Shoulder Dislocation in the Older Patient
J Am Acad Orthop Surg. October 2012;20(10) Anand M. Murthi Abstract Approximately 20% of all shoulder dislocations occur in patients aged >60 years. Older patients who sustain a primary shoulder dislocation are much less likely than younger patients to suffer from recurrence. However, older patients are more likely than younger patients to sustain injuries to […]
Submuscular Plating of Pediatric Femur Fracture
J Am Acad Orthop Surg. September 2012 ; 20 (9) Ying Li, MD and Daniel J. Hedequist, MD Abstract Currently, surgical management of pediatric femur fracture consists of intramedullary nailing with flexible nails or rigid trochanteric entry nails. Rigid trochanteric entry nails are the implant of choice for femoral fractures in adolescents, whereas titanium elastic […]
Principles of Rotationplasty
J Am Acad Orthop Surg. October 2012;20(10) Sumit Ku Abstract Rotationplasty is a reconstructive, limb-sparing option for management of lower extremity bone deficiency. This technique involves an intercalary resection, followed by 180° rotation of the distal limb to allow the ankle to function as a knee joint when it is fitted with a modified below-knee […]
Carpal Instability Nondissociative
J Am Acad Orthop Surg. September 2012 ; 20 (9) Scott W. Wolfe, MD, Marc Garcia-Elias, MD and Alison Kitay, MD Abstract Carpal instability nondissociative (CIND) represents a spectrum of conditions characterized by kinematic dysfunction of the proximal carpal row, often associated with a clinical clunk. CIND is manifested at the midcarpal and/or radiocarpal joints, […]
Submuscular Plating of Pediatric Femur Fracture
J Am Acad Orthop Surg. September 2012 ; 20 (9) Ying Li, MD and Daniel J. Hedequist, MD Abstract Currently, surgical management of pediatric femur fracture consists of intramedullary nailing with flexible nails or rigid trochanteric entry nails. Rigid trochanteric entry nails are the implant of choice for femoral fractures in adolescents, whereas titanium elastic […]
Bone Morphogenetic Protein in Spine Surgery: Current and Future Uses
J Am Acad Orthop Surg. September 2012 ; 20 (9) Jesse Even, MD, Mark Eskander, MD and James Kang, MD Abstract The clinical use of bone morphogenetic protein (BMP) in spinal fusion surgery has recently become controversial. After its approval by the US FDA in July 2002, BMP was adopted by many spine surgeons as […]
Musculoskeletal Care of the Hemophiliac Patient
J Am Acad Orthop Surg. September 2012 ; 20 (9) Kelly L. Vanderhave, MD, Michelle S. Caird, MD, Mark Hake, MD, Robert N. Hensinger, MD, Andrew G. Urquhart, MD, Selina Silva, MD and Frances A. Farley, MD Abstract Hemophilia is caused by a deficiency of clotting factor VIII or IX and is inherited by a […]
Glenoid Bone Loss in Primary Total Shoulder Arthroplasty: Evaluation and Management
J Am Acad Orthop Surg. September 2012 ; 20 (9) Benjamin W. Sears, M D, Peter S. Johnston, MD, Matthew L. Ramsey, MD and Gerald R. Williams, MD Abstract Glenohumeral osteoarthritis is the most common reason for shoulder replacement. Total shoulder arthroplasty provides reliable pain relief and restoration of function, with implant survivorship reported at […]
Implantable Sensor Technology: From Research to Clinical Practice
J Am Acad Orthop Surg June 2012 vol. 20 no. 6 Eric H. Ledet Abstract For decades, implantable sensors have been used in research to provide comprehensive understanding of the biomechanics of the human musculoskeletal system. These complex sensor systems have improved our understanding of the in vivo environment by yielding in vivo measurements of […]
Flexor Tendon Sheath Infections of the Hand
J Am Acad Orthop Surg June 2012 vol. 20 no. 6 Reid W. Draeger Abstract Flexor tendon sheath infections of the hand must be diagnosed and treated expeditiously to avoid poor clinical outcomes. Knowledge of the sheaths anatomy is essential for diagnosis and to help to guide treatment. The Kanavel cardinal signs are useful for […]