Richard W. Kruse, DO

Orthopedics

Get to Know Me

I’m a kid at heart, and I usually express that in my work. When I was accepted into my pediatric fellowship, following a residency in orthopedics, I knew my professional life would always center on kids. I’m a doer and my favorite quote by Emerson is, “What you do speaks so loudly that I can't hear what you say.”

Why I Treat Children

Whether as a doctor, parent, or coach, I really enjoy working with kids. I’ve always found the human body fascinating and mystifying in all its complexity. The science of growth is absolutely amazing.

What I'm Passionate About

I’m passionate about working with kids. I’ve taken a group of middle school recreational runners to two league championships. I also received a national coaching award at Stanford University.

How I Try to Make A Difference

In my research, I’ve helped develop new surgical techniques for an extremely difficult condition called osteogenesis imperfecta.

Education & Training

Fellowship

  • Pediatric Orthopedics - Alfred I. duPont Hospital for Children, 1990

Internship

  • Rotating - Tripler Army Medical Center, 1982

Residency

  • Surgery - Walter Reed Army Medical Center, 1989

Medical/Dental School

  • DO - Philadelphia College of Osteopathic Medicine, 1981

Board Certifications

  • American Board of Orthopaedic Surgery

Awards & Recognition

  • 2014 Best Doctors in America
  • 2014 Delaware Today magazine, Top Doctors
  • 2013 Best Doctors in America
  • 2011 Best Doctors in America

Insurance Accepted

  • Aetna Better Health FL Medicaid and Healthy Kids
  • Aetna Better Health PA Kids HMO
  • Aetna HMO
  • Aetna HMO/POS/PPO/EPO
  • Aetna PPO/POS/EPO
  • Amerihealth Caritas Delaware
  • Amerihealth Caritas Delaware - Delaware & Chester CTY & TJU Sites ONLY
  • Amerihealth Caritas Delaware VIP Next (DE - All Sites) (PA - Delaware & Chester County Sites & TJU Sites Only)
  • AvMed
  • Blue Cross and Blue Shield HMO
  • Blue Cross and Blue Shield Non HMO
  • Blue Cross Blue Shield Florida Blue Select
  • Carefirst MD Community Health Plan Mcaid
  • Carefirst MD Community Health Plan Mcaid
  • Celtic Transplant Network for Ambetter
  • Celtic Transplant Network for Centene
  • Celtic Transplant Network for Delaware First Health
  • Cigna PPO/EPO/HMO/POS/OPEN ACCESS
  • Cigna/Great West HMO EPO POS
  • Cigna/Great West PPO
  • Community Care Plan Medicaid
  • Delaware First Health
  • Delaware First Health - Concordville & Media Sites ONLY
  • Delaware Medicaid/Diamond State
  • Delaware Medicaid/Diamond State - Delaware & Chester CTY & TJU Sites ONLY
  • Emerging Therapies Transplant
  • Employers Health Network PPO
  • Evolutions Healthcare
  • Fidelis Care NJ Medicaid HMO
  • First Health Aetna PPO/EPO
  • First Health/Affordable PPO
  • Florida Community Care
  • Florida Medicaid
  • Florida Medicare
  • Geisinger Health Plan Commercial
  • Global Medical Managment DE/PA
  • Health First Health Plans
  • Health Partners Medicaid/Kidz Partner HMO
  • HealthSmart Health Plans PPO
  • Highmark Blue Cross Blue Shield of Delaware
  • Highmark Blue Cross Blue Shield of Delaware *PA Loc Contiguous to DE*
  • Highmark Blue Cross Blue Shield of Delaware *PA Loc NONContiguous to DE*
  • Highmark Blue Cross Blue Shield of Pennsylvania
  • Highmark Medicaid Health Options
  • Highmark Medicaid Health Options - Delaware & Chester CTY & TJU Sites ONLY
  • Horizon Blue Cross Blue Shield of New Jersey
  • HUMANA HEALTHY HORIZONS (FKA HUMANA MEDICAID)
  • Independance Blue Cross/Amerihealth/Keystone Health Plan
  • Independence Blue Cross/Amerihealth/Keystone Health Plan
  • Insurance Administrators of America
  • INTEGRA Administrative Group (ClaimsBridge)
  • Keystone First CHIP
  • Keystone First Medicaid HMO
  • Maryland Medicaid
  • Maryland Medicaid Chester County ONLY
  • Molina Healthcare Medicaid
  • Multiplan PPO
  • New Jersey Medicaid
  • Olympus Managed Healthcare PPO ORL
  • Pennsylvania Medicaid
  • Preferred Healthcare PPO
  • Prime Health Services PPO Specialty Florida
  • Priority Partners John Hopkins
  • Private Health Care Systems (PHCS)
  • Qualcare HMO/POS/PPO
  • Seminole Tribe of Florida
  • Simply Healthcare Healthy Kids
  • Simply Healthcare Medicaid HMO
  • Six Degrees Health Transplant
  • Six Degrees Health-Lucent
  • Star Healthcare Network
  • Sunshine SMI/CMS 19 & 21
  • Sunshine State Health Plan Medicaid
  • Three Rivers Provider Network
  • Tricare/Humana Military Health Services/CHAMPVA
  • United Healthcare HMO/POS/PPO/EPO
  • UPMC Medicaid/CHIP
  • US Family Health Plan
  • Volusia Health Network PPO/EPO
  • Wellpoint Maryland Medcaid
  • Wellpoint Maryland Medicaid - Chester County Only

