Osteoid Osteoma and Osteoblastoma
November 2011; 19 Kivanc I. Atesok, Abstract Osteoid osteoma and osteoblastoma are commonly seen benign osteogenic bone neoplasms. Both tumors are typically seen in the second decade of life, with a notable predilection in males. Histologically, these tumors resemble each other, with characteristically increased osteoid tissue formation surrounded by vascular fibrous stroma and perilesional sclerosis. […]
Arthroscopic Revision Rotator Cuff Repair
November 2011; 19 Patrick J. Denard, Abstract Rotator cuff repair leads to good and excellent outcomes in most patients. However, structural failure of the repair occurs in a substantial number of cases and can lead to an unsatisfactory result. Several factors have been implicated, including patient-related factors (eg, patient age, tear size) and extrinsic factors […]
Surgical Management of Healed Slipped Capital Femoral Epiphysis
November 2011; 19 Paul R. T. Kuzyk, Abstract Slipped capital femoral epiphysis (SCFE) results in posterior and inferior displacement of the epiphysis on the femoral neck. In most centers, the recommended initial management of stable SCFE is in situ pinning. Minimal reduction with in situ pinning is recommended for unstable SCFE. This approach does not […]
Arthroscopic Releases for Arthrofibrosis of the Knee
J Am Acad Orthop Surg November 2011 Michael R. Chen, Abstract Intra-articular inflammation or fibrosis may lead to decreased soft-tissue and capsular compliance, which may result in pain or loss of motion within the knee. Etiology of intra-articular fibrosis may include isolated anterior interval scarring and posterior capsular contracture, as well as fibrosis that involves […]
Subacromial Impingement Syndrome
J Am Acad Orthop Surg November 2011 Alicia K. Harrison, Abstract Subacromial impingement syndrome (SIS) represents a spectrum of pathology ranging from subacromial bursitis to rotator cuff tendinopathy and full-thickness rotator cuff tears. The relationship between subacromial impingement and rotator cuff disease in the etiology of rotator cuff injury is a matter of debate. Both […]
Galeazzi Fracture
J Am Acad Orthop Surg October 2011 Kivanc I. Atesok, MD, Jesse B. Jupiter, MD and Arnold-Peter C. Weiss, MD Abstract Galeazzi fracture is a fracture of the radial diaphysis with disruption at the distal radioulnar joint (DRUJ). Typically, the mechanism of injury is forceful axial loading and torsion of the forearm. Diagnosis is established […]
Pediatric Cervical Spine Trauma
J Am Acad Orthop Surg October 2011 Thomas M. Jones, MD, Paul A. Anderson, MD and Kenneth J. Noonan, MD Abstract Pediatric cervical spine injuries are rare and are associated with significant morbidity and mortality. Pediatric anatomy and physiology predispose to upper cervical spine injury and spinal cord injury without radiologic abnormality in contrast to […]
The Role of High Tibial Osteotomy in the Varus Knee
J Am Acad Orthop Surg October 2011 Roberto Rossi, MD, Davide E. Bonasia, MD and Annunziato Amendola, MD Abstract High tibial osteotomy (HTO) is a widely performed procedure, and good results can be achieved with appropriate patient selection and precise surgical technique. Clinical indications include varus alignment of the knee associated with medial compartment arthrosis, […]
The Impact of Complementary and Alternative Treatment Modalities on the Care of Orthopaedic Patients
J Am Acad Orthop Surg October 2011 David T. Rispler, MD and Julie Sara, MD Abstract The use of complementary and alternative medicine is widespread and popular with the lay public. Although prevalence of use varies among specific patient populations, complementary and alternative medicine, in particular herbal remedies, are widely marketed and used by orthopaedic […]
Biologic and Pharmacologic Augmentation of Rotator Cuff Repairs
J Am Acad Orthop Surg October 2011 Sara L. Edwards, MD, T. Sean Lynch, MD, Matthew D. Saltzman, MD, Michael A. Terry, MD and Gordon W. Nuber, MD Abstract As rotator cuff repair techniques have improved, failure of the tendon to heal to the proximal humerus is less likely to occur from weak tendon-to-bone fixation. […]