1. science
2. medicine
3. pediatrics

Pediatric
Orthopaedics
Memphis, Tennessee
Winter 2013
Fellowship program provides opportunities
for patient care, teaching, research
In-depth training at Le Bonheur, Campbell Clinic readies newest pediatric orthopaedic surgeons
T
lebonheur.org/ortho
campbellclinic.com
he University of Tennessee Health Science Center/Campbell Clinic
Center before being assigned to the 14th Combat Support Hospital/Joint Task
Pediatric Orthopaedic Fellowship at Le Bonheur Children’s is training
Force Helmand at Camp Bastion in Afghanistan.
Nelson Astur, MD
the next generation of pediatric orthoNelson Astur, MD, came to Le Bonheur
paedic surgeons. One fellow is selected each
and Campbell Clinic for fellowship training
year for the competitive 12-month program.
after completing medical school, residency
Opportunities to learn in clinic, hospital,
and a spinal surgery fellowship at Santa
surgical and teaching settings are key, said
Casa de Sao Paulo, Medical School and
Jeffrey R. Sawyer, MD, director of the fellowHospitals in Sao Paulo, Brazil. Astur wanted
ship program. The fellow spends portions
to specialize in pediatric spinal deformities
of his or her time in each setting, learning a
and VEPTR treatment.
wide variety of orthopaedic conditions and
“Le Bonheur/Campbell Clinic is one of
treatment methods unique to children.
the authorized centers in the U.S. for VEPTR
Past fellows tout the program’s exposure
treatment and has a well-known pediatric
to pediatric traumas, metabolic and genetic
spine team that made me choose this fellowconditions, tumors, neuromuscular disorders
ship,” said Astur. “Campbell Clinic’s orthopaeand conditions that affect the spine, hip, foot/
dic book is the main orthopaedics textbook
ankle and hand.
Jennifer Brey, MD
for all residency programs in Brazil, so it was
“Our fellows have a direct preceptorship
an honor for me to be a part of it.”
with pediatric orthopaedic faculty, allowing
Astur also appreciated the skill of the
for one-on-one instruction,” said Sawyer.
team’s pediatric orthopaedic surgeons. They
“Fellows are viewed as adjuncts to the factreat a wide range of orthopaedic conditions
ulty, not as ‘extra residents.’”
with the most advanced techniques, he said.
A key goal of the program is to provide
Like all fellows accepted into the program,
fellows with extensive opportunities to
Astur had the opportunity to participate in a
improve and develop skills in lecturing,
variety of research projects.
laboratory research, presentations and
“There were often more than 20
publications.
projects going on at a time,” Astur said.
“Fellows are provided with an incredi“And most of these projects are presented
ble opportunity to learn in a rich collaborative
at all the main orthopaedic meetings
environment. This collaboration has been the
and finally get published in the main
starting point for many of our former fellows
Nelson Astur, MD, and Jeremy Rush, MD
orthopaedic journals.”
going on to national and international promiNow practicing back in Sao Paulo, Aster
nence in the field of pediatric orthopaedics,”
enjoyed his time in Memphis, Tenn. “There
said Sawyer.
Fellowship Overview
Jeremy Rush, MD
is some much to do in Memphis and such
• Fellows supervise residents and
Pediatric orthopaedics was a clear choice
great food. I’m already missing barbecue
participate in both non-operative and
for past fellow Jeremy Rush, MD.
and sweet tea.”
operative cases, including post-injury
and post-operative rehabilitation.
Jennifer Brey, MD
“There is no other specialty in orthopae• Fellows are required to work on at
Pediatric Orthopaedic Surgeon Jennifer
dics in which you can treat such a wide range
least one clinical or basic science
Brey, MD, graduated from the fellowship
of conditions, from traumatic to congenital
research study.
program in July 2011.
to developmental to infectious and so on,”
• Designated laboratory space and
support staff assistance are provided
She came to the program after completing
said Rush. “And the opportunity to treat and
as
needed
for
research
projects.
medical school at the University of Louisville
to improve the quality of life of children is
and a residency at Drexel University College
incredibly rewarding.”
of Medicine in Philadelphia.
