Fellowship program provides opportunities for patient care, teaching, research

In-depth training at Le Bonheur, Campbell Clinic readies newest pediatric orthopaedic surgeons

The University of Tennessee Health Science Center/Campbell Clinic Pediatric Orthopaedic Fellowship at Le Bonheur Children’s is training the next generation of pediatric ortho-

paedic surgeons. One fellow is selected each year for the competitive 12-month program. Opportunities to learn in clinic, hospital, surgical and teaching settings are key, said Jeffrey R. Sawyer, MD, director of the fellow-ship program. The fellow spends portions of his or her time in each setting, learning a wide variety of orthopaedic conditions and treatment methods unique to children.

Past fellows tout the program’s exposure to pediatric traumas, metabolic and genetic conditions, tumors, neuromuscular disorders and conditions that affect the spine, hip, foot/ankle and hand.

“Our fellows have a direct preceptorship with pediatric orthopaedic faculty, allowing for one-on-one instruction,” said Sawyer. “Fellows are viewed as adjuncts to the fac-ulty, not as ‘extra residents.’”

A key goal of the program is to provide fellows with extensive opportunities to improve and develop skills in lecturing, laboratory research, presentations and publications.

“Fellows are provided with an incredi-ble opportunity to learn in a rich collaborative environment. This collaboration has been the starting point for many of our former fellows going on to national and international promi-nence in the field of pediatric orthopaedics,” said Sawyer.Jeremy Rush, MD

Pediatric orthopaedics was a clear choice for past fellow Jeremy Rush, MD.

“There is no other specialty in orthopae-dics in which you can treat such a wide range of conditions, from traumatic to congenital to developmental to infectious and so on,” said Rush. “And the opportunity to treat and to improve the quality of life of children is incredibly rewarding.”

Rush studied at Texas A&M’s College of Medicine and completed a residency in orthopaedics at Brooke Army Medical Center in San Antonio, Texas.

The pediatric orthopaedic team at Le Bonheur and Campbell Clinic was one of the reasons Rush chose the fellowship.

 “I’ve never met a group of individuals who work so well together and are so dedicated to the care of kids.  I felt like they were truly invested in me and my education.  I loved coming to work every day, and every day was an opportunity to see something new,” Rush said.

After completing his fellowship, Rush returned to the Brooke Army Medical

Center before being assigned to the 14th Combat Support Hospital/Joint Task Force Helmand at Camp Bastion in Afghanistan.

Nelson Astur, MDNelson Astur, MD, came to Le Bonheur

and Campbell Clinic for fellowship training after completing medical school, residency and a spinal surgery fellowship at Santa Casa de Sao Paulo, Medical School and Hospitals in Sao Paulo, Brazil. Astur wanted to specialize in pediatric spinal deformities and VEPTR treatment.

“Le Bonheur/Campbell Clinic is one of the authorized centers in the U.S. for VEPTR treatment and has a well-known pediatric spine team that made me choose this fellow-ship,” said Astur. “Campbell Clinic’s orthopae-dic book is the main orthopaedics textbook for all residency programs in Brazil, so it was an honor for me to be a part of it.”

Astur also appreciated the skill of the team’s pediatric orthopaedic surgeons. They treat a wide range of orthopaedic conditions with the most advanced techniques, he said. Like all fellows accepted into the program, Astur had the opportunity to participate in a variety of research projects.

“There were often more than 20 projects going on at a time,” Astur said. “And most of these projects are presented at all the main orthopaedic meetings and finally get published in the main orthopaedic journals.”

Now practicing back in Sao Paulo, Aster enjoyed his time in Memphis, Tenn. “There is some much to do in Memphis and such great food. I’m already missing barbecue and sweet tea.”Jennifer Brey, MD

Pediatric Orthopaedic Surgeon Jennifer Brey, MD, graduated from the fellowship program in July 2011.

She came to the program after completing medical school at the University of Louisville and a residency at Drexel University College of Medicine in Philadelphia.

“I chose Le Bonheur because I liked the location, the staff and the facilities,” said Brey. The fellowship offers a large volume and variety of surgical cases as well as a large amount of research opportunities. I like that I did not have to compete with another fellow for access to interesting cases.”

