Margaret A. Bowen

Poster 196. Fracture of the Humeral Medial Epicondyle in Children and Adolescents: Injury Mechanism Differs by Fracture Pattern

John Lawrence, Akbar Syed, Richard C. Lee, Margaret A. Bowen et autres

Objective: Five distinct fracture patterns have been recently described for the combined or isolated action of the attachments of the medial ulnar collateral ligament (UCL) and flexor pronator mass (FPM) on the medial elbow (Figure 1). This study seeks to evaluate injury …

Effectiveness of a Structured Training Program in Pediatric Distal Radial Fracture Reduction for Orthopaedic Advanced Practice Providers

Ambika Nair, Beverly Teti, Caroline Fay, Margaret A. Bowen et autres

BACKGROUND: Training programs to prepare novice advanced practice providers (APPs) to reduce fractures have not been described or evaluated. The current study evaluated the effectiveness of a structured training program for APPs to deliver effective fracture care independently in emergency department settings. …

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Shielding of the Trunk During Extremity Imaging Reduces Radiation Exposure in Pediatric Patients

Simon Blanchard, Steven Zhang, William Huffman, Caroline Fay et autres

BACKGROUND: Although pediatric patients are particularly sensitive to the effects of ionizing radiation, there are no established protocols for shielding the trunk during extremity orthopaedic procedures. However, some suggest that shielding not be used on the patient as it may increase radiation …

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Factors Influencing Time to Return of Elbow Motion in Completely Displaced and Flexion Type Pediatric Supracondylar Humeral Fractures

Akbar N. Syed, Pooja Balar, Margaret A. Bowen, Divya Talwar et autres

Background: Factors influencing the time to return of elbow motion have not been reported in extension-type III/IV and flexion-type supracondylar humeral (SCH) fractures. This study aims to identify factors influencing the time to return of elbow motion following operative pinning of these …

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Pediatric Achilles Tendon Ruptures in the United States: an Evaluation of National Practice Patterns, Management Trends, Complications and 2-Year Failure Rates.

Harmon Khela, Monty Khela, Margaret A. Bowen, Alexandra Olson et autres

Background: Achilles tendon ruptures, though uncommon in the pediatric population, present significant clinical challenges due to the unique biomechanical and physiological characteristics of developing tissues. While adult management is well studied, the optimal pediatric approach remains unclear, with limited large-scale studies on …

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Timing Matters: Challenges in Delayed Surgical Management of Pediatric Humeral Medial Epicondyle Fractures

Richard C. Lee, Akbar N. Syed, Margaret A. Bowen, Robert B. Carrigan et autres

BACKGROUND: Humeral medial epicondyle fractures comprise 12% of pediatric elbow injuries. Delay in surgical intervention may be more involved than acute surgery due to soft tissue shortening, fragment-induced joint surface damage, elbow stiffness, and ulnar nerve displacement/scarring. There are limited prior case …

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Faster Time to Surgery Reduces Nerve Recovery Time in Pediatric Supracondylar Humerus Fractures

Margaret A. Bowen, David Isaacs, Akbar N. Syed, Jason B. Anari et autres

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Partial Avulsion Patterns in the Pediatric Humeral Medial Epicondyle

Richard C. Lee, Akbar N. Syed, Margaret A. Bowen, J. Todd R. Lawrence

BACKGROUND: The anterior oblique bundle of the medial ulnar collateral ligament (UCL) inserts on the anteroinferior aspect of the humeral medial epicondyle, while the flexor pronator mass (FPM) originates superficial and proximal to the UCL. With valgus stress, these distinct footprints may …

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Length of post-treatment immobilization following medial humeral epicondyle avulsion fracture predicts return of full range of motion

Ruth H. Jones, Samuel A. Beber, Jay C. Albright, Margaret A. Bowen et autres

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