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 […]
Outcomes After Arthroscopic Repair of Type-II SLAP Lesions
The Journal of Bone and Joint Surgery (American). 2009;91 Stephen F. Brockmeier, MD1, James E. Voos, MD2, Riley J. Williams, III, MD2, David W. Altchek, MD2, Frank A. Cordasco, MD2, Answorth A. Allen, MD2 and the Hospital for Special Surgery Sports Medicine and Shoulder Service Background: To our knowledge, there has been no prospective study […]
Static and Mobile Antibiotic-impregnated Cement Spacers for the Management of Prosthetic Joint Infection
Cale Jacobs, PhD, Christian P. Christensen, MD and Michael E. Berend, MD J Am Acad Orthop Surg, Vol 17, No 6, June 2009 Two-stage treatment is currently the most common approach for management of an infected joint prosthesis in the United States. Static antibiotic-impregnated polymethylmethacrylate cement spacers have traditionally been used; increasingly, however, mobile or […]
Anterior Cruciate Ligament Revision of a Relatively New Implant System
By William Cooper, DO; M. Shaun Machen, MD; James Nelson, BA; Brett D. Owens, MD ORTHOPEDICS 2009; 32:326 Abstract The Cayenne AperFix system (Cayenne Medical, Inc, Scottsdale, Arizona) is a relatively new implant system used in anterior cruciate ligament reconstruction. This article presents a case of successful revision of the implant and describes the technique […]
Intramedullary Nailing of Femoral Shaft Fractures: Current Concepts
William M. Ricci, MD, Bethany Gallagher, MD and George J. Haidukewych, MD J Am Acad Orthop Surg, Vol 17, No 5, May 2009 Intramedullary nailing is the preferred method for treating fractures of the femoral shaft. The piriformis fossa and greater trochanter are viable starting points for antegrade nailing. Alternatively, retrograde nailing may be performed. […]
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 […]