Pediatric Orthopaedic Service
Our Best of Boston Pediatric Orthopaedic doctors, in close collaboration with Mass General Hospital for Children, provide specialized care for treating conditions like hip dysplasia, scoliosis, pediatric fractures and clubfoot, ensuring MGH’s youngest patients receive the best care.
- Brian Grottkau, MD
Chief, Pediatric Orthopaedics
- Maurice Albright, MD
- Saechin Kim, MD, PhD
- Jeffrey Kreher, MD
- Gleeson Rebello, MD
What to Expect
The Pediatric Orthopaedic Service works in close collaboration with the MassGeneral Hospital for Children to develop and expand the specialized orthopaedic care and treatment for MGH's youngest patients. Our team diagnoses and treats all pediatric orthopaedic conditions, including fractures, scoliosis, growth and development disorders, cerebral palsy and hip and foot problems.
We collaborate closely with the Pediatric Surgery Service, Pediatric Medicine Service and the MGH Health Centers to provided coordinated, high-quality care for our patients.
Dr. Gleeson Rebello with a patient
We treat all facets of a child’s skeletal health, including:
- Trauma and fractures
- Sports and performance injuries
- Other acquired injuries
We have expertise in the management of inborn problems, such as:
- Spinal deformities
- Hip and foot anomalies
- Growth disorders and developmental delay
- Metabolic disorders, including rickets and Blount’s disease
- Neuromuscular disorders, ranging from cerebral palsy to muscular dystrophy
Our surgical expertise includes state-of-the-art techniques in:
- Foot and hip reconstruction
- Limb lengthening
- Spinal reconstruction
- Tendon transfers and muscular reconstruction
- Sports medicine procedures
- Skeletal trauma care
Dr. Brian Grottkau, Chief of the Pediatric Orthopaedics Service, in surgery with Erin Hart, NP
Dr. Maurice Albright with patients
By working in multidisciplinary teams, we achieve outstanding results in the diagnosis and treatment of a wide variety of orthopaedic conditions. Physicians, certified nurse practitioners, nurses, occupational and physical therapists, research scientists and technicians work together to formulate the best treatment program for each child. Our team approach is thus comprehensive, compassionate and personalized. An attending orthopaedic surgeon heads each child’s team, and with input from the family and referring healthcare provider, develops and manages an individualized plan of care. The team can immediately call upon any needed pediatric subspecialists, and resources include a brace and orthotic service.
In conjunction with the Orthopaedic Oncology Service, we offer treatment for benign or malignant tumors and neoplasms of bone and connective tissue.
Working with our colleagues in the Orthopaedic Hand Service, we care for a wide range of hand and upper extremity deformities.
Working with the nearby Shriners Hospital for Children, we treat all orthopaedic manifestations of acute and chronic burns.
In caring for our patients, we have access to the most advanced imaging capabilities. Our light-speed CT scan eliminates the need for sedation ninety-five percent of the time, minimizing the time needed to assess a child’s condition and start appropriate care.
In addition to standard CT and MRI, we offer PET (positron emission tomography) scanning for looking at the body’s biochemical functions, functional MRI for providing 3D structural and functional imaging, and special, high-resolution MRI scanning for furnishing exquisite anatomical views.
MassGeneral Hospital for Children has the first FDA approved intraoperative MRI, which has axial imaging that allows our surgeons to operate through the smallest hole possible and provides views from many angles during an operation in order to attain maximum tumor resection.
The most commonly sprained or strained joint is the ankle. Approximately 1 million ankle injuries occur each year, and 85 percent of them are sprains. Ankle sprains can occur during competitive sports or during routine daily activities (walking).
Clubfoot, also known as talipes equinovarus, is a congenital deformity of the foot that occurs in about 1 in 1,000 births in the United States. The affected foot tends to be smaller than normal, with the heel pointing downward and the forefoot turning inward.
The majority of sports injuries are a result of minor trauma to muscles, ligaments, and/or tendons. These injuries are often recognized by the onset of immediate localized swelling, pain, and/or discoloration. The three most common injuries are contusions (bruises), sprains, and strains.
Developmental dysplasia of the hip is an abnormal formation of the hip joint in which the ball at the top of the thighbone (femoral head) is not stable in the socket (acetabulum). The hip is a ball and socket joint, and dysplasia can refer to a hip that is subluxatable (unstable if stressed), dislocatable (can come out of socket under stress), and currently dislocated.