Now, Brey is in private practice in Louisville, Ky. “I learned quite a bit about practice management and office

treatment of patients.”

Winter 2013

lebonheur.org/ortho

campbellclinic.com

Memphis, Tennessee

Pediatric OrthOPaedics

Fellowship overview• Fellows supervise residents and participate in both non-operative and operative cases, including post-injury and post-operative rehabilitation.

• Fellows are required to work on at least one clinical or basic science research study.

• Designated laboratory space and support staff assistance are provided as needed for research projects.

Jennifer Brey, MD

Nelson Astur, MD, and Jeremy Rush, MD

Le Bonheur/Campbell Clinic Hand Clinic to open February 2013

Le Bonheur Children’s is opening a new clinic for patients

with congenital anomalies of the hand, forearm or elbow. Led by

Orthopaedic Surgeon Ben Mauck,

MD, the clinic will bring together the

expertise of nurses, nurse practitio-

ners, physical and occupational

therapists, social workers and Child

Life specialists.

The clinic will open Feb. 5

in Le Bonheur’s Outpatient Center,

51 N. Dunlap St. Appointments can

be made now by calling 901-287-6073.

Mauck joined Campbell Clinic in August after completing an

orthopaedic hand/upper extremity fellowship at the University of

Texas Health Science Center in San Antonio, Texas.

Ben Mauck, MD

Researchers at Le Bonheur and Campbell Clinic are finding better ways to care for their patients – and discovering new techniques that can

influence pediatric orthopaedics across the country. Three of their most recent studies:

Medial ulnar collateral ligament origin in children and adolescents: An MRI anatomical study

The anterior bundle of the medial ulnar collateral ligament (MUCL) in a skeletally immature elbow origi-nates from the medial epicondylar apophysis, according to a recent study conducted at Le Bonheur and Campbell Clinic. Findings could have implications for the treatment of displaced medial epicondyle fractures in children.

The study reviewed the elbows of 44 children ages 5 to 17 using MRI to determine the ligaments’ location of origin and distance from the medial epicondylar physis. The anatomies of the three bundles of MUCL, which are the primary stabilizers to valgus stress on the elbow, have been well studied in adults, but not in a pediatric population.

Results found that the anterior bundle of the MUCL of all 44 elbows imaged attached medial to the medial epicondylar physis. The average origin was 3.1 mm medial to the physis.

The study has been accepted for presentation at the American Academy of Orthopaedic Surgeons Annual Meeting, held in Chicago March 19-23, 2013.

Treatment of pediatric femur fractures with the Pavlik harness: Multi-year results

Orthopaedic surgeons at Le Bonheur and Campbell Clinic recently reviewed long-term clinical and radio-graphic results of patients younger than 6 months whose femoral fractures were treated with a Pavlik harness. The study presents the longest follow-up of this patient population. Findings showed that any angulation at the time of fracture union greatly remodels over time.

The study reviewed clinical and radiographic records for all children younger than 6 months who were treated with a Pavlik harness for an isolated femoral fracture at a Level 1 pediatric trauma center between December 2003 and December 2009. Ten children fit the inclusion crite-ria, and the average age at final follow-up was 5.2 years.

Obtained radiographs at final follow-up consisted of anteroposterior (AP) and lateral femur views, as well as a standing full-length AP scanogram. Clinical examina-tions observed clinical deformity, gait pattern and range of motion.

The average time to final follow-up from injury was five years. Significant results include the following:

• Average angulation at final follow-up was 3 degrees valgus and 5 degrees procurvatum. • Patients who presented with a higher degree of angulation (20 degrees or greater) showed an average angulation of 5 degrees valgus and 11 degrees procurvatum at final follow-up. • Sixty percent of patients had no detectable angulation at final follow-up, and only one patient had a measurable leg-length discrepancy (7 mm) at follow-up. • No patients reported any activity limitations.

Based on these results, Le Bonheur’s orthopaedic surgeons recommend clinical follow-up at one to two years post-injury. Treatment with Pavlik harness in young patients provides excellent clinical outcomes with minimal complication rate.

