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Credentials

Education ?

Medical School Score
UMDNJ Robert Wood Johnson (2003)
  •  

Awards & Distinctions ?

Associations
American Board of Orthopaedic Surgery
Pediatric Orthopaedic Society of North America

Affiliations ?

Dr. Adolfsen is affiliated with 8 hospitals.

Hospital Affiliations

Score

Rankings

  • Saint Peter's University Hospital
    Orthopaedic Surgery
    254 Easton Ave, New Brunswick, NJ 08901
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    Top 25%
  • Robert Wood Johnson Univ Hosp
    Orthopaedic Surgery
    1 Robert Wood Johnson Pl, New Brunswick, NJ 08901
    •  
    Top 50%
  • Jersey Shore University Medical Center
    Orthopaedic Surgery
    1945 State Route 33, Neptune, NJ 07753
    •  
    Top 50%
  • Monmouth Medical Center
    Orthopaedic Surgery
    300 2nd Ave, Long Branch, NJ 07740
    •  
  • Meridian Health Jersey Shore Medical Center
    1945 State Route 33, Neptune, NJ 07753
  • Saint Peter's University Hospital and Medical Center
  • K. Hovnanian Children's Hospital
  • Children S Medical Center
  • Publications & Research

    Dr. Adolfsen has contributed to 1 publication.
    Title Kinematic and Kinetic Outcomes After Identical Multilevel Soft Tissue Surgery in Children with Cerebral Palsy.
    Date November 2007
    Journal Journal of Pediatric Orthopedics
    Excerpt

    This study evaluates the outcomes of multilevel soft tissue surgery in 31 ambulatory children (n = 39 sides) with cerebral palsy. All children had undergone rectus femoris transfer, hamstring lengthening, and gastrosoleus lengthening for the purpose of correcting sagittal plane abnormalities. There were no simultaneous bony surgeries. Preoperative and postoperative evaluation consisted of clinical assessment and gait analysis, including 3-dimensional kinematics and kinetics. Results demonstrated improvements in knee and ankle function. At the knee, there was a decrease in mean flexion at initial contact (from 31 degrees [SD, +/-8 degrees] to 21 degrees [SD, +/-10 degrees]) and in stance (mean stance, 22 degrees [SD, +/-12 degrees] to 16 degrees [SD, +/-11 degrees]) associated with a decreased mean internal extensor moment in stance (from 0.09 Nm/kg [SD, +/-0.24 Nm/kg] to -0.03 [SD, +/-0.22 Nm/kg]). At the same time, knee flexion was preserved in swing and occurred earlier. At the ankle, mean dorsiflexion improved at the time of examination (from 8 degrees [SD, +/-9 degrees] to 14 degrees [SD, +/-11 degrees] with the knee in extension), in terminal stance (peak from 7 degrees [SD, +/-9 degrees] to 12 degrees [SD, +/-8 degrees]), and in swing. Peak ankle power generation in stance was preserved and shifted later in stance toward push-off, with no functional weakening of the ankle plantar flexors. A longer-term assessment of a subset of patients with a second postoperative gait analysis at a mean of 4 years after surgery showed that gains measured at 1 year were maintained during the longer term. A subgroup demonstrating a jump knee gait pattern (as defined by excessive knee flexion at initial contact followed by rapid knee extension to full knee extension in midstance) had a tendency to go into knee hyperextension in stance with resultant net knee flexor moment after surgery. This raises concern about the indications for hamstring lengthening in this patient group.

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