Dr. Jeffrey Nepple | Pediatric Orthopedics and Sports Medicine

Dr. Nepple specializes in pediatric and adolescent sports medicine, and is the Director of the Washington University and St. Louis Children's Young Athlete Center. He has clinical interests in adolescent and young adult hip disorders, including femoroacetabular impingement (FAI), labral tears and slipped capital femoral epiphysis (SCFE) with a specific focus on minimally invasive arthroscopic techniques for the treatment of hip disorders. Dr. Nepple also has clinical interests in pediatric and adolescent knee disorders, including osteochondritis dissecans (OCD), anterior cruciate ligament (ACL) injuries, meniscal tears and patellar instability/dislocations.

Common Diagnoses Treated

ACL injuries
Femoroacetabular impingement
Labral tears
Meniscal tears
OCD
Patellar instability
Pediatric sports medicine
Skeletal dysplasia
Young adult hip disorders

Common Procedures

ACL reconstruction
Hip arthroscopy
Knee arthroscopy
Labral repair
Meniscal repair
Osteoplasty

Clinical Office Locations

St. Louis Children's Specialty Care Center

13001 N Outer Forty Rd., Suite 1C

Town and Country, MO 63017
Barnes-Jewish West County Hospital

Medical Office Building 4
1044 North Mason Road, Suite 110
Creve Coeur, MO 63141
St. Louis Children’s Hospital

One Children’s Place
4S60, Suite 1B
St. Louis, MO 63110
Shriners Hospital for Children - St. Louis

4400 Clayton Ave.

St Louis, MO 63110

Hospital Affiliations

Barnes-Jewish Hospital
St. Louis Children's Hospital
Shriners Hospital for Children

Academic Office Mailing Address

Washington University School of Medicine

Campus Box 8233

660 Euclid Avenue

Saint Louis, MO 63110

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Selected Publications

Devitt BM, Huleatt JB, Nepple JJ, Laprade RF. A Novel Posterior Arthrotomy Approach for the Treatment of a Large Osteochondral Defect of the Posterior Lateral Femoral Condyle of the Knee: a case report and technical note. J Bone Joint Surgery: Case Connector. (in press)
Clohisy JC, Nepple JJ, Larson CM, Zaltz I, Millis M, ANCHOR study group. Persistent Structural Disease is the Most Common Cause of Repeat Hip Preservation Surgery. Clin Orthop Relat Res. 2013 Aug.
Nepple JJ, Byrd JW, Siebenrock KA, Prather H, Clohisy JC. Overview of Treatment Options, Clinical Results, and Controversies in Management of FAI. J Am Acad Orthop Surg. 2013 July. S53-58.
Nepple JJ, Prather H, Trousdale RT, Clohisy JC, Beaule PE, Glynn-Jones S, Rakhra K, Kim YJ. Overview of Imaging in Femoroacetabular Impingement. J Am Acad Orthop Surg. 2013 July. S20-26.
Nepple JJ, Prather H, Trousdale RT, Clohisy JC, Beaule PE, Glynn-Jones S, Rakhra K, Kim YJ. Clinical Diagnosis of Femoroacetabular Impingement. J Am Acad Orthop Surg. 2013 July. S16-19.
Nepple JJ, Schoenecker PL, Clohisy JC. Iatrogenic Hip Subluxation after Surgical Dislocation Successfully Treated with Periacetabular Osteotomy: A Case Report. J Bone Join Surg: Case Connector. 2013.
Nepple JJ, Putnam RM, Gardner MJ, Bartlett CS, Johnson JE. Calcaneal Fracture-Dislocation with Fracture of the Sustentaculum and Lateral Column: A Unique Injury Pattern. Foot Ankle Int. 2013. 34(2):290-4.
Nepple JJ, Clohisy JC, et al. Do Plain Radiographs Correlate with CT for Imaging of Cam-type Femoroacetabular Impingement? Clin Orthop Rel Research. 2012. 470(12):3313-20.
Nepple JJ, Lehmann CL, Ross JR, Schoenecker PL, Clohisy JC. Coxa Profunda Is Not a Useful Radiographic Feature of Pincer-type Femoroacetabular Impingement? J Bone Joint Surg. 2013.
Nepple JJ, Dunn RG, Wright RW. Meniscus Repair Outcomes at Greater than Five Years: a systematic literature review and meta-analysis. J Bone Joint Surg. 2012. 19:94(24):2222-7.
Lehmann CL, Nepple JJ, Schoenecker PL, Clohisy JC. Do Fluoroscopy and Postoperative Radiographs Correlate for PAO Corrections? Clin Orthop Related Res. 2012. 470(12):3508-14.
Nepple JJ, Larson CM, Smith MV, Kim YJ, Zaltz I, Sierra RJ, Clohisy JC. The Reliability of Arthroscopic Classification of Acetabular Rim Labrochondral Disease. Am J Sports Med. 2012. 40(10):2224-9.
Clohisy JC, Ross JR, North JD, Nepple JJ, Schoenecker PL. What are the Factors Associated with Acetabular Correction in Perthes-like Hip Deformities? Clin Orthop Related Res. 2012. 470(12):3439-45.
Ross JR, Nepple JJ, Schoenecker PL, Clohisy JC, Intraarticular Abnormalities in Residual Perthes and Perthes-like Hip Deformities. Clin Orthop Rel Research. 2012. 470(11):2968-77.
Nepple JJ, Brophy RH, Matava MJ, Wright RW, Clohisy JC. Radiographic Findings of Femoroacetabular Impingement in National Football League Combine Athletes Undergoing Radiographs for Previous Hip or Groin Pain. Arthroscopy. 2012. 28(10):1396-403.
Nepple JJ, Wright RW, Matava MJ, Brophy RH. Full-thickness Knee Articular Cartilage Defects in NFL Combine Athletes Undergoing MRI: Prevalence, Location, and Association with Previous Surgery. Arthroscopy. 2012. 28(6):798-806.
Nepple JJ, Schoenecker PL, Clohisy JC. Treatment of Post-traumatic Labral Interposition with Surgical Hip Dislocation and Labral Repair. Iowa Orthop J . 2011. 31:181-6.
Ross JR, Zaltz I, Nepple JJ, Schoenecker PL, Clohisy JC. Arthroscopic Disease Classification and Interventions as an Adjunct in the Treatment of Acetabular Dysplasia. Am J Sports Med. 2011. 39S:72-8.
Nepple JJ, Carlisle JC, Nunley RM, Clohisy JC. Clinical and radiographic predictors of intra-articular hip disease in arthroscopy. Am J Sports Med. 2011. 39(2):296-303.
Clohisy JC, Zebala LP, Nepple JJ, Pashos G. Combined hip arthroscopy and limited open osteochondroplasty for the treatment of anterior femoroacetabular impingement. J Bone Joint Surg 2010. 92(8):1697-1705.
Nepple JJ, Zebala LP, Clohisy JC. Labral disease associated with femoroacetabular impingement: do we need to correct the structural deformity? J Arthoplasty. 2009. 24(6 Suppl):114-9.
Nepple JJ, Matava MJ. Soft-tissue injections in the athlete. Sports Health 2009. 1(5):396-404.
Nepple JJ, Lenke LG. Severe idiopathic scoliosis with respiratory insufficiency treated with preoperative traction and staged anteroposterior spinal fusion with a 2-Level apical vertebrectomy.Spine J. 2009: 9(7):9-13.
Olsen MA, Nepple JJ, Riew KD, Lenke LG, Bridwell KH, Mayfield J, Fraser VJ. Risk factors for surgical site infection following orthopaedic spinal operations. J Bone Joint Surg. 2008: 90(1):62-69.

