Price Transparency
Sports Medicine Team Makes an Impact at Annual Meeting

Sports Medicine Team Makes an Impact at Annual Meeting

by | Jan 30, 2020 | Sports Medicine

Last week, staff from our sports medicine team were in Glendale, AZ for the 7th annual Pediatric Research in Sports Medicine Society (PRiSM) meeting. PRiSM is a unique group of multidisciplinary medical professionals who are devoted to advancing the care for young athletes. The three-day collaborative conference is designed to cultivate relationships among the members and feature advancements in numerous areas of pediatric sports medicine.

With more than ten staff members in attendance, including advanced practice providers, orthopedic surgeons, physicians, physical therapists, biomechanists and research coordinators, Scottish Rite for Children was well-represented throughout the meeting. Selected to present various research projects and serve as moderators, staff had the opportunity to showcase their work and engage in meaningful discussions with other experts in the field. A few of the topics presented included:

Assistant Chief of Staff Philip L. Wilson, M.D., is proud of the team’s involvement. “We have a strong showing at PRiSM each year,” says Wilson. “However, this year, we were represented in almost every session by staff from different departments, which shows our dedication to excellence in every aspect of care for young athletes. PRiSM gives us a great platform to share our knowledge while also giving staff the opportunity to learn from other specialists.”

The team contributed to more than half of the multicenter interest groups who work throughout the year but come together during the annual meeting to brainstorm and discuss the latest findings and progress of projects.

  • Our movement science lab team has made profound progress in establishing protocols to document baseline measurements to aide in projects of interest to the injury prevention group.
  • Sports medicine physician Jane S. Chung, M.D., is a member of the female athlete interest group and the sport specialization group who are both employing surveys to address specific questions.
  • Pediatric orthopedic surgeon Henry B. Ellis, M.D., is the steering committee chair of SCORE – Sports Cohort Outcomes Registry. This effort has already shown very high potential to have major implications in the safety and quality of arthroscopic procedures in youth across the country.
  • Shane M. Miller, M.D., sports medicine physician and concussion expert, is actively involved in a new concussion project that will expand our current understanding and efforts by teaming up with six other pediatric sports medicine programs.

Learn more about the Center for Excellence in Sports Medicine.

Get to Know our Staff: Sophia Ulman, Movement Science Lab

Get to Know our Staff: Sophia Ulman, Movement Science Lab

by | Jan 27, 2020 | Sports Medicine

What is your role at the hospital? What do you do on a daily basis? 
I am the assistant director of the Movement Science Lab (MSL) at the Frisco campus. In our lab, we use motion capture technology to analyze movement patterns of patients and/or athletes. Similar technology is used to create video games and special effects in movies. I love working in the MSL because every day looks different. Some days we get concussion patients who come into the lab the day they are diagnosed to participate in research, or we might see a patellofemoral instability patient who has recently been cleared to return to sport. Other days, I spend my time processing data or writing a research paper. Recently, I have loved mentoring our high school and college interns while they were on winter break. We stay on our toes down in the lab.  
What do you enjoy most about Scottish Rite for Children?
I absolutely love sharing what we do in the lab. We get quite a few tours that come through including students, medical staff and/or community partners. I enjoy describing what motion capture is, how we use it to help our patients and what we are working on in regard to injury prevention for youth athletes.  

What was your first job? What path did you take to get here? How long have you worked here?
My first job was working at a local basketball gym – cleaning the floors, running the concession stand and working the clock/book for games. I worked numerous jobs throughout high school and undergrad, and my favorite job while at Duke University was working for the Sports Information Office, writing stat sheets and transcribing press conference interviews.

My path to Scottish Rite started the summer after my sophomore year when I shadowed one of Dr. Ellis’ surgeries. He was a fantastic resource for me. After sharing my interests in biomedical engineering and biomechanics, he referred me to Dr. Tulchin-Francis. The following summer I had the opportunity to intern in the Movement Science Lab in Dallas, which led to a student position in the K-Lab at Duke Medical Center (Coach K’s Human Performance Lab). In this lab, I helped with biomechanical assessments of professional athletes and sport-specific patient populations. I had the opportunity to work with an extremely experienced and successful medical staff.

These two internships prepared me for my graduate program at Virginia Tech where I completed my Ph.D. in collaboration with the Army Research Lab. My dissertation investigated performance prediction and injury prevention in the military domain using biomechanics. This work was directly related to current sports research and led me back to Scottish Rite for Children. I have been working here since June, and I am super excited for what we have already accomplished and what we have in the works for future research.
 