Rush studied at Texas A&M’s College
“I chose Le Bonheur because I liked the
of Medicine and completed a residency in
location, the staff and the facilities,” said Brey. The fellowship offers a large
orthopaedics at Brooke Army Medical Center in San Antonio, Texas.
volume and variety of surgical cases as well as a large amount of research
The pediatric orthopaedic team at Le Bonheur and Campbell Clinic was
opportunities. I like that I did not have to compete with another fellow for
one of the reasons Rush chose the fellowship.
access to interesting cases.”
“I’ve never met a group of individuals who work so well together and
Now, Brey is in private practice in Louisville, Ky.
are so dedicated to the care of kids. I felt like they were truly invested in me
“I learned quite a bit about practice management and office
and my education. I loved coming to work every day, and every day was an
treatment of patients.”
opportunity to see something new,” Rush said.
After completing his fellowship, Rush returned to the Brooke Army Medical
Pediatric Orthopaedic Research Update
R
esearchers 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 originates 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 radiographic 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 criteria, 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 examinations 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.
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.
Nurse practitioners conduct research, present
Le 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.
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
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. expertise of nurses, nurse practitio-
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.
ners, physical and occupational
Rhodes L. Poster presentation: Improving orthopedic follow up appointments at discharge. Le Bonheur Children’s Hospital, Nursing Innovation
and Excellence Day, October 2011.
therapists, social workers and Child
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.
Life specialists.
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.
The clinic will open Feb. 5
in Le Bonheur’s Outpatient Center,
51 N. Dunlap St. Appointments can
Ben Mauck, MD
be made now by calling 901-287-6073.
Mauck joined Campbell Clinic in August after completing an
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. orthopaedic hand/upper extremity fellowship at the University of
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.
Texas Health Science Center in San Antonio, Texas.
Scott, D. Roundtable discussion: What Are We Doing About Childhood Obesity in Pediatric Orthopedics? Tennessee Nurses Association
Annual Convention, Nashville, Tenn., October 2012.
Advanced techniques help orthopaedic patients
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.
Jacob McMullen:
Fassier-Duval 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
post-op femur X-ray
are wonderful.”
Sage Downey:
Halo Traction, VEPTR
“My husband and I walked out of the appointment, 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
pre-op
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
post-op
child with any spinal condition, both surgical and
non-surgical, that come to us at Le Bonheur. The fact we can provide the most technologically advanced care for extremely complicated patients like Sage in a patient- and
family-friendly environment makes all of us proud.”
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 dysplasia, a classic symptom of McCune-Albright.
With weakened bones, especially on his right
side, Jacob is susceptible to fractures. He
Jacob McMullen
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
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
Sage Downey in halo traction
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
Sage and her family went to Disney World over Thanksgiving
when they met Sawyer at their first
this year. The trip was planned during their two-month stay
consultation in September 2011.
at Le Bonheur as a celebration of her recovery.
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Research, Publications and Presentations
Le Bonheur Children’s Hospital and Campbell Clinic’s five surgeons are actively
involved 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 orthopaedic 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 contoured 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: indications and preliminary report of outcomes. Journal of Pediatric Orthopaedics. 2012 Dec;32(8):77780. 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), 23April2012
Arkader, Tolo,Warner, Sponseller, Skaggs. Pediatric chance fractures: a multicenter
perspective: Journal of Pediatric Orthopaedics. 2011 Oct-Nov;31(7):741-4. PMID: 21926870
Larson 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 and
Radiographic Outcomes of Nonoperative Treatment at a Mean Follow-up of Twenty Years. J
Bone 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 of
Spine Injury in Children Involved in All-Terrain Vehicle Accidents. J Pediatr Orthop. 2012
Jul;32(5):435-9.
