Category - Kathryn Peck

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Emily’s Story – Dr. Kathryn M. Peck

Kathryn Peck patient photoEmily was playing the offensive position of jammer for her roller derby team when one of her opponents swept in for a big hit. Emily’s finger was pulled away from her hand resulting in the fifth metacarpal bone being fractured. Emily practiced through the pain not thinking anything was seriously wrong.  She posted a picture on Facebook of the injured finger and her friend, Dr Bree Simmons, who is also a sports medicine doctor at St. Vincent Sports Performance, suggested that maybe her injury was serious and needed a professional evaluation.

Emily visited Dr. Simmons, and she first splinted the injury to try to get the bone to reset on its own. She continued to play roller derby in a hard, protective splint. After several weeks, though, it became clear via X-ray that the bone was healing out of position. Since Emily is a writer by profession, her hand is a commodity, Dr. Simmons referred her to Dr. Kathryn Peck of the Indiana Hand to Shoulder Center for an complete evaluation. Dr. Peck said surgery would be needed to repair the fracture and put it in a better position. Dr. Peck would implant a small plate and screws to support the bone.

“Emily had an impending mal-union where her bone was displaced and causing her fingers to cross over whenever she made a fist. It affected her grip strength as well as the function of her hand”, said Dr Peck. Dr.Peck would basically scrape off the part of the bone that was regenerating, restore the pieces to alignment and attach them with hardware. Emily had surgery just days after she met with Dr. Peck.

After surgery Emily visited the therapy department to start regaining her range of motion. The therapist used ultrasound treatment and exercises to restore the movement and range of flexibility in her hand. Emily also had exercises she had to do multiple times daily at home. “The staff was always very friendly and gave me different exercises to keep my hand on a steady arc of improvement. They also gave me different splints to maximize the range of movement my hand could have. This made my life easier at home and I’m sure encouraged the restoration of full function to my hand.” said Emily

Kathryn Peck patient

Emily was unable to participate in roller derby for around six weeks. Dr. Peck worked with Dr. Simmons (who is a former roller derby player who works to ensure all athletes keep as active as possible while healing from injury) to track her progress. “I think I was off skates for about four weeks, then I was allowed to skate with no contact for about two weeks, then finally I was allowed to fully participate with a protective splint. When they determined the bone was healed and not in danger of easily breaking in the same spot, I stopped using the splint.“ Emily said.

“Emily worked incredibly hard to get back to roller derby as quickly as possible. Her dedication and commitment to the rehabilitation process was amazing” said Dr Peck.

Kathryn Peck patient photo“My experience with the Indiana Hand to Shoulder Center was the best you could expect from the situation of having a broken bone. I was reassured by the fact that I was going to a center with expertise in hands. Dr. Simmons had strongly recommended the practice and Dr. Peck in particular. Dr. Peck explained everything to me in terms I could understand and was open to helping me get back into full participation in my sport as soon as possible. I don’t know if she was familiar with roller derby before I walked into her office, but some medical professionals are freaked out by and overly cautious about the fact that I would choose to spend my free time playing a full-contact sport on wheels. However, Dr. Peck seemed to understand its importance and open to helping me reach my goals of getting back on skates as soon as possible. I felt she combined the best qualities in a health care provider in that she was both straightforward and honest, but also projected the kind of caring and concern you want in a medical experience. I also enjoyed working with the various therapists at the center. I like that the surgery center was attached to the same place where I met with Dr. Peck and got my x-rays. It felt like a comprehensive and cohesive practice in a way that’s kind of rare these days in health care.” said Emily.

“Any time I hear anyone has a hand or shoulder injury, I recommend the Indiana Hand to Shoulder and Dr. Peck. Her down-to-earth approach, combined with her expertise, make her an excellent physician, from this patient’s perspective. I only have a small scar and my hand works great. “

Sawyers’ Story

fb_sawyer_story_peckI want to take a minute to share our story and give recognition to not only a wonderful Doctor but an outstanding individual that I owe so many thanks to! Back in October a fall off of our kitchen bar stool, left my 3-year-old with a nasty fracture of both the ulna and radius bones in his left wrist. It was reduced in our local emergency room and casted for 4 weeks. Five days after getting that cast off, a slip in the kitchen proved to be too much for the just broken wrist and we found ourselves yet again in the ER with yet another break, this time of only the radius bone. A few days following that break my son was complaining of pain so I took him into our local Ortho doctor to get checked out, only to find that the bone had shifted the opposite way and would need a pin placed as soon as possible. This was the day prior to Thanksgiving of course and our local Ortho was wanting to do surgery that day at 4:00 in our local hospital. After so many dealings between the breaks and our local hospital having not seen many of these cases I was not interested in him having surgery and wanted a second opinion. Due to his pain I was unsure of what to do.