What’s the coolest or most interesting thing you’re working on right now?
In the Movement Science Lab, we recently started the SAFE Program (Specialized Athletes Functional Evaluation). We are excited to analyze elite athletes’ movements pre-injury to see if there are any movement discrepancies or deficiencies in specialized athletes compared to a multi-sport or non-elite athlete. Additionally, all participants will be participating in injury surveillance for a year after testing, which will be extremely interesting to observe.
 
What are you currently watching on Netflix?
Killer Inside: The Mind of Aaron Hernandez.

Who would you most like to swap places with for a day?
I would love to switch places with one of Coach K’s (Duke University basketball coach, Mike Krzyzewski) assistant coaches for a day. In my opinion, he is one of the best coaches in basketball history (or all sports) and an obvious leader in his field. I would love the opportunity to learn from him and pick his brain for a day.

What is a fun or interesting fact about your hometown?
My hometown is Argyle, TX, like the sweater/sock pattern.

What is your favorite thing to do when you’re not working? 
Spending time with family and friends, attending sporting events in the community and running.

Overuse, Overtraining and Burnout: Here’s a Breakdown

Overuse, Overtraining and Burnout: Here’s a Breakdown

by | Jan 9, 2020 | Sports Medicine

Some may think these words can be used interchangeably, but our expert Shane M. Miller, M.D., who cares for young athletes on the sidelines and in the clinic, says otherwise.

What they do have in common is that they are red flags and each needs to be addressed with equal attention. Unfortunately, though one does not always cause the other, an athlete may experience more than one of these because they are related.

Here is a quick description of each:

  • Overuse (Injuries) occur when a body part gets worn out or injured because a motion is repeated over and over without adequate rest and recovery. This happens in many sports, but common examples include knee pain in sports that involve running and jumping, such as soccer or basketball, and shoulder and elbow injuries in sports that involve throwing or overhead activity such as volleyball or baseball. In young and growing athletes, the growth plates are particularly vulnerable to overuse injuries.
  • Overtraining occurs when a high volume or high intensity of training causes a decline in athletic performance. This may occur during regular training, pre-season intensive training, or during high volume competition such as tournaments or post-season playoffs.
  • Burnout occurs when an athlete experiences internal or external pressures that outweigh their motivation to participate. This causes athletes to no longer enjoy participating in their sport, reduces their commitment to training and, in some cases, causes them to quit a sport completely.

Miller warns coaches and parents to be on the lookout for signs and symptoms of these problems in young athletes. Though the list is long, here are a few things to watch for:

  • A sudden or gradual worsening in performance or disinterest in participating in practice or competition.
  • Complaints of pain during or after activity.
  • An expression of a desire to quit.

“If we can stay ahead of these things, we are much more likely to keep children and adolescents involved in sports longer, allowing them to benefit physically, socially and mentally,” says Miller.

Learn more about pediatric sports medicine.

William Z. Morris, M.D., Joins Texas Scottish Rite Hospital for Children’s Surgical Team

William Z. Morris, M.D., Joins Texas Scottish Rite Hospital for Children’s Surgical Team

by | Dec 2, 2019 | Press Coverage, Sports Medicine

(DALLAS – December 2, 2019) – William Z. Morris, M.D., has joined the pediatric orthopedic surgical staff of Texas Scottish Rite Hospital for Children. Morris completed his fellowship at Scottish Rite Hospital in 2019. He will see general pediatric orthopedic surgery patients with a focus on spine and hip, primarily at the Dallas facility. 

“We were very excited to have Dr. Morris as one of our recently-graduated fellows,” says hospital Chief of Staff Daniel J. Sucato, M.D., M.S. “We are even more excited that we were able to recruit him to stay on as one of the medical staff as he is a very talented physician, surgeon, researcher and a rising superstar in our field. Before completing Scottish Rite Hospital’s Dorothy & Bryant Edwards Fellowship in Orthopedics and Scoliosis in 2019, Morris attended medical school at UT Southwestern Medical Center, where he earned his doctor of medicine. He completed his orthopedic surgical residency at Case Western Reserve University School of Medicine in Cleveland, Ohio and recently completed additional subspecialty training at Boston Children’s Hospital, with a focus on child and young adult hip preservation. “It is truly a privilege to join the staff and become a part of an extraordinary institution,” says Morris. “Scottish Rite Hospital has been a national leader in pediatric orthopedics for decades and I look forward to the opportunity to contribute to the world-class patient care, innovative research and premier fellow/resident education that makes it a one-of-a-kind hospital.” “Dr. Morris’s expertise will ensure our patients continue to receive the highest outstanding care,” says hospital President/CEO Robert L. Walker. “We are extremely pleased to have him join our staff.” Morris is eager to become involved in both the medical and local Dallas community. He is a candidate member of the Pediatric Orthopedic Society of North America (POSNA), American Academy of Pediatrics (AAP) Orthopedic Section and American Academy of Orthopaedic Surgery (AAOS).
A New Approach in ACL Reconstruction Helps to Reduce Re-injury in High Risk Population

