JOHNS HOPKINSPEDIATRICORTHOPAEDICSURGERYFELLOWSHIP

Downtown Baltimore in the distance as seen from the Johns Hopkins medical campus in foreground

Johns Hopkins Pediatric ORs at workJohns Hopkins International Center for Orthopaedic Advancement Orthopaedic Skills Lab

“The Bloomberg Children's Centerrepresents the state-of-the-art inpediatric medicine."

B A L T I M O R E , M A R Y L A N D

OUR STORIED HISTORYA Century of Excellence

Johns Hopkins Department ofOrthopaedic Surgery has a long t rad i t ion of s t rong academic medicine and innovation. William Halsted trained and then appointed William Baer as one of the fi rst orthopaedic surgery department heads in the country, and Dr. Baer in turn, trained a large percentage of the orthopaedic leaders throughout the world.

For 82 years Children's Hospital of Baltimore was the premier surgical training facility for orthopaedics in the country.The function of this hospital has been replaced with the expanded pediatric activities of Johns Hopkins Hospital and the establishment of the Johns Hopkins Hospital Children’s Center.

The new Bloomberg Children's Center is a full-service pediatric center. It contains 205 beds plus a 41 bed Pediatric ICU and a 45-bed NICU.

A full complement of referral services is available including a dedicated Level One pediatric emergency department.

Our t r ad i t i on o f l e ade r sh ipinvolved pediatrics from the start. Dr. Baer established a pediatric orthopaedic hospital in Baltimore in 1909.

It is the only such facility in Maryland and this wide catchment and referral base provides the opportunity for exposure to all common pediatric orthopaedic injuries, as well as many rare ones including a wide variety of spinal column injuries.Prior notable Hopkins pediatric or thopaedic surgeons inc lude Drs. Vernon T. Tolo (President of AAOS, POSNA and SRS), Paul P. Griffi n (POSNA president), and Nancy H. Miller (leader in the study of Scoliosis Genetics).The Pediatric Orthopaedic service currently carries out 1,200 surgical procedures and 10,000 clinical visits yearly.

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Bloomberg Children's Center

1st Department ChairWilliam Baer, M.D.

PROCEDURES TAUGHTIn this program, you will have the opportunity to learn:

Periacetabular (Ganz/Bernese) OsteotomiesHip ArthroscopySurgical Hip DislocationPhyseal-sparing ACL reconstructionOsteochondritis Dissecans managementSpinal instrumentation – anterior and posteriorSAI fi xation of the pelvisGrowing RodsVEPTRPercutaneous spondylolysis stabilizationSimultaneous Multi-level Surgery for CPCrouch Correction in CPPediatric Trauma management (from A to Z)Bladder Extrophy OsteotomiesPediatric cervical spine surgery (anterior and posterior)Salter, Dega, Triple, Shelf and Chiari Osteotomies

In the OR with Dr. Sponseller

OUR PEDIATRICORTHO TEAM

Five AttendingsOne FellowOne Chief ResidentTwo Physician AssistantsFour Nurse PractitionersFour Residents

WEEKLY TEACHING SCHEDULEDaily: Radiology Board Rounds

Monday: Attending Teaching Conference

Tuesday: Physical Exam Session

Wednesday: Resident Teaching Conference

Thursday: Grand Rounds

Friday: Preoperative Conference

FELLOWSHIPCLINICAL OPPORTUNITIESTh ere is ample opportunity to be involved in specifi c cases as well as teaching and mentoring junior and senior residents in addition to medical students. Th e fellow will have his or her own clinic and will be able to operate on cases generated from that clinic after formulating a plan with the faculty. Th e fellow will also be able to experience Pediatric Call once oriented to the Children’s Center.

MONTHLYFELLOW CONFERENCE

In the OR with Dr. Ain

One-on-one hour with attending discussing keyarticles and cases in one subspecialty.

Paul D. Sponseller, M.D.

OUR FACULTY

Claire E. Shannon, M.D.

John E. Tis, M.D.

Our division is led by professor Paul Sponseller, who has been with Johns Hopkins for 27 years. His areas of special interest include scoliosis, spinal deformities, trauma, Marfan Syndrome, Loeys-Dietz Syndrome, and the treatment of bladder exstrophy. He is on the Board of Directors of the Scoliosis Research Society and the Growing Spine Foundation, and has held leadership positions in the Pediatric Orthopaedic Society of North America and the Maryland Orthopaedic Society.

Claire Shannon is the newest member of the department, having joined in the fall of 2017. Her areas of interest within pediatric orthopedics include congenital and childhood deformities such as leg-length discrepancy. Her medical degree is from the University of Rochester in upstate New York. She completed her orthopaedic residency at Case Western Reserve, followed by a fellowship in pediatric orthopaedics at the Hospital for Sick Children in Toronto, Canada.

