Complications of Anterior Lumbar Surgery

John K. Czerwein, Jr, MD, Nikhil Thakur, MD, Stephen J. Migliori, MD, Philip Lucas, MD and Mark Palumbo, MD The incidence of anterior lumbar surgery is increasing. Although adverse events are uncommon, several have been described. Complications can be categorized based on the time of occurrence (ie, intraoperative, postoperative), patient positioning, surgical exposure, and spinal […]

The Role of Arthroscopy in the Management of Fractures About the Ankle

Davide E. Bonasia, MD, Roberto Rossi, MD, Charles L. Saltzman, MD and Annunziato Amendola, MD J Am Acad Orthop Surg 2011 19 Anatomic restoration of the joint is the goal of management in fractures about the ankle. Open reduction and internal fixation (ORIF) is the standard of care for unstable ankle fractures; however, arthroscopic management […]

Orthopaedic Aspects of All-terrain Vehicle–related Injury

Jeffrey R. Sawyer, MD, Derek M. Kelly, MD, Ethan Kellum, MD and William C. Warner, Jr, MD J Am Acad Orthop Surg 2011 19 Despite an abundance of evidence on the morbidity and mortality associated with all-terrain vehicle (ATV) accidents, use of ATVs continues to increase, with corresponding increases in the frequency of associated injury […]

Coracoid Impingement: Diagnosis and Treatment

Michael Q. Freehill, MD J Am Acad Orthop Surg 2011 19 Coracoid impingement is a controversial, well-known diagnosis that results in anterior shoulder pain. Idiopathic, traumatic, and iatrogenic etiologies have been identified. Proper diagnosis requires a focused clinical examination of the anterior shoulder and adjacent structures. MRI and CT are helpful in evaluating coracoid morphology […]

Infection After Shoulder Surgery

Matthew D. Saltzman, MD, Geoffrey S. Marecek, MD, Sara L. Edwards, MD and David M. Kalainov, MD J Am Acad Orthop Surg 2011 19 Infection after shoulder surgery is rare but potentially devastating. Normal skin flora, including Staphylococcus aureus, Staphylococcus epidermidis, and Propionibacterium acnes, are the most commonly isolated pathogens. Perioperative measures to prevent infection […]

Patellar Fractures in Adults

J. Stuart Melvin, MD and Samir Mehta, MD J Am Acad Orthop Surg 2011 19 Patellar fracture is a common injury caused by excessive tension through the extensor mechanism or a direct blow. The intact patella increases the leverage and efficiency of the extensor mechanism and articulates with the femoral trochlea. Patellar fractures can lead […]

The Treatment of Symptomatic Osteoporotic Spinal Compression Fractures

J Am Acad Orthop Surg, Vol 19, No 3, March 2011 Stephen I. Esses, MD, Robert McGuire, MD, John Jenkins, MD, Joel Finkelstein, MD, Eric Woodard, MD, William C. Watters, III, MD, Michael J. Goldberg, MD, Michael Keith, MD, Charles M. Turkelson, PhD, Janet L. Wies, MPH, Patrick Sluka, MPH, Kevin M. Boyer and Kristin […]

Avulsion Injuries of the Flexor Digitorum Profundus Tendon

J Am Acad Orthop Surg, Vol 19, No 3, March 2011 David E. Ruchelsman, MD, Dimitrios Christoforou, MD, Bradley Wasserman, MD, Steve K. Lee, MD and Michael E. Rettig, MD Avulsions of the flexor digitorum profundus tendon may involve tendon retraction into the palm and fractures of the distal phalanx. Although various repair techniques have […]

Rheumatologic Conditions in Children Who May Present to the Orthopaedic Surgeon

J Am Acad Orthop Surg, Vol 19, No 3, March 2011 Marilynn Punaro, MD Juvenile idiopathic arthritis, formerly known as juvenile rheumatoid arthritis, is a heterogeneous group of diseases characterized by onset of chronic arthritis in childhood. Diagnosis requires onset of disease by age 16 years, persistent arthritis in any joint for 6 weeks, and […]

Humeral Avulsion of Glenohumeral Ligaments

J Am Acad Orthop Surg, Vol 19, No 3, March 2011 Michael S. George, MD, Michael Khazzam, MD and John E. Kuhn, MD Humeral avulsion of glenohumeral ligaments (HAGL) is an increasingly recognized cause of recurrent shoulder instability. HAGL lesions are the result of acute traumatic glenohumeral subluxation or dislocation. Anterior avulsion of the inferior […]

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