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Journal J Am Acad Orthop Surg Glob Res Rev

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Bilateral Discoid Medial Menisci: A Case Report and Review of the Literature.

Kenneth Lukas, Holly Livock, Ken Kontio, Sasha Carsen,

Bilateral discoid medial menisci are exceptionally rare and of uncertain pathoetiology. We report on a case in an active adolescent woman who presented with bilateral medial knee joint line pain. Clinical evaluation and MRI identified atypical bilateral discoid medial menisci bilaterally. The patient underwent bilateral meniscal saucerization, with no pain ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(8):e2000069]

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The Effect of an Orthopaedic Surgeon's Attire on Patient Perceptions of Surgeon Traits and Identity: A Cross-Sectional Survey.

Stephanie D Goldstein, Emma L Klosterman, Scott J Hetzel, Brian F Grogan, Kathryn L Williams, Ronald Guiao, Andrea M Spiker,

INTRODUCTION:In orthopaedic surgery, limited research is available addressing how attire, including white coats (WC) and feminine attire such as skirts, affects patient perceptions. It is unknown how surgeon appearance is associated with identification as a surgeon and perception of clinical skills, nor whether this differs between male and female surgeons. ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(8):e2000097-11]

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Bisphosphonates Versus Denosumab for Prevention of Pathological Fracture in Advanced Cancers With Bone Metastasis: A Meta-analysis of Randomized Controlled Trials.

Humaid Al Farii, Abbey Frazer, Leila Farahdel, Faisal AlFayyadh, Robert Turcotte,

BACKGROUND:Metastasis to the bone is one of the most common complications associated with advanced cancer. Patients with bone metastases are at risk of devastating skeletal related events, including pathological fractures. PURPOSE:The aim of this study was to analyze the efficacy of zoledronic acid (ZA) versus denosumab in the prevention of ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(8):e2000045]

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Application of a Quick Response Code as an Alternative Method to Provide Pediatric Cast Care Instructions.

Michael Basso-Williams, Katie Fletcher, Bryn R Gornick, Kevin Kwan, John A Schlechter,

BACKGROUND:There is a growing need to improve patient education for nonsurgical fracture care in children. A Quick Response (QR) code was used as an alternative method to provide cast care instructions in our outpatient fracture clinic. We evaluated satisfaction and examined the convenience and impact this might have on the ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(7):e2000105]

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The Educational Impact of a Fellowship-trained Orthopaedic Oncologist.

Matthew E Wells, Michael D Eckhoff, Phillip R Schneider, Lisa A Kafchinski, John C Dunn, Gilberto A Gonzalez,

INTRODUCTION:Musculoskeletal oncology is a subspecialty of orthopaedics with few fellowship-training locations. Although orthopaedic oncologists comprise a minority within the field of orthopaedic surgery, most work at academic centers and serve in leadership roles with notable impact on patients and the training of residents. This article investigates the objective impact orthopaedic ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(7):e2000101]

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Hip Arthroplasty Instability After Implantation of a Spinal Cord Stimulator.

Cambize Shahrdar, Kevin P Smidt,

A 46-year-old man with a left hip resurfacing that had been stable for over 5 years sustained a hip dislocation immediately after the implantation of a spinal cord stimulator (SCS). He continued to experience multiple episodes of instability after this initial event, requiring several revision hip arthroplasty surgeries with variable ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(7):e2000004]

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Is the Clinician's Eye a Valid and Reproducible Tool for Diagnosing Patella Alta on a Lateral Knee Radiography?

Alex B Vaisman, Andres N Schmidt-Hebbel, Rodrigo K Guiloff, Carlos Z Valderrama, Sergio G Arellano, Diego S Edwards, Nicolas H Rotman, Rafael R Calvo, Nicolas V Zilleruelo, David P Figueroa,

INTRODUCTION:Validity and reproducibility of the clinician's eye (CE) to diagnose patella alta (PA) on a lateral knee radiography (radiograph) is unknown. METHODS:Cross-sectional study of 46 lateral knee x-rays. Three blind observers used CE, Insall-Salvati (IS), modified Insall-Salvati (mIS), and Caton-Deschamps (C-D) to determine patellar height. Sensitivity and specificity of each ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(7):e2000098]

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Primary Extramedullary, Extradural Cervical Spine Seminoma.

Charles Long, Thomas A Novack, Stuart Changoor, Kumar Sinha, Ki Soo Hwang, Michael J Faloon, Arash Emami,

While extragonadal seminomas resulting in spinal cord compression are rarely reported in the literature, most have been treated with surgical decompression followed by radiation therapy. In this report, we present the unique and interesting case of a 38-year-old man who initially presented as an outpatient with a chief complaint of ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(7):e1900177]

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Adding a Fibular Strut Allograft to Intramedullary Nail and Cancellous Autograft During Stage II of the Masquelet Technique for Segmental Femur Defects: A Technique Tip.