A randomized, prospective study of anxiety in adolescents undergoing posterior spinal fusion: What effect does pre-operative hospital orientation have on anxiety?

Researchers studied whether a pre-operative hospital tour and orientation affects the anxiety levels of adolescent posterior spinal fusion patients and their families.

The randomized, single blind, prospective study separated adolescent posterior spinal fusion patients into two groups; 26 patients and their families received a pre-operative hospital tour and orientation and 39 patients did not. Anxiety levels of all subjects were assessed at four different intervals during hospitalization: at the pre-operative appointment, immediately before surgery, post-operation and at discharge. Patient charts were also reviewed to determine the amounts of morphine administered to each patient during hospitalization and the length of inpatient stay.

Results did not show a statistically significant benefit of pre-operative hospital tour and orientation. The anxiety levels of both groups peaked prior to the orientation and then decreased over time. However, the average anxiety levels at each interval were slightly higher in the group of patients that did receive a tour and orientation before surgery. No statistical differences were found between the groups in regard to length of stay and morphine equivalent use.

Pediatric Orthopaedic Research Update

Nurse practitioners conduct research, presentLe Bonheur’s orthopaedic nurse practitioners are contributing to advancements in the field through research. Their latest presentations, publications and posters include:Scott D. Rhodes L., Warner W., Kelly D., Sawyer J. Post-Operative Constipation in Pediatric Orthopaedic Patients: A Pilot Study Comparing Miralax to Mineral Oil. Presented at the Pediatric Orthopaedic Practitioners Society, Denver, Colo., May 2012.

Rhodes L., Scott D., Nash C., Barkoh K., Warner W., Kelly D., Sawyer J. Does Pre-Operative Orientation Decrease the Anxiety Associated with Spinal Fusion of Scoliosis. Presented at the Pediatric Orthopaedic Practitioners Society, Denver, Colo., May 2012.     

Rhodes, L. Roundtable discussion: Pediatric Sports Medicine. Pediatric Orthopaedic Practitioners Society, Denver, Colo., May 2012.

Rhodes L. Podium presentation: Does a pre-operative tour alleviate anxiety in patients having posterior spinal fusion surgery? Le Bonheur Children’s Hospital, Nursing Grand Rounds, November 2012.

Rhodes L. Pediatric Sexual Assault. Southwest Community College, Guest Lecturer, September & November 2012.

Rhodes L. Poster presentation: Anxiety in posterior spinal fusion for adolescent idiopathic scoliosis: Does pre-operative hospital orientation alleviate fears? Sigma Theta Tau Nursing Conference, Memphis, Tenn., April 2012. 

Rhodes L. Podium presentation: Office orthopaedics: What to do for the child with a foot problem. Le Bonheur Children’s Hospital, Pediatric Orthopaedics: Common Conditions and Injuries of the Lower Extremity in Children and Adolescents, November 2011.

Rhodes L. Poster presentation: Improving orthopedic follow up appointments at discharge. Le Bonheur Children’s Hospital, Nursing Innovation and Excellence Day, October 2011.

Rhodes L. Podium presentation: Current Management of Slipped Capital Femoral Epiphysis. Texas Scottish Rite Hospital for Children, Pre-Brandon Carrell Pediatric Orthopaedic Symposium for Nurses and Allied Healthcare Professionals, April 2011.

Rhodes L. Podium presentation: A Day in the Life of an Orthopaedic Pediatric Nurse Practitioner. Oxford-Lafayette School of Applied Technology, February 2011.

Scott D., Contributing Author (2011). Certified Pediatric Emergency Nurse CPEN Review Manual. Emergency Nurses Association Publication; Burlington, MA: Jones & Bartlett.

Scott, D. Podium presentation: Pediatric Fracture Clinics; Current Status and Future Direction. Texas Scottish Rite Hospital for Children, Pre-Brandon Carrell Pediatric Orthopaedic Symposium for Nurses and Allied Healthcare Professionals, April 2011.

Scott, D. Podium presentation: Pediatric Septic Arthritis. Le Bonheur Children’s Hospital Nursing Grand Rounds, April 2012.

