The Use of Personality Assessment in Mentoring and to Aid in Self-reflection in Orthopaedic Surgery Residency Programs

Tornetta, Paul III MD; Resad, Sehar MS; Kogan, Monica MD

doi : 10.5435/JAAOS-D-20-01345

Journal of the American Academy of Orthopaedic Surgeons: July 1, 2021 - Volume 29 - Issue 13 - p 545-552

Personality plays an important role in performance in medical education and mentorship. Personality assessment can aid in the ability to identify strengths and areas for development by understanding how one's personality influences their learning and interpersonal relationships.

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American Academy of Orthopaedic Surgeons Clinical Practice Guideline Summary for Limb Salvage or Early Amputation

Potter, Colonel B. K. MD; Bosse, Michael J. MD

doi : 10.5435/JAAOS-D-20-00188

Journal of the American Academy of Orthopaedic Surgeons: July 1, 2021 - Volume 29 - Issue 13 - p e628-e634

Clinical Practice Guideline for Limb Salvage or Early Amputation is based on a systematic review of current scientific and clinical research. The purpose of this clinical practice guideline is to address treatment for severe lower limb trauma below the distal femur by either amputation or limb salvage by providing evidence-based recommendations for key decisions that affect the management of patients with lower extremity trauma. This guideline contains 11 recommendations to evaluate the decision factors important for limb salvage versus early amputation. In addition, the work group highlighted the need for better research in the treatment and the shared decision making process of high-energy lower extremity trauma.

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Chondrosarcoma

Weinschenk, Robert C. MD; Wang, Wei-Lien MD; Lewis, Valerae O. MD

doi : 10.5435/JAAOS-D-20-01188

Journal of the American Academy of Orthopaedic Surgeons: July 1, 2021 - Volume 29 - Issue 13 - p 553-562

Chondrosarcoma is the second most common primary bone tumor, with >90% of cases representing the primary conventional subtype. In addition to arising de novo, conventional chondrosarcoma can arise secondary to a benign underlying lesion, such as enchondroma or osteochondroma. Symptoms are often characterized by focal, dull, aching pain to the affected region.

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Congenital Radioulnar Synostosis

Rutkowski, Paul T. MD; Samora, Julie Balch MD, PhD

doi : 10.5435/JAAOS-D-20-01133

Journal of the American Academy of Orthopaedic Surgeons: July 1, 2021 - Volume 29 - Issue 13 - p 563-570

Congenital radioulnar synostosis is a rare condition resulting in fusion of the proximal portions of the radius and ulna. Patients commonly present in early childhood with functional deficits because of limited forearm rotation and fixed positioning of the forearm.

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The Evolution of the Walch Classification for Primary Glenohumeral Arthritis

Jawa, Andrew MD; Shields, Margaret V. MD

doi : 10.5435/JAAOS-D-20-00880

Journal of the American Academy of Orthopaedic Surgeons: July 1, 2021 - Volume 29 - Issue 13 - p e635-e645

Our understanding of the pathology of and treatment for glenohumeral arthritis (GHA) has grown dramatically in the past few decades. Original observations regarding patterns of glenoid erosion, glenoid retroversion, and posterior humeral head subluxation in patients with primary GHA were documented in the 1980s and early 1990s.

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Interpretation of Electrodiagnostic Studies: How to Apply It to the Practice of Orthopaedic Surgery

Dy, Christopher J. MD, MPH, FACS; Colorado, Berdale S. DO, MPH; Landau, Andrew J. MD; Brogan, David M. MD, MSc

doi : 10.5435/JAAOS-D-20-00322

Journal of the American Academy of Orthopaedic Surgeons: July 1, 2021 - Volume 29 - Issue 13 - p e646-e654

Electrodiagnostic studies may help orthopaedic surgeons to identify and confirm nerve pathology, determine severity of disease, localize the lesion, identify concomitant or alternative pathology, and prognosticate potential outcomes with nonoperative or operative treatment. Surgeons should recognize the indications for electrodiagnostic studies, principles of their performance, and how to assess the primary data generated by the examination and how it can inform their treatment plans.