I quickly called my friend who is a hand specialist for a referral on who was the best and she advised we see Dr. Kathryn Peck. After a quick look over her bio while sitting in the office waiting for his previous Doctor to return, I was fortunate enough to have her call and speak with Dr. Peck’s nurse who then immediately called me and started gathering information, she even had me text a picture of our x-rays to present Dr. Peck. On Thanksgiving night I received a phone call from Dr. Peck herself with news that she had an opening for surgery the following morning. I was a ball of mess and literally crying on the phone as we went over the details and arrival times. Not once did she make me feel as though I was overreacting or out of control even though looking back it’s clear I was.

The following morning we arrived at Peyton Manning Children’s Hospital. Meeting Dr. Peck for the first time it was clear she was referred to us as the best because she was indeed the best. Immediately after speaking with her my husband and I were at ease with putting our child’s health in her hands. I felt as though I was sending Sawyer with a lifetime friend who would treat him as though he were her own. I can’t begin to explain how thankful we are for her compassion. I had 5 million questions which were probably dumb and barely made sense as I tried to speak with nerves that made it hard to even breath. She hugged me before taking our little guy back and assured us everything would be fine.

We are now 8 weeks out from having his cast on and he is better than ever. There aren’t enough words in the dictionary to explain our thanks and gratitude for such an amazing woman but thank you from the bottom of our hearts. We are forever grateful!

God Bless, Daniel & Ashley B.

Kathryn M. Peck, MD: Brayden’s Story

Brayden’s Story

fb_brayden_kathryn_peckOur family came to Dr. Peck in hopes that we had finally found someone with the kind of pediatric expertise we needed, and the kind of compassion shown by a mother that we desired. Her bedside manner was amazing & genuine with every single encounter! Not once did I ever feel like a bother to her with my many questions. She even helped me make sure every question on my list had an answer written down before I left each visit. She looked at my son as a kid, as our future, not just as an experiment or a paycheck. She took an interest in him as a person.  She made sure he was comfortable during our visits and felt included. She got his opinion on things and asked what questions he had.

Brayden had lost his left thumb due to a lawnmower accident just days after his 5th birthday.  Several doctors on different panels across the U.S. called Brayden’s case a head-scratcher because of the CMC joint now missing after the accident. With minimal options,  we were originally preparing to wrap a very active toddler like a mummy for 4 weeks to be able to allow the skin to grow so that they could do the pollicization – moving the index finger down to the thumb area.  Dr. Peck reached out to one of her fellow surgeons that had done 1000’s of these surgeries to see if there was any way to keep us from going through more stress.  We gave the situation to God, and waited.  The day before the skin flap surgery, I got an exciting call from Dr. Peck from her personal cell phone on a Sunday afternoon saying she had spoken with her colleague and they both had faith that she could make this work without the flap.  We went forward with the pollicization.  The day of surgery, I felt like things were in the hands of a lifelong friend, not just some surgeon. The kind of trust that had built up, and the compassion that came from Dr. Peck, took every worry I had ever had and threw it out the window.

After 28 days in a cast, and a few months of therapy, Brayden was able to master just about anything you put in front of him!  April 1, 2017, a year after the surgery, I am ecstatic to report that there is nothing that this happy boy can’t do!  He can even push buttons through holes, which we didn’t think he would be able to do.  He has more movement & mobility than they thought possible with the missing CMC joint; and we have God & Dr. Kathryn Peck to thank for such an amazing outcome and bright future!

Crystal Clairday

Kathryn M. Peck leads at Curiosity, Confidence, Challenge workshop

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Kathryn M. Peck, M.D. recently took part in the workshop “Curiosity, Confidence, Challenge.” It is a conference for middle school girls on careers in science, technology, engineering, and math held by Sycamore School in Indianapolis. It was the 20th consecutive year of the conference, an event designed to heighten girls’ interest in STEM careers and encourage them to select high school courses that will lead to success in college.  For the past several years, they have reached the maximum capacity of 400 middle school girls from all regions of Indiana in attendance at the conference.

