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 […]
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. […]