Adhesive Capsulitis of the Hip: A Review
Colin G. Looney J Am Acad Orthop Surg December 2013 vol. 21 no. 12 Abstract Adhesive capsulitis of the hip (ACH) is a rare clinical entity. Similar to adhesive capsulitis of the shoulder, ACH is characterized by a painful decrease in active and passive range of motion as synovial inflammation in the acute stages of […]
Iatrogenic Nerve Injuries in Shoulder Surgery
William F. Scully J Am Acad Orthop Surg December 2013 vol. 21 no. 12 Abstract The range of open and arthroscopic shoulder procedures continues to evolve and expand. Despite advances in instrumentation and technology, complications still exist and neurologic injury remains an inherent part of these procedures. Iatrogenic nerve injuries are among the more commonly […]
Minor Traumatic Brain Injury: A Primer for the Orthopaedic Surgeon
Richard L. Uhl J Am Acad Orthop Surg October 2013 vol. 21 no. 10 Abstract Minor traumatic brain injury (mTBI) is a major public health problem. The Centers for Disease Control and Prevention and the National Center for Injury Prevention and Control label it a silent epidemic. Subtle signs and symptoms of mTBI, including headache, […]
Intrinsic Contracture of the Hand: Diagnosis and Management
Rick Tosti J Am Acad Orthop Surg October 2013 vol. 21 no. 10 Abstract Intrinsic contracture of the hand may result from trauma, spasticity, ischemia, rheumatologic disorders, or iatrogenic causes. In severe cases, the hand assumes a posture with hyperflexed metacarpophalangeal joints and hyperextended proximal interphalangeal joints as the contracted interossei and lumbrical muscles deform […]
Septic Arthritis of the Neonatal Hip: Acute Management and Late Reconstruction
Julie Balch Samora J Am Acad Orthop Surg October 2013 vol. 21 no. 10 Abstract Septic arthritis of the hip in neonates is rare but can have devastating consequences. Presenting signs and symptoms may differ from those encountered in older children, which may result in diagnostic challenge or delay. Many risk factors predispose neonates to […]
Femoral Bone Loss in Revision Total Hip Arthroplasty: Evaluation and Management
Neil P. Sheth J Am Acad Orthop Surg October 2013 vol. 21 no. 10 Abstract Primary total hip arthroplasty (THA) is one of the most effective procedures for managing end-stage hip arthritis. The burden of revision THA procedures is expected to increase along with the rise in number of primary THAs. The major indications for […]
Objective Structured Clinical Examinations: A Guide to Development and Implementation in Orthopaedic Residency
Donna Phillips, Abstract Objective Structured Clinical Examinations (OSCEs) have been used extensively in medical schools and residency programs to evaluate various skills, including the six core competencies outlined by the Accreditation Council for Graduate Medical Education (ACGME). Orthopaedic surgery residency programs will be required by the ACGME to assess residents on core competencies in the […]
Fatty Infiltration and Rotator Cuff Atrophy
Bradley R. Kuzel J Am Acad Orthop Surg October 2013 vol. 21 no. 10 Abstract Moderate to severe fatty infiltration and rotator cuff atrophy are commonly associated with poor clinical outcomes and failed rotator cuff repair. Numerous animal and human studies have attempted to elucidate the etiology of fatty infiltration and rotator cuff atrophy. Mechanical […]
Management of Nonunion Following Surgical Management of Scaphoid Fractures: Current Concepts
Edward S. Moon J Am Acad Orthop Surg September 2013 vol. 21 no. 9 Abstract Management of scaphoid nonunion after failed surgery for acute scaphoid fracture presents a unique treatment challenge. Prior surgery complicates patient evaluation and increases the technical difficulty of future procedures. Healing of nonunion is crucial to prevent carpal collapse and progressive […]
Treatment of Osteoarthritis of the Knee: Evidence-Based Guideline, 2nd Edition
David S. Jevsevar J Am Acad Orthop Surg September 2013 vol. 21 no. 9 Abstract Treatment of Osteoarthritis of the Knee: Evidence-Based Guideline, 2nd Edition, is based on a systematic review of the current scientific and clinical research. This guideline contains 15 recommendations, replaces the 2008 AAOS clinical practice guideline, and was reevaluated earlier than […]