Scott, D. Podium presentation: Pediatric Dermatology; Pediatric Infectious Diseases. Le Bonheur Children’s Hospital Pediatric Certification Review Course, June 2012.

Scott, D. Poster presentation: Evidence Based Practice: Comparing Miralax and Mineral Oil for Prevention of Constipation in Pediatrics.  Sigma Theta Tau Nursing Conference, Memphis, Tenn., April 2012. 

Scott, D.  Poster presentation: Be a Super Hero: Get a Super BMI; Increasing Awareness of Body Mass Index in Inner City School Children. Le Bonheur Children’s Hospital, Pediatric Research Day, November 2011.

Scott, D. Roundtable discussion: What Are We Doing About Childhood Obesity in Pediatric Orthopedics? Tennessee Nurses Association Annual Convention, Nashville, Tenn., October 2012.

T2 weighted AP MRI image of an immature elbow with open medial epicondylar physis. Yellow arrow denotes open physis. Blue arrow denotes origin of the anterior bundle of the medial ulnar collateral

ligament (aMUCL). Note the origin of the aMUCL is medial to the physis.

Sage Downey: Halo Traction, VEPTR

Six-year-old Sage Downey of Toxey, Ala., was born with arthrogryposis, a congenital neuromusculoskeletal disorder that affects various joints including her knees, feet and spine. The disorder caused her to develop progressive neuromuscular scoliosis at just 6 months old.

Through the next couple of years, Sage was treated with different braces and body casting techniques to slow the growth of her curve. By age 5, Sage’s thoracic and kyphosis curvatures had progressed to more than 100 degrees, which caused the growth of her chest and lung to slow significantly. The Downeys knew it was time to look into more advanced treatment options for Sage. If her curve progressed any further, she could have severe respiratory problems.

“We knew Sage could benefit from halo traction because of her stiffness and high thoracic curve,” said Janet, Sage’s mom. A support group for scoliosis families on Facebook led the Downeys to Orthopaedic Surgeon Jeffrey R. Sawyer, MD, at Le Bonheur Children’s.

“We were so close to going to a center in San Antonio, Texas. I had already filled out the forms. I was so thrilled to know that there was doctor closer to home who could help Sage,” said Janet.

The Downeys’ excitement grew when they met Sawyer at their first consultation in September 2011.

“My husband and I walked out of the appoint-ment, looked at each other and said ‘It’s settled.’ We had a sense of peace we didn’t have with any of the other specialists we’ve seen for Sage, and we’ve been all over the country,” Janet said.

Sage underwent halo traction at Le Bonheur on Jan. 3, 2012. After almost two months at the hospital, Sage’s curvatures had reduced by 50 percent, as hoped. She underwent VEPTR implantation on Feb. 22 and remained at the hospital for another five days before going home.

Sage is doing well know and is much more comfortable, said Janet. Her curve has reduced to around 50 degrees. She and her family made another trip to Le Bonheur in September, eight months after surgery, to have the rods expanded. Rods will be expanded every six to nine months until she reaches skeletal maturity.

“I am fortunate to have been able to meet and take care of Sage and her family. It is a huge stress f or a family to essentially live at the hospital, away from home and their support system, like the Downeys did for two months. The people at Le Bonheur embraced Sage and her family during that time. I know that many of the staff at Le Bonheur still keep frequent contact with Sage and her family, based on the number of ‘Sage updates’ I get.”

“Our goal is to be able to provide care for any child with any spinal condition, both surgical and non-surgical, that come to us at Le Bonheur. The fact we can provide the most techno-logically advanced care for extremely complicated patients like Sage in a patient- and family-friendly environment makes all of us proud.”

pre-op

Sage Downey in halo traction

Jacob McMullen: Fassier-Duval Nail

At the age of 2, Jacob McMullen of Senatobia, Miss., was diagnosed with the rare, non-inherited genetic disorder McCune-Albright syndrome. The McMullens had been to several doctors throughout the first two years of Jacob’s life to find answers for why their son had a few baffling symptoms: café-au-lait spots, frontal bossing and poor growth. A liver biopsy at Le Bonheur Children’s confirmed the disease.