John Tis is an expert in the treatment of pediatric sports injuries including ACL reconstruction, patellar dislocation, and arthroscopic hip labrum repair.In addition to taking care of children with sports injuries, Dr. Tis also specializes in young adult hip preservation including Legg-Calve-Perthes, SCFE, and developmental dysplasia of the hip.

Ranjit Varghese is a specialist in pediatric neuromuscular disorders, with a specifi c emphasis in cerebral palsy. Dr. Varghese’s areas of clinical interest also include children’s hip and foot disorders, including clubfoot, toe walking, Perthes Disease, and developmental dysplasia of the hip.His research interests include cerebral palsy, hip disorders, and outcomes evaluation.

Ranjit A. Varghese, M.B.B.S., M.Sc.

R. Jay Lee is a specialist in pediatric sports medicine for children, and adolescents with a widerange of orthopaedic and sports medicine issues. His areas of clinical interest include thearthroscopic and open treatment of sports-related injuries, including knee, shoulder, elbow, ankle,and hip issues.Dr. Lee's expertise and research interests include growth plate sparing ACL reconstruction, complex ligament reconstruction in growing patients, and optimizing fracture care.

Rushyuan Jay Lee, M.D.

FELLOWSHIPRESEARCH OPPORTUNITIESEach fellow is expected to carry out at least one clinical research project during the year. Th is should be determined and planned with an attending mentor in advance of arrival so that no delays occur.

Buckley SL, Smith GS, Sponseller PD, Th ompson JD, Griffi n PP: Open Tibia Fractures in Children. J. Bone Joint Surgery, 72-A:1462-1469, 1990.Buckley SL, Sponseller PD, Magid D: Th e Acetabulum in Congenital and Neuromuscular Hip Instability. J. Pediatric Orthop., 11:498-501, 1991. Buehler KC, Th ompson JD, Sponseller PD, Black BE, Buckley S, Griffi n PP: A Prospective Study of Early Spica Cast Outcomes in the Treatment of Femoral Shaft Fractures in Children. J. Pediatr. Orthop. 15(1):30-35, 1995.Black BE, Hildebrand R, Sponseller PD, Griffi n RP: Hip Dysplasia in Spastic Cerebral Palsy. Contemp. Ortho. 29(2): p.101-108, 199.Black BE, O'Brien E, Sponseller, PD: Th oracic and Lumbar Spine Injuries in Children: Diff erent Th an In Adults. Contemp. Ortho. 29(4): 253-260, 1994.Hughes BF, Sponseller PD, Th ompson JD: Pediatric Femur Fractures. Eff ects of Spica Cast Treatment on Family and Community. J. Pediatric Orthop. 15(4):457-460, 1995.Buckley SL, Sponseller PD, Th ompson JD: Grade III Open Tibia Fractures in Children. J. Pediatric Orthopaedics. 26(5): 627-634, 1996.Th ompson JD, Buehler KC, Sponseller PD, Gray DW, Black BE, Buckley SL, Griffi n PP: Shortening in femoral shaft fractures in children treated with spica cast. Clinical Orthopaedics and Related Research. 338: 74-8, 1997.Hinton R., Crockett MM, Smith G, Sponseller PD. Sociodemographic variation in the incidence of femoral shaft fractures in children and adolescents: Small-area analysis in Maryland and Baltimore City. J. Bone Joint Surg. 81-A: 500-509, 1999.Tortolani PJ, Ain MC, Miller NH, Brumback RJ, Sponseller PD: Tibial Nails for Femoral Shaft Fractures in adolescents: “off -label” usage. Orthopedics. 2001 Jun; 24(6): 553-7.Launay F, Leet AI, Jouve B, Bollini G, Sponseller PD: Lateral humeral condyle fractures in children: a comparison of two approaches to treatment. J Pediatr Orthop. 2004 Jul-Aug;24(4):385-91.Ngu BB, Khanna AJ, Pak SS, Leet AI, Chhor K, Launay F, Kier-York J, Sponseller PD: Femoral head resection for painful hip subluxation in cerebral palsy. J Pediatr Orthop 25(1): 70-73, 2005.

