Lawrence Stankovits, MD, FAAOS

Pediatric Orthopedics. Jersey Shore and Middlesex County.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@Davembmd As a decendant of the “son of Stank”, I wholeheartedly support this descriptor.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@CPOrthopedics @OfficialJAAOS Are you adding any prophylactic measures in addition to pneumatic compression in these patients?

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@solimanibra92 @southNJscoli @Davembmd @pedihandsurgeon @bonesmith_ @Gnomelover1970 @MrDanPerry @CPOrthopedics This looks like a much younger child than 13.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@suhail_nasim Snowblower

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@luinalaska W post

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@DrNikhilMD Thanks for this refresher!!

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@drsthanus Bruh

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@txsportsdoc Thank you for sharing this.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@IhabFathiSulima I saw this a while ago and do for every case. I don’t know why, but there’s a bonus of way less fogging.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@oatsdoc Comments like that are usually made by people who know just enough to be dangerous. My best preceptors in medical school (urban/suburban Cincinnati) were family practice docs who knew how to get sh** done.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@solimanibra92 @Davembmd @Gnomelover1970 @BucksHandExpert @CE_HandSurg @southNJscoli @FractureDoc @itius @rkh_md @pratikorho The procedure to take this down and refix is nearly as involved as osteotmy and invites more complications. I’ve pinned about 750 schfxs. A few have had lateral displacement and I’ve not had to osteotomize. However, the child’s age makes it a more difficult decision.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@solimanibra92 @Davembmd @Gnomelover1970 @BucksHandExpert @CE_HandSurg @southNJscoli @FractureDoc @itius @rkh_md @pratikorho Lateral displacement is remodeling, The lat Xray looks mildly extended/rotated. Not ideal, but not terrible. Slight valgus tolerated because not as cosmetically noticeable as varus. Take off cast, look at both arms with parents. I’d lean to leave it, but with an agreed upon plan.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@deln_ioann @Davembmd No operative get moving now. Might consider for highly competitive gymnast.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@deln_ioann I would not operate.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@deln_ioann It’s normal. I use 2.0 mm wires in kids this age, and unlike younger children, I keep the pins in a little longer like 4 to 5 weeks and start PT soon thereafter.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@Davembmd Simple hack- homemade slings on schfxs, esp. non-pinned, to prevent ext. force as the cast gets loosens. 3 ft of 2 in Stocknette with layered cast padding shoved inside where it sits on neck. Wrap each end around 4arm and knot to itself. Raise arm and flip over head while asleep

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@Davembmd Spot on. There’s few things worse than someone else finding a late complication after you discharge a patient.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@deln_ioann @Davembmd I have succeeded a few times applying an esmarch and it lines up enough it pass. Feels good when it works.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@azhar_darokhan @InvictaOrtho @Ortho_Reviews @IndianOrthAssoc @bonesmith_ @pratikorho At this age I’d keep the pins in a little longer than usual, like 4-5 weeks. Most kids don’t need PT for this injury, but I start the older ones (10+) right away.

[Lawrence Stankovits, MD, FAAOS @DoctorLarryNJ]

@Davembmd Gut says 2 years