Though it didn’t show initially in any of his skeletal X-rays, Jacob also had fibrous dys-plasia, a classic symptom of McCune-Albright. With weakened bones, especially on his right side, Jacob is susceptible to fractures. He first fractured his right femur at age 2 and was treated with a spica cast by Pediatric Orthopaedic Surgeon James Beaty, MD, of Le Bonheur and Campbell Clinic.

Another femur fracture two years later left Beaty determined to find the best solution for Jacob. He wanted to find a way to stabilize his femur, so it would not continue to fracture.

Jacob underwent surgery at age 5 to receive an expandable Fassier-Duval nail implanted in his right femur.

“The Fassier nail has been a great advance in the treatment of long bone problems in children, specifically multiple fractures as in osteogenesis imperfecta, extensive benign growths in bone as in Jacob’s case and in metabolic bone disorders,” said Beaty. “The Fassier nail allows for continued growth with an intramedullary nail

that lengthens as the child grows, hopefully giving better results with fewer surgeries for our kids.”

Now 9, Jacob is doing well and has not had to undergo a second implant. Though he cannot play sports and has to be in a wheelchair during the school day to protect his bones and prevent frequent bone pain, Jacob loves sports, especially football, said mom Ruth.

“He knows all the plays. At 18 months old, Jacob would say ‘ball game.’ He’s loved sports since he could first talk,” she said.

The McMullens are very grateful for Beaty, who researches until he’s sure he is giving you the right answer, says Ruth. In homemade blue scrubs, Jacob even dressed up as Beaty for Career Day at school one year.

Jacob continues to see Beaty once every three months. It is likely that he will have to receive a new Fassier nail in the near future until he reaches his full growth potential. Jacob also sees Le Bonheur Neurosurgeon Rick Boop, MD, regularly for fibrous dysplasia of the skull.

“Jacob has a rare disease, and we want to do everything possible for Jacob to help him reach his young adult years with bones and joints that will last for many years,” Beaty said. “Jacob and his family are wonderful.”

Advanced techniques help orthopaedic patients

post-op

Jacob McMullen

post-op femur X-ray

Sage and her family went to Disney World over Thanksgiving this year. The trip was planned during their two-month stay

at Le Bonheur as a celebration of her recovery.

Orthopaedic surgeons at Le Bonheur and Campbell Clinic are using the most advanced technology to treat pediatric orthopaedic conditions. Patients from around the region continue to travel to Le Bonheur for high-level care and advanced techniques.