A New Approach in ACL Reconstruction Helps to Reduce Re-injury in High Risk Population

by | Nov 27, 2019 | Sports Medicine

Recently, Assistant Chief of Staff Philip L. Wilson, M.D., and pediatric orthopedic surgeon Henry B. Ellis, M.D., published a novel technique for treating an anterior cruciate ligament (ACL) injury. 

Too many young and growing athletes who have an ACL injury and reconstruction reinjure the same leg or have a new injury in the opposite leg within two years of the initial reconstruction. In fact, the rate of re-injury can be as high as one out of every four (25%). “Young children and adolescents are the most challenging to treat after an ACL injury because their growth plates are still open,” says Wilson. “Because of this and their commitment to returning to a high level of activity, they require special techniques to both allow continued growth and give them the best chance of not re-tearing.” 

Since 2012, our team has been studying the results of a unique approach for this surgery. Our experts have combined a surgery intended for younger children (less than 12 years old) with a commonly used procedure for an older child. This approach has resulted in a reduced rate of re-injury to approximately 5% compared to 25%.

While allowing for uninterrupted function of the growth plates, the technique provides additional support when compared to other treatments for this rapidly growing population. The technique adds both additional lateral knee support as well as added ACL graft size, both of which have been demonstrated to reduce the risk of ACL reinjury. The reduced rate of secondary ACL injury in the study are less than half of any other reported results in a similar group. In many cases, ACL injuries take very young athletes out of play for a year. This important step in reducing the risk of secondary injury helps to ensure that athletes can stay active once they are cleared to return. 

“This surgical technique is very promising,” says Ellis. “As an institution committed to innovation, we are proud of the work that has gone into this project. It is rewarding to help athletes get them back to doing what they love and know that they have a much lower risk of re-injury.”

This research study was presented at the 2019 annual meetings of two prestigious organizations: Pediatric Orthopedic Society of North America and the American Orthopedic Society of Sports Medicine. The manuscript has also published in a highly rated, peer-reviewed journal American Journal of Sports Medicine. The data include outcomes from this procedure in almost 60 athletes (age 11-16 years) collected over a five-year period. The combined TPH/ITB technique has a low re-injury rate (5.3%) and high return to sport rate (91%) and a low risk of minor growth-related changes (5.5%).

Learn more about the ongoing research in the Center for Excellence in Sports Medicine.

Is water enough for your young athlete today?

Is water enough for your young athlete today?

by | Oct 30, 2019 | Sports Medicine

Water is the “go-to” drink to keep young and growing athletes hydrated for optimal performance. However, sometimes water just isn’t enough to replace electrolytes lost through sweating.

If your young athlete answers yes to any of these questions, he or she may need more than water:

  • Are you going to be playing in a high-intensity activity, lasting longer than an hour?
  • Do you feel salt on your skin after an activity?
  • Do you see salt on your clothes after an activity?
  • Are you going to be participating in back-to-back events or tournaments?
  • Are you going to be playing in hot or humid conditions, either indoors or outdoors?
  • Do you have a hard time drinking extra fluids on practice and game days?

All of these are reasons to supplement a water hydration plan with sports drinks or salty snacks. Incorporating these throughout the day ensures optimal safety, health, and performance during each practice and game.

The sodium in these items helps to keep water in the body, replaces lost electrolytes, and also stimulates thirst.  Thirst encourages the athlete to drink more fluids than he or she may do naturally.

Here are some suggestions to have on hand:

  • Sports drinks
  • Broth-based soups
  • Vegetable or tomato juice
  • Pretzels or salty crackers
  • Pickles
  • String cheese
  • Yogurt

Talk with your young athlete about when to reach for these salty snacks; enjoying them too often can lead to other problems. Your child’s pediatrician or sports dietitian can help design a nutrition plan that’s right for your young athlete.

For more information, download our Hydration PDF (English / Spanish).

Learn more about pediatric sports medicine.