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Acute Traumatic Myelopathy: Rethinking Central Cord Syndrome.
Bulloch, Landon R. MD; Spector, Leo MD, MBA; Patel, Alpesh MD, MBA
doi : 10.5435/JAAOS-D-22-00260
Volume 30(23) pgs. 1099-1145,e1483-e1549 December 1, 2022
AB Central cord syndrome (CCS) is an incomplete spinal cord injury that consists of both sensory and motor changes of the upper and lower extremities. CCS most commonly occurs after trauma to the cervical spine leading to acute neurological changes. Despite being the most common incomplete spinal cord injury with the best outcomes, optimal treatment remains controversial.
Multiligamentous Knee Injuries: Acute Management, Associated Injuries, and Anticipated Return to Activity.
Smith, Mark P. MD; Klott, Jeff MD; Hunter, Pete IV BS; Klitzman, Robert G. MD
doi : 10.5435/JAAOS-D-21-00830
AB Multiligamentous knee injuries (MLKIs) are devastating injuries. The energy and severity of these injuries encompass a wide range from low-energy single-joint mechanisms to high-energy polytrauma settings. Currently, there is no consensus on surgical treatment approach, surgical timing, or the return to preinjury activity levels after injury.
Unstable Ankle Fractures in Neuropathic Diabetics.
Pinzur, Michael S. MD
doi : 10.5435/JAAOS-D-22-00375
AB Connolly recognized as early as 1998 that a displaced ankle fracture in a neuropathic diabetic puts that patient at risk for an amputation. It is well appreciated that the risk of a poor clinical outcome secondary to failure of the surgical construct, deep wound infection and osteomyelitis or a combination of both, is greatly increased in neuropathic diabetic patients, that is, those that are insensate to the Semmes-Weinstein 5.07 (10 g) monofilament, as compared with sensate diabetics or similar non-diabetic patients. Despite this understanding, there is little objective evidence to guide treatment. The goal of this monograph is to provide the practicing Orthopaedic Surgeon the best consensus expert opinion and the most current new innovations to optimize clinical outcomes and avoid complications in this highly co-morbid patient cohort. (C) 2022 by American Academy of Orthopaedic Surgeons
Hip Pain in Ballet Dancers: Evaluation and Management.
Curley, Andrew J. MD; Engler, Ian D. MD; McClincy, Michael P. MD; Mauro, Craig S. MD
doi : 10.5435/JAAOS-D-22-00528
AB Hip and groin injuries are common in ballet dancers, who often begin sport-specific training at a young age. The unique demands of ballet include extreme range of motion, with an emphasis on external rotation and abduction. This creates a distinctive constellation of hip symptoms and pathology in this cohort, which may differ from other flexibility sports.
Park-Harris Lines.
Georgiadis, Andrew G. MD; Gannon, Nicholas P. MD
doi : 10.5435/JAAOS-D-22-00515
AB Park-Harris lines are radiographically apparent linear opacities that occur in a metaphyseal bone in proximity to a physis. Lines correspond to a temporary interruption of the normally ossifying physis with a sclerotic line corresponding to transversely oriented trabeculae.
Orthopaedic Manifestations of Neurofibromatosis Type I.
Evans, Timothy J. MD; Wang, Xia MD, PhD; Binitie, Odion MD
doi : 10.5435/JAAOS-D-22-00076
AB Neurofibromatosis type 1 (NF1) is a congenital disease which is caused by mutations in the NF1 gene on chromosome 17, resulting in an altered function of the neurofibromin protein. Owing to the ubiquitous expression of this protein, this syndrome is associated with pathology in many organ systems of the body, especially the central and peripheral nervous, musculoskeletal, and integumentary systems. This review outlines the common sequelae related to a diagnosis of NF1 and the common treatment approach to each. (C) 2022 by American Academy of Orthopaedic Surgeons
Impact of Heart Disease History on Safety of Telemedicine Cardiac Clearance Appointments.
