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 […]
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 […]
Glenohumeral chondrolysis after shoulder arthroscopy associated with continuous bupivacaine infusion
Rapley JH, Beavis RC, Barber FA; Arthroscopy 25 (12), 1367-73 (Dec 2009) PURPOSE: To determine the incidence of glenohumeral chondrolysis associated with the use of a continuous-infusion device in shoulder arthroscopy. METHODS: A consecutive series of patients undergoing arthroscopic glenohumeral surgery with a postoperative continuous-infusion pump inserted into either the glenohumeral joint or subacromial space […]
Tai Chi is effective in treating knee osteoarthritis: A randomized controlled trial.
Arthritis Rheum. 2009 Nov 15;61(11):1545-53 Wang C, Schmid CH, Hibberd PL, Kalish R, Roubenoff R, Rones R, McAlindon T. OBJECTIVE: To evaluate the effectiveness of Tai Chi in the treatment of knee osteoarthritis (OA) symptoms. METHODS: We conducted a prospective, single-blind, randomized controlled trial of 40 individuals with symptomatic tibiofemoral OA. Patients were randomly assigned […]
Chordoma of the Sacrum and Vertebral Bodies
J Am Acad Orthop Surg, Vol 17, No 11, November 2009, Daniel M. Sciubba, MD, Jennifer J. Cheng, MD, Rory J. Petteys, BS, Kristy L. Weber, MD, Deborah A. Frassica, MD and Ziya L. Gokaslan, MD Chordomas are relatively rare tumors of bone. These primary malignant lesions occur throughout the spinal column and often show […]
Marfan Syndrome
J Am Acad Orthop Surg, Vol 17, No 9, September 2009 LCDR Eric D. Shirley, MD, MC, USN and Paul D. Sponseller, MD Marfan syndrome is a variable autosomal dominant disorder; most cases result from mutations of fibrillin-1. Diagnosis is guided by the Ghent nosology. The condition may manifest in the cardiovascular and ocular systems. […]
Charcot Neuroarthropathy of the Foot and Ankle
J Am Acad Orthop Surg, Vol 17, No 9, September 2009 Alexander van der Ven, MD, MBA, Cary B. Chapman, MD and John H. Bowker, MD Charcot neuroarthropathy is a common cause of morbidity in persons with diabetes mellitus and sensory neuropathy. Although Charcot neuroarthropathy is rare, it likely will become more prevalent in conjunction […]
Timing of Fracture Fixation in Multitrauma Patients: The Role of Early Total Care and Damage Control Surgery
J Am Acad Orthop Surg, Vol 17, No 9, September 2009 Hans-Christoph Pape, MD, Paul Tornetta, III, MD, Ivan Tarkin, MD, Christopher Tzioupis, MD, Vani Sabeson, MD and Steven A. Olson, MD The optimal timing of surgical stabilization of fractures in the multitrauma patient is controversial. There are advantages to early definitive surgery for most […]
Osteosarcoma
Patrick J. Messerschmitt, MD, Ryan M. Garcia, MD, Fadi W. Abdul-Karim, MD, Edward M. Greenfield, MD and Patrick J. Getty, MD J Am Acad Orthop Surg, Vol 17, No 8, August 2009 Osteosarcoma, the most common bone sarcoma, affects approximately 560 children and adolescents annually in the United States. The incidence of new diagnoses peaks […]
Stress Radiographs in Orthopaedic Surgery
Paul M. Lafferty, MD, William Min, MD, MS, MBA and Nirmal C. Tejwani, MD J Am Acad Orthop Surg, Vol 17, No 8, August 2009 Stress radiographs are useful in determining the amount of ligamentous laxity present following trauma. The results may be helpful in determining diagnosis, surgical indications, and the type and timing of […]