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

Publications Grear B. J., Neumann J., Warner W.C., Sawyer J. R., Kelly D. M. Patient follow-up in pediatric ortho-paedic 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 con-toured 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 nailing in the treatment of femoral shaft fractures in children younger than 12 years of age: indica-tions 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 vehi-clerelated 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.Sawyer JR, Kellum EL, Kelly DM, Warner Jr WC (2009) Orthopaedic Aspects of All-TerrainVehicle Accidents. Accepted for publication - Journal of the American Academy ofOrthopaedic SurgeonsLee, M.C., Kelly, D.M., Sucato, D.J. & Herring, J.A. (2009). Familial bilateralosteochondritis dissecans of the femoral head. A case series. Journal of Bone andJoint Surgery, American edition. 91(11):2700-7. No abstract available.Sawyer JR, Ivie C, Huff A, Kelly DM, Warner Jr WC, Beaty JH, Canale ST: (2009)Unplanned Emergency Room Visits by Children Treated with Cast Immobilization.Journal of Pediatric Orthopaedics 30(3): 248-52.Sawyer, J.R., Kapoor M., Gonzales M.H., Warner W.C. Jr., Canale S.T. & Beaty J.H. (2009).Heterotopic ossification of the hip after non-accidental injury in a child:case report. Journal of Pediatric Orthopaedics, 29(8):865-7.PMID: 19934700Beaty, J.H. (2009). The future of orthopedics. Journal of Orthopaedic Science,14(3):245-7.Epub 2009 Jun 5. No abstract available. PMID: 19499288Rhodes LN, Huff AL, Kelly DM,Warner WC, Sawyer JR. (2009) Pediatric Fracture Clinics: Current Status and FutureDirections. Pediatric Health 3:439-444.Sawyer, J.R. & Kapoor, M. (2009). The limping child: a systematic approach todiagnosis. American Family Physician, 79(3):215-24. Review.Sawyer JR, Hicks J, Beaty JH, Canale ST, Warner Jr. WC, Beaty JH (2009) The Hammerlock Position for Treatment of Medial Epicondyle Fractures”. Current Orthopaedic Practice 20(5):572-4 .Beebe MJ, Kelly DM, Warner Jr. WC, Sawyer JR (2009) Current Controversies in theTreatment of Pediatric Femur Fractures. Current Orthopaedic Practice 20(6):634-9.Pershad, J., Williams, S., Wan J. & Sawyer, J.R. (2009). Pediatric distal radial fracturestreated by emergency physicians. The Journal of Emergency Medicine, 37(3):341-4.Epub 2009 Feb 6.Kahn S, Sawyer JR, Pershad J. (2009) Prospective Randomized Comparison of PediatricForearm Fractures Reduced by Pediatric Emergency Room Physicians. Accepted for publication– Academic Emergency Medicine.Heck R.K., Jr., Sawyer J.R., Warner W.C. & Beaty J.H. (2008). Progressive valgusdeformity after curettage of benign lesions of the proximal tibia. Journal of PediatricOrthopaedics, 28(7):757-60.PMID: 18812903Beaty, J.H. (2008). Unusual doesn’t mean unusable: why information about uncommoninjuries or conditions is important. American Journal of Orthopedics (Belle Mead N.J.),Jun;37(6):E107, E119. No abstract available. PMID: 18716699Kellum, E., Creek, A., Dawkins, R., Bernard, M. & Sawyer, J.R. (2008). Age-relatedpatterns of injury in children involved in all-terrain vehicle accidents. Journal of PediatricOrthopaedics, 28(8):854-8.Richards, B.S., Beaty, J.H., Thompson, G.H., & Willis, R.B. (2008). Estimating theeffectiveness of screening for scoliosis. Pediatrics, 121(6):1296-7; author reply1297-8. No abstract available. PMID: 18519508Babb, J.R., Ahn, J.I., Azar, F.M., Canale, S.T. and Beaty J.H. (2008). Transphyseal anteriorcruciate ligament reconstruction using mesenchymal stem cells. American Journal of SportsMedicine, 36(6):1164-70. Epub 2008 Mar. 19.PMID: 18354144

Kapoor, M., Laham, S.G. & Sawyer, J.R. (2008). Children at risk identified in an urban scoliosisschool screening program: a new model. Journal of Pediatric Orthopaedics, 17(6):281-7. 18.Golden, D.W., Wojcicki, J.M., Jhee, J.T., Gilpin, S.L., Sawyer, J.R. & Heyman, M.B. (2008).Body mass index and elbow range of motion in a healthy pediatric population: a possible mechanism of overweight in children. Journal of Pediatric Gastroenterol Nutrition, 46(2):196-201.

