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American Journal of Orthopedics

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https://www.readbyqxmd.com/read/28856360/postpartum-treatment-of-metastatic-recurrent-giant-cell-tumor-of-capitate-bone-of-wrist
#1
Robert L Satcher, Vinod Ravi, Wei-Lien Wang, Scott Oates
Giant cell tumors (GCTs) are aggressive benign lesions that occur in the bone epiphysis. They are most often found in the long bones of the lower extremities. Wrist bone involvement is rare, capitate bone involvement exceedingly rare. Treatment in the wrist usually consists of excision, local adjuvant treatment, and cementing and/or bone grafting. GCTs also metastasize to the lungs; pulmonary lesions are excised and systemic therapy provided. We present the case of a 19-year-old woman with GCT of the capitate bone...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856359/comparison-of-anterior-and-posterior-cortico-steroid-injections-for-pain-relief-and-functional-improvement-in-shoulder-impingement-syndrome
#2
Arun Ramappa, Kempland C Walley, Lindsay M Herder, Sravisht Iyer, David Zurakowski, Amber Hall, Joseph P DeAngelis
Subacromial impingement syndrome (SIS) is the most common cause of shoulder pain. Treatment options for SIS include conservative modalities such as use of nonsteroidal anti-inflammatory drugs, physical therapy, and subacromial corticosteroid injections (CSIs). Although studies have found improvement in pain, function, and range of motion after CSI, the effect of injection route (anterior or posterior) on shoulder pain in patients with SIS has not been investigated. In the study reported here, patients were randomly assigned to 2 treatment groups: anterior CSI and posterior CSI...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856358/percutaneous-release-of-trigger-digits
#3
Noah D Weiss, Madeline B Richter
Stenosing flexor tenosynovitis, or trigger finger, has been treated with open, endoscopic, and percutaneous tendon sheath incisions. A comparison of techniques highlights increased cost, procedure time, and postoperative recovery associated with open surgical treatment. We conducted a study of the efficacy of percutaneous tendon sheath incision as a treatment for trigger digit. Using percutaneous tendon sheath incisions, a single surgeon treated 596 trigger digits (429 patients) over a 10-year period. Successful release was defined as symptom relief on follow-up, or patient request for no further treatment...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856357/trans-scaphoid-transcapitate-perilunate-fracture-dislocation
#4
Vasilios A Kontogeorgakos, Andreas F Mavrogenis, Panayiotis Megaloikonomos, Georgios Panagopoulos, Vasilios Mandalos, Leonidas Badras
Trans-scaphoid transcapitate (TSTC) perilunate fracture-dislocation (PLFD) is a rare type of perilunate injury. Because of the rarity and complexity of this entity, initial diagnosis may be delayed and the extent of osseous and ligamentous lesions underestimated. Early surgical treatment by open reduction and fracture stabilization is recommended to avoid complications such as avascular necrosis, nonunion, posttraumatic arthritis, and functional impairment. In this article, we report the case of a 32-year-old man who sustained a TSTC-PLFD...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856356/patient-preference-before-and-after-arthroscopic-rotator-cuff-repair-which-is-more-important-pain-relief-or-strength-return
#5
Mandeep S Virk, David M Levy, Benjamin D Kuhns, James S Krecher, Billy K Parsley, Stephen S Burkhart, Anthony A Romeo, Nikhil N Verma, Brian J Cole
Our understanding of patients' desired outcomes and expectations of arthroscopic rotator cuff repair (ARCR) is limited, particularly regarding the importance of pain relief and strength return relative to each other. We conducted a study of patient's ratings of the importance of pain relief and strength return after ARCR. Before undergoing surgery, 60 patients completed a shoulder questionnaire on which they assessed severity of symptoms and rated, on a 10-point scale, the importance of postoperative improvements in pain relief and strength return...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856355/referral-patterns-for-chronic-groin-pain-and-athletic-pubalgia-sports-hernia-magnetic-resonance-imaging-findings-treatment-and-outcomes
#6
Mark P Zoland, Matthew E Maeder, Joseph C Iraci, Devon A Klein
Chronic groin pain is a common problem and has been well-described in high-performance athletes. Its presentation in the recreational athlete has been less frequently described. We present the experience of a tertiary group of physicians specializing in groin pain and athletic pubalgia. Dynamic magnetic resonance imaging (MRI) protocol was employed. Surgery was performed in patients failing non-surgical management. A retrospective review was performed. Of 117 mostly non-professional athletes, there were 79 MRI-positive cases of athletic pubalgia (68%)...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856354/severity-weighting-of-postoperative-adverse-events-in-orthopedic-surgery
