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Bulletin of the Hospital for Joint Diseases

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https://read.qxmd.com/read/30865869/endoscopic-spine-surgery-past-present-and-future
#1
Saqib Hasan, Christoph P Hofstetter
No abstract text is available yet for this article.
March 2019: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/30865868/pediatric-medial-epicondyle-fractures-are-we-there-yet
#2
Konstantin Brnjoš, Neeraj M Patel
Several controversies surround the evaluation and treatment of medial epicondyle fractures of the humerus in children. As is well established, the medial epicondyle is the point of attachment for the medial collateral ligament and flexor and pronator musculature, thereby conferring a potentially important role in elbow stability and wrist strength. Traditional x-ray evaluation has been shown to be inaccurate in measuring fracture displacement. While novel radiographic views or advanced imaging modalities may improve this accuracy, the role of displacement in guiding treatment decisions remains unclear...
March 2019: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/30865867/the-anterolateral-ligament-all-the-new-ligament
#3
Brian M Capogna, Benjamin S Kester, Kartik Shenoy, Laith Jazrawi, Eric J Strauss, Michael J Alaia
BACKGROUND: Despite advances in technology, graft rupture rates reported in the literature following anterior cruciate ligament (ACL) surgery range from 1.8% to 18%. Recent anatomical studies have identified a lateral structure, the anterolateral ligament (ALL), as a potential source of residual pivoting following ACL reconstruction. The purpose of this report is to review the history surrounding the ALL and recent anatomic studies, identify its biomechanical and clinical implications, and develop a practical approach to utilizing it during ACL reconstruction...
March 2019: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/30865866/basal-joint-arthritis-a-review-of-pathology-history-and-treatment
#4
Ayesha M Rahman, Steven M Green
The basal joint is a collection of articulations at the base of thumb that serve an important function in the overall dexterity of the hand. The unique anatomy of the basal joint provided many evolutionary advantages to the human hand, but also made this joint susceptible to arthrosis and degenerative changes. Surgical treatment of basal joint arthritis has continued to evolve since it was first described in 1949, including excisional arthroplasty, tendon interposition, ligament reconstruction, implant arthroplasty, and arthroscopy...
March 2019: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/30865865/varus-derotational-osteotomy
#5
Surya N Mundluru, David Feldman
Legg-Calve-Perthes disease is a multifactorial process that can lead to debilitating femoral head deformity in children. Management can range from conservative (such as nonweightbearing protocols), bracing (such as A frames), to more invasive measures involving surgical interventions. First described by Axer in 1965, the varus derotational osteotomy (VDRO) has been a staple in the surgical management of Perthes disease. The goal of the VDRO is "containment" or prevention of extrusion of the head from the acetabulum...
March 2019: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/30865864/coronal-and-sagittal-balancing-of-total-knee-arthroplasty-old-principles-and-new-technologies
#6
John J Mercuri, Ran Schwarzkopf
The number of total knee arthroplasties performed in the United States is growing, and a leading cause of failure is postoperative knee instability from suboptimal coronal or sagittal balancing. This article reviews native knee anatomy as well as several guiding principles of total knee arthroplasty such as limb axis, femoral referencing, and implant constraint. Next, techniques that can be used by the surgeon to achieve ideal sagittal balance and coronal balance are discussed in detail. Finally, due to the growing use of computer and robotic technologies in knee replacement, the impact of advanced technologies on total knee arthroplasty balancing and alignment is reviewed...
March 2019: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/30865863/designing-resorbable-scaffolds-for-bone-defects
#7
Natalie R Danna, Philipp Leucht
The next frontier of orthopedic implants are resorbable devices. Tissue engineering advances have created a demand for scaffolds that can facilitate biologic regeneration. Scaffolds that will degrade over time with the infiltration of host cells are of particular interest. Several principles have been identified as desirable design features for such scaffolds. Furthermore, the era of 3D printing has ushered new possibilities for scaffold production that brings this technology closer to market use. This article explores the future of the design and manufacture of resorbable scaffolds...
