Trauma symposium 2021 Episode 1: Update on Paediatric Orthopaedic Trauma

Mr Fergal Monsell is a Consultant at the Royal Hospital for Children, Bristol. His practice is broad based with a special interest in the management of paediatric trauma and limb deformity. He is a trustee of British Orthopaedic Association and education lead for BSCOS. He is specialty editor (paediatrics) for the Bone and Joint Journal and general editor (paediatrics) for AO Surgery Reference. He is involved education at all levels as a Visiting Professor at Cardiff University, Director of the Avon Centre for Musculoskeletal Education and Projector at the Grand Academy.

Martin Gargan was educated at St Peter’s School, York as a York City Scholar.  He went up to Oxford to study medicine in 1978 after a spell at the Webb School of California as an English Speaking Union Scholar. He graduated in 1984 and gained his FRCS in 1988. His Orthopaedic training was on the Oxford rotation but included Fellowships as the General Motors/Royal College of Surgeons Trauma Fellow in Detroit and at the Hospital for Sick Children at Great Ormond Street before being appointed as a Consultant in Bristol in 1994.

In nearly 20 years of Consultant practice he served as Clinical Director, Training Programme Director of the Severn Deanery and Intercollegiate Specialty Examiner He has served on the Committee of BSCOS (British Society for Children’s Orthopaedic Surgery) and the BOA Council. In 2014 he moved to Toronto as the Chief of the Division of Orthopaedic Surgery and the Harold and Bernice Groves Chair in Orthopaedics at the Hospital for Sick Children. In 2018 he returned to his present post as the Clinical Chair and Head of the Division of Surgery at Bristol Royal Hospital for Children.

Ms Clarke has been a paediatric orthopaedic consultant at one of the leading teaching hospitals in the country since 2014. As part of her training she undertook fellowships both in the UK and Australia and has had broad experience in all aspects of children's orthopaedics. She has a real passion for the care of children with musculoskeletal conditions and trauma.

Ms Clarke specialises in paediatric trauma including long bone trauma and periarticular trauma. Other subspecialty interests include the surgical management of spasticity, including ultrasound-guided awake botulinum toxin injections. As part of the SDR team she has experience in the complex assessment and treatment of musculoskeletal issues after SDR (including muscle lengthening procedures). Ms Clarke set up and now jointly run the specialist 'SDR/Orthopaedic' clinic with Mr Atherton, the SDR physiotherapists and our orthotist. She is also interested in the care of upper limb conditions affecting children, particularly hemiplegic cerebral palsy. 

Paediatric orthopaedics is extremely varied. Having performed large numbers of all types of elective paediatric orthopaedic surgery she undertakes regular surgery for conditions affecting the upper limb such as neuromuscular conditions like cerebral palsy, and the sequelae of infection or trauma.

Mr Hunter is a paediatric trauma and orthopaedic surgeon at the Queen’s Medical Centre, Nottingham, where he has been a consultant since 1995. He took a full part in the adult trauma rota for 21 years before focusing solely on children’s care.

He is a past president of the British Society for Children’s Orthopaedic Surgery (BSCOS) and was the chairman of the AO International Expert Group for Paediatrics from 1997 to 2016.  He was a member of the Specialist Advisory Committee from 2013 to 2019, latterly as the lead for national recruitment of specialists.

He was one of the developers of the Comprehensive Classification of Paediatric Long Bone Fractures and has a strong interest in the treatment of simple fractures.  He was one of the authors of the BOA standard for trauma on supracondylar fractures of the humerus.