PresentationsJim Beaty, MDBeaty, 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 atthe 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 theAmerican Academy of Orthopaedic Surgeons, Annual Meeting, New Orleans, La.,March 9-12, 2010.Beaty, Jim. Elbow Fractures in Children – What is Really New. Visiting Professor, Presented geof Georgia, Augusta, Ga., Nov. 19-22, 2009.Beaty, Jim. Musculoskeletal Infections in Children and Adolescents: Current Concepts.Visiting Professor, Presented at the Medical College of Georgia, Augusta, Ga.,Nov. 19-22, 2009.Beaty, Jim. Tarsal Coalition: Diagnosis and Treatment Visiting Professor. Presentedat the Medical College of Georgia, Augusta, Ga., Nov. 19-22, 2009.Beaty, Jim. Pediatric Fractures – What is Really New? Visiting Professor, Presented at thePhiladelphia Orthopaedic Society – Howard Steele, Philadelphia, Pa., Oct., 5, 2009.Beaty, Jim. Fractures of the Hip in Children and Adolescents. Visiting Professor, Presented atthe Drexel Department of Orthopaedics, Oct. 5, 2009.Beaty, Jim. Fractures About the Elbow in Children – Treatment and Complications 2009.Visiting Professor, Presented at the Carolina’s Medical Center, Charlotte, N.C.,June 19, 2009.Beaty, Jim. Changes in the Academic and Private Practice Arena. Presented at theAmerican Academy of Orthopaedic Surgeons, Board of Directors, Rosemont, Ill.,May 13-16, 2009.Beaty, Jim. The Asheville Forum Physician Perspective. Presented at the AmericanAcademy of Orthopaedic Surgeons, Board of Directors, New York, NY, May 2009Beaty, Jim. Leadership Qualities and Initiatives. Presented at the American Academy ofOrthopaedic Surgeons, Rosemont, Ill, Oct. 15-17, 2009.Beaty, Jim. Pediatric Orthopaedic Trauma Now and the Futur.e Presented at the PediatricOrthopaedic Society of North America Annual Meeting, Boston, Mass., April 29, 2009.Beaty, Jim. Elbow Fractures in Children. What have I learned? Presented at the MontrealHospital, Montreal, Canada, Nov. 19-21, 2008.Beaty, Jim. Femur and Hip Fractures in Children. Presented at the Montreal Hospital,Montreal, Canada, Nov. 19-21, 2008.Beaty, Jim. Orthopaedic On-Call Crisis in the United States. Presented at the MontrealHospital, Montreal, Canada, Nov. 19-21, 2008.Beaty, Jim. Elbow Fractures in Children... What Have I Learned? Visiting Professor,Presented at the University of Montreal, Canada, November 2008.Beaty, Jim. Femur and Hip Fractures in Children... Horses and Zebras. Visiting Professor,Presented at the University of Montreal, Canada, November 2008.Beaty, Jim. SCFE. Current Treatment and Complications. Visiting Professor, Presented atthe University of Montreal, Canada, November 2008.Beaty, Jim. Orthopaedic On Call Crisis in the U.S. Visiting Professor, Presented at theUniversity of Montreal, Canada, November 2008.Beaty, Jim. AAOS Update. Presented to the British Orthopaedic Association,Sept. 16-25, 2008.Beaty, Jim. Fractures in Children – Update of Techniques and Procedures. Presented to theSouth African Orthopaedic Association, Cape Town, South Africa, Sept. 1-5, 2008.Beaty, Jim. American Academy of Orthopaedic Surgeons 2008 and Beyond. Presented at theAmerican Bone and Joint Surgeons Meeting, Jackson Hole, Wyo., June 2008.Beaty, Jim. Emergency Call issues. Presented at the AOA Symposium: Current PediatricOrthopaedic Issues – A Small Window into Global Orthopaedic Issues, June 11 2009.Beaty, Jim. The Future of Orthopaedics. Presented at the Japanese OrthopaedicAssociation Meeting, Sapporo, Japan, May 2008.Beaty, Jim. Elbow Fractures in Children. Visiting Professor, Presented at the MedicalCollege of South Carolina, Charleston, S.C., April 24-27, 2008.Beaty, Jim. Fractures of the Hip and Femur. Visiting Professor, Presented at the MedicalCollege of South Carolina, Charleston, S.C., April 24-27, 2008.Beaty, Jim. AAOS update 2008. Visiting Professor, Presented at the Medical College ofSouth Carolina, Charleston, S.C., April 24-27, 2008.William C. Warner Jr., MDWarner, 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.Warner, William. MRSA update. Presented at POSNA annual meeting. Albuquerque,N.M., 2008.Warner, William. Pediatric Hip. Orthopedic review course. Presented at AAOS