Inspired by His Own Care, Dr. Kutschke Returns to Scottish Rite for Children as a Fellow

Inspired by His Own Care, Dr. Kutschke Returns to Scottish Rite for Children as a Fellow

Young physicians from across the country pursue Scottish Rite for Children as a premier destination for advanced orthopedic fellowship training. For Michael Kutschke, M.D., a fellow in the recently accredited Orthopedic Sports Medicine Fellowship, the experience is especially meaningful. His connection to Scottish Rite began years earlier as a patient, a time that left a lasting impression and shaped his path back to the institution.

Kutschke was referred to Scottish Rite for corrective elbow surgery and later returned as a high school athlete, this time requiring the orthopedic sports medicine expertise of pediatric orthopedic surgeon Philip L. Wilson, M.D. The care he received at Scottish Rite was formative in his decision to pursue a career in orthopedic surgery. As a UT Southwestern medical student, Kutschke gained valuable research experiences under the mentorship of Scottish Rite Director of the Center for Excellence in Hip Harry Kim, M.D., M.S. During one late night in the lab, Kutschke was introduced to Brittani Boukather, an evening volunteer. The brief encounter ultimately led to their marriage and the start of their young family.

After completing orthopedic residency at Brown University, Kutschke reconnected with Scottish Rite to further his training in the Orthopedic Sports Medicine Fellowship, led by Program Director Henry B. Ellis, M.D. This distinctive program is among only a few accredited subspecialty fellowships dedicated primarily to the orthopedic care of young athletes.

“This is a full circle moment,” Wilson says, describing his reaction to Kutschke returning as a fellow. “If you are fortunate to spark interest in others and then have the opportunity to help educate them to become better than you are, that is the ultimate achievement.”

“One forefront reason I was drawn to the fellowship is the leadership of Drs. Ellis and Wilson,” Kutschke says. “They are excellent surgeons, clinicians, researchers and mentors. Beyond that, they are invested in my life outside of work and even know my kids’ names — something that cannot be found in other programs.”

Much of Kutschke’s research efforts align with his athletic background, which has influenced his collaboration with researchers in the Movement Science Lab in Frisco. His work developing a predictive model for adolescent anterior cruciate ligament injuries will be presented at the Pediatric Orthopaedic Society of North America Annual Meeting this summer.

“We are not just treating pediatric sports injuries, we are studying how they happen and how to prevent them,” Wilson says. “That is where the field is going, and Michael is right at the center of that effort in North Texas.”

From the time he first encountered the scent of freshly popped popcorn as a patient, to the research projects that inadvertently led to the start of his family, and now returning to advance his career in orthopedic sports medicine, Scottish Rite has been a place of enduring connection for Kutschke. “This place has been a part of my life for a really long time,” Kutschke says. “To come back in this role as a fellow is more than special. At Scottish Rite, I am constantly inspired by the greatness around me.”

Scottish Rite for Children Researchers Explore Improved Return-to-Play Assessments for Youth Concussions

Scottish Rite for Children Researchers Explore Improved Return-to-Play Assessments for Youth Concussions

Researchers at Scottish Rite for Children Orthopedic and Sports Medicine Center’s Movement Science Lab and UT Southwestern Medical Center found that post-exercise gait and cognitive testing may provide a more accurate measure of concussion recovery in young athletes. Published in the Clinical Journal of Sport Medicine, the study found that physical exertion revealed subtle changes in walking patterns and cognitive function that may not be detected during standard concussion evaluations. 

Between 1 million and 2 million children younger than 18 experience sports-related concussions each year in the United States. Those who return to physical activity too soon are at risk for prolonged recovery and increased musculoskeletal injuries due to lingering neurological deficits.

Led by Section Director of Medical Sports Medicine and sports medicine physician Shane Miller, M.D., FAAP, and lead author Ashley Erdman, the pilot study examined whether gait analysis, combined with cognitive testing after exercise, could identify lingering neurological deficits in adolescents who had already been cleared to return to sports. Researchers found participants walked more slowly and took shorter steps following exertion, suggesting physical activity may reveal signs of incomplete recovery that symptom-based assessments alone can miss.