Sawyer JR, Bernard MS, Schroeder RJ, Kelly DM, Warner WC Jr. (2011) Trends in all-terrain
vehicle-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 evaluation
necessary 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 vehiclerelated 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 an
Adolescent Before Surgical Treatment of an Isolated Closed Tibial Shaft Fracture. Accepted
for publication – American Journal of Orthopaedics.
Jaquith BP, Chase A, Flinn P, Sawyer JR, Warner WC Jr, Freeman BL, Kelly DM. (2011) Cost
Comparison of Correction Obtained with Pedicle Screw and Hook Constructs in Adolescent
Idiopathic 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) Tibial
Tuberosity Fracture in Adolescents: Is a Salter-Harris Type IV Posterior Fracture Component a
Predictor of Complications? Submitted for publication – Journal of Pediatric Orthopaedics.
Miller J, Kelly DM, Spence DD, Beaty JH, Warner WC Jr, Sawyer JR. (2011) Locked
Intramedullary Nailing in the Treatment of Femoral Shaft Fracture in Children Younger
than Twelve Years of Age: Indications and Preliminary Report of Outcomes. Submitted for
publication – Journal of Pediatric Orthopaedics.
Warner Jr. WC, Sawyer JR: Kyphosis In Lovell and Winter’s Pediatric Orthopaedics 7th
Edition. Submitted for Publication.
Rachel JN, Williams JB, Sawyer JR, Warner Jr WC, Kelly DM (2011) Is Radiographic
Evaluation 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 Modification
for External Fixation of Lower Extremity Fractures in Children. Journal of Children’s
Orthopaedics, 5:63-67.
Cross JD, Rush JK, Kelly DM, Warner Jr, WC, Sawyer JR (2010) The Treatment of Pediatric
Lower 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 most
frequent elbow fracture in children. Journal of Orthopaedic Trauma, 24(7):438.
No abstract available. PMID: 2057707
Anand, 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 compartment
syndrome of the hand after a wasp sting: a case report. Journal of Pediatric
Orthopaedics, 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 cast
immobilization. Journal of Pediatric Orthopaedics, 30(3):248-52.PMID: 20357591
Katz, D.E., Herring, J.A., Browne, R.H., Kelly, D.M. & Birch, J.G. (2010)Brace wear
control of curve progression in adolescent idiopathic scoliosis. Journal of Bone and Joint
Surgery, American edition, 92(6):1343-52.
Kelly, D.M., McCarthy, R.E., McCullough, F.L. & Kelly, H.R. (2010). Long-term outcomes of
anterior spinal fusion with instrumentation for thoracolumbar and lumbar curves in adolescent
idiopathic scoliosis. Spine (Philadelphia, Pa. 1976), 35(2):194-8.
Sawyer JR, Kellum EL, Kelly DM, Warner Jr WC (2009) Orthopaedic Aspects of All-Terrain
Vehicle Accidents. Accepted for publication - Journal of the American Academy of
Orthopaedic Surgeons
Lee, M.C., Kelly, D.M., Sucato, D.J. & Herring, J.A. (2009). Familial bilateral
osteochondritis dissecans of the femoral head. A case series. Journal of Bone and
Joint 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: 19934700
Beaty, 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 Future
Directions. Pediatric Health 3:439-444.
Sawyer, J.R. & Kapoor, M. (2009). The limping child: a systematic approach to
diagnosis. 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 the
Treatment of Pediatric Femur Fractures. Current Orthopaedic Practice 20(6):634-9.