Launay F, Leet AI, Sponseller PD: Pediatric spinal cord injury without radiographic abnormality: a meta-analysis. Clin Orthop Relat Res. 2005 Apr;(433):166-70.Hoernschemeyer D, Farjoodi P, Cheng J, Sponseller P: A study of the cutaneous nerves encountered during thoracoplasty. Spine 2007 Feb 1;32(3):301-5.Chang JH, Hoernschemeyer DG, Sponseller PD: Delayed postoperative paralysis in adolescent idiopathic scoliosis: management with partial removal of hardware and staged correction. J Spinal Disord Tech. 2006 May; 19(3):222-5. Skelley NW, Papp DF, Leu D, Sargent MC. Th ree cases of slipped capital femoral epiphysis in one family. Orthopedics. 2011 Aug 8;34(8):e408-12.Lazar-Antman MA, Leet AI. Current Concepts Review: Eff ects of Obesity on Pediatric Fracture Care and Management. J Bone Joint Surg Am 2012; May 2;94(9): 855-61.Paloski M, Taylor B, Iobst C, Pugh K. Pediatric and adolescent applications of the Taylor Spatial Frame. Orthopedics. 2012 Jun 1;35(6):518-27.Paloski M, Sponseller PD. “Is Th ere An Optimal Time Interval to Distract Dual Growing Rods?” Accepted, Spine Deformity.Lonner BS, Lazar-Antman MA, Sponseller PD, Shah SA, Newton PO, Betz R, Shuffl ebarger HS. Multivariate Analysis of factors Associated with Kyphosis Maintenance in Adolescent Idiopathic Scoliosis. Spine 2012 Jul 1;37 (15):1297-302.Leu D, Sargent MC, Ain MC, Leet AI, Tis JE, Sponseller PD. Spica casting for pediatric femoral fractures: a prospective, randomized controlled study of single-leg versus double-leg spica casts. J Bone Joint Surg Am. 2012 Jul 18;94(14):1259-64.Bazzi, A., Shannon, B., Sponseller, P. "Distal Radius Fractures." Th e Pediatric Upper Extremity. Abzug, J., Kozin, S.,Zlotolow, D., Eds. Springer, New York.Bazzi, A., Brooks, J., Jain, A., Sponseller, P. "Is Non-operative treatment of Pediatric Grade 1 Open Fractures Safe and Eff ective?" J Child Orthop. 2014 Dec; 8(6): 467–471.

FELLOW RESEARCH PROJECTS

CURRENT APPOINTMENT1988 Steven L. Buckley, M.D. Sports MED Ortho Surgery & Spine Center, Huntsville, AL1989 Brian E. Black, M.D. Sports Medicine & Ortho Center, Milwaukee, WI1995 J. David Th ompson, M.D. Grapevine, TX1995 Donald Diverio, D.O. AO Orthopedic, Morristown, NJ1996 Michael C. Ain, M.D. Johns Hopkins University, Baltimore, MD1997 Richard Y. Hinton, M.D., M.P.H. Union Memorial Hospital, Baltimore, MD1998 Barry Berger, M.D. USAS Orthopaedics, Allentown, PA2004 Daniel G. Hoernschemeyer, M.D. Associate Professor, University of Missouri, Columbia, MO2009 Suzanne Jaff e Walters, M.D. D.C. Children’s Hospital, Washington, DC2010 David J. Leu, M.D. Sinai Hospital, Baltimore, MD

For detailed information please contact:

R. Jay Lee, M.D.Director, Pediatric Orthopaedic FellowshipAssistant Professor, Orthopaedic SurgeryJohns Hopkins Bloomberg Children's Center1800 Orleans Street/Room 7360Baltimore, Maryland 21287-0010

2011 Meredith Lazar-Antman, M.D. Winthrop University, Mineola, NY

2012 Michael Paloski, D.O., M.B.A. Ortho Carolina, Charlotte, NC

2013 Ahmed Bazzi, D.O. Children's Hospital of Michigan, Detroit, MI

2014 Urvij M. Modhia, M.D. Associate Professor, University of New Mexico

2015 Amit Merchant, M.D. Hackensack University Medical Center, Hackensack, N.J.

2016 Cheryl Lawing, M.D. Shriners Hospitals for Children, Tampa, FL.

Offi ce: 410-955-3137Fax: 410-502-3944pspiege2@jhmi.edu

FORMER FELLOWS

BALTIMORE: A historical city fi lled with eclectic neighborhoods, diverse colleges, a booming waterfront, world-class history and incredible scenery.

LIVING IN BALTIMOREBaltimore has many fantastic cultural outlets that are second to none. Among other points of interest, Th e National Aquarium in Baltimore is one of the world’s best. Th e Baltimore Museum of Art houses the most comprehensive collection of work done by Henri Matisse in the world. Th e Baltimore Symphony Orchestra is in the top tier nationally. Th e Walters Art Gallery has another world-class collection.

Baltimore is also home to a fantastic variety of restaurants including numerous crab shacks with what is considered to be the world’s best crab. Baltimore also is home to the Baltimore Orioles Major League baseball team as well as Th e Baltimore Ravens of the National Football League One of the unique features of Baltimore is its central location in the Mid-Atlantic with easy access to New York, Philadelphia and Washington, D.C. as well as the fabled Chesapeake waterways leading to the Eastern Shore.

Philadelphia, Pennsylvania 1.5 hoursWashington, D.C. 1 hourOcean City, M.D. 3 hoursCape May, N.J. 3 hoursDeep Creek Lake, M.D. 3 hoursMiddleburg, V.A. 2 hours