Siegel, Nicholas MD; Lambrechts, Mark J. MD; Issa, Tariq Z. BS; Karamian, Brian A. MD; Wang, Jasmine BS; Carter, Michael BS; Lieb, Zachary BS; Zaworski, Caroline BA; Dambly, Julia BS; Canseco, Jose A. MD, PhD; Woods, Barrett MD; Kaye, David MD; Rihn, Jeffrey MD; Kurd, Mark MD; Hilibrand, Alan S. MD; Kepler, Christopher K. MD, MBA; Vaccaro, Alexander R. MD, MBA, PhD; Schroeder, Gregory D. MD
doi : 10.5435/JAAOS-D-22-00456
AB Purpose: The objective of this study was to compare complication, readmission, mortality, and cancellation rates between patients who had either an in-person or telemedicine preoperative cardiac clearance visit before spine surgery.
Preference Signaling for Orthopaedic Surgery Applicants: A Survey of Residency Program Directors.
Mun, Frederick BS; Suresh, Krishna V. MD; Li, T. Peter MD, PhD; Aiyer, Amiethab A. MD; LaPorte, Dawn M. MD
doi : 10.5435/JAAOS-D-22-00478
On March 30, 2022, the American Orthopaedic Association's Council of Orthopaedic Residency Directors announced its endorsement for a preference signaling program (PSP) for the 2022 to 2023 orthopaedic residency application cycle.
Lower Risk of Revision Surgery After Arthroscopic Versus Open Irrigation and Debridement for Shoulder Septic Arthritis.
Upfill-Brown, Alexander MD, MSc; Shi, Brendan MD; Carter, Matthew BS; Maturana, Carlos MS; Hart, Chistopher MD; Shah, Akash A. MD; Brodke, Dane MD, MPH; Hsiue, Peter MD; Photopoulos, Christos MD; Lee, Christopher MD; Stavrakis, Alexandra MD
doi : 10.5435/JAAOS-D-22-00428
In the treatment of native shoulder septic arthritis, the optimal irrigation and debridement modality-arthroscopic versus open-is a matter of controversy. We aim to compare revision-free survival (RFS), complications, and resource utilization between these approaches.
Reduced Costs, Complications, and Length of Stay After Arthroscopic Versus Open Irrigation and Debridement for Knee Septic Arthritis.
Upfill-Brown, Alexander MD, MSc; Shi, Brendan MD; Carter, Matthew BS; Maturana, Carlos MS; Brodke, Dane MD, MPH; Shah, Akash A. MD; Hsiue, Peter MD; Photopoulos, Christos MD; Lee, Christopher MD; Stavrakis, Alexandra MD
doi : 10.5435/JAAOS-D-22-00315
In the treatment of native knee bacterial septic arthritis, the optimal irrigation and debridement modality-arthroscopic versus open-is a matter of controversy. We aim to compare revision-free survival, complications, and resource utilization between these approaches.
Assessment of Healthcare Delivery Systems in Orthopaedic Surgery: A Large Retrospective Cohort Evaluation.
Egol, Kenneth A. MD; Parola, Rown MD; Wingo, Taylor MD; Maseda, Meghan MD; Ong, Christian BA; Deshmukh, Ajit J. MD; Leucht, Philipp MD
doi : 10.5435/JAAOS-D-22-00290
The purpose of this study was to assess how quality and volume of common orthopaedic care varies across private, municipal, and federal healthcare delivery systems (HDSs).
Single-level Lumbar Fusion Versus Total Joint Arthroplasty: A Comparison of 1-year Outcomes.
Minetos, Paul D. MD, MBA; Karamian, Brian A. MD; Levy, Hannah A. MD; Canseco, Jose A. MD, PhD; Robinson, William A. MD; D'Antonio, Nicholas D. BS; Lambrechts, Mark J. MD; Chisari, Emanuele MD; Kaye, I. David MD; Kurd, Mark F. MD; Rihn, Jeffrey A. MD; Kepler, Christopher K. MD, MBA; Vaccaro, Alexander R. MD, PhD, MBA; Hilibrand, Alan S. MD; Parvizi, Javad MD; Schroeder, Gregory D. MD
doi : 10.5435/JAAOS-D-21-01122
Primary hip and knee arthroplasty represent two of the most successful orthopaedic surgical interventions in the past century. Similarly, lumbar fusion (LF) remains a valuable, evidence-based option to relieve pain and disability related to spinal degenerative conditions.