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Templating for Total Hip Arthroplasty in the Modern Age: Erratum

doi : 10.5435/JAAOS-D-21-00450

Journal of the American Academy of Orthopaedic Surgeons: July 1, 2021 - Volume 29 - Issue 13 - p e655

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Orthopaedic Injuries Associated With Cell Phone Use Resulting in Emergency Department Visits: A 20-Year Analysis

Moore, Harold G. BS; Halperin, Scott J. BS; Berson, Elisa R. BS; Burroughs, Patrick J. BS; Paskhover, Boris MD; Grauer, Jonathan N. MD

doi : 10.5435/JAAOS-D-20-00639

Journal of the American Academy of Orthopaedic Surgeons: July 1, 2021 - Volume 29 - Issue 13 - p 571-579

Cell phones are an integral part of daily life but are distractors that can contribute to injury. The present study uses a large national emergency department (ED) database to evaluate the frequency, anatomic location, and type of injuries associated with cell phone use. We hypothesize that orthopaedic injuries related to cell phone use have increased over time and affect certain body parts and age groups more than others.

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Postoperative Glycemic Variability and Adverse Outcomes After Posterior Cervical Fusion

Patel, Parthik D. MD; Canseco, Jose A. MD, PhD; Wilt, Zachary MD; Okroj, Kamil T. MD; Chang, Michael BA; Reyes, Ariana A. MD; Bowles, Daniel R. MD; Kurd, Mark F. MD; Rihn, Jeffrey A. MD; Anderson, D. Greg MD; Hilibrand, Alan S. MD; Kepler, Christopher K. MD, MBA; Vaccaro, Alexander R. MD, PhD, MBA; Schroeder, Gregory D. MD

doi : 10.5435/JAAOS-D-20-00126

Journal of the American Academy of Orthopaedic Surgeons: July 1, 2021 - Volume 29 - Issue 13 - p 580-588

Posterior cervical decompression and fusion (PCDF) is a procedure commonly performed to help alleviate symptoms and improve quality of life in patients experiencing cervical spondylotic myelopathy, multilevel stenosis, and cervical deformity. Although various risk factors have been linked to adverse outcomes in patients after PCDF, this is the first study that specifically explores postoperative glycemic variability and its association with adverse outcomes.

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Outcome of Spinal Versus General Anesthesia in Revision Total Hip Arthroplasty: A Propensity Score-Matched Cohort Analysis

Tirumala, Venkatsaiakhil MS; Bounajem, Georges MD; Klemt, Christian PhD; Maier, Stephen P. MD; Padmanabha, Anand MD; Kwon, Young-Min MD, PhD

doi : 10.5435/JAAOS-D-20-00797

Journal of the American Academy of Orthopaedic Surgeons: July 1, 2021 - Volume 29 - Issue 13 - p e656-e666

Spinal anesthesia has been previously shown to offer improved patient outcomes compared with general anesthesia in revision total knee arthroplasty. This study aimed to evaluate the potential differences in perioperartive and postoperative outcomes in revision total hip arthroplasty (THA) between spinal or general anesthesia.

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Increases in Firework-Related Upper Extremity Injuries Correspond to Increasing Firework Sales: An Analysis of 41,195 Injuries Across 10 Years

Morrissey, Patrick J. BA; Scheer, Ryan C. BS; Shah, Neil V. MD, MS; Penny, Gregory S. MD; Avoricani, Alba BA; Koehler, Steven M. MD

doi : 10.5435/JAAOS-D-20-00201

Journal of the American Academy of Orthopaedic Surgeons: July 1, 2021 - Volume 29 - Issue 13 - p e667-e674

Between 2008 and 2017, the American Pyrotechnics Association reported a 41% increase in revenue from firework sales, with 2017 showing $885 million US dollars in consumer sales. We sought to evaluate the epidemiology of firework-related upper extremity injuries during this 10-year period, hypothesizing that hand/upper extremity injuries from fireworks were increasing in the United States.

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Antipsychotic Use Is Associated With Longer In-hospital Lengths of Stay and Higher Rates of Venous Thromboembolism and Costs of Care After Primary Total Knee Arthroplasty

Hernandez, Nicholas M. MD; Vakharia, Rushabh M. MD; Mont, Michael A. MD; Roche, Martin W. MD; Seyler, Thorsten M. MD, PhD

doi : 10.5435/JAAOS-D-20-00726

Journal of the American Academy of Orthopaedic Surgeons: July 1, 2021 - Volume 29 - Issue 13 - p e675-e680

Studies have shown that antipsychotic medication use may lead to venous thromboembolisms (VTEs); however, this association has not been demonstrated in patients undergoing primary total knee arthroplasty (TKA). Therefore, the purpose of this study was to investigate whether patients taking antipsychotic medications at the time of their primary TKA have higher rates of in-hospital lengths of stay (LOS), VTEs, and costs of care.

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