, DM, Sawyer, JR., Canale, ST, Brey, Jennifer, Conoley, J (February 2012): Salter HarrisIi Fractures of the Posterior Tibia Associated with Tibial Tuberosity Fractures: A Marker forPotentially Serious Complications. American Academy of Orthopaedic Surgeons.Kelly DM, Sawyer JR, , Warner Jr, WC, NAN, TCannon (2012): “Characterization of RadiationExposure in Early Onset Scoliosis Patients treated with the Vertical Expandable ProstheticTitanium Rib (VEPTR). Scoliosis Research Society.Kelly, Derek. Newborn Foot Deformities: Emerging Systems of Care for Children. Presented atthe Etteldorf Symposium., Memphis, Tenn., May 21, 2011.Kelly, Derek. Five Pediatric Orthopedic Problems That Should Get You Out of Bed at Night.Septic Hip. Presented at the AAOS/POSNA Webinar, Oct. 18, 2011.Kelly, Derek. Pediatric Sports Injuries: Which Injuries Should Sideline Your Kids. Presented at the 10thAnnual Update Acute and Emergency Care Pediatrics, Memphis, Tenn., Oct. 21-22, 2011.Kelly, Derek. Newborn Flatfeet: What to Treat and What to Refer. Presented at the Le BonheurPediatric Orthopedic Update, Memphis, Tenn., November 2011.Kelly, Derek. Hip Preservation in the Adolescent: Surgical Dislocation and Ganz Periacetabular Osteotomy. Presented at the Le Bonheur Pediatric Orthopedic Update, Memphis, Tenn., November 2011.Katz, D. E., Herring, J. A., Browne, R.H., Kelly, D. M., & Birch, J. G. Brace TreatmentControls Progression in Adolsecent Idiopathic Scoliosis. Best Clinical Paper Award.Presented at POSNA, Waikoloa, Hawaii, 2010.Herring, J. A., Sucato, D.J., Larson, A. N., DeLaRocha, A., Adolfsen, S., Kelly, D.M.,Martus, J.E., & Lovejoy, J.F. Prospective Multicenter Study of Legg-Calve- Perthes Disease:Functional and Radiographic Outcomes of Nonoperative Treatment in the Third Decade.Presented at POSNA, Waikoloa, Hawaii, 2010.Sawyer, J. R., Beebe, M. J., Creek, A. T., Thompson, N., Yantis, M. G., Kelly, D. M., &Warner, W. C. Age-Related Patterns of Spine Injury Following All-Terrain Vehicle Accidents inChildren and Adolsecents (E-Poster). Presented at POSNA, Waikoloa, Hawaii, 2010.

David Spence, MD Spence, D. Hip preservation in the young adolescent. Pediatric Orthopaedics: Common Conditions and the Pediatric Hip. Le Bonheur, Memphis, Tenn. Nov. 2, 2013.Spence, D. Knee pain: Common and uncommon causes. Pediatric Orthopaedics: Common Conditions and the Pediatric Hip. Le Bonheur, Memphis, Tenn. Nov. 2, 2013Spence, D. Torticollis: Diagnosis, treatment and evidence-based practice. TPTA, Memphis, Tenn. Sept. 27, 2013.Spence, D., Kelly, D.M., Sawyer, J.R., Warner, W.C., Beaty, J.H., Pretell, Murphy, Moisan. Surgical Treatment of Symptomatic Accessory Navicular in Children and Adolescent: Is Simple Excision Enough? ePoster presented at POSNA annual meeting, Toronto, Ontario, May 2013.David D. Spence, MD; Jon Paul DiMauro, MD; Patricia Miller, MS; Michael P. Glotzbecker, MD; Daniel Hedequist, MD; Benjamin J. Shore, MD. Avascular Necrosis after Femoral Neck Fracture: Analysis of Risk Factors. Presented at POSNA annual meeting, Toronto, Ontario, May 2013.David D. Spence, MD; Jon Paul DiMauro, MD; Michael P. Glotzbecker, MD; Samantha A. Spencer, MD; Daniel Hedequist, MD; Benjamin J. Shore, MD, FRCSC. External Fixation for Pediatric Diaphyseal Tibia Fractures: A Comparison between Taylor Spatial Frame and Uniplanar External Fixation. ePoster pre-sented at POSNA annual meeting, Toronto, Ontario, May 2013. Spence, D., Beaty, J., Stranch, E., Miller, J., Kelly, D.M., Sawyer, J.R., Warner, W.C. Retrospective chart and x-ray review of Intramedulary Nailing of Pediatric Femur Fractures in Children Less Than Twelve Years of Age. Presented at Pediatric Orthopaedic Society of North America, Denver, Colo., May 2012.

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