Collection
Orthopedic and Chest Wall Conditions
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Current indications for VBT are immature, moderately severe curves, and flexible. Vertebral body tethering for pediatric scoliosis: patient selection and surgical technique · 2:40
Vertebral body tethering for pediatric scoliosis: patient selection and surgical technique
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This video, featuring experts from Cincinnati Children's and Akron Children's, provides an in-depth look at Vertebral Body Tethering (VBT) for pediatric scoliosis. It covers clinical scenarios, highlighting VBT's advantages as a minimally i
podcast5:39 · Nov 2026
Literature Update: Bridge Fixation Superior for Pectus Bar Stabilization
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We’re back with 24th episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesti
podcast1:29 · Nov 2026
The American Academy of Pediatrics recommends 1000 mg of calcium per day and 1000 international units of vitamin D daily for ages 4 to 8 years — Jill Larson, Most Common Pediatric Fractures and Prevention Strategies with Dr. Jill Larson · 14:51
Most Common Pediatric Fractures and Prevention Strategies with Dr. Jill Larson
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In this session from the 12th Annual Update Course in Pediatric Surgery, Dr. Jill Larson from Ann & Robert H. Lurie Children’s Hospital outlines key strategies for preventing and managing the most common pediatric fractures—just in time for
podcast19:54 · Nov 2026
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Most Common Pediatric Fractures and Prevention Strategies with Dr. Jill Larson
Fracture rates increase starting in March until peak in August, with a spike at Lurie Children's in October likely due to return to school with less supervision and increased athletic participation
epidemiologicalJill Larson0:32 ↗
The most common location for a pediatric fracture is the distal radius or wrist fracture
epidemiologicalJill Larson1:00 ↗
Extraphyseal fractures have a low risk of physeal growth plate arrest or damage to longitudinal growth of the arm
clinicalJill Larson1:36 ↗
The closer the fracture is to the physis, the increased potential for remodeling of any residual deformity
clinicalJill Larson1:44 ↗
Intraphyseal fractures need to be closely monitored as there can be early closure or growth plate arrest during the healing process
Host summaryThe host summarizes what Dr. Jill Larson said — not the host's own clinical position1:51 ↗
A buckle fracture that is non-displaced heals very reliably in approximately 3 to 4 weeks depending on age
clinicalJill Larson2:31 ↗
Recent studies have demonstrated that fracture healing rates are similar in a removable splint versus a cast
Host summaryThe host summarizes what Dr. Jill Larson said — not the host's own clinical position2:41 ↗
A removable splint can be applied in an urgent care setting for buckle fractures, and follow-up with a pediatric orthopedic surgeon may not be needed
Host summaryThe host summarizes what Dr. Jill Larson said — not the host's own clinical position2:46 ↗
Waterproof casting must get wet daily to prevent skin excoriation
clinicalJill Larson2:53 ↗
In children greater than age 10, near anatomic reduction is imperative because of the remodeling potential left in the distal forearm
clinicalJill Larson3:35 ↗
Children greater than 10 years of age can have recurrence of displacement even with appropriate immobilization and should be seen within 3 to 5 days of casting
Host summaryThe host summarizes what Dr. Jill Larson said — not the host's own clinical position3:41 ↗
If anatomic reduction of physeal fractures is not successfully achieved on the first attempt, then treatment in the OR for closed reduction is recommended to minimize additional trauma and physeal growth arrest
Host summaryThe host summarizes what Dr. Jill Larson said — not the host's own clinical position4:22 ↗
Due to physeal injury, a 6 month follow-up with an X-ray is recommended to assess for physeal growth arrest
guidelineJill Larson4:39 ↗
The physis in children is often the weakest part of the bone, even weaker than the ligaments or tendons themselves
clinicalJill Larson5:20 ↗
Distal fibular physeal fractures should be non-weight bearing to prevent further injury to the physis
Host summaryThe host summarizes what Dr. Jill Larson said — not the host's own clinical position5:31 ↗
In a very displaced fracture, it is critical to assess sensory and motor function of the foot and vascular status in a timely fashion
Host summaryThe host summarizes what Dr. Jill Larson said — not the host's own clinical position6:14 ↗
It's important to do a reduction maneuver to take off pressure on the skin, as the bony spike can cause soft tissue or skin necrosis and ultimately lead to an open fracture
Host summaryThe host summarizes what Dr. Jill Larson said — not the host's own clinical position6:28 ↗
If the displacement of the joint surface in triplane fractures is more than 2 millimeters, an open reduction in internal fixation of the articular surface with a positional screw is required
Host summaryThe host summarizes what Dr. Jill Larson said — not the host's own clinical position7:23 ↗
A toddler's fracture (non-displaced spiral fracture of the tibia shaft) is very common in children ages 9 months to 3 years old
epidemiologicalJill Larson8:07 ↗
At ages 9 months to 3 years, children have a robust periosteal sleeve around their bones so the fracture remains very stable and heals very reliably
clinicalJill Larson8:16 ↗
In children with limited verbal skills, there is a high risk of heel ulceration when the leg is placed in temporary splints
clinicalJill Larson8:30 ↗
Both bone forearm fractures are at a high risk to develop compartment syndrome due to swelling from the fracture and associated soft tissue trauma
clinicalJill Larson10:01 ↗
Providers should have high suspicion for compartment syndrome if a pediatric patient has increasing agitation, anxiety, and analgesic requirements after closed reduction and casting
clinicalJill Larson10:11 ↗
There is an increased risk of refracture of both bone forearm fractures within the first 6 months
clinicalJill Larson11:00 ↗
Flexible nailing preserves the physis to prevent any early physeal closure
clinicalJill Larson11:39 ↗
Flexible nails are typically removed 6 to 12 months after healing to avoid the high risk of refracturing within the first 6 months
guidelineJill Larson11:43 ↗
Type 3 supracondylar fractures have complete disruption of the posterior cortex and are often widely displaced, which has an increased risk of neurovascular compromise
Host summaryThe host summarizes what Dr. Jill Larson said — not the host's own clinical position12:15 ↗
Fall prone activities are recommended to be avoided for at least 8 weeks postoperatively after supracondylar fracture pinning
guidelineJill Larson12:50 ↗
Studies have shown that obese or overweight children are at higher risk for fracture, primarily due to the increased stress on their bones, and secondarily due to inactivity or immobility
epidemiologicalJill Larson13:21 ↗
Obese children have increased complications of fracture management due to implant failures or fracture malunions
clinicalJill Larson13:40 ↗
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