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Straight From The Hip

pablocastaneda
Hip Dysplasia
Developmental Dysplasia Of the Hip
Ultrasound
Artificial Intelligence
International Hip Dysplasia Institute
Breech Presentation
Behavioral Health
Pavlik Harness
Hip Preservation
Femoral Head Reduction Osteotomy
Mike Vitale
Orthopedics
Safety In Spine Surgery
Vaccines
Three-Dimensional Ultrasound
Pediatric Medicine
The Hipsters
Pao/pao Surgeries
Teenage Identity
Medical Trauma

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 de... more

PublishesTwice monthlyEpisodes63Founded3 years ago
Number of ListenersCategories
MedicineHealth & Fitness

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Artwork for Straight From The Hip

Latest Episodes

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 Positio... more

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 messag... more

In this special season recap of Straight From the Hip, I reflect on nine conversations that explored hip dysplasia from multiple perspectives: patients and families, psychology, clinical decision-making, trust, innovation, and the future of care.

Dr... more

My guest today is Dr. Jacob Jaremko, and we are discussing a topic that may change how we diagnose developmental dysplasia of the hip around the world: artificial intelligence.

For decades, hip ultrasound has been central to early detection. Yet des... more

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Recent Guests

Ana Laura Arenas-Diaz
Lead author of the paper discussed, orthopedic surgeon
Shriners Children's Mexico, Mexico City
Episode: Ana Arenas & Alex Dabaghi: Reducing Avascular Necrosis in DDH
Alejandro Dabaghi
Senior author of the paper discussed, orthopedic surgeon
Shriners Children's Mexico, Mexico City
Episode: Ana Arenas & Alex Dabaghi: Reducing Avascular Necrosis in DDH
Marie-Louise Goode
Midwife from the United Kingdom, author of The Modern Midwife's Guide to Pregnancy, Birth and Beyond, and The Modern Midwife's Guide to the First Year
Midwifery professional; author
Episode: Marie Louise: Midwives, Baby Carriers, and Healthy Hips
Kelly Rabenstein
Psychologist who has lived with hip dysplasia and works on medical trauma, parental guilt, resilience and identity formation
Independent psychologist / expert on emotional experience of care
Episode: Recap & Ask me anything Season 6
Maurizio De Pellegrin
Orthopedic surgeon from Italy
Italy
Episode: Recap & Ask me anything Season 6
Tom Youm
Surgeon from NYU
New York University
Episode: Recap & Ask me anything Season 6
Manoj Ramachandran
Innovation advocate, London-based
Unknown (London)
Episode: Recap & Ask me anything Season 6
Jacob Jaremko
Radiologist in Canada, AI/ultrasound pioneer
Canada
Episode: Recap & Ask me anything Season 6
Betsy Miller
Author of Parents Guide to Hip Dysplasia
Author/Advocate
Episode: Recap & Ask me anything Season 6

Host

Pablo Castañeda
Host of Straight From The Hip

Reviews

5.0 out of 5 stars from 28 ratings
  • DDH podcast review

    Pablo is an excellent interviewer. He poses clear and concise questions based on meticulous research of his interviewees and a very wide personal experience of DDH. He has a very pleasant style, focussed but relaxed and respectful but never obsequious. Highly recommended for content and presentation.

    Apple Podcasts
    5
    UK paedipod
    United Kingdoma year ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Guests are presented with a clear platform to share nuanced medical and patient-centered insights.
Listeners appreciate the depth and practical relevance for clinicians and families.
Strong emphasis on patient advocacy and education supports content usefulness for non-clinician listeners.
Professional, research-grounded hosting with clear questions and broad topic coverage.
The host maintains a respectful, focused interviewing style that balances expertise with accessibility.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Talking Points

Recent interactions between the hosts and their guests.

Ana Arenas & Alex Dabaghi: Reducing Avascular Necrosis in DDH
Q: What would you change in practice based on this study, and is it generalizable to your setting?
The speakers express cautious optimism about adopting a second position in carefully selected cases, with attention to hip stability and potentially easier casting, while acknowledging variability between surgeons and the need for further prospective perfusion studies and longer follow-up to confirm generalizability.
Ana Arenas & Alex Dabaghi: Reducing Avascular Necrosis in DDH
Q: Is that an accurate summary? How would you interpret these findings?
Yes, that's accurate. The Modified Lange Second Position after the initial six weeks may reduce AVN risk while maintaining similar stability and acetabular development, though the authors emphasize it is an association from an observational study rather than proof of causation.
Emily Dodwell and the fragility of the science in orthopedic surgery
Q: What is the fragility index and what did your pediatric orthopedic study reveal about it?
The fragility index measures how many patients would need to change outcome classification to alter a trial's result; in pediatric orthopedics, the average fragility index is around three, meaning small changes could flip conclusions, which raises concerns about reliability of small trials and the need for more robust evidence and better reporting practices.
Emily Dodwell and the fragility of the science in orthopedic surgery
Q: Can you explain what parent-derived health utility scores are, and why they matter for DDH management?
Health utilities are scores that quantify how desirable or burdensome a health state is, on a 0 to 1 scale, based on parental perception for states like wearing a Pavlik harness, a spica cast, post-surgical recovery, or end-stage arthritis. They enable cost-utility analyses across a patient's lifespan to compare different screening and treatment pathways.
Mike Vitale & Safety in Surgery
Q: What role do metrics and specialization play in improving safety?
Metrics like a specialization index help align teams, communicate with administration, and drive consistent collaboration among clinicians, leading to more reliable, low-variability care.

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Frequently Asked Questions About Straight From The Hip

What is Straight From The Hip about and what kind of topics does it cover?

This show commonly explores pediatric hip conditions like developmental dysplasia of the hip (DDH) and related topics in hip preservation, imaging, biomechanics, and patient advocacy. Episodes mix clinician insights, surgical innovations, and lived experiences—from surgeons and researchers to patients and families—offering practical guidance for clinicians, parents, and students. Notable angles include early diagnosis and treatment strategies, advances in imaging and biomechanics, and the role of patient advocacy groups in education and access to care. The format tends to blend technical discussions with real-world implications, making it useful for those evaluating treatment options, clinical care pathways, or opportunities to contribute t... more

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Which podcasts are similar to Straight From The Hip?

These podcasts share a similar audience with Straight From The Hip:

1. Peds Ortho

How many episodes of Straight From The Hip are there?

Straight From The Hip launched 3 years ago and published 63 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Straight From The Hip?

Recent guests on Straight From The Hip include:

1. Ana Laura Arenas-Diaz
2. Alejandro Dabaghi
3. Marie-Louise Goode
4. Kelly Rabenstein
5. Maurizio De Pellegrin
6. Tom Youm
7. Manoj Ramachandran
8. Jacob Jaremko

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