Fall Prevention in the Elderly: Analysis and Comprehensive Review of Methods Used in the Hospital and in the Home
J Am Acad Orthop Surg, Vol 19, No 7, July 2011 Terry A. Clyburn, MD and John A. Heydemann, MD Falls in the elderly are a significant problem both in and out of the hospital. The Deficit Reduction Act of 2005 and the Fiscal Year 2009 Inpatient Prospective Payment System Final Rule, as outlined by […]
Multiple Myeloma: Diagnosis and Orthopaedic Implications
J Am Acad Orthop Surg, Vol 19, No 7, July 2011 Thomas J. Scharschmidt, MD, Joshua D. Lindsey, MD, Pamela S. Becker, MD, PhD and Ernest U. Conrad, MD Multiple myeloma is a hematologic malignancy that commonly affects the skeletal system. The disease is primarily managed medically with chemotherapeutic agents. Pathologic fractures are common in […]
Abductor Tendon Tears of the Hip: Evaluation and Management
J Am Acad Orthop Surg, Vol 19, No 7, July 2011 Paul F. Lachiewicz, MD From the Department of Orthopaedic Surgery, Duke University School of Medicine, and the Durham VA Medical Center, Durham, NC, and Chapel Hill Orthopedics Surgery & Sports Medicine, Chapel Hill, NC. The gluteus medius and minimus muscle-tendon complex is crucial for […]
Management of Distal Clavicle Fractures
J Am Acad Orthop Surg, Vol 19, No 7, July 2011 Rahul Banerjee, MD, Brian Waterman, MD, Jeff Padalecki, MD and William Robertson, MD Most clavicle fractures heal without difficulty. However, radiographic nonunion after distal clavicle fracture has been reported in 10% to 44% of patients. Type II distal clavicle fractures, which involve displacement, are […]
Diagnosis and Treatment of Osteochondritis Dissecans
Henry G. Chambers, MD, Kevin G. Shea, MD, Allen F. Anderson, MD, Tommy J. (JoJo) Brunelle, PT, DPT, James L. Carey, MD, Theodore J. Ganley, MD, Mark V. Paterno, PT, PhD, Jennifer M. Weiss, MD, James O. Sanders, MD, William C. Watters, III, MD, Michael J. Goldberg, MD, Michael W. Keith, MD, Charles M. Turkelson, […]
Collateral Ligament Injuries of the Thumb Metacarpophalangeal Joint
NULL Peter Tang, MD, MPH The ulnar and radial collateral ligaments are primary stabilizers of the thumb metacarpophalangeal (MP) joint. Injury to these ligaments can lead to instability and disability. Stress testing is essential to establish the diagnosis. Complete tear is diagnosed on physical examination when the proximal phalanx of the thumb can be angulated […]
Surgical Management of the Problematic Hip in Adolescent and Young Adult Patients
Perry L. Schoenecker, MD, John C. Clohisy, MD, Michael B. Millis, MD and Dennis R. Wenger, MD Surgical management of the problematic hip in adolescent and young adult patients can be challenging. In many of these patients, hip arthrosis and pain occur secondary to hip dysplasia associated with chronic instability, whether the result of prior […]
Arthroscopic Management of the Stiff Elbow
NULL Jay D. Keener, MD and Leesa M. Galatz, MD Elbow stiffness is a challenge to manage effectively. Elbow contractures commonly result from both intrinsic and extrinsic factors, causing limited motion. Recent technical advances in elbow arthroscopy have led to the development of minimally invasive procedures for the management of select cases of recalcitrant elbow […]
Autografts Commonly Used in Anterior Cruciate Ligament Reconstruction
NULL Walter R. Shelton, MD and Bryan C. Fagan, MD Anterior cruciate ligament reconstruction is among the most common orthopaedic procedures in the United States, with >200,000 performed annually. Much has been published regarding the use of autograft versus allograft. Bonepatellar tendonbone is the most frequently used autograft, but hamstring and quadriceps tendon grafts are […]
Posttraumatic Stress Disorders in Civilian Orthopaedics
Daniel L. Aaron, MD, Paul D. Fadale, MD, Colin J. Harrington, MD and Christopher T. Born, MD Posttraumatic stress disorder (PTSD) is a well-characterized anxiety disorder that may occur after exposure to a traumatic event. Research is ongoing to document neuroanatomic, neuroendocrine, and genetic correlates to the behavioral phenotype. PTSD occurs in 20% to 51% […]