Spinal Epidural Hematoma
NULL Abdulaziz Al-Mutair, BHSc, MBChB, FRCSC and Drew A. Bednar, MD, FRCSC J Am Acad Orthop Surg, Vol 18, No 8, August 2010 Spinal epidural hematoma is a rare condition that usually presents with acute, severe pain at the location of the hemorrhage, with radiation to the extremities. It can rapidly develop to include progressive […]
Metatarsalgia
NULL Norman Espinosa, MD, James W. Brodsky, MD and Ernesto Maceira, MD J Am Acad Orthop Surg, Vol 18, No 8, August 2010 Metatarsalgia (ie, metatarsal pain) is one of the most common reports in patients with foot problems. This pain is confined to the area across the plantar forefoot, including the second through fourth […]
Diagnosis and Treatment of Acute Achilles Tendon Rupture
NULL Christopher P. Chiodo, MD, Mark Glazebrook, MD, Eric Michael Bluman, MD, PhD, Bruce E. Cohen, MD, John E. Femino, MD, Eric Giza, MD, William C. Watters, III, MD, Michael J. Goldberg, MD, Michael Keith, MD, Robert H. Haralson, III, MD, MBA, Charles M. Turkelson, PhD, Janet L. Wies, MPH, Laura Raymond, MA, Sara Anderson, […]
Randomized Clinical Trials in Orthopaedic Surgery: Strategies to Improve Quantity and Quality
NULL S. Samuel Bederman, MD, PhD, FRCSC, Josie Chundamala, MA and James G. Wright, MD, MPH, FRCSC J Am Acad Orthop Surg, Vol 18, No 8, August 2010 Randomized clinical trials (RCTs) generally provide the highest quality and least biased evidence for treatment effectiveness. Relatively few high-quality RCTs have been published in the orthopaedic literature. […]
Therapy After Injury to the Hand
NULL Erik Dorf, MD, Carla Blue, OTR/L, CHT, Beth P. Smith, PhD and L. Andrew Koman, MD J Am Acad Orthop Surg, Vol 18, No 8, August 2010 Surgical and nonsurgical management of upper extremity disorders benefits from the collaboration of a therapist, the treating physician, and the patient. Hand therapy plays a role in […]
Bracing Following Correction of Idiopathic Clubfoot Using the Ponseti Method
NULL Lewis E. Zionts, MD and Frederick R. Dietz, MD J Am Acad Orthop Surg, Vol 18, No 8, August 2010 The Ponseti method for the management of idiopathic clubfoot has recently experienced a rise in popularity, with several centers reporting excellent outcomes. The challenge in achieving a successful outcome with this method lies not […]
Preoperative Embolization in the Treatment of Spinal Metastasis
NULL Eeric Truumees, MD, Shah-Nawaz Dodwad, MD and Chris D. Kazmierczak, MD J Am Acad Orthop Surg, Vol 18, No 8, August 2010 Because of advances in the treatment of cancer, the average rate of patient survival is increasing. As patients with cancer live longer, the incidence of spinal metastasis also likely will increase. To […]
Perioperative Management of Diabetes and Hyperglycemia in Patients Undergoing Orthopaedic Surgery
NULL Ali A. Rizvi, MD, Shawn A. Chillag, MD and Kim J. Chillag, MD J Am Acad Orthop Surg 2010 18:. Persons with diabetes undergo more surgical procedures, have a higher perioperative risk of complications, and have longer hospital stays than do persons who do not have diabetes. Persons with diabetes are frequently overweight, have […]
Shoulder Outcomes Measure
NULL Rick W. Wright, MD and Keith M. Baumgarten, MD J Am Acad Orthop Surg 2010 18: General health as well as disease- or condition-specific outcome measures have long been used to assess patients with shoulder conditions. Currently, a variety of validated measures is available. Shoulder outcomes measures may be general (eg, American Shoulder and […]
Midfoot Arthritis
NULL Amar Patel, MD, Smita Rao, PT, PhD, Deborah Nawoczenski, PT, PhD, Adolf S. Flemister, MD, Benedict DiGiovanni, MD and Judith F. Baumhauer, MD, MPH J Am Acad Orthop Surg 2010 18: Midfoot arthritis is a common cause of significant pain and disability. Although the medial tarsometatarsal (TMT) joints provide