  • Foot and Ankle Conditions
  • Fracture Management
  • Hand and Wrist Conditions
  • Hip Conditions
  • Knee Conditions
  • Osteogenesis Imperfecta
  • Sports Medicine

Medical Interests

  • Exercise training
  • Nutrition
  • Physiology of sport

  • The Fate of the Bent Rod in Children with Osteogenesis Imperfecta; Journal of Pediatric Orthopaedics; (2023).

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  • Multicenter Series of Deformity Correction Using Guided Growth in the Setting of Osteogenesis Imperfecta; Journal of Pediatric Orthopaedics; (2022).

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  • A roadmap to surgery in osteogenesis imperfecta: results of an international collaboration of patient organizations and interdisciplinary care teams; Acta Orthopaedica; (2021).

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  • A standard set of outcome measures for the comprehensive assessment of osteogenesis imperfecta; Orphanet Journal of Rare Diseases; (2021).

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  • Stress Shielding in the Setting of Osteogenesis Imperfecta and the Effect of Downsizing an Intramedullary Rod; JBJS Case Connector; (2021).

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  • A Metaphyseal Corner Fracture that Wasn't; JBJS Case Connector; (2020).

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  • Alternatives to Traditional Cast Immobilization in Pediatric Patients; Journal of the American Academy of Orthopaedic Surgeons; (2020).

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  • Cervical kyphosis: A predominant feature of patients with osteogenesis imperfecta type 5; Bone Reports; (2020).

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  • Evaluation of Fracture and Osteotomy Union in the Setting of Osteogenesis Imperfecta: Reliability of the Modified Radiographic Union Score for Tibial Fractures (RUST); Journal of Pediatric Orthopaedics; (2020).

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  • Adult tourniquet for use in school-age emergencies; Pediatrics; (2019).

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  • Orthopedic Manifestations of Bruck Syndrome: A Case Series with Intermediate to Long-term Follow-Up; Case Reports in Orthopedics; (2019).

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  • Osteogenesis Imperfecta: A Pediatric Orthopedic Perspective; Orthopedic Clinics of North America; (2019).

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  • Treatment of scoliosis in osteogenesis imperfecta: Experience at a single institution; Indian Spine Journal; (2019).

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  • A moderate form of osteogenesis imperfecta caused by compound heterozygous LEPRE1 mutations; Bone Reports; (2018).

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  • Categorization of the usage of adjunctive structural allograft bone graft in extremity surgery for patients with osteogenesis imperfecta; Journal of Long-Term Effects of Medical Implants; (2018).

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  • Dynamic Lower Extremity Deformity in Children with Pseudoachondroplasia; Journal of Pediatric Orthopaedics; (2018).

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  • Intramedullary nailing with supplemental plate and screw fixation of long bones of patients with osteogenesis imperfecta: Operative technique and preliminary results; Journal of Pediatric Orthopaedics Part B; (2018).

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  • Re-alignment and intramedullary rodding of the humerus and forearm in children with osteogenesis imperfecta: Revision rate and effect on fracture rate; Journal of Children's Orthopaedics; (2017).

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  • The spine in patients with osteogenesis imperfecta; Journal of the American Academy of Orthopaedic Surgeons; (2017).

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  • An Unusual Cause of Limp in a Toddler; Annals of Emergency Medicine; (2016).

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  • MRI findings of post-traumatic subperiosteal hematoma of the iliac bone with resultant femoral nerve palsy in an adolescent boy; Pediatric Radiology; (2016).

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  • Osteogenesis Imperfecta; Delaware medical journal; (2016).

