Deep Dive in DDH is a three part limited series where experts in the field of DDH have been invited to discuss the controversies in the management of hip dysplasia. Episode 1 discusses the management of DDH in infants under 6 months of age from stable sonographic dysplasia through refractory developmental hip dislocation. We are joined by Kishore Mulpuri from BC Children's hospital, Simon Kelley from Texas Children's Hospital, and Wudbhav Sankar from Children's hospital of Philadelphia as we discuss areas of consensus and discord in Pavlik harness treatment, second line therapy, and what to do when problems arise. Hosted by Will Morris (Scottish Rite for Children). Edited by Carter Clement (Manning Family Children's Hospital). Music by A. A. Aalto. Referenced Publications

• Behman AL, Bradley CS, Maddock CL, Sharma S, Kelley SP. Testing of an Ultrasound-Limited Imaging Protocol for Pavlik harness Supervision (TULIPPS) in developmental dysplasia of the hip: a randomized controlled trial. Bone Joint J. 2022 Sep;104-B(9):1081-1088. doi: 10.1302/0301-620X.104B9.BJJ-2022-0350.R2. PMID: 36047018.
• Gans I, Flynn JM, Sankar WN. Abduction bracing for residual acetabular dysplasia in infantile DDH. J Pediatr Orthop. 2013 Oct-Nov;33(7):714-8. doi: 10.1097/BPO.0b013e31829d5704. PMID: 23812157.
• Swarup I, Talwar D, Sankar WN. Part-time Abduction Bracing in Infants With Residual Acetabular Dysplasia: Does Compliance Monitoring Support a Dose-dependent Relationship? J Pediatr Orthop. 2021 Feb 1;41(2):e125-e129. doi: 10.1097/BPO.0000000000001704. PMID: 33165268.
• Striano B, Schaeffer EK, Matheney TH, Upasani VV, Price CT, Mulpuri K, Sankar WN; International Hip Dysplasia Institute. Ultrasound Characteristics of Clinically Dislocated But Reducible Hips With DDH. J Pediatr Orthop. 2019 Oct;39(9):453-457. doi: 10.1097/BPO.0000000000001048. PMID: 31503230.
• Harper P, Joseph BM, Clarke NMP, Herrera-Soto J, Sankar WN, Schaeffer EK, Mulpuri K, Aarvold A; International Hip Dysplasia Institute (IHDI). Even Experts Can Be Fooled: Reliability of Clinical Examination for Diagnosing Hip Dislocations in Newborns. J Pediatr Orthop. 2020 Sep;40(8):408-412. doi: 10.1097/BPO.0000000000001602. PMID: 32555048; PMCID: PMC7458090.
• Murnaghan ML, Browne RH, Sucato DJ, Birch J. Femoral nerve palsy in Pavlik harness treatment for developmental dysplasia of the hip. J Bone Joint Surg Am. 2011 Mar 2;93(5):493-9. doi: 10.2106/JBJS.J.01210. PMID: 21368082.

Dr. Reid Nichols from Nemours joins the show to discuss her recent article on Ponseti treatment of arthrogrypotic clubfeet. The discussion spans numerous foot pathologies including bunions, coalitions, flatfeet, and some stuff you've probably never heard of! The gang is also excited to welcome a new host, Steph Logterman, to the podcast!

Your hosts are Carter Clement (Manning Family Children’s in New Orleans), Tyler McDonald (University of South Alabama), Craig Louer (Vanderbilt), and Steph Logterman (Arnold Palmer Hospital for Children). Music by A. A. Aalto.

References:

The 10-Year Functional Outcome of Ponseti Treatment of Idiopathic and Arthrogrypotic Clubfeet With an Age-Matched Control. Church et al. JPO 2025.

Surgical Treatment for Painful Pediatric Pes Planovalgus: How Does Subtalar Extra-articular Screw Arthroereisis Compare to the Standard Technique of Modified Evans Reconstruction? Nasreddine et al. JPO 2025.

Bedside Aspiration for Workup of the Pediatric Septic Hip: Avoid Trips to the OR and Expedited Time to Diagnosis. K Skaggs et al. JPO 2025.

Timing Matters: Challenges in Delayed Surgical Management of Pediatric Humeral Medial Epicondyle Fractures. Lee et al. JPO 2025.

Part 2 of a 2-part series recapping the 2025 POSNA Annual Meeting in Las Vegas. In this episode, we sit down with the 2025 Program Committee — Drs. Julie Samora, Tony Riccio, John Vorhies, and Christine Ho — to hear what’s new and what makes this year’s meeting stand out. Drs. Lindsay Andras, Apurva Shah, Firoz Miyanji, and Christine Ho highlight some standout presentations from the Awards Papers session. Drs. Stu Weinstein and John Birch share their thoughts on memorable Case Reports and how this new format adds a unique dimension to the meeting. We also chat with Dr. Jon Schoenecker, winner of the Best Basic Science Paper, and Dr. Dan Sucato, winner of the Best Clinical Paper, to learn more about their award-winning research. Hosted by Tyler McDonald (University of South Alabama) and Will Morris (Scottish Rite for Children). Music by A. A. Aalto.