Introducing a Clinical Practice Guideline Using Early CT in the Diagnosis of Scaphoid and Other Fractures
Western J Emerg Med. 2009;10(4):227232 Steven Pincus Abstract Objective: We developed and implemented clinical practice guideline (CPG) using computerized tomography (CT) as the initial imaging method in the emergency department management of scaphoid fractures. We hypothesized that this CPG would decrease unnecessary immobilization and lead to earlier return to work. Methods: This observational study evaluated […]
Distal Triceps Rupture
J Am Acad Orthop Surg, Vol 18, No 1, January 2010 Peter C. Yeh, MD, Seth D. Dodds, MD, L. Ryan Smart, MD, Augustus D. Mazzocca, MS, MD and Paul M. Sethi, MD Distal triceps rupture is an uncommon injury. It is most often associated with anabolic steroid use, weight lifting, and laceration. Other local […]
Ambulatory Assistive Devices in Orthopaedics: Uses and Modifications
J Am Acad Orthop Surg, Vol 18, No 1, January 2010 Safi R. Faruqui, DO and Todd Jaeblon, DO Ambulatory assistive devices (eg, canes, crutches, walkers) provide advantages such as stability, augmentation of muscle action, and reduction of weight-bearing load. Although they are often prescribed, a detailed understanding of these devices is often lacking, which […]
The Advantage of Throwing the First Stone: How Understanding the Evolutionary Demands of Homo sapiens Is Helping Us Understand Carpal Motion
J Am Acad Orthop Surg, Vol 18, No 1, January 2010 Rachel S. Rohde, MD, Joseph J. Crisco, PhD and Scott W. Wolfe, MD Unlike any other diarthrodial joint in the human body, the «wrist joint» is composed of numerous articulations between eight carpal bones, the distal radius, the distal ulna, and five metacarpal bones. […]
Open Tibial Shaft Fractures: I. Evaluation and Initial Wound Management
J Am Acad Orthop Surg, Vol 18, No 1, January 2010 J. Stuart Melvin, MD, Derek G. Dombroski, MD, Jesse T. Torbert, MD, Stephen J. Kovach, MD, John L. Esterhai, MD and Samir Mehta, MD Open fractures of the tibial diaphysis are often associated with severe bone and soft-tissue injury. Contamination of the fracture site […]
Current Treatment Strategies for Bicolumnar Distal Humerus Fractures
J Am Acad Orthop Surg, Vol 18, No 1, January 2010 Gregory J. Galano, MD, Christopher S. Ahmad, MD and William N. Levine, MD Management of distal humerus fractures continues to challenge orthopaedic surgeons. The unique and complex anatomy of the distal humerus, involving the ulnohumeral and radiocapitellar joints, makes anatomic reduction difficult and hardware […]
Commonly Missed Peritalar Injuries
NULL Joseph X. Kou, MD and Paul T. Fortin, MD J Am Acad Orthop Surg, Vol 17, No 12, December 2009, Because of the effect on hindfoot kinematics, missed or delayed diagnosis of peritalar injuries often results in impairment. The seemingly innocuous nature of these injuries, subtle radiographic findings, and low incidence limit familiarity, thereby […]
The Use of Radiofrequency Ablation in the Treatment of Musculoskeletal Tumors
NULL Dustin Volkmer, MD, Michael Sichlau, MD and Timothy B. Rapp, MD J Am Acad Orthop Surg, Vol 17, No 12, December 2009, Musculoskeletal tumors, both primary neoplasms and metastatic lesions, present a therapeutic challenge for the physician who wishes to provide palliative pain relief using the least invasive approach. The increasing sophistication of imaging […]
Central Cord Syndrome
NULL Douglas D. Nowak, MD, Joseph K. Lee, MD, Daniel E. Gelb, MD, Kornelis A. Poelstra, MD, PhD and Steven C. Ludwig, MD J Am Acad Orthop Surg, Vol 17, No 12, December 2009, Central cord syndrome is the most common type of incomplete spinal cord injury. This syndrome most often occurs in older persons […]
Soft-tissue Balancing During Total Knee Arthroplasty in the Varus Knee
William M. Mihalko, MD, PhD, Khaled J. Saleh, MD, MSc, Kenneth A. Krackow, MD and Leo A. Whiteside, MD J Am Acad Orthop Surg, Vol 17, No 12, December 2009, Soft-tissue balancing during total knee arthroplasty is an important step in optimizing the mechanical balance of the knee joint. Soft-tissue contractures that result from varus […]