Unicameral Bone Cysts: General Characteristics and Management Controversies
Juan Pretell-Mazzini J Am Acad Orthop Surg. May 2014 vol. 22 no. 5 Abstract Unicameral bone cysts are benign bone lesions that are often asymptomatic and commonly develop in the proximal humerus and femur of skeletally immature patients. The etiology of these lesions remains unknown. Most patients present with a pathologic fracture, but these cysts […]
The Role of Cytokines in Posttraumatic Arthritis
Steven A. Olson, J Am Acad Orthop Surg January 2014 vol. 22 no. 1 Abstract The development of arthritis after joint injury is commonly known as posttraumatic arthritis (PTA). The inciting traumatic event may range from cartilage contusion and bone bruise combined with meniscus or ligament tear, to intra-articular fracture. End-stage PTA is often indistinguishable […]
Extended Indications for Foot and Ankle Arthroscopy
Andrew R. Hsu, J Am Acad Orthop Surg January 2014 vol. 22 no. 1 Abstract Advances in foot and ankle arthroscopy have allowed surgeons to diagnose and treat a broadening array of disorders that were previously limited to open procedures. Arthroscopy of the posterior ankle, subtalar joint, and first metatarsophalangeal joint and tendoscopy can be […]
Joint-preserving Surgical Options for Management of Chondral Injuries of the Hip
Youssef F. l Bitar J Am Acad Orthop Surg January 2014 vol. 22 no. 1 Abstract Management of injuries to the articular cartilage is complex and challenging; it becomes especially problematic in weight-bearing joints such as the hip. Several causes of articular cartilage damage have been described, including trauma, labral tears, and femoroacetabular impingement, among […]
Rehabilitation Following Arthroscopic Rotator Cuff Repair: A Review of Current Literature
David Ross, J Am Acad Orthop Surg January 2014 vol. 22 no. 1 Abstract Physical rehabilitation following arthroscopic rotator cuff repair has conventionally involved a 4- to 6-week period of immobilization; there are two schools of thought regarding activity level during this period. Some authors encourage early, more aggressive rehabilitation along with the use of […]
Fingertip Injuries: An Update on Management
Donald H. Lee article. Abstract Injuries to the fingertip are common. The goal of treatment is restoration of a painless, functional digit with protective sensation. The amount of soft-tissue loss, the integrity of the nail bed, and the age and physical demands of the patient should be considered when selecting a treatment method. Some new […]
Platelet-rich Plasma in Orthopaedic Applications: Evidence-based Recommendations for Treatment
Wellington K. Hsu Abstract Autologous platelet-rich plasma (PRP) therapies have seen a dramatic increase in breadth and frequency of use for orthopaedic conditions in the past 5 years. Rich in many growth factors that have important implications in healing, PRP can potentially regenerate tissue via multiple mechanisms. Proposed clinical and surgical applications include spinal fusion, […]
Pediatric Thoracolumbar Spine Trauma
Alan H. Daniels Abstract Thoracolumbar spine trauma is an important cause of morbidity and mortality in pediatric patients. Special attention to this population is necessary because several unique features of the growing pediatric spine separate these patients from adult patients. These injuries are frequently associated with high-energy trauma and concurrent thoracic or abdominal injuries that […]
Early Weight Bearing After Lower Extremity Fractures in Adults
Erik N. Kubiak J Am Acad Orthop Surg December 2013 vol. 21 no. 12 Abstract Weight-bearing protocols should optimize fracture healing while avoiding fracture displacement or implant failure. Biomechanical and animal studies indicate that early loading is beneficial, but high-quality clinical studies comparing weight-bearing protocols after lower extremity fractures are not universally available. For certain […]
Optimizing the Management of Full-Thickness Rotator Cuff Tears
Jayson Murray J Am Acad Orthop Surg December 2013 vol. 21 no. 12 Abstract The American Academy of Orthopaedic Surgeons has developed Appropriate Use Criteria (AUC) on Optimizing the Management of Full-Thickness Rotator Cuff Tears (RC). Evidence-based information, in conjunction with clinical expertise of physicians, was used to develop the criteria to improve patient care […]