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  • CT Utilization for Pediatric Orthopedic Trauma; Delaware medical journal; (2015).

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  • Inter-observer reliability of the ankle-brachial index in a pediatric setting; Delaware medical journal; (2015).

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  • Current state of pediatric orthopaedic disaster response; Journal of Pediatric Orthopaedics; (2014).

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  • Frostbite in an adolescent football player: A case report; Journal of Athletic Training; (2014).

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  • Surgical treatment of scoliosis in osteogenesis imperfecta with cement-augmented pedicle screw instrumentation; Journal of Spinal Disorders and Techniques; (2014).

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  • The role of the pediatric orthopaedic surgeon in disaster response; Journal of Pediatric Orthopaedics; (2014).

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  • Adolescent Blount disease in obese children treated by eight-plate hemiepiphysiodesis; Eklem Hastaliklari ve Cerrahisi; (2012).

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  • Postoperative radiographs after pinning of supracondylar humerus fractures: Are they necessary?; Journal of Pediatric Orthopaedics; (2012).

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  • Consistency between emergency department and orthopedic physicians in the diagnosis and treatment of distal fibular Salter Harris i fractures; Pediatric Emergency Care; (2011).

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  • Reliability and necessity of computerized tomography in distal tibial physeal injuries; Journal of Pediatric Orthopaedics; (2011).

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  • Surgical treatment of deformities and fractures on lower limbs with Osteogenesis Imperfecta,Tratamento cirúrgico das deformidades e fraturas em membros inferiores na osteogênese imperfeita; Acta Ortopedica Brasileira; (2009).

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  • Osteochondral flap avulsion fracture in a child with forearm compartment syndrome; Orthopedics; (2008).

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  • Intraspinal anomalies associated with isolated congenital hemivertebra: The role of routine magnetic resonance imaging; Journal of Bone and Joint Surgery; (2004).

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  • Backpacks in children; Clinical Orthopaedics and Related Research; (2003).

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  • Bilateral Köhler's disease in identical twins; Clinical Orthopaedics and Related Research; (2003).

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  • The association of backpack use and back pain in adolescents; Spine; (2003).

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  • Hemimetameric segmental shift: a case series and review.; Spine; (2002).

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  • Split tibialis posterior tendon transfer with concomitant distal tibial derotational osteotomy in children with cerebral palsy; Journal of Pediatric Orthopaedics; (2001).

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  • Back pain in individuals with osteogenesis imperfecta; Studies in Health Technology and Informatics; (1999).

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  • Complications of blade plate removal; Journal of Pediatric Orthopaedics; (1999).

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  • An unusual presentation of intoeing in a child; Journal of the American Osteopathic Association; (1998).

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  • Fortuitous diagnosis of iliac osteomyelitis: Septic arthritis of the hip in the neonate; Journal of the American Osteopathic Association; (1998).

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  • Is there a relationship between hypertension and lower-extremity contracture release in cerebral palsy?; American journal of orthopedics (Belle Mead, N.J.); (1998).

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  • Osteogenesis imperfecta: A review of basic science and diagnosis; Orthopedics; (1998).

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  • The role of dual energy x-ray absorptiometry in aiding the diagnosis of pediatric osteogenesis imperfecta.; American journal of orthopedics (Belle Mead, N.J.); (1998).

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  • Measurement of rib vertebral angle difference: Intraobserver error and interobserver variation; Spine; (1997).

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  • Mesenchymal chondrosarcoma of the cervical spine in a child.; American journal of orthopedics (Belle Mead, N.J.); (1997).

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  • Osteogenesis imperfecta (OI), may be mistaken for child abuse.; Pediatric emergency care; (1997).

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  • Accessory bones of the foot: Clinical significance; Military Medicine; (1995).

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  • Inferior dislocation (luxatio erecta) of the hip; Orthopedics; (1994).

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  • Lumbar and lumbosacral fusion using steffee instrumentation; Spine; (1994).

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  • Foreign body arthroscopically retrieved from the elbow; Arthroscopy; (1993).

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  • Orthopedic manifestations of hyperlipoproteinemia: An unusual case of knee pain; Military Medicine; (1993).

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  • Goretex fabric as a cast underliner in children; Journal of Pediatric Orthopaedics; (1991).

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  • Orthopedic sequelae of meningococcemia; Orthopedics; (1991).

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  • Shelf arthroplasty in patients who have legg-calve-perthes disease; Journal of Bone and Joint Surgery - Series A; (1991).

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  • Oblique tibial osteotomy in the correction of tibial deformity in children; Journal of Pediatric Orthopaedics; (1989).

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  • English