Benjamin Shore

442 posts

Benjamin Shore

Benjamin Shore

@BenjaminShoreMD

Father of 2, Board certified pediatric orthopedic surgeon and cerebral palsy expert @BostonChildrens, @Harvardmed, passionate Toronto Maple Leafs fan

Needham, MA Katılım Eylül 2017
314 Takip Edilen1K Takipçiler
Delniotis Ioannis
Delniotis Ioannis@deln_ioann·
A Greek family living in Miami sent me the following images. The child was first evaluated in the Emergency Department and subsequently by a private pediatric orthopedic surgeon. The second set of radiographs reflects the current status, at 2 weeks post-injury. @Davembmd
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Azhar Darokhan
Azhar Darokhan@azhar_darokhan·
A 7 yr old Girl had a traumatic closed Elbow dislocation with avulsion # of medial epicondyle with intact DNVS I did closed reduction & applied an above elbow Fiber cast check xrays posted along #orthotwitter Should I manage the medial epicondyle avulsion # conservatively?
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Benjamin Shore
Benjamin Shore@BenjaminShoreMD·
@southNJscoli @deln_ioann Agree, 100%. Be mindful and sometimes even take a traction Xray to be prepared for intercondylar split in tea type fracture. These can sometimes behave well with hybrid fixation, including a cannulated screw across the distal humerus and K wires for the supracondylar component
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Keith Baldwin
Keith Baldwin@southNJscoli·
@deln_ioann yes but make sure it’s not a T. i’m a little more likely to cross screws, but it’s still ok to do wires and may actually be better in some cases
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Delniotis Ioannis
Delniotis Ioannis@deln_ioann·
👉 Is it normal for a 11-years old to have a supracondylar ? Any advice or as usual ?
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Benjamin Shore
Benjamin Shore@BenjaminShoreMD·
Annual Bch peds ortho fellowship fishing trip was another success Fish ✅ Injuries 0️⃣ We missed a few fellows but great times had by all Thanks to @jaxcharter #pedsortho #stripedbass
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Benjamin Shore
Benjamin Shore@BenjaminShoreMD·
@deln_ioann I think the challenge here is that we don’t really know what the effects long-term are of guided growth in particular for ambulant children. Guided growth creates a Perthes like hip, which can lead to abductor fatigue and trochanteric and impingement in the long term.
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Delniotis Ioannis
Delniotis Ioannis@deln_ioann·
@BenjaminShoreMD Definitively not high. Maybe low but i would say the kid is normal, with playing/climbing/running etc.
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Delniotis Ioannis
Delniotis Ioannis@deln_ioann·
👉 What is your strategy with these 2 - cases ? 1) 5 years old. Do you proceed with dvo osteotomy for coxa valga? Hip dysplasia ? Do you wait for sth ? 2) multiple hereditary exostosis : Same question here
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Craft Guy
Craft Guy@craftbeerguy75·
@GinoHard_ That’s not good. Any discipline coming for Bennett?
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Gino Hard
Gino Hard@GinoHard_·
Anthony Stolarz was seen vomiting into a bucket before being pulled from the game 😬🤮 (via Sportsnet)
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Keith Baldwin
Keith Baldwin@southNJscoli·
@Orthopedist12 @CPOrthopedics @Davembmd @traumaticum @DrBhavinJadav needs to be fixed i’d get a bone age first. ESIN are great but they usually leave ~ 5 degrees of malreduction. if this is a female she might be ready for a rigid nail though it would be less of a chance. If the bone age was sanders 6 or more i’d probably do rigid nail
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Keith Baldwin
Keith Baldwin@southNJscoli·
@BenjaminShoreMD @Survive_Repair definitely significant Sn/Sp issues with database studies for this question. It’s even hard with large scale study, because you almost have to make your study variable “symptomatic” VTE as the rate and significance of occult VTE is unknown
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Yelena Bogdan, MD, FACS, FAAOS
Yelena Bogdan, MD, FACS, FAAOS@InvictaOrtho·
Okay ortho friends, time for me to learn. Those of you who treat kids/teens for sports/peds/trauma, what is your stance on DVT prophylaxis? Specifically bilateral lower extremity polytrauma. Weight based or age based? I looked on pubmed and guidelines and got no clear answer.
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Benjamin Shore
Benjamin Shore@BenjaminShoreMD·
@southNJscoli @Survive_Repair Yes I think this study has a bit more merit because not based on a database but actual patients. The challenge with large databases is the the VTE diagnosis is often secondary which affects the accuracy of the results and conclusions. Great work all
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Benjamin Shore
Benjamin Shore@BenjaminShoreMD·
@southNJscoli @InvictaOrtho For me I look at age, infection and central line Those are primary risk factors - infection is the biggest risk factor Secondary are family history of vte, oral contraception and obesity
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Benjamin Shore
Benjamin Shore@BenjaminShoreMD·
Learning from a very bright and skilled group of pediatric orthopedic surgeons at the @AACD
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Jason J. Howard
Jason J. Howard@JasonJHoward1·
Some last minute changes before my talks at POSNZ in Auckland this morning. Glad to be back in New Zealand! ⁦@Nemours⁩ ⁦@NemoursOrtho
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