The girls select four workshops from a total of 29 disciplines related to STEM careers. Women volunteers from each of these fields lead the 40 minute workshops with 5-10 minutes of enthusiastic discussion on their personal background, education, job responsibilities, career possibilities, etc.  The remaining 30-35 minutes are spent on a hands-on activity, or activities, related to their field.  The girls loved the hands-on aspect of the conference.  There are a maximum of 12 girls in each of the six workshop sessions.  The workshop leaders are a diverse group of professional women from large corporations (Lilly, Rolls-Royce, Allison Transmission, Dow AgroSciences), universities (Butler, IUPUI, Rose-Hulman), health care facilities (IU School of Medicine, Veterans Affairs, Zionsville Country Vet), parks departments, and small businesses.

Kathryn M. Peck featured on Publication Cover

Dr. Kathryn M. Peck is featured on the cover of the “Guide for Women in Orthopaedic Surgery” 2nd Edition. The Guide is distributed by the Ruth Jackson Orthopaedic Society. Past fellow Michelle James, MD is also on the cover.

The Ruth Jackson Orthopaedic Society (RJOS) is the oldest surgical women’s organization incorporated in the United States which continues to grow and welcome new members of both genders. RJOS works closely with the AAOS, provides leadership training for orthopaedists, residents and medical students, provides mentoring for medical students, offers award and grants opportunities, courtesy of Zimmer, Inc., and conducts a medical student workshop and much more. Please look around and consider becoming a member today!To find out more please visit http://rjos.org

Kathryn M. Peck
Photo Caption for top photo on cover: (L-R) Michelle James, MD, unknown, Lisa Lattanza, MD, unknown, Kathryn Peck, MD, Claire Manske, MD

Radial Longitudinal Deficiency

By: Kathryn M. Peck, M.D.

Radial longitudinal deficiency (RLD) is a condition in which the radius bone of the forearm is underdeveloped or absent, resulting in the hand and wrist that angles toward the thumb-side of the forearm. It is a congenital condition (present at birth) in which the radius (the inner bone that connects the elbow to the forearm) did not form correctly in the womb. The radius may be malformed or missing.

radial longitudinal deficiencyIN RADIAL LONGITUDINAL DEFICIENCY:

•    The affected arm is smaller, and stiffness of the fingers and elbow are often present
•    The forearm curves inward because the radius is malformed or missing
•    The thumb is either very small or missing
•    The severity of the condition is different in each child

CAUSES OF RADIAL LONGITUDINAL DEFICIENCY:

A baby’s arm forms between week 4 and week 8 of pregnancy, and by week 8, the arms are fully formed but very small.  In some instances, a cause cannot be determined for radial longitudinal deficiency. In other cases, it can be part of a syndrome that affects multiple body parts, including VACTREL, Holt Oram Syndrome, Fanconi’s Anemia, and TAR Syndrome (Thrombocytopenia Absent Radius syndrome).

The heart, kidneys, intestines, blood cells, and limbs form at about the same time. Therefore, problems in these other areas need to be evaluated and often treated before the arm is treated.

DIAGNOSIS:

Radial longitudinal deficiency can sometimes be seen on ultrasound.  After the baby is born, diagnosis is confirmed through a physical exam and x-rays.

radial longitudinal deficiency

TREATMENT:

The main goal and benefit of treat is to improve the child’s ability to function with the condition, in addition to improving the appearance of the hand.

Treatment is based on each child because it depends on the complexity of the condition.
•    Stretching
•    Splinting or casting
•    Physical therapy (to help increase strength and function)
•    Prosthetics (in the case of missing parts or bones)
•    Adaptive Aids (to help with daily activities such as getting dressed and personal hygiene)
•    Surgery (to help reposition the wrist, stabilize or create a thumb, or lengthening the shorten arm to help with daily care.

In most cases, surgery is done before the child reaches school age but generally not before 6 months of age. In all cases, the goal of surgery is to repair any associated abnormalities, and improve range of motion and function.

Radial longitudinal deficiency requires a comprehensive approach to the child and family to give the best possible outcome.