Odontoid Fractures: Update on Management
NULL Wellington K. Hsu, MD and Paul A. Anderson, MD J Am Acad Orthop Surg 2010 18: Recognition of the incidence of odontoid fractures as well as the associated morbidity and unexpectedly high mortality rates has prompted significant changes in the management of these fractures in the past decade. Nonsurgical management of type II odontoid […]
Pediatric Tibial Eminence Fractures: Evaluation and Management
NULL Russell M. LaFrance, MD, Brian Giordano, MD, John Goldblatt, MD, Ilya Voloshin, MD and Michael Maloney, MD J Am Acad Orthop Surg 2010 18: Tibial eminence fractures result from both contact and noncontact injuries. Skeletally immature persons are especially at risk. In adults, isolated fractures of the tibial eminence are usually associated with higher-energy […]
Management of Osteoarthritis of the Knee in the Active Patient
NULL Brian T. Feeley, MD, Robert A. Gallo, MD, Seth Sherman, MD and Riley J. Williams, MD J Am Acad Orthop Surg 2010 18: Total knee arthroplasty has been extremely successful in elderly patients with osteoarthritis. However, there is considerable controversy regarding how best to treat the younger, athletic patient with advanced arthritis. Treatment options […]
The Orthopaedic Implications of Diphosphonate Therapy
J Am Acad Orthop Surg, Vol 18, No 6, June 2010 Michael J. Weaver, MD, Micah A. Miller, BS and Mark S. Vrahas, MD Diphosphonates are among the many commonly prescribed drugs for osteoporosis management. These synthetic analogues of physiologically occurring inorganic pyrophosphate bind to the hydroxyapatite crystals of bone. Diphosphonates act by decreasing the […]
Orthopaedic Manifestations of Neurofibromatosis Type 1
NULL David S. Feldman, MD, Charles Jordan, MD and Lauren Fonseca, BA Neurofibromatosis type 1 (NF-1) is an autosomal dominant disease that affects 1 in 3,000 persons worldwide. Café-au-lait macules and peripheral nerve sheath tumors (ie, neurofibromas) are the most commonly recognized manifestations of NF-1. However, NF-1 affects multiple organ systems, and a multidisciplinary approach […]
Osteofibrous Dysplasia and Adamantinoma
J Am Acad Orthop Surg, Vol 18, No 6, June 2010 Mathew J. Most, MD, Franklin H. Sim, MD and Carrie Y. Inwards, MD Osteofibrous dysplasia (OFD) is a rare, benign, fibro-osseous lesion that typically is seen within the cortex of the tibia in children. Adamantinoma (AD) is a rare, low-grade malignant primary bone tumor […]
A Review of Squeaking Hips
J Am Acad Orthop Surg, Vol 18, No 6, June 2010 William L. Walter, MBBS, FRACS, PhD, Eric Yeung, FRCS (Tr+Orth) and Christina Esposito, BSc The incidence of squeaking in hip replacement varies for ceramic-on-ceramic and metal-on-metal bearings, and the implications are not fully understood. Contributing factors may include component malposition, edge loading, impingement, third-body […]
The Acetabular Labrum: Anatomic and Functional Characteristics and Rationale for Surgical Intervention
J Am Acad Orthop Surg, Vol 18, No 6, June 2010 Marc R. Safran, MD The past decade has seen unprecedented growth in the number of hip arthroscopies. Acetabular labral tears are the leading indication for arthroscopy of this joint. However, labral anatomy and function, as well as the effects of labral tears and surgical […]
Recurrent Lumbar Disk Herniation
J Am Acad Orthop Surg, Vol 18, No 6, June 2010 Joseph K. Lee, MD, Louis Amorosa, MD, Samuel K. Cho, MD, Mark Weidenbaum, MD and Yongjung Kim, MD Recurrent lumbar disk herniation is the most common complication following primary open diskectomy. It is defined as recurrent back and/or leg pain after a definite pain-free […]
Modern Metal-on-metal Hip Resurfacing
J Am Acad Orthop Surg, Vol 18, No 5 Brian McGrory, MD, Robert Barrack, MD, Paul F. Lachiewicz, MD, Thomas P. Schmalzried, MD, Adolph J. Yates, Jr, MD, William C. Watters, III, MD, Charles M. Turkelson, PhD, Janet L. Wies, MPH and Justin St. Andre, MA For this technology overview, the tools of evidence-based medicine […]