2009-2010 Annual Report - UC Davis Health System

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Pediatrics ServiceMichelle A. James, MDClinical Professor and ChiefPeter B. Salamon, MDClinical ProfessorDebra J. Popejoy, MDAssistant ProfessorJoel A. Lerman, MDAssistant Clinical ProfessorJennette L. Boakes, MDClinical Professor andFellowship DirectorGeorge T. Rab, MDProfessorThe Pediatric Orthopaedics Service wasproud to graduate three fellows in 2010.Dr. Teresa Mosqueda, pediatric orthopaedicfellow, entered private practice in DesMoines, Iowa; Dr. Carolien de Rood,pediatric hand fellow, joined Children’sMercy Hospital in Kansas City as Directorof Hand and Upper Extremity Surgery, andDr. Fatema Iqbal, musculoskeletal pediatricsfellow, joined Shriners Hospital for Children,Northern California, as a pediatricianspecializing in musculoskeletal conditions.Dr. Lisa Maskill will serve as pediatricorthopaedic fellow for 2010-2011; shecompleted her orthopaedics residency inGrand Rapids, and plans to return there topractice after completing her fellowship.Shriners Hospital recently hosted a satelliteprogram of the Perry Initiative, under thedirection of Dr. Michelle James, and withthe help of Dr. Susan Tseng, several UC Davismedical students, and representatives oforthopaedic implant manufacturers. Thisprogram, originated and organized byDrs. Lisa Lattanze and Jenni Buckley ofUC San Francisco, is designed to introducehigh school girls to orthopaedic surgeryand biomedical engineering. Nineteenlocal students had a wonderful timedissecting pigs’ legs, learning how to suture,implanting femoral rods in sawbones,and testing the pullout strength of pediclescrews.Dr. Jenny Boakes was recently awarded aShriners’ Hospital for Children PlanningGrant to design a multi-center study of thelong term outcomes of limb lengthening oramputation on lower extremity impairmentand function. Dr. Joel Lerman is designinga multi-center study of bracing methodsfollowing Ponseti treatment for clubfeet,and Dr. Debra Popejoy is studying theradiographic outcomes of extension spicacasting for pediatric femur fractures. Dr.George Rab has retired from the Ben AliChair position at Shriners Hospital, andcontinues to build on his extensive workon motion analysis of the extremity byincorporating muscle architecture into hismodel. Dr. Michelle James’ multi-centerstudy of outcomes of various treatmentsfor upper extremity cerebral palsy receivedcontinued funding for its 5th year. Dr. Jamesalso mentored first year medical studentPatrick Curran, who was awarded a MedicalStudent Research Grant to study thumbkinematics in the Motion Analysis Lab.Dr. James is the current President of theShrine Surgeons Association. She wasappointed Deputy Editor for Hand/Wrist ofthe Journal of Bone and Joint Surgery in2010, and continues to serve on the Boardof Directors of the American Board ofOrthopaedic Surgery, and the OrthopaedicResidency Review Committee of theACGME.
Spine ServiceThe Spine Service at UC Davis hasgrown tremendously in the last ten years.The service has four staff, Dr. RolandoRoberto, Dr. Eric Klineberg, Dr. MunishGupta, and Dr. Daniel Benson, professoremeritus. Dr. Gupta has served as theChief of the Spine Service and Co-directorof the Spine Program for the last five years.The Spine Program has an office at the “C”Street Cannery Office Park. The Spine Programis an integrated, comphrehensive programthat includes Orthopaedics, Neurosurgeryand PM&R, as well as Pain Medicine.The Spine Program is the only programin this region that includes all specialtiesthat treat spinal conditions. This programhas been extremely successful financiallyas well as clinically. The referrals and output have continued to improve over thelast four years.The Spine Service has a large educationalcomponent with two residents rotatingthrough every three to four months. ThePGY3 and PGY4 residents that rotate arefrequently enchanted by the spine experience.Last year, three out of five graduatingresidents went into spine. The year before,two of the four went on to do fellowships inorthopaedic spine surgery and chose spineas their career in Orthopaedics.Our service has had a fellowship programfor twenty years, and recently has expandedthat program from one fellow to two. Onefellow is stationed at the Shriners Hospitalfor Children and the other is here at UCDavis. The fellows rotate every threemonths. The rotation allows the addedexperience of pediatric spine deformityand provides more time for research.The Spine Program has an annual CMEcourse for primary care physicians, heldevery spring, called “Fingers To Toes”.This has been extremely successful inNorthern California, growing every yearand attracting participants from Bakersfield,CA to Oregon. The program is tailored toprimary care physicians, physical therapistsand physician’s assistants, and it includes allof the subspecialties of Physical Medicine,Pain Medicine, Neurology, and Orthopaedics.The Spine Service has been very productivein molecular biology and biomechanicalresearch. The biomechanical research byDr. Rolando Roberto has included analysisof the biomechanical behavior of cervicalspine after total disc replacement. Dr.Klineberg and Dr. Gupta collaborated on aproject that analyzed disc degeneration inan animal model, using bio-mechanics andmagnetic resonance imaging. Dr. Guptaand Dr. Klineberg have been successfulstudying the role of BMPs and BMPantagonists in posterior spinal fusion inan animal model. They successfullyanalyzed spatial and temporal relationshipsin BMPs and BMP antagonists usingimmuno-histochemistry and RT-PCR.The research program also includes clinicalresearch, where follow-up of patients withadult scoliosis after surgery using BMPand instrumentation has been studied tosee if BMP augments spinal fusion andavoids using patients’ own iliac crest asauto-graft. These examples are just asample of the research being done in theSpine Program.Overall, the Spine Program has grown andcontinues to excel in patient care, researchand education.The Spinal Disorders Serviceencompasses the evaluationand treatment of bothpediatric and adult spinaldisorders.Munish C. Gupta, MDProfessor, Chief and SpineCenter Co-DirectorDaniel R. Benson, MDProfessor EmeritusEric O. Klineberg, MDAssistant Professor andFellowship DirectorRolando F. Roberto, MDAssistant Clinical Professorand Residency Director
Page 1 and 2: ANNUAL REPORT2009-2010Department of
Page 3 and 4: Progress Report from the ChairPaul
Page 5 and 6: 1A highlight of our research progra
Page 7 and 8: Foot and Ankle ServiceThe Orthopaed
Page 9: Oncology ServiceThe UC Davis Orthop
Page 14 and 15: Guest speakers this past year...Sep
Page 16 and 17: Financial SnapshotsFiscal OverviewF
Page 18 and 19: Our TraineesFaculty committed to re
Page 20 and 21: 2010 James MA. Unilateral Upper Ext
Page 22 and 23: 2010 Lo EY, Eastman J, Tseng S, Lee
Page 24: UC Davis Medical Center’s Surgery

2009-2010 Annual Report - UC Davis Health System

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