Medial Meniscus Posterior Horn Avulsion
John M. Marzo, MD J Am Acad Orthop Surg, Vol 17, No 5, May 2009, Avulsion of the posterior horn of the medial meniscus can occur from acute trauma or chronic degeneration, leading to meniscus extrusion, articular cartilage loss, osteophyte formation, and medial joint space narrowing. With meniscus extrusion, the meniscus is unable to resist […]
Shoulder Problems in Children With Brachial Plexus Birth Palsy: Evaluation and Management
Michael L. Pearl, MD J Am Acad Orthop Surg, Vol 17, No 4, April 2009, Traction injury to the brachial plexus sustained during the birth process that results in impaired neuromuscular function of the upper extremity continues to occur despite advances in modern obstetric care. The most common pattern of injury usually results in motor […]
Distal Fibula Malunions
Alice Chu, MD and Lon Weiner, MD J Am Acad Orthop Surg, Vol 17, No 4, April 2009, Anatomic reduction and fixation of unstable ankle fractures is necessary to prevent posttraumatic arthritis. Malunion of the distal fibula in unstable ankle fractures may lead to progressive talar instability. Ankle fracture malunions often present with concomitant syndesmotic […]
Achondroplasia: Manifestations and Treatment
Eric D. Shirley, MD and Michael C. Ain, MD J Am Acad Orthop Surg, Vol 17, No 4, April 2009, Achondroplasia, the most common skeletal dysplasia, is caused by a mutation of fibroblast growth factor receptor-3. This disorder is characterized by frontal bossing, midface hypoplasia, otolaryngeal system dysfunction, and rhizomelic short stature. Orthopaedic manifestations are […]
Acromioclavicular Joint Injuries: Diagnosis and Management
Ryan Simovitch, MD, Brett Sanders, MD, Mehmet Ozbaydar, MD, Kyle Lavery, BS and Jon J. P. Warner, MD J Am Acad Orthop Surg, Vol 17, No 4, April 2009, Acromioclavicular joint injuries represent nearly half of all athletic shoulder injuries, often resulting from a fall onto the tip of the shoulder with the arm in […]
Pathoanatomy and Clinical Correlates of the Immunoinflammatory Response Following Orthopaedic Trauma
Benjamin W. Sears, MD, Michael D. Stover, MD and John Callaci, PhD J Am Acad Orthop Surg, Vol 17, No 4, April 2009, The natural inflammatory response to major trauma may be associated with the development of a systemic inflammatory state, remote multiorgan failure, and death. Although a controlled inflammatory response is beneficial, an exaggerated […]
Risk factors of new fractures after vertebroplasty
Docampo E, Ciria M, Serra-Burgés J, Blanch J, Pérez Edo L, Carbonell J; Medicina Clinica (Mar 2009) PURPOSE: To evaluate the risk factors of new fractures after vertebroplasty (VP). PATIENTS AND METHOD: Prospective, non-randomized study including patients with acute osteoporotic fractures treated with VP. Baseline visit included clinical and densitometric data. At 30, 90 and […]
Controversies in the Treatment of Knee Dislocations and Multiligament Reconstruction
Bruce A. Levy, MD, Gregory C. Fanelli, MD, Daniel B. Whelan, MD, James P. Stannard, MD, Peter A. MacDonald, MD, Joel L. Boyd, MD, Robert G. Marx, MD, Michael J. Stuart, MD and The Knee Dislocation Study Group A systematic approach to evaluation and treatment is needed for the patient with knee dislocation. There is […]
The role of intra-operative pathological evaluation in the management of musculoskeletal tumours
Ashford RU, Scolyer RA, McCarthy SW, Bonar SF, Karim RZ, Stalley PD; Cancer Research 179 11-24 (2009) A tissue biopsy is usually a critical aspect in guiding appropriate initial management in patients with musculoskeletal tumours. We have previously outlined the role of intra-operative frozen section in both the determination of adequacy of a biopsy and […]
Orthopaedic Conditions in the Newborn
Wudbhav N. Sankar, Jennifer Weiss, and David L. Skaggs J Am Acad Orthop Surg 2009 17: 112-122. The occasional consultation on a neonate can be unfamiliar territory for many orthopaedic surgeons. Just as children are not little adults, newborns are not just little children; rather, they have a unique physiology that affects the presentation of […]