The Musculoskeletal Effects of Perioperative Smoking
J Am Acad Orthop Surg June 2012 vol. 20 no. 6 Evan Argintar Abstract Although the carcinogenic consequences of smoking are well known, further research is needed on the effects of smoking on musculoskeletal health and surgical outcomes. Orthopaedic perioperative complications of smoking include impaired healing, increased infection, delayed and/or impaired fracture union and arthrodesis, […]
Aneurysmal Bone Cyst
Timothy B. Rapp J Am Acad Orthop Surg April 2012 Abstract Aneurysmal bone cysts are rare skeletal tumors that most commonly occur in the first two decades of life. They primarily develop about the knee but may arise in any portion of the axial or appendicular skeleton. Pathogenesis of these tumors remains controversial and may […]
Contributing Factors to Surgical Site Infections
James S. Harrop Abstract Surgical site infections (SSIs) are the most common nosocomial infections. These complications lead to revision surgery, delayed wound healing, increased use of antibiotics, and increased length of hospital stay, all of which have a significant impact on patients and the cost of health care. Such intraoperative factors as proper skin preparation, […]
Postarthroscopic Glenohumeral Chondrolysis
Peter C. Yeh J Am Acad Orthop Surg February 2012 ; 20 Abstract Postarthroscopic glenohumeral chondrolysis (PAGCL) is a rare complication in which the articular cartilage of the shoulder undergoes rapid, degenerative changes shortly after arthroscopic surgery. Patients with PAGCL are often young (eg, aged 10 to 40 years) and develop deep shoulder pain with […]
Psoriatic Arthritis
Michael Sean Day JAAOS January 2012; 20 (1) Abstract Psoriatic arthritis is a chronic inflammatory arthropathy that affects approximately 6% to 48% of patients with psoriasis. Arthritis is not correlated with the extent of skin disease. Classic radiographic findings of the involved joint include erosion, ankylosis, and fluffy periostitis. Site-specific characteristic deformities such as pencil-in-cup […]
Brachial Plexus Blocks for Upper Extremity Orthopaedic Surgery
Benjamin G. Bruce JAAOS January 2012; 20 (1) Abstract Regional anesthesia of the upper extremity has several clinical applications and is reported to have several advantages over general anesthesia for orthopaedic surgery. These advantages, such as improved postoperative pain, decreased postoperative opioid administration, and reduced recovery time, have led to widespread acceptance of a variety […]
Osteoid Osteoma and Osteoblastoma
November 2011; 19 Kivanc I. Atesok, Abstract Osteoid osteoma and osteoblastoma are commonly seen benign osteogenic bone neoplasms. Both tumors are typically seen in the second decade of life, with a notable predilection in males. Histologically, these tumors resemble each other, with characteristically increased osteoid tissue formation surrounded by vascular fibrous stroma and perilesional sclerosis. […]
Arthroscopic Releases for Arthrofibrosis of the Knee
J Am Acad Orthop Surg November 2011 Michael R. Chen, Abstract Intra-articular inflammation or fibrosis may lead to decreased soft-tissue and capsular compliance, which may result in pain or loss of motion within the knee. Etiology of intra-articular fibrosis may include isolated anterior interval scarring and posterior capsular contracture, as well as fibrosis that involves […]
The Impact of Complementary and Alternative Treatment Modalities on the Care of Orthopaedic Patients
J Am Acad Orthop Surg October 2011 David T. Rispler, MD and Julie Sara, MD Abstract The use of complementary and alternative medicine is widespread and popular with the lay public. Although prevalence of use varies among specific patient populations, complementary and alternative medicine, in particular herbal remedies, are widely marketed and used by orthopaedic […]
Advances in Magnetic Resonance Imaging of Articular Cartilage
NULL J Am Acad Orthop Surg, Vol 19, No 7, July 2011 Laith M. Jazrawi, MD, Michael J. Alaia, MD, Gregory Chang, MD, Erin F. FitzGerald, MD and Michael P. Recht, MD The pathology, assessment, and management of articular cartilage lesions of the hip and knee have been the subject of considerable attention in the […]