#7
Daniel D Bohl, Junyoung Ahn, Adam M Lukasiewicz, Andre M Samuel, Matthew L Webb, Bryce A Basques, Nicholas S Golinvaux, Kern Singh, Jonathan N Grauer
Studies of adverse events (AEs) after orthopedic surgery commonly use composite AE outcomes. An example of such an outcome is any AE. These types of outcomes treat AEs with different clinical significance (eg, death, urinary tract infection) similarly. We conducted a study to address this shortcoming in research methodology by creating a single severity-weighted outcome that can be used to characterize the overall severity of a given patient's postoperative course. All orthopedic faculty members at 2 academic institutions were invited to complete a severity-weighting exercise in which AEs were assigned a percentage severity of death...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856353/authors-response
#8
Charles M Jobin, Usama Qayyum, Diego Villacis
No abstract text is available yet for this article.
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856352/letter-to-the-editor-pronator-teres-myotendinous-tear
#9
Brooks W Ficke, Brent A Ponce
No abstract text is available yet for this article.
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856351/biceps-tenodesis-an-evolution-of-treatment
#10
Brandon J Erickson, Akshay Jain, Gregory L Cvetanovich, Gregory P Nicholson, Brian J Cole, Anthony A Romeo, Nikhil N Verma
The long head of the biceps (LHB) tendon is a potential generator of pain within the shoulder. Tenodesis of the LHB is a treatment option for several pathologic shoulder conditions. We conducted a study to determine trends in LHB tenodesis at a subspecialty-focused shoulder orthopedic practice. We hypothesized that the rate of LHB tenodesis would increase significantly over time and that there would be no significant change in the age of patients who underwent LHB tenodesis. Records of 4 fellowship-trained sports or shoulder/elbow orthopedic surgeons were used to identify total number of common arthroscopic shoulder surgeries performed between 2004 and 2014...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856350/is-simultaneous-bilateral-total-knee-arthroplasty-btka-as-safe-as-staged-btka
#11
Scott Hadley, Michael Day, Ran Schwarzkopf, Aaron Smith, James Slover, Joseph Zuckerman
Simultaneous bilateral total knee arthroplasty (BTKA) is often performed to treat patients with disabling arthritis of both knees. Its use compared with staged procedures remains controversial. In a retrospective study, we compared 371 patients who had simultaneous BTKA with 67 patients who had staged (<6 months apart) BTKA. The staged procedures fall within the crucial postoperative period when increased morbidity and mortality would more likely be present. Primary outcomes were perioperative complications, length of stay, and transfusion requirements...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856349/lower-limb-morel-lavall%C3%A3-e-lesion-treated-with-short-stretch-compression-bandaging
#12
Callista L Costopoulos, Ira C Sachs, Kenneth W Graf, Robin W Kauffman, Samir Mehta
Morel-Lavallée lesions (MLLs) classically occur in the greater trochanteric region, lateral thigh, buttocks, and back. A high percentage of large MLLs require surgical intervention, which comes with an increased risk of skin necrosis and infection. We report a rare case of a large MLL that was successfully treated with compression. The lesion was created when the patient, a 66-year-old man, sustained a low-velocity crush injury. Extending from the medial distal thigh to the proximal medial calf, the MLL was nonoperatively treated with the short-stretch compression bandaging that is used in lymphedema management...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856348/knotless-arthroscopic-reduction-and-internal-fixation-of-a-displaced-anterior-cruciate-ligament-tibial-eminence-avulsion-fracture
#13
Jordan A Bley, Ryan J Pomajzl, Patrick A Smith
Generally occurring in the 8- to 14-year-old population, tibial eminence avulsion fractures are a common variant of anterior cruciate ligament ruptures and represent 2% to 5% of all knee injuries in skeletally immature individuals. In this article, we report on a new arthroscopic reduction and internal fixation technique that involves 2 absorbable anchors with adjustable suture-tensioning technology. This technique optimizes reduction and helps surgeons avoid proximal tibial physeal damage, procedure-related morbidity, and additional surgery...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856347/a-new-option-for-glenoid-reconstruction-in-recurrent-anterior-shoulder-instability