March 2019: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/30865862/the-essex-lopresti-injury
#8
Michael S Guss, Michael E Rettig
The Essex-Lopresti injury is caused by a high energy mechanism and consists of a characteristic triad: a comminuted radial head fracture, disruption of the distal radioulnar joint, and tearing of the interosseous membrane. These injuries are often difficult to diagnosis on initial evaluation, and the majority are missed acutely. Chronic Essex-Lopresti injuries lead to radioulnar longitudinal instability, proximal radius migration, ulnocarpal impaction, and chronic elbow pain. These injuries present a challenging problem for the treating surgeon...
March 2019: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/30865861/first-time-traumatic-anterior-shoulder-instability-management-in-the-young-and-active-patient
#9
John P Begly, Michael J Alaia
Anterior instability of the glenohumeral joint is a common and functionally limiting shoulder condition, particularly in young and active patients. In this population, non-operative management has been increasingly demonstrated to be associated with recurrent instability and increased long-term morbidity. Surgical treatment options include both arthroscopic and open techniques. In appropriately indicated patients, surgical treatment of first-time anterior shoulder instability is a cost-effective and successful treatment option...
March 2019: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/30865860/the-stener-lesion-and-complete-ulnar-collateral-ligament-injuries-of-the-thumb-a-review
#10
Bryan G Beutel, Eitan Melamed, Michael E Rettig
A Stener lesion is a complete tear of the ulnar collateral ligament (UCL) from the thumb proximal phalanx at the level of the metacarpophalangeal (MCP) joint that is displaced superficial to the adductor pollicis aponeurosis, leading to interposition of the aponeurosis between the UCL and the MCP joint. The interposition of the adductor aponeurosis distinguishes the Stener lesion from other UCL injuries and impedes healing, thereby necessitating surgery. A thorough clinical examination, including valgus stress testing of the MCP joint, is crucial to the diagnosis...
March 2019: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/30865859/management-of-type-ii-odontoid-fractures-in-adults
#11
Wesley H Bronson, Themistocles Protopsaltis
Fractures of the odontoid represent as much as 20% of cervical spine fractures in adults, and they are the most common spine fracture in patients over 80 years of age. Despite their prevalence, the management of these fractures remains highly controversial. In particular, there is much debate concerning the management of type II fractures, or fractures occurring about the waist of the odontoid. We will review the epidemiology, evaluation, management-both operative and non-operative-and outcomes of adults with type II odontoid fractures...
March 2019: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/29799375/imitating-the-great-imitator-the-intersection-of-sarcoidosis-and-hodgkin-s-lymphoma-a-report-of-two-cases
#12
Darryl Outlaw, Amitkumar Mehta, Sam R Dalvi
Sarcoidosis and Hodgkin's lymphoma represent two distinct diseases with different pathogenic mechanisms, therapeutic interventions, and prognoses. Nevertheless, both diseases can have overlapping presentations, thus blurring the line between successful identification and treatment. A propensity to develop one of these diseases following diagnosis of the other has long been appreciated. Here we review two cases of presumed sarcoidosis that were ultimately diagnosed as Hodgkin's lymphoma. Both patients initially presented with non-specific symptoms and underwent a thorough workup, including histological evaluation demonstrating non-caseating granulomas without evidence of malignancy...
June 2018: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/29799374/autoimmune-tracheal-cartilage-inflammation-responsive-to-anti-tnf-%C3%AE-therapy
#13
Allison Guttmann, Michael H Pillinger, Svetlana Krasnokutsky
Tracheal inflammation, or tracheitis, is a pathologic process that can occur secondary to a number of systemic inflammatory diseases, or it may be idiopathic in nature. Regardless of the underlying etiology, tracheitis can, in its most severe form, be life-threatening, thus making its treatment an area of interest. Our case is one of a 50-year-old man with a remote history of inflammatory bowel disease achieving clinical cure following surgical resection who presented with progressive dyspnea due to tracheal stenosis that was presumed secondary to an autoimmune and inflammatory etiology...
June 2018: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/29799373/unreported-sharps-exposures-in-orthopedic-surgery-residents-a-silent-majority
#14
Arthur Manoli, Lorraine Hutzler, Deirdre Regan, Eric