Omar Ramos, Michael Mariorenzi, Joey P Johnson, Roman A Hayda,

Reconstruction of segmental diaphyseal bone defects has been a major challenge in limb salvage surgery. Staged reconstruction as first described by Masquelet is a common strategy to deal with this problem in limb salvage surgery. One consequence of this technique is a time period of prolonged limited weightbearing while the ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(7):e1900179]

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Chronic Corticosteroid Use as a Risk Factor for Perioperative Complications in Patients Undergoing Total Joint Arthroplasty.

Haley Kittle, Andrew Ormseth, Michael J Patetta, Anshum Sood, Mark H Gonzalez,

BACKGROUND:Osteoarthritis may be caused by or concurrent with diseases such as rheumatoid arthritis or systemic lupus erythematosus, which rely on chronic corticosteroids regimens for treatment. If a total knee or hip arthroplasty is needed, this chronic treatment method has been associated with poorer surgical outcomes. METHODS:A retrospective analysis of data ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(7):e2000001]

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The Orthopaedic Management of Human Disorganization Syndrome.

Kevin Smit, Judy So, Emily Schaeffer, Linlea Armstrong, Cindy Verchere, Kishore Mulpuri,

Human disorganization syndrome (HDS) is an extremely rare congenital syndrome characterized by a seemingly random distribution of multiple developmental anomalies involving all three germinal layers. Case Report:We report a rare case of a female child whose congenital anomalies are consistent with HDS. The orthopaedic features of this patient include a ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(6):]

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Opioid Prescription Consumption Patterns After Total Joint Arthroplasty in Chronic Opioid Users Versus Opioid Naive Patients.

Austin C Kaidi, Akshay Lakra, Emma L Jennings, Alexander L Neuwirth, Jeffrey A Geller, Roshan P Shah, H J Cooper, Thomas R Hickernell,

Although chronic preoperative opioid use has been linked to inferior total joint arthroplasty outcomes, little research exists on postoperative prescribing patterns for opioid-naive orthopaedic patients versus chronic opioid users. Method:The New York State Prescription Monitoring Program database, which tracks controlled prescriptions dispensed in-state over the preceding 12 months, was retrospectively ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(6):]

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Metatarsal Pronation in Hallux Valgus Deformity: A Review.

Emilio Wagner, Pablo Wagner,

Hallux valgus deformity is a multiplanar deformity, where the rotational component has been recognized over the past 5 to 10 years and given considerable importance. Years ago, a rounded shape of the lateral edge of the first metatarsal head was identified as an important factor to detect after surgery because ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(6):]

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Distally Unlocked Intramedullary Nailing With Cement Fixation for Impending and Actual Pathologic Humerus Fractures: A Retrospective Case Series.

Richard A Pizzo, Tyler Hoskins, Jay N Patel, Justin M Miller, David Goyette, Christopher Mazzei, James C Wittig,

The humerus is a common site of metastatic tumor involvement and pathologic fracture. Intramedullary nailing is a treatment option that offers the benefit of protecting a long segment of diseased bone, but it is not without complications. This study aims to examine the survival, functional outcomes, and complications of patients ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(6):]

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Integrated Limb Lengthening Is Superior to Classical Limb Lengthening: A Systematic Review and Meta-analysis of the Literature.

Gerard A Sheridan, Austin T Fragomen, S Robert Rozbruch,

Integrated limb lengthening combines both internal and external fixation methods. It has been introduced to improve time to union, patient time in frame, risk of regenerate refracture, and patient function. We systematically review studies to assess whether integrated limb lengthening methods are superior to classic limb lengthening. Methods:A total of ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(6):]

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Medial Femoral Condyle Vascularized Bone Graft for Treatment of Midshaft Clavicle Recalcitrant Nonunion With Use of the Transverse Cervical Artery as an Anastomosis.

Christopher M Belyea, Jefferson L Lansford, Joseph B Golden, Emily H Shin, Rey D L Gumboc,

Vascularized medial femoral condyle bone grafts have been reported to be a reliable treatment for recalcitrant bony nonunions of the extremities. Although clavicle fracture nonunions are rare after treatment with open reduction internal fixation, symptomatic nonunions can be a challenge. The medial femoral condyle vascularized bone graft has been described ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(6):]

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Statistical Fragility of Surgical and Procedural Clinical Trials in Orthopaedic Oncology.