Pershad, J., Williams, S., Wan J. & Sawyer, J.R. (2009). Pediatric distal radial fractures
treated 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 Pediatric
Forearm 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 valgus
deformity after curettage of benign lesions of the proximal tibia. Journal of Pediatric
Orthopaedics, 28(7):757-60.PMID: 18812903
Beaty, J.H. (2008). Unusual doesn’t mean unusable: why information about uncommon
injuries or conditions is important. American Journal of Orthopedics (Belle Mead N.J.),
Jun;37(6):E107, E119. No abstract available. PMID: 18716699
Kellum, E., Creek, A., Dawkins, R., Bernard, M. & Sawyer, J.R. (2008). Age-related
patterns of injury in children involved in all-terrain vehicle accidents. Journal of Pediatric
Orthopaedics, 28(8):854-8.
Richards, B.S., Beaty, J.H., Thompson, G.H., & Willis, R.B. (2008). Estimating the
effectiveness of screening for scoliosis. Pediatrics, 121(6):1296-7; author reply
1297-8. No abstract available. PMID: 18519508
Babb, J.R., Ahn, J.I., Azar, F.M., Canale, S.T. and Beaty J.H. (2008). Transphyseal anterior
cruciate ligament reconstruction using mesenchymal stem cells. American Journal of Sports
Medicine, 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 scoliosis
school 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.
Presentations
Jim Beaty, MD
Beaty, 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 American
Academy of Orthopaedic Surgeons, San Diego, Calif., February 2011.
Beaty, Jim. Elbow Fractures in Children: 2011 Update. Visiting Professor , Presented at the
University 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 of
California (Journal Club – SCFE), San Francisco, Calif., June 2011.
Beaty, Jim. The Orthopaedic Life and Career. Visiting Professor , Presented at the University of
California, San Francisco, Calif., June 2011.
Beaty, Jim. ICL; Fractures of the Lower Extremities in Children. Presented at the American
Academy of Orthopaedic Surgeons, Annual Meeting, San Diego, Calif., February 2011.
Beaty, Jim. ICL; The Art of The Orthopaedic Lecture. Presented at the American Academy of
Orthopaedic Surgeons, Annual Meeting, San Diego, Calif., February 2011.
Beaty, Jim. Elbow Fractures in Children: 2011 Update. Visiting Professor, Presented at the
University 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 at
the University of California, San Francisco, Calif., June 2011.
Beaty, Jim. Journal Club – SCFE, Elbow and Femur Fractures. Visiting Professor, Presented at
the University of California, San Francisco, Calif., June 2011.
Beaty, Jim. The Orthopaedic Life and Career. Visiting Professor, Presented at the University of
California, San Francisco, Calif., June 2011.
Beaty, Jim. Sports Injuries of the Foot and Ankle in Children. Presented at the Pediatric Orthopaedic
Symposium, Le Bonheur Children’s Hospital, Memphis, Tenn., Nov. 5, 2011.
Beaty, Jim. Legg Calve Perthes Disease: Treatment and Controversies. Presented at
the 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 at
Boston Children’s Hospital, Boston, Nov. 9, 2011.
Beaty, Jim. Developing Teaching Skills to Enhance Learning. Presented at the American
Academy of Orthopaedic Surgeons, San Diego, Calif., February 2011.
Beaty, Jim. The Orthopaedic Lecture. Presented at the American Academy of Orthopaedic
Surgeons, Annual Meeting, New Orleans, La., March 9-12, 2010.
Beaty, Jim. Fractures of the Lower Extremity in Children - Staying out of Trouble. Presented at
the 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 the
American 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 ge
of 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. Presented
at the Medical College of Georgia, Augusta, Ga., Nov. 19-22, 2009.
Beaty, Jim. Pediatric Fractures – What is Really New? Visiting Professor, Presented at the
Philadelphia Orthopaedic Society – Howard Steele, Philadelphia, Pa., Oct., 5, 2009.
Beaty, Jim. Fractures of the Hip in Children and Adolescents. Visiting Professor, Presented at
the 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 the
American Academy of Orthopaedic Surgeons, Board of Directors, Rosemont, Ill.,
May 13-16, 2009.