“Our key finding is that even in adolescents who have been cleared after a concussion, physical exertion still reveals meaningful changes in cognition and function,” says Miller. “We may need to evaluate the brain in different ways when determining whether somebody has recovered and is ready to return to sports.”

Additional Scottish Rite contributors included Senior Biomechanist and Movement Science Lab Manager Ashley Erdman, B.S., M.B.A.; Division Director of Movement Science Laboratory Sophia Ulman, Ph.D.; Bioengineer Alex Loewen, M.S.; sports medicine physicians Jacob Jones, M.D., and Jane S. Chung, M.D.; and Director of Clinical Research and Assistant Chief of Staff Henry Ellis, M.D.

Young Athletes and Heel Pain

Young Athletes and Heel Pain

Skeletally immature athletes, those that are still growing, have unique conditions that occur in the growth centers of the bones. Heel pain in adults is caused by different issues because their growth centers are closed. Sports medicine physician Jacob C. Jones, M.D., RMSK, says, “This is one of the most common conditions we see in the developing athlete. Though it is a condition that does not have lasting problems or require aggressive treatment, it can really disrupt an athlete’s training and competition. Following guidance for rest, cross-training, improving ankle mobility and delaying specialization can help to keep the heels game-ready.”

What are growth centers? 
The medical term for a growth center is a physis. The physis is an area of the bone that has soft tissue called cartilage that is later replaced by new bone cells. Some are areas where bone growth makes bones longer. Others, called apophyses, give the bones a unique shape. These growth centers are found in the elbow, pelvis, heel and other areas. The apophyses are attachment sites for tendons.

What growth center is in the heel?
The calcaneal apophysis is in the calcaneus (heel bone). The apophysis is the attachment site for the very strong tendon from the calf muscle, called the Achilles tendon.

What causes heel pain in the calcaneal apophysis?
Children become more committed to sports around 8-12 years old. With running, or repetitive jumping, the Achilles tendon pulls on the cartilage in the heel. This, accompanied by the impact on the ground with running and jumping, can lead to irritation in this area. Because this has a gradual onset, this is referred to as an overuse injury and is often referred to as Sever’s disease.

What is Sever’s Disease?
Sever’s disease, or calcaneal apophysitis, is a type of overuse injury and the most common cause of heel pain in active children ages 8-12. It is caused by repetitive movements, like running and jumping and may occur in only one or both sides. The pain is usually not related to a specific injury and comes on gradually.

What is the treatment for Sever’s disease?
Changing shoes or adding heel cups may be recommended to help with comfort during recovery. Simple ankle stretching exercises may also be helpful. Other treatments are available and should be considered on an individual basis, but rest is the most common prescription for this condition. Returning to a sport and other physical activity may gradually prevent recurrence. Pain may last months to years and may come back or worsen with increased sport or activity.

How long does Sever’s disease last?
Sever’s disease will resolve with completion of growth in this area. Because the growth plate is soft until it is closed, this problem can happen again in this age group. Pain in this area typically resolves by the mid-teenage years.

What factors may increase risk of initial or recurrent Sever’s Disease?

  • Playing sports on a hard surface or barefoot.
  • Footwear with poor cushioning, such as soccer cleats.
  • Year-round sports participation.
  • Sudden increase in training intensity.
  • Increase in duration or frequency of activity, such as tournaments and camps.
  • Tight Achilles tendon or calf muscle.

Learn more about Sever’s disease in this popular short lecture featuring sports medicine physician Jane S. Chung, M.D.

Serving Up a Comeback: How Adriana and Dr. Chung Tackled Lumbar Spondylolysis

Serving Up a Comeback: How Adriana and Dr. Chung Tackled Lumbar Spondylolysis

For 15-year-old Adriana of Prosper, Texas, volleyball is more than a sport. It is a bond she shares with her twin sister, Sofia. After years of playing together at home and school, the sisters joined a beach volleyball club dedicated to helping junior athletes develop their skills. But by midseason, Adriana’s dreams were sidelined by an unrelenting pain in her lower back.