Research Interests

Dr. Nepple has research interests in young adult hip disorders and pediatric sports medicine.

Clinical Interests

Background

Dr. Nepple received his medical degree from Washington University School of Medicine. He did a residency in Orthopaedic Surgery, at Washington University School of Medicine, then went on to complete a fellowship in Sports Medicine at the Steadman Clinic/Steadman-Philippon Research Institute as well as a fellowship in Pediatric Orthopaedics at Washington University School of Medicine. Dr. Nepple was a team physician for the United States Olympic Ski Team, and assists with team physician coverage for the St. Louis Blues. Dr. Nepple is a member of the American Association of Orthopaedic Surgeons, the American Orthopaedic Society for Sports Medicine, the Pediatric Orthopaedic Society of North America, and the International Society for Hip Arthroscopy.

Medical Degree

Washington University School of Medicine

Residency

Orthopaedic Surgery, Washington University School of Medicine

Fellowship

Sports Medicine, The Steadman Clinic/Steadman-Philippon Research Institute
Pediatric Orthopaedics, Washington University School of Medicine

Graduate Degree

Masters of Science in Clinical Investigation, Washington University in St. Louis

Milestones

2013 International Society for Hip Arthroscopy Basic Research Award (co-author), October 12, 2013 Munich, Germany. "The Influence of Pelvic Tilt on Common Acetabular Parameters and Range of Motion in Patients with Femoroacetabular Impingement"

Richard N. Villar Trainee Excellence in Research Award, International Society for Hip Arthroscopy, October 12, 2013, Munich, Germany. "The Effect of an Acetabular Labral Tear, Repair, Resection, and Reconstruction on the Hip Fluid Seal"

2013 AAOS/ORS/OREF Clinician Scholar Development Program, September 26-28, 2013, Chicago, IL

Scientific Advisory Committee Fellow Research Award, Steadman-Philippon Research Institute, July 26, 2013

Resident Research Award, Washington University Department of Orthopaedic Surgery, June 15, 2012

2012 AAOS/ORS FAI Research Symposium Young Investigator Award, May 9-11, 2012, Chicago, IL

2011 AOSSM NCAA Research Award, "Previous Knee Surgery a Risk Factor for Knee Articular Cartilage Lesions Among College Football Athletes in the NFL Combine"

Washington University School of Medicine, Brookings and Carter Research Award, 2007

Washington University School of Medicine, Southern Medical Association Student Scholarship, 2005

Washington University School of Medicine, Scholars in Medicine Scholarship, 2005

Washington University Orthopedics

Jeffrey Nepple, MD, MS