Orthopedics and Sports Medicine

All Articles in the Category ‘Orthopedics and Sports Medicine’

Treating First-Time Traumatic Shoulder Dislocation

A Q&A With Dr. Michael Saper

Dr. Michael Saper

While some pediatric and adolescent patients with shoulder instability will improve with physical therapy, research has shown that patients with a traumatic first-time dislocation may benefit from early surgery.

We asked pediatric orthopedic surgeon and sports medicine specialist Dr. Michael Saper to describe how patients with a shoulder dislocation benefit from being treated at Seattle Children’s.

Should patients with a first-time traumatic shoulder dislocation have surgery?

Research has shown that in adolescent patients, having stabilizing surgery after a traumatic first-time dislocation is more cost-effective and leads to lower recurrence, higher function and less shoulder arthritis. Furthermore, repeated dislocations can make surgical stabilization more difficult, more invasive and less successful.

After a shoulder dislocation, patients and their families will benefit from a consultation with the Children’s surgical sports medicine team to discuss this option. However, surgical decision making is individualized to each patient, and not every patient is an appropriate candidate for arthroscopic surgery. Read full post »

Innovative Care Models for Sports Injuries, Concussions and Physical Therapy

The team of physicians and athletic trainers in Seattle Children’s Sports Medicine Program leads the way nationally with programs designed to prevent injuries among young athletes.

The Sports Medicine Program includes a team of providers with specialized expertise: two pediatric sports surgeons, a physiatrist and five pediatricians who all possess fellowship training in sports medicine, and three sports medicine-trained physician assistants.

These experienced providers work with more than 40 certified athletic trainers in the Athletic Trainers Program – the largest program of its kind in the country – who monitor the health and safety of young athletes at more than 300 school and community sporting events annually. All of the clinicians in our Sports Medicine Program understand the specific physical and psychosocial challenges of sports injuries, either because they were athletes themselves or have worked with elite international- and Olympic-level competitors. Read full post »

A Comprehensive Approach to Cerebral Palsy

Seattle Children’s is one of the top treatment destinations in the country for children with cerebral palsy, a distinction made possible by the collaboration and expertise of surgeons and physicians.

Families of children with cerebral palsy seeking treatment at Seattle Children’s have access to a breadth of expertise unique to the Pacific Northwest.

The Cerebral Palsy Program includes a complete array of specialists. An orthopedic surgery team, which includes seven surgeons experienced in lower extremity, two surgeons experienced in upper extremity and four surgeons experienced in spine, performs single-event multilevel orthopedic surgery (SEMLS) along with a number of other procedures to address high tone and shortened muscles.

The program’s nationally and internationally recognized neurosurgeons have expertise in intrathecal baclofen pumps, selective dorsal rhizotomy (SDR) and hemispherectomy for children with intractable seizures. Read full post »

Groundbreaking Research at Seattle Children’s Improving Bone Tumor and Sarcoma Treatment

Research into tumor paint, glue embolization treatments and other fields of oncology care has allowed practitioners in the Bone Tumor and Sarcoma Clinic to provide unparalleled cancer care to children in the Pacific Northwest.

The Bone Tumor and Sarcoma Clinic is one of the first of its kind in the U.S. in which orthopedic surgeons and oncologists work side by side in the same program. The clinic’s expertise includes two surgeons with fellowship training in both pediatric orthopedics and musculoskeletal surgical oncology and a third with training in both pediatric and adult musculoskeletal oncology. Their interdisciplinary backgrounds and emphasis on collaborative care has resulted in one of the largest, most comprehensive bone and soft tissue programs in the country.

An emphasis on communication

At weekly bone tumor conferences, oncology, orthopedic and radiology teams review and discuss individual patient cases. An additional weekly clinic that includes a broader group of providers offers another opportunity for clinicians to maximize each child’s progress.

“Sarcoma requires team-based care,” says Dr. Suzanne Yandow, chief of Pediatric Orthopedics and Sports Medicine at Seattle Children’s and professor of orthopedic surgery at UW Medicine. “We have to have constant discussions about patients in group settings, and we have an entire team of oncologists, nurse practitioners with expertise in sarcoma care, social workers, and others who attend these weekly meetings.” Read full post »