Lynn Ann Forrester, Eugene Jang, Michelle M Lawson, Ana Capi, Wakenda K Tyler,

The fragility index (FI) is a powerful tool that can be used to assess the statistical strength of a study outcome. This metric is defined as the number of patients who would need to have an alternative outcome to convert a clinical trial result from statistically significant to not statistically ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(6):]

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A Novel Method of Closed Reduction and Percutaneous Pinning With Six K-wires for Intra-articular Fractures of the Distal Radius.

Anilkumar Vidyadharan,

The existing method of closed reduction cannot reduce the complete intra-articular fracture of the distal radius; none of the available methods of percutaneous pinning alone can fix the intra-articular fracture of the distal radius. A prospective study including 108 complete intra-articular fractures of AO type B and C in 108 ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(6):]

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Antegrade Elastic Intramedullary Nailing Insertion Technique Results in Higher Incidence of Symptomatic Implants in Pediatric Ulnar Fractures.

Taylor R Johnson, Andrew J Haus, Kush N Shah, Abraham I Bankole, Grant D Hogue,

Retrograde and antegrade nailing techniques are the two options available to a surgeon when using elastic stable intramedullary nailing; however, the literature comparing these two nailing techniques is scarce. Thus, we conducted a retrospective review of all pediatric and adolescent ulnar fractures treated with elastic stable intramedullary nailing at our ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(6):]

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Evaluation of Hip Preservation-related Patient Education Materials From Leading Orthopaedic Academic Centers in the United States and Description of a Novel Video Assessment Tool.

Ali Parsa, Mark Nazal, Rik J Molenaars, Ravi R Agrawal, Scott D Martin,

The readability, reliability, and quality of online hip preservation-related patient education materials from the top 20 orthopaedic academic centers in the United States were evaluated. Methods:The patient educational materials were evaluated with the following assessment tools: Flesch-Kincaid (FK) readability test, Flesch Reading Ease formula, LIDA instrument, and DISCERN tool. Videos ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(6):]

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The Cost and Educational Experience of Treating Supracondylar Humerus Fractures: A Pilot Analysis on Standardizing Surgical Care.

Alvin W Su, Mark C Lee,

Closed reduction and percutaneous pinning (CRPP) for supracondylar humeral fractures (SCHF) comprised considerable surgical volume in pediatric orthopaedics. Limited reports are available on how standardization of the surgical care affects the cost and trainee's learning experience. Methods:Cost analysis was performed by chart review with the billing department in a university ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(6):]

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The Variable Effects of NSAIDs on Osteotomy Healing and Opioid Consumption.

Austin Fragomen, Jaehee Suh, Kelsey Matta, Thomas H McCoy, Kamber L Hart, S Robert Rozbruch,

In an effort to fight the opioid epidemic, an NSAID pain protocol was created for osteotomy patients. The study asked if NSAIDs negatively affect bone healing or reduce the need for opioids. Methods:This was a retrospective review of 155 limbs that underwent osteotomy of a long bone with fixation. Patients ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(4):]

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Utilization of Telemedicine in Addressing Musculoskeletal Care Gap in Long-Term Care Patients.

Olivia Cheng, Nok-Hin Law, Jessica Tulk, Michelle Hunter,

A notable proportion of patient transfers in Ontario are from long-term care facilities for consultation of musculoskeletal (MSK) issues. These transfers are costly for patients and the healthcare system. This study evaluated the utility of a telemedicine MSK (TeleMSK) service for long-term care patients requiring an orthopaedic consultation. Method:A cross-sectional ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(4):]

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Traumatic Orthopaedic Injuries in the Prison Population.

Daniela Barreto Rocha, Daniela Sanchez, L Christopher Grandizio, Hemil Hasmukh Maniar, Daniel Scott Horwitz,

The United States has the highest population of inmates in the world (per capita and total). Musculoskeletal disorders are included within the 10 most frequent medical reports of prisoners; however, the literature about them is limited. The purpose of this study is to describe the epidemiology and complications of traumatic ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(4):]

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Sprengel Deformity in Biological Sisters.

Carlos Pargas, Adolfredo Santana, Wojciech L Czoch, Kenneth J Rogers, William G Mackenzie,

Sprengel deformity is the main congenital shoulder deformity seen in children. First described by Otto Sprengel in 1891, it consists of a high-riding, dysplastic, and malrotated scapula leading to functional and cosmetic impairments. It has never been reported in siblings. Case Presentation:Two sisters, 8 and 9 years old, presented for ... Read more >>

J Am Acad Orthop Surg Glob Res Rev (Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews)
[2020, 4(4):]

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