Sarah Sibbel

Children's Hospital Colorado · Department of Orthopedics

Purpose We examined whether an educational, shared-decision-making tool designed to empower patients, individualize pain management, and maximize use of nonopioid, over-the-counter analgesics reduces opioid use and waste while maintaining adequate pain relief. Methods We developed an educational, shared-decision-making tool regarding postoperative...

Describe the risk factors for brachial plexus birth injury. Review the anatomy of the brachial plexus. Understand the diagnostic tests and physical examination for an infant in whom brachial plexus birth injury is suspected. Understand the indications for primary and secondary surgery in patients with brachial plexus birth injury.

Background: Seymour fractures are important to recognize and treat promptly because injuries may result in growth disturbance, nail deformity, or infection. We hypothesize that the administration of antibiotics within 24 hours of injury will be associated with a decreased rate of infection. Methods: Patients younger than 18 years were included i...

Cases: Two pediatric patients, aged 4 and 6-years-old, presented to a level one children's hospital with displaced lateral condylar mass (LCM) and ipsilateral displaced olecranon fractures after falling directly on to the affected extremity. Both patients underwent surgical fixation of the fractures, one of whom was found to have a laterally dislo...

Background: Brachial plexus birth injury (BPBI) is a condition in which the brachial plexus is thought to be damaged during the birth process. Studies have cited a varying incidence rate ranging from 0.5 to 4.0 per 1000 live births. The purpose of this study is to evaluate birth claims data over a 15-year period to identify risk and protective fac...

Introduction: The purpose of this study was to compare both bone diaphyseal forearm fractures in adolescent patients treated with plate fixation to patients treated with intramedullary fixation to identify differences in complications and outcomes. Materials & methods: A retrospective study was performed on all adolescent patients with age betwe...

Pediatric forearm deformity correction is one of many fundamental skills of practicing pediatric orthopedist. The etiology of forearm deformity can vary from congenital to traumatic. When residual posttraumatic forearm angulation exceeds 20 degrees, and rotational deformity is >30 degrees, an osteotomy may be indicated. Surgeons tasked with preoper...

Background: Posttraumatic and congenital forearm deformities in children can be difficult to appreciate in all planes. In cases of distal radioulnar joint instability and loss of forearm rotation, surgical correction is challenging. Advances in 3-dimensional printing allow creation of custom guides at a reasonable cost, enabling precise correction...

Madelung deformity is a complex entity that is not completely understood. It is a rare condition caused by asymmetric growth at the distal radial physis secondary to partial ulnar-sided arrest. A shortened radius that curves palmarly and ulnarly, a dorsally prominent ulnar head, and a triangular arrangement of the carpal bones characterize the defo...

Brachial plexus birth palsy (BPBP) presents to the physician on a clinical spectrum, and may substantially impair the child. Potential interventions to improve function for the child with BPBP include physical therapy, microsurgical nerve reconstruction and nerve transfers, soft-tissue balancing and reconstruction with musculotendinous transfers, a...

Severe chest wall injuries are potentially life-threatening injuries which require a standardized multidisciplinary management strategy for prevention of posttraumatic complications and adverse outcome. We report the successful management of a 55-year old man who sustained a complete "bony disruption" of the thoracic cage secondary to an "all-terra...

Intraoperative video clip of beating heart exposed by the displaced transverse sternum fracture.

Cumulative (repetitive) lumbar disorder is common in the workforce, and the associated epidemiology points out high risk for lifting heavy loads, performing many repetitions, and performing movements at high velocity. Experimental verification of viscoelastic tissue degradation and a neuromuscular disorder exist for cyclic work under heavy loads. E...

To describe the patient population, etiology, and complications associated with thigh compartment syndrome (TCS). TCS is a rare condition, affecting less than 0.3% of trauma patients, caused by elevated pressure within a constrained fascial space which can result in tissue necrosis, fibrosis, and physical impairment in addition to other complicatio...

Prompt diagnosis and decompression of acute lower extremity compartment syndrome (LECS) in the multisystem injured patient is essential to avoid the devastating complications of progressive tissue necrosis and amputation. Despite collaborative trauma and orthopedic management of these difficult cases, significant delays in diagnosis and treatment o...