#14
Mia Smucny, Anthony Miniaci
Anteroinferior glenoid bone loss plays a significant role in recurrent glenohumeral instability. Surgical strategies for reconstructing the glenoid in these cases include coracoid transfer, iliac crest autograft, and allograft (osteochondral and iliac crest). In this article, we report on a new technique for managing glenoid bone loss, preshaped allograft, and describe surgical technique and outcomes. So far we have implanted this allograft in 15 patients, and at short-term follow-up there are no known cases of recurrent instability or graft resorption...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856346/systematic-review-of-novel-synovial-fluid-markers-and-polymerase-chain-reaction-in-the-diagnosis-of-prosthetic-joint-infection
#15
Duran Mitchell, Jose Perez, Luis Grau, Spencer Summers, Samuel Rosas, Alvin Ong, Michaela M Schneiderbauer, Victor H Hernandez
Prosthetic joint infection (PJI) may be underreported because of difficulty in making a diagnosis, especially in infections with low-virulence organisms. Reports of PJI cases misdiagnosed as aseptic loosening suggest that current screening and diagnostic tools are not sensitive enough to detect all infections and that PJI likely is underdiagnosed. We reviewed the literature on recently developed novel synovial biomarkers and polymerase chain reaction (PCR) technologies, of which several have proved promising as highly sensitive and specific tools for detecting PJI...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856345/traumatic-anterior-shoulder-instability-the-us-military-experience
#16
Matthew T Provencher, Sandeep Mannava, John M Tokish, Jason P Rogers
There is a long history of military surgeons who have made significant contributions that have advanced our understanding of traumatic anterior shoulder instability and its treatment and results. In this article, we describe the scope, treatment, and results of this pathology in the US military population.
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856344/bone-stress-injuries-in-the-military-diagnosis-management-and-prevention
#17
Steven F DeFroda, Kenneth L Cameron, Matthew Posner, Peter K Kriz, Brett D Owens
Bone stress injuries occur when forces applied to a bone for an extended period exceed the ability of the bone to adequately remodel. These injuries, which range from stress reactions to nondisplaced and even displaced fractures, most often affect people who experience high levels of repetitive stress and loading in the lower extremity or changes in physical activity level. For example, stress fractures are common in endurance athletes, in athletes engaged in preseason and early-season conditioning, and in military recruits...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856343/applying-military-strategy-to-complex-knee-reconstruction-tips-for-planning-and-executing-advanced-surgery
#18
Thomas M DeBerardino
Complex knee restoration for injured soldiers follows a similar paradigm as for high-end civilian athletes. The military healthcare paradigm often involves the added logistics of transporting the service member to the correct military treatment facility at the correct time and ensuring the patient's work-up is complete before he or she arrives for the complex knee restoration. Such cases require significant rehabilitation and time away from family and work, so anything that reduces the morbidity of the surgical undertaking and the overall "morbidity footprint" of time away and that helps the patient return to normal function are value-added and worthy of our attention and diligence in developing an efficient system for managing complex cases...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28856342/home-of-the-brave
#19
Bryan T Hanypsiak
No abstract text is available yet for this article.
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28666052/rare-dual-lesion-extraskeletal-osteosarcoma-developing-within-a-simple-lipoma
#20
Jonathan Tresley, Ross Wodicka, Andrew Rosenberg, John D Pitcher, Ty K Subhawong
Extraosseous osteosarcoma is a rare malignancy, but simple lipomas are common. This article is the first report of a case of radiation-induced extraosseous osteosarcoma that developed within a simple lipoma in a 72-year-old woman. We correlate the magnetic resonance imaging, computed tomography, positron emission tomography, and plain radiographic findings. The patient, treated with systemic therapy and wide surgical resection of the neoplasm, remained clinically free of disease during the first 22 months of follow-up...
May 2017: American Journal of Orthopedics
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