Straight From The Hip

This podcast is for anyone who wants to learn more about pediatric hip problems, including developmental dysplasia of the hip (DDH), slipped capital femoral epiphysis (SCFE), and other conditions. I’ll be interviewing experts in the field to get their insights on the latest treatments and research.I aim to empower physicians, providers, and parents with the knowledge they need to make the best decisions.

Straight From The Hip is a health podcast hosted by pablocastaneda, with 65 episodes on record and a Required Pod Score of 80.

pablocastaneda hosts Straight From The Hip, a health show with 65 episodes published.

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  Straight From The Hip

  Daphne Sorensen & Scalability, implementation and global reach

  Oct 4, 20261h 2m

  Today I am joined by Daphne Sorensen, Chief Executive Officer of MiracleFeet. https://www.miraclefeet.org Daphne is not an orthopedic surgeon, and that is precisely what makes this conversation so useful. Her background is in international development, child rights, and global health systems, and under her leadership MiracleFeet has expanded a model that now supports clubfoot care across dozens of countries. Clubfoot is one of the clearest examples in pediatric musculoskeletal care of how a condition can be highly treatable and still cause lifelong disability when children are not identified, referred, or kept in care. MiracleFeet has helped turn the Ponseti method from a clinical treatment into a global delivery system, built around local providers, braces, family support, training, data, and follow-up. For those of us working in hip dysplasia, the challenge is different but familiar. The diagnosis is less obvious, the pathway is less uniform, and the treatment depends on age, imaging, stability, and many other factors. But the larger question is the same: how do we build systems that find children early and connect them to effective care? Our conversation ranges widely. We talk about global health, implementation, local clinical leadership, fundraising, data, and what makes a treatment scalable. We also talk about the culture around disability and deformity, including Frida Kahlo, whose own life and art remind us how deeply physical disability can shape identity, perception, and the way society looks at the body. Most of all, this is a conversation about moving beyond knowing what works and asking the harder question: how do we make sure it actually reaches the child who needs it?

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  Straight From The Hip

  Whitney Casares & Body Image, Weight, and the Conversations That Shape Children

  Sep 20, 202655 min

  Today I am joined by Dr. Whitney Casares, a pediatrician, author, and founder of Modern Mommy Doc. Whitney has built much of her work around a problem that every pediatric clinician recognizes: families are trying to make good decisions for their children while being exposed to an enormous amount of information, much of it conflicting, emotionally charged, or simply wrong. Her new book, Raising Body-Confident Kids , (https://a.co/d/08KEtBsa) looks at how parents can help children develop a healthy relationship with food, movement, health, and their own bodies without making weight or appearance the center of the conversation. That may sound slightly outside the usual territory of Straight from the Hip , but it is actually highly relevant to pediatric musculoskeletal care. As orthopedic surgeons, pediatricians, and parents, we frequently have to talk with children about movement, pain, weight, physical activity, body image, and health. Those conversations can help children, but handled poorly, they can also create shame, fear, or avoidance. So this episode is really about how we communicate. We talk about how parents process medical information, how social media changes those conversations before a clinician ever enters the room, how we can address genuine health concerns without stigmatizing children, and what clinicians can do differently when discussing weight, activity, and musculoskeletal health. It is a thoughtful conversation about evidence, language, and how we help families make better decisions without adding unnecessary anxiety.

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  Straight From The Hip

  Min Kocher: Evidence, Judgment, and the Long Game in Orthopedic Surgery

  Aug 30, 202653 min

  Today I am joined by Min Kocher, one of the most accomplished academic pediatric orthopedic surgeons of his generation. Min is Chief of the Division of Sports Medicine at Boston Children’s Hospital, holds the O’Donnell Family Endowed Chair, and is Professor of Orthopedic Surgery at Harvard Medical School. His career has combined clinical practice, research, mentorship, sports medicine, and national leadership in a way that very few people have managed to do. Many listeners will know his name from the Kocher criteria, developed to help distinguish septic arthritis of the hip from transient synovitis in children. But that is only one part of a much broader career. He was also early in the development of pediatric sports medicine as a true specialty and in the use of hip arthroscopy in children and adolescents. What interested me most about this conversation, though, was not one operation or one paper. It was the arc of Min’s career and what it tells us about how pediatric orthopedics has changed. We talked about the move from experience-based medicine toward evidence and outcomes, how to use clinical rules without allowing them to replace judgment, what sports medicine taught pediatric orthopedics, and what pediatric orthopedics can still teach sports medicine. We also talked about academic careers, mentorship, leadership, institutional culture, and how your priorities change when the goal is no longer simply to build your own career, but to help build the careers of the people who come after you. This is a conversation about evidence, judgment, leadership, and the long view of pediatric orthopedics.

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  Straight From The Hip

  Ana Arenas & Alex Dabaghi: Reducing Avascular Necrosis in DDH

  Aug 9, 202639 min

  On today’s episode, I speak with Ana Laura Arenas and Alejandro Dabaghi from Shriners Children’s Mexico. We discuss their recent paper published in Archives of Orthopaedic and Trauma Surgery , titled Protective Effect of Modified Lange “Second Position” for Developing Avascular Necrosis Following Closed Reduction for Developmental Dysplasia of the Hip . This is an important topic because closed reduction remains one of the central treatments for infants with a dislocated hip, but one of its most feared complications is avascular necrosis, or what we increasingly think of as proximal femoral growth disturbance. The balance is delicate: we want the hip reduced and stable, but we also want to avoid positioning that compromises the blood supply to the femoral head. Their study compares two immobilization strategies after closed reduction. One group remained in the traditional human position throughout casting, while the other transitioned to a modified Lange second position for the second cast. They reported a lower rate of avascular necrosis in the modified Lange group, with no significant difference in redislocation or residual dysplasia. In our conversation, we go beyond the headline. We discuss what these positions actually mean, why eponyms can sometimes obscure the mechanics, and whether we should be speaking less about named positions and more about exact degrees of flexion, abduction, and rotation. We also talk about Robert Bruce Salter’s work, the vascular rationale behind the human position, the timing of vascular injury, and whether cast positioning may have a more cumulative effect than we sometimes assume. This is a technical but very practical discussion about closed reduction, hip stability, femoral head perfusion, and how we interpret clinical studies that may influence practice

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  Straight From The Hip

  Marie Louise: Midwives, Baby Carriers, and Healthy Hips

  Jul 19, 202649 min

  On this episode, my guest is Marie-Louise Goode, a midwife from the United Kingdom and author of The Modern Midwife’s Guide to Pregnancy, Birth and Beyond and The Modern Midwife’s Guide to the First Year . Both books share a clear and important message: early life works best when we understand physiology rather than fight against it. Pregnancy, birth, feeding, sleep, movement, and development all become less frightening when parents receive clear, practical, evidence-based guidance. That idea connects directly to hip health. Hip dysplasia is a developmental condition, and the newborn hip is shaped not only by genetics and anatomy, but also by early positioning, swaddling, carrying, and how parents are taught to care for their babies. In this conversation, Marie-Louise helps us understand what midwives do and the central role they play in pregnancy, birth, and the early postnatal period. We talk about why midwives are often overlooked in conversations about early detection and prevention, even though they are frequently among the first professionals to guide new parents. We discuss pregnancy, birth, newborn development, baby carriers, swaddling, infant positioning, and how simple, calm education can help families support healthy hip development without creating unnecessary fear. This was a thoughtful and very practical conversation about prevention, trust, and the enormous value of educating parents early, before problems are missed and before anxiety takes over.

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