Identification of Common Gait Disruption Patterns in Children With Cerebral Palsy
Jon R. Davids J Am Acad Orthop Surg. December 2014; 22 (12) Abstract Identification and classification of common gait deviation patterns in children with cerebral palsy facilitates communication between healthcare providers, provides insight into the natural history of functional ambulation, guides clinical decision making, and clarifies outcomes assessment. Previous classification schemes have been based on […]
Elbow Arthroscopy: Indications, Techniques, Outcomes, and Complications
Julie E. Adams, MD, J Am Acad Orthop Surg. December 2014; 22 (12) Abstract Elbow arthroscopy is a tool useful for the treatment of a variety of pathologies about the elbow. The major indications for elbow arthroscopy include débridement for septic elbow arthritis, synovectomy for inflammatory arthritis, débridement for osteoarthritis, loose body extraction, contracture release, […]
Acute Management of Shoulder Dislocations
Thomas Youm J Am Acad Orthop Surg. December 2014; 22 (12) Abstract The shoulder joint has the greatest range of motion of any joint in the body. However, it relies on soft-tissue restraints, including the capsule, ligaments, and musculature, for stability. Therefore, this joint is at the highest risk for dislocation. Thorough knowledge of the […]
Antibiotic Stewardship in Orthopaedic Surgery: Principles and Practice
Kirk A. Campbell J Am Acad Orthop Surg. December 2014; 22 (12) Abstract A thorough knowledge of the principles of antibiotic stewardship is a crucial part of high-quality orthopaedic surgical care. These principles include (1) determining appropriate indications for antibiotic administration, (2) choosing the correct antibiotic based on known or expected pathogens, (3) determining the […]
Direct Anterior Approach for Total Hip Arthroplasty: Indications, Technique, and Results
Zachary D. Post The direct anterior approach (DAA) to the hip was initially described in the 19th century and has been used sporadically for total hip arthroplasty (THA). In the past decade, enthusiasm for the approach has been renewed because of increased demand for minimally invasive techniques. New surgical instruments and tables designed specifically for […]
Etiology, Diagnosis, and Management of Failed SLAP Repair
Brian C. Werner J Am Acad Orthop Surg. 2014 vol. 22 no. 9 In general, favorable outcomes have been achieved with arthroscopic repair of superior labral anterior-posterior (SLAP) tears. However, some patients remain dissatisfied or suffer further injury after SLAP repair and may seek additional treatment to alleviate their symptoms. The cause of persistent pain […]
Controversies in the Management of Distal Radius Fractures
Kenneth Koval J Am Acad Orthop Surg. 2014 vol. 22 no. 9 ntroversies span the entire spectrum of management of distal radius fracturesfracture assessment, diagnosis, treatment, and evaluation of outcomes. The utility of multiple radiographic views described in the literature has not been validated. Likewise, the several classification systems that exist have yet to demonstrate […]
Os Trigonum Syndrome
Marie-Lyne Nault J Am Acad Orthop Surg. 2014 vol. 22 no. 9 Os trigonum syndrome is the result of an overuse injury of the posterior ankle caused by repetitive plantar flexion stress. It is predominantly seen in ballet dancers and soccer players and is primarily a clinical diagnosis of exacerbated posterior ankle pain while dancing […]
The Effects of Fitness on the Aging Process
Bryan G. Vopat J Am Acad Orthop Surg. 2014 vol. 22 no. 9 Decades of research support the fact that much age-related deterioration is the result of the effects of sedentary lifestyles and the development of medical conditions rather than of aging itself. Elite older athletes, who demonstrate enhanced performance compared with historic cohorts and […]
Malignant Transformation in Chronic Osteomyelitis: Recognition and Principles of Management
Michalis Panteli J Am Acad Orthop Surg. 2014 vol. 22 no. 9 Malignant transformation as a result of chronic osteomyelitis represents a relatively rare and late complication with a declining incidence in the modern world. For most patients, the interval between the occurrence of the original bacterial infection and the transformation to malignant degeneration is […]