“It started during practice when I was serving,” Adriana says. “At first, it just felt sore, but then it felt like something was stabbing me in the back.” Before long, the pain made even simple activities, like climbing stairs, difficult. A visit to Scottish Rite for Children Orthopedic and Sports Medicine Center in Frisco led to an evaluation with pediatric sports medicine physician Jane S. Chung, M.D. During the initial exam, Dr. Chung was concerned about a possible stress fracture in Adriana’s lower back. An MRI confirmed lumbar spondylolysis — a stress fracture in the lower spine caused by overuse.

“This type of injury is especially common in young adolescent athletes who participate in sports involving repetitive hyperextension, arching and twisting movements of the lower spine,” Dr. Chung says. “Overhead movements such as serving, blocking and hitting cause repetitive arching of the lower back in volleyball athletes.” Overuse-related stress fractures may also affect athletes in cheer, dance, gymnastics, soccer and football. These injuries need about three months of rest and rehabilitation before a safe and gradual return to play.

“I just thought I strained something or maybe tore a muscle,” Adriana says. “When I learned I’d need to take months off, I was really upset. My season wasn’t over yet, and I still had important games ahead.”

Her treatment included rest, a supportive back brace and a neutral core-specific physical therapy program. Adriana was matched with physical therapist Samantha Plaster, P.T., at Scottish Rite’s Therapy Services location at The Star in Frisco. Plaster had also played beach volleyball.

“I thought it was so great they got us in with a P.T. who played her sport,” says Courtney, Adriana’s mother. “They really took the time to create a connection, and it made a huge difference in her motivation and progress.”

Dr. Chung emphasizes the importance of rest, nutrition, sleep and cross-training for young athletes. “Their growing bodies need time to recover in between the repetitive movements from training and practices,” she says. She also highlights Scottish Rite’s team approach: “Our team works closely together to support each athlete’s unique recovery.”

Although Adriana was disappointed to miss out on playing, she is grateful she took the time to recover. “I’m really glad I listened to my doctors and focused on getting better,” she says. “Now, I feel stronger and more confident about returning to volleyball.”

AP News: Teenage Girls Are Most Likely to Tear Their ACLs

AP News: Teenage Girls Are Most Likely to Tear Their ACLs

Last year, biomechanical researchers at Scottish Rite for Children began providing high school teams with resources typically only available or affordable at the professional and collegiate levels.

They created pre-season injury-prevention trainings, tailored for female athletes, to improve strength and movement quality. At the start of the eight-week program, each athlete gets a free motion-capture 3D-level assessment to identify weaknesses in strength, movement or balance. Another assessment at the end determines if the program reduced risk.

“My team and I got tired of studying ‘why, why, why’ when there’s so many different possibilities to answer that question. And we wanted to move into the ‘what is the solution,’” said Sophia Ulman, Ph.D., division director of the Movement Science Laboratory.

Read the full AP News story here.

Podcast: Balancing Training, Growth and Play

Podcast: Balancing Training, Growth and Play

Sports medicine orthopedic surgeon John E. Arvesen, M.D., was invited to share his expertise on the right way to support a young athlete without pushing too hard on the Heaven or Heisman podcast.

In the episode, Arvesen discusses strength and conditioning for kids, preventing overuse injuries during rapid growth phases and the timing of sport specialization. He shares practical tips for recognizing warning signs like persistent pain, swelling or fatigue, balancing recovery with competition and fostering long-term health through sleep, nutrition and rest.

Arvesen also explores the difference between structured, year-round training and play-based, intrinsic specialization that keeps kids engaged without risk of burnout. Whether your child is just starting out or committed to a primary sport, this conversation gives parents tools to guide their athletes wisely and intentionally.

Listen to the full episode to learn more.