Orthopedics, Pediatric Services, Spine

Back pain in adolescents is rising: Causes, evaluation and when to refer

Back pain among adolescents has become increasingly common in pediatrics, particularly in primary care. Once relatively rare, it now affects an estimated 28% to 48% of school-age children, with higher rates among adolescents and athletes. “Adolescent back pain is now common and often multifactorial, with posture-related pain now representing a significant proportion of cases,” said…

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Cardiovascular, Pediatric Services

A guide to cardiac red flags during sports physicals

Sports preparticipation exams are critical opportunities to identify young athletes at risk for sudden cardiac arrest, which is the leading cause of death in young athletes during sports. While sudden cardiac arrest in children is less common than in adults (3 to 8 per 100,000, compared with 52 per 100,000), the stakes remain high when…

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Case Study, Orthopedics, Pediatric Services

Persistent shin pain in a teen athlete: A case study in pediatric exertional compartment syndrome

The patient A 13-year-old female presented with bilateral shin pain that began after she increased her gymnastics training from nine to 21 hours per week around nine months prior. Her right leg pain was worse than left. She was seen by an outside sports medicine specialist clinic in August of 2024 and treated with rest…

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Cardiovascular, Pediatric Services

Anti-arrhythmia medications in adult congenital heart disease: A clinical guide

Arrhythmias represent  one of the most significant challenges in adults with congenital heart disease (ACHD),  constituting the leading cause of morbidity, mortality and hospitalization in this population. Understanding the appropriate use of anti-arrhythmia medications is critical for clinicians managing these complex patients. Shelby Mangeot, DNP, APRN, presented “Anti-arrhythmia Medications: A Necessary Evil” during a continuing…

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Cardiovascular, Pediatric Services

Sudden cardiac death in adults with congenital heart disease: What primary care physicians need to know

As more children with congenital heart disease survive into adulthood, primary care physicians are managing a growing population of adults with these conditions. Chief among the new challenges presented by these patients is an elevated risk of sudden cardiac death. Sudden cardiac death accounts for about 25% of all mortality in patients with congenital heart…

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Cardiovascular, Case Study, Pediatric Services

Novel side-by-side transcatheter valve solution for ACHD: Case study of patient with pulmonic regurgitation

The patient A 54-year-old man with chronic severe pulmonic regurgitation due to history of valvar pulmonary stenosis, the patient had a Brock procedure at age 8. Right heart failure symptoms included dyspnea, early satiety, ascites and peripheral edema, qualifying as New York Heart Association Class III heart failure. A cardiac MRI showed a severely dilated…

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Neuroscience, News, Pediatric Services

Norton Children’s Neuroscience Institute issues statement on leucovorin in autism

Norton Children’s Neuroscience Institute, affiliated with the UofL School of Medicine, has issued the following statement for community providers regarding the use of leucovorin in autism. There has been increasing public interest in leucovorin (also called folinic acid or known by the brand name Wellcovorin) as a possible treatment for autism. This information was devised…

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Orthopedics, Pediatric Services

Advancing pediatric ACL care: Jennifer M. Brey, M.D., leads growth plate-sparing innovations

Pediatric board-certified orthopedic surgeon Jennifer M. Brey, M.D., brings nationally recognized expertise in youth anterior cruciate ligament (ACL) injury management to Norton Children’s Orthopedics of Louisville, affiliated with the UofL School of Medicine. Specializing in physeal-sparing and physeal-respecting ACL reconstruction, Dr. Brey offers referring providers a trusted partner for managing complex sports injuries in skeletally…

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Cardiovascular, Pediatric Services

When Complex Congenital Heart Disease Demands a New View: 3D Visualization in Surgical Planning

When Norton Children’s Neuroscience Institute , affiliated with the UofL School of Medicine, first introduced Surgical Theater technology, it revolutionized how neurosurgeons approach complex brain procedures. Now, this same leading-edge, 3D visualization technology is making waves in cardiac care, opening new possibilities for treating the most challenging congenital heart conditions. The foundation of innovation: Neuroscience…

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