Beaty, Jim. The Asheville Forum Physician Perspective. Presented at the American
Academy of Orthopaedic Surgeons, Board of Directors, New York, NY, May 2009
Beaty, Jim. Leadership Qualities and Initiatives. Presented at the American Academy of
Orthopaedic Surgeons, Rosemont, Ill, Oct. 15-17, 2009.
Beaty, Jim. Pediatric Orthopaedic Trauma Now and the Futur.e Presented at the Pediatric
Orthopaedic Society of North America Annual Meeting, Boston, Mass., April 29, 2009.
Beaty, Jim. Elbow Fractures in Children. What have I learned? Presented at the Montreal
Hospital, 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 Montreal
Hospital, 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 at
the University of Montreal, Canada, November 2008.
Beaty, Jim. Orthopaedic On Call Crisis in the U.S. Visiting Professor, Presented at the
University 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 the
South African Orthopaedic Association, Cape Town, South Africa, Sept. 1-5, 2008.
Beaty, Jim. American Academy of Orthopaedic Surgeons 2008 and Beyond. Presented at the
American Bone and Joint Surgeons Meeting, Jackson Hole, Wyo., June 2008.
Beaty, Jim. Emergency Call issues. Presented at the AOA Symposium: Current Pediatric
Orthopaedic Issues – A Small Window into Global Orthopaedic Issues, June 11 2009.
Beaty, Jim. The Future of Orthopaedics. Presented at the Japanese Orthopaedic
Association Meeting, Sapporo, Japan, May 2008.
Beaty, Jim. Elbow Fractures in Children. Visiting Professor, Presented at the Medical
College of South Carolina, Charleston, S.C., April 24-27, 2008.
Beaty, Jim. Fractures of the Hip and Femur. Visiting Professor, Presented at the Medical
College of South Carolina, Charleston, S.C., April 24-27, 2008.
Beaty, Jim. AAOS update 2008. Visiting Professor, Presented at the Medical College of
South Carolina, Charleston, S.C., April 24-27, 2008.
William C. Warner Jr., MD
Warner, 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.
/lebonheurchildrens
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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 a
Contoured Rod and Wire Construct in Children: A Reappraisal of a Vintage Technique”
American Society of Pediatric Neurosurgeons, JNS: Pediatrics
Warner, 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 annual
meeting, 2007.
Warner, William. Instructional course lecture. Pediatric infection update. Presented at
AAOS, 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 septic
arthritis: emergence of community acquired Methicillin resistance. Presented at American
Academy 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 septic
arthritis: emergence of community acquired Methicillin resistance. Presented at Mid
America. San Antonio, Texas, 2006.
Warner, William. OLC course, Trauma. Presented at POSNA, Chicago, Ill., 2006.
Warner, William. Office Orthopedics, congenital knee dislocation ad raduigraphic
evaluation of musculosketal infections. Presented at IPOS, Orlando, Fla.. 2006.
Warner, William. Instructional course lecture. Back pain. Presented at AAOS, 2006.
Jeffrey R. Sawyer, MD
Sawyer, 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 Serious
Complications. Pediatric Orthopaedic Society of North America
Sawyer JR, Kelly DM,Canale, ST, Brey, Jennifer, Conoley, J (February 2012): Salter Harris Ii Fractures
of the Posterior Tibia Associated with Tibial Tuberosity Fractures: A Marker for Potentially Serious
Complications. American Academy of Orthopaedic Surgeons.
Sawyer JR, Kelly DM, Warner Jr, WC, NAN, TCannon (2012): “Characterization of Radiation Exposure
in 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 of
Associated Injuries in Children with Spinal Fractures. American Academy of Orthopaedic Surgeons.
Sawyer JR, Beaty JH (2011) Staying Out of Trouble in Pediatric Orthopaedics. American
Academy of Orthopaedic Surgeons.
Sawyer JR, Kelly DM, Warner Jr, WC, Beaty JH, Canale ST (2011) The Kickstand Technique to
Promote Elevation and Wound Care in Pediatric Lower Extremity Injuries. American Academy
of Orthopaedic Surgeons.
