Sarcoma Chemotherapy
Brian E. Walczak J Am Acad Orthop Surg. Vol 21 Nº 8 August 2013 Sarcomas are a rare, heterogeneous group of malignant tumors of the bone or soft tissue. Although historically intended for the pharmaceutical treatment of microbes, today chemotherapy is used in orthopaedic oncology and is arguably the primary reason for improved survivorship. Agents […]
Transabdominal Gunshot Wounds of the Hip and Pelvis
Anna N. Miller, MD, Abstract Transabdominal gunshot wounds (GSWs) of the hip and pelvis are those that traverse the gastrointestinal system before entering the pelvis and/or hip. These injuries may be contaminated by bowel contents. Some require urgent surgical intervention; others can be managed nonsurgically. A primary survey with attention to hemodynamic status is of […]
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
William Watters, III J Am Acad Orthop Surg March 2013 vol. 21 no. 3 Abstract The Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures evidence-based clinical practice guideline was codeveloped by the American Academy of Orthopaedic Surgeons (AAOS) and the American Dental Association. This guideline replaces the previous AAOS Information Statement, Antibiotic Prophylaxis […]
Obesity and Osteoarthritis: More Than Just Wear and Tear
Ryan C. Koonce J Am Acad Orthop Surg March 2013 vol. 21 no. 3 Abstract A link has been established between obesity and osteoarthritis (OA), but the precise relationship has yet to be defined. OA has a multifactorial etiology, and obesity is consistently identified as an independent and modifiable risk factor. The biomechanical relationship is […]
Giant Cell Tumor of Bone
Kevin A. Raskin J Am Acad Orthop Surg February 2013 ; 21 Abstract Giant cell tumor (GCT) of bone is one type of giant cell-rich lesion of bone. This benign mesenchymal tumor has characteristic multinuclear giant cells. Mononuclear stromal cells are the physiologically active and diagnostic cell type. Most GCTs are located in the epiphyseal […]
Elder Abuse: An Update on Prevalence, Identification, and Reporting for the Orthopaedic Surgeon
Julie A. Switzer Abstract Elder abuse is an underestimated mechanism of musculoskeletal injury and is of significant concern in geriatric and rapidly aging populations of the United States. Abuse can occur in a home or institutional setting and may include physical, sexual, emotional, or financial abuse as well as neglect or abandonment. Elderly persons with […]
Benign Tumors of the Spine
J Am Acad Orthop Surg November 2012 ; 20 Nikhil A. Thakur Abstract Benign tumors in the spine include osteoid osteoma, osteoblastoma, aneurysmal bone cyst, osteochondroma, neurofibroma, giant cell tumor of bone, eosinophilic granuloma, and hemangioma. Although some are incidental findings, some cause local pain, radicular symptoms, neurologic compromise, spinal instability, and deformity. The evaluation […]
Management of Extra-articular Fractures of the Distal Tibia: Intramedullary Nailing Versus Plate Fixation
J Am Acad Orthop Surg November 2012 ; 20 Chris Casstevens Abstract Intramedullary nailing and plate fixation represent two viable approaches to internal fixation of extra-articular fractures of the distal tibia. Although both techniques have demonstrated success in maintaining reduction and promoting stable union, they possess distinct advantages and disadvantages that require careful consideration during […]
Malignant Osseous Tumors of the Pediatric Spine
J Am Acad Orthop Surg. October 2012;20(10) Han Jo Kim Abstract In the pediatric population, malignant osseous tumors of the spine include osteosarcoma, Ewing sarcoma, lymphoma, and metastatic neuroblastoma. Although these tumors are rare, prompt diagnosis and recognition are critical to the overall prognosis. Improved understanding of the natural history of spine deformity, combined with […]
Musculoskeletal Care of the Hemophiliac Patient
J Am Acad Orthop Surg. September 2012 ; 20 (9) Kelly L. Vanderhave, MD, Michelle S. Caird, MD, Mark Hake, MD, Robert N. Hensinger, MD, Andrew G. Urquhart, MD, Selina Silva, MD and Frances A. Farley, MD Abstract Hemophilia is caused by a deficiency of clotting factor VIII or IX and is inherited by a […]