Justin Barad, MD

We present the results of cast wedging for correction of alignment during the closed treatment of tibial and radial shaft fractures in children. We retrospectively reviewed the radiographic and clinical outcome of 249 cast wedges performed after reangulation of a previously manipulated tibial or radial shaft fracture. A mean improvement of close to 5 in coronal alignment was observed. A satisfactory outcome was obtained in 96% of patients with tibial fractures and 94% of patients with radial… Show more

We present the results of cast wedging for correction of alignment during the closed treatment of tibial and radial shaft fractures in children. We retrospectively reviewed the radiographic and clinical outcome of 249 cast wedges performed after reangulation of a previously manipulated tibial or radial shaft fracture. A mean improvement of close to 5 in coronal alignment was observed. A satisfactory outcome was obtained in 96% of patients with tibial fractures and 94% of patients with radial fractures. Cast wedging is a safe and effective tool for the treatment of angulated, pediatric tibial and radial shaft fractures. Show less

To evaluate normative data on elbow range of motion (ROM) in the pediatric population. The passive ROM of 1361 healthy pediatric elbows was measured using a small goniometer calibrated in 1° increments, and recorded. The mean amount of flexion, extension, and arc of motion was 142°, -11°, and 153°, respectively. Our data indicated no meaningful correlation between patient sex, age, or weight and the amount of flexion, extension, or the total arc of motion. It appears that elbow ROM in this… Show more

To evaluate normative data on elbow range of motion (ROM) in the pediatric population. The passive ROM of 1361 healthy pediatric elbows was measured using a small goniometer calibrated in 1° increments, and recorded. The mean amount of flexion, extension, and arc of motion was 142°, -11°, and 153°, respectively. Our data indicated no meaningful correlation between patient sex, age, or weight and the amount of flexion, extension, or the total arc of motion. It appears that elbow ROM in this population is not affected by sex, age, or weight. Normative data are critical when setting the goals of a particular therapeutic approach. Show less