Sawyer JR, Guevara B, Thompson N, Dawkins R, Kelly DM, Warner Jr, WC (2011) High
Prevalence of Associated Injuries in Children with Spinal Fractures. American Academy of
Orthopaedic 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 Academy
of Orthopaedic Surgeons.
Sawyer JR, Warner Jr, WC, Kelly DM, Rachel JN, Williams JB (2011) Is Radiographic Evaluation
Necessary 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) High
Prevalence of Associated Injuries in Children with Spinal Fractures. International Meeting on
Advanced 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 to
Promote Elevation and Wound Care in Pediatric Lower Extremity Injuries. American Academy
of Orthopaedic Surgeons.
Sawyer JR, Guevara B, Thompson N, Dawkins R, Kelly DM, Warner Jr WC (2011) High
Prevalence of Associated Injuries in Children with Spinal Fractures. American Academy of
Orthopaedic 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
Academy of Orthopaedic Surgeons Rachel JN, Williams JB, Sawyer JR, Warner Jr WC, Kelly
DM (2011) Is Radiographic Evaluation Necessary in Children with a Clinical Diagnosis of
Calcaneal Apophysitis (Sever Disease)? American Academy of Orthopaedic Surgeons.
Sawyer JR, Kelly DM, Warner Jr, WC, Guevara BG, Thompson NB. (2011) High Prevalence
of Associated Injuries in Children with Spinal Fractures. American Academy of Othopaedic
Surgeons.
Sawyer JR, Beaty JH. (2011) Staying Out of Trouble in Pediatric Orthopaedics. American
Academy of Orthopaedic Surgeons.
Sawyer JR, Kelly DM, Warner Jr, WC, Beaty JH, Canale ST (2011) The Kickstand Technique
to Promote Elevation and Wound Care in Pediatric Lower Extremity Injuries. American
Academy of Orthopaedic Surgeons.
Sawyer JR, Guevara B, Thompson N, Dawkins R, Kelly DM, Warner Jr, WC. (2011) High
Prevalence of Associated Injuries in Children with Spinal Fractures. American Academy of
Orthopaedic 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
Academy of Orthopaedic Surgeons
Sawyer JR, Warner Jr, WC, Kelly DM, Rachel JN, Williams JB. (2011) Is Radiographic
Evaluation 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 Injury
Caused 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 Busy
Fracture Clinic. Orthopaedic Trauma Association.
Sawyer JR, Bernard M, Kelly DM, Warner Jr, WC, Beaty JH. (2010) “Trends in Spine Injury
Caused by All-Terrain Vehicle Accidents”. American Academy of Orthopaedic Surgeons.
Sawyer J, Pershad J, Williams S, Wan J. (2010) “Closed Manipulation and Cast
Immobilization 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 and
Treatment of Perthes Disease. American Academy of Orthopaedics – National Association of
Orthopaedic Nurses Section.
Sawyer JR, Bernard M, Kelly DM, Warner Jr, WC, Beaty JH: (2010) “Trends in Spine Injury
Cause by All-Terrain Vehicle Accidents”. Pediatric Orthopaedic Society of North America.
Sawyer J, Pershad J, Williams S, Wan J, (2010) “Closed Manipulation and Cast
Immobilization 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”. Pediatric
Orthopaedic Society of North America.
Sawyer JR, Rhodes LN, Kelly DM, Messman L, Warner Jr, WC, (2010) Pediatric Fracture
Clinics: 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-Based
Distraction Control Curve Progression and Prevent Parasol Deformity of the Chest in
Scoliosis Associated with Congenital Myopathy? 4th International Congress on
Early Onset Scoliosis.
Sawyer JR, Conoley J, Beaty JH, Warner Jr, WC, Canale ST (2009) “Surgically Treated Tibial
Tuberosity 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 Busy
Fracture Clinic. Pediatric Orthopaedic Society of North America.
Sawyer JR, Rudloff M, Shroeder J, Gehrig, J (2009) “Are Fracture Patterns Sustained
by Children Involved in Motor Vehicle Accidents Affected by Age or Obesity?” Pediatric
Orthopaedic Society of North America.
Sawyer JR, Younas S, Benz CA, Warner Jr, WC, Kelly DM, (2009) “Factors Influencing
Blood Loss in Adolescent Idiopathic Scoliosis Patients Undergoing Posterior Spinal
Fusion 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” International
Meeting of Advanced Spinal Techniques.
Sawyer JR, Bernard M, Kelly DM, Warner Jr, WC, Beaty JH: (2009) “Trends in Spine Injury
Caused by All-Terrain Vehicle Accidents 1997-2006”. International Meeting for Advanced
Spinal Techniques.
Sawyer JR, Conoley J, Beaty JH, Warner Jr, WC, Canale ST (2009) “Surgically Treated Tibial
Tuberosity Fractures in Adolescents”. Orthopaedic Trauma Association.
Sawyer JR, Mayfield ME, Warner Jr, WC, Beaty JH: (2008) “Long-Term Follow-up of
Congenital Hip Dislocations Treated with Open Reduction Through and Anterior
Approach”. Mid America Orthopaedic Society
Sawyer J, Pershad J, Williams S, Wan J, (2008) “Closed Manipulation and Cast
Immobilization of Distal Radius Fractures by Pediatric Emergency Room Physicians.
Orthopaedic Trauma Association
Sawyer JR, Kapoor M, (2008) “Heterotopic Ossification of the Hip in a Child as a Result of
Non-Accidental Injury: Report of a Rare Case. Southern Medical Association.
Sawyer JR, Rudloff M, Gehrig J (2008) “Injury Patterns in Children Involved in Motor
Vehicle Accidents: Role of Obesity”. American Academy of Pediatrics.
Sawyer JR, Hicks J, Beaty JH, Warner Jr. WC, Canale ST (2008) “The Hammerlock Position for
Treatment of Medial Epicondyle Fractures”. Mid America Orthopaedic Society.
Derek Kelly, MD
Kelly, 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 Ii
Fractures of the Posterior Tibia Associated with Tibial Tuberosity Fractures: A Marker for
Potentially Serious Complications. Pediatric Orthopaedic Society of North America
Kelly, DM, Sawyer, JR., Canale, ST, Brey, Jennifer, Conoley, J (February 2012): Salter Harris
Ii Fractures of the Posterior Tibia Associated with Tibial Tuberosity Fractures: A Marker for
Potentially Serious Complications. American Academy of Orthopaedic Surgeons.
Kelly DM, Sawyer JR, , Warner Jr, WC, NAN, TCannon (2012): “Characterization of Radiation
Exposure in Early Onset Scoliosis Patients treated with the Vertical Expandable Prosthetic
Titanium Rib (VEPTR). Scoliosis Research Society.
Kelly, Derek. Newborn Foot Deformities: Emerging Systems of Care for Children. Presented at
the 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 10th
Annual 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 Bonheur
Pediatric Orthopedic Update, Memphis, Tenn., November 2011.
Kelly, Derek. Hip Preservation in the Adolescent: Surgical Dislocation and Ganz Periacetabular
Osteotomy. 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 Treatment
Controls 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 in
Children and Adolsecents (E-Poster). Presented at POSNA, Waikoloa, Hawaii, 2010.
Kelly, Derek. Scoliosis. Presented at the National Meeting of the ASOPA/NAOT (American
Society of Orthopedic Physician Assistants and National Association of Orthopedic
Technicians). Memphis, Tenn., August 2009.
Kelly, D. M., McCullough, F. L., Kelly, H.R., & McCarthy, R.E. Long-term Outcomes of
Anterior Spinal Fusion with Instrumentation for Thoracolumbar and Lumbar Curves in
Adolescent 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.