annualmeeting, 2007.Warner, William. Instructional course lecture. Pediatric infection update. Presented atAAOS, 2007.Warner, William. Predicting the outcome of distal femoral epiphyseal fractures.Presented at POSNA, San Diego, Calif., 2006.Warner, William. Changing patterns of acute hematogenous osteomyelitis and septicarthritis: emergence of community acquired Methicillin resistance. Presented at AmericanAcademy of Orthopaedic Surgeons. Chicago, Ill., 2006.Warner, William. Predicting the outcome of distal femoral epiphpyseal fractures.Presented at American Academy of Orthopaedic Surgeons. Chicago, Ill., 2006.Warner, William. Changing patterns of acute hematogenouse ostepmyelitis and septicarthritis: emergence of community acquired Methicillin resistance. Presented at MidAmerica. San Antonio, Texas, 2006.Warner, William. OLC course, Trauma. Presented at POSNA, Chicago, Ill., 2006.Warner, William. Office Orthopedics, congenital knee dislocation ad raduigraphicevaluation of musculosketal infections. Presented at IPOS, Orlando, Fla.. 2006.Warner, William. Instructional course lecture. Back pain. Presented at AAOS, 2006.Jeffrey R. Sawyer, MDSawyer, 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 Prevalenceof 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.Sawyer JR, Conoley J, Beaty JH, Warner Jr, WC, Canale ST (2009) “Surgically Treated TibialTuberosity Fractures in Adolescents”. Pediatric Orthopaedic Society of North America.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. Pediatric Orthopaedic Society of North America.Sawyer JR, Rudloff M, Shroeder J, Gehrig, J (2009) “Are Fracture Patterns Sustainedby Children Involved in Motor Vehicle Accidents Affected by Age or Obesity?” PediatricOrthopaedic Society of North America.Sawyer JR, Younas S, Benz CA, Warner Jr, WC, Kelly DM, (2009) “Factors InfluencingBlood Loss in Adolescent Idiopathic Scoliosis Patients Undergoing Posterior SpinalFusion with Instrumentation. International Meeting of Advanced Spinal Techniques.Sawyer JR, Crenshaw WC, Younas S, Kelly DM, Warner Jr, WC, Muhlbauer MS (2009)“Characterization of Spine Injuries from a Regional Trauma Center” InternationalMeeting of Advanced Spinal Techniques.Sawyer JR, Bernard M, Kelly DM, Warner Jr, WC, Beaty JH: (2009) “Trends in Spine InjuryCaused by All-Terrain Vehicle Accidents 1997-2006”. International Meeting for AdvancedSpinal Techniques.Sawyer JR, Conoley J, Beaty JH, Warner Jr, WC, Canale ST (2009) “Surgically Treated TibialTuberosity Fractures in Adolescents”. Orthopaedic Trauma Association.Sawyer JR, Mayfield ME, Warner Jr, WC, Beaty JH: (2008) “Long-Term Follow-up ofCongenital Hip Dislocations Treated with Open Reduction Through and AnteriorApproach”. Mid America Orthopaedic SocietySawyer J, Pershad J, Williams S, Wan J, (2008) “Closed Manipulation and CastImmobilization of Distal Radius Fractures by Pediatric Emergency Room Physicians.Orthopaedic Trauma AssociationSawyer JR, Kapoor M, (2008) “Heterotopic Ossification of the Hip in a Child as a Result ofNon-Accidental Injury: Report of a Rare Case. Southern Medical Association.Sawyer JR, Rudloff M, Gehrig J (2008) “Injury Patterns in Children Involved in MotorVehicle Accidents: Role of Obesity”. American Academy of Pediatrics.Sawyer JR, Hicks J, Beaty JH, Warner Jr. WC, Canale ST (2008) “The Hammerlock Position forTreatment of Medial Epicondyle Fractures”. Mid America Orthopaedic Society.Derek Kelly, MDKelly, 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 PeriacetabularOsteotomy. 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.Kelly, Derek. Scoliosis. Presented at the National Meeting of the ASOPA/NAOT (AmericanSociety of Orthopedic Physician Assistants and National Association of OrthopedicTechnicians). Memphis, Tenn., August 2009.Kelly, D. M., McCullough, F. L., Kelly, H.R., & McCarthy, R.E. Long-term Outcomes ofAnterior Spinal Fusion with Instrumentation for Thoracolumbar and Lumbar Curves inAdolescent Idiopathic. Scoliosis Scoliosis. Presented to the Research Society, Edinburgh,Scotland, Sept. 8, 2007. David Spence, MD 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.

/ lebonheurchildrens@LeBonheurChild /lebonheurchildrens