Your baby will make enormous gains in development during the very important first year. In fact, if your baby is like the average baby, he or she will nearly triple in birth weight and grow 10 inches in the first year.
The simple definition of a fracture is a partial or complete break in the bone. Fractures and breaks are the same thing. Fractures can be classified in many different ways depending on the type and position of the break in the bone. Most fractures in children can be treated with closed reduction and casting.
An in-toeing gait is very common in children, and is a frequent complaint of many parents. In fact, an in-toeing gait (pigeon-toed) is the most common rotational deformity seen in pediatric orthopaedics. In the overwhelming majority of patients, the in-toeing will correct with growth over time.
Arthroscopy is a surgical procedure that orthopaedic surgeons use to visualize, diagnose, and treat problems inside of a joint. During the knee arthroscopy, the surgeon will make 2-3 tiny incisions to insert the pencil-sized instruments.
A knee sprain is a stretch, tear or complete rupture of one or more of the knee ligaments. Knee ligament injuries are particularly common in sports that involve tackling (football) and/or twisting (basketball). Knee sprains are not as common in children because the ligaments are stronger than the epiphyseal plates (growth plates).
Legg Calve Perthes disease (LCPD)—also known as ischemic (avascular) necrosis of the hip—is a condition characterized by a temporary loss of blood supply to the femoral head (top of the femur).
Download a book for children who will have a MRI performed. The book is written and illustrated by children.
A lot of kids feel scared or nervous about going to the hospital. The hospital can seem like a big place where they see lots of new faces, people wearing special clothes, equipment and machines. Some children feel better when they know what is going to happen, what will hurt, and most of all, want to know when they can go home! This book tells \ you about those things.
The vast majority of patients that are identified as having scoliotic curves require no treatment other than regular check-ups so that their curves can be measured and monitored. Generally, patients are followed every six months until growth is complete. The overall goal of treatment is to prevent the curve from worsening over time.
Scoliosis is defined as a lateral curvature of the spine with rotation of the vertebrae about the vertical axis. Scoliosis can occur in either the upper back (thoracic), lower back (lumbar), or rarely, in the neck (cervical). Scoliosis is the most common spinal deformity affecting adolescents 10-16 years of age.
Slipped capital femoral epiphysis [SCFE] is a condition of the hip that usually affects adolescents, in which the epiphysis [growth plate] of the femur (thighbone) becomes separated from the rest of the bone. The epiphysis or growth plate is located at the top of the femur, and the femoral head will usually slip backward and inward in SCFE.
A spica cast is most often needed in infants with developmental hip dysplasia (DDH) and in infants/young children (<5-6 years) with femur fractures or after hip/pelvis surgery. The length of time that your infant/child needs to be in the cast varies from about six weeks to three months depending on the condition being treated.
If you or your child requires surgical correction of scoliosis or kyphosis, there are probably many questions and concerns. This guide is designed to help answer many of these common questions and concerns.
Spondylolysis and spondylolisthesis are the most common causes of structural back pain in children and adolescents. Spondylolysis is classified as dysplasic (congenital), isthmic (stress fracture), degenerative, or traumatic. A spondylolysis in a child or adolescent most commonly results from a defect or stress fracture in the pars interarticularis of the vertebra.
A supracondylar humerus (SCH) fracture is the most common type of elbow fracture in children. This fracture commonly occurs after a fall on an outstretched arm. It occurs at the bottom part of the humerus bone (Fig 1A &B). This type of elbow fracture is most common in children between the ages of 2-8 years.
Boston Magazine recognizes 134 MGH physicians on its annual list of top doctors in the Boston area.
As a child suffering from Ewing’s sarcoma, a type of bone cancer, Marcela Gaviria complained to her surgeon, Dempsey Springfield, MD, that she would never get married.
On an average day in the city of Watertown, Mass., the police department fields 28 emergency 911 calls; however, on April 19, 2013, 566 calls to 911 were made within a few short hours during the shootout with the two suspects in the Boston Marathon bombings and the ensuing manhunt.
Pediatric Orthopaedic Surgeons
Brian Grottkau, MD
Maurice Albright, MD
Saechin Kim, MD
Jeffrey Kreher, MD
Gleeson Rebello, MD
Lisa Capuzziello, NP
Erin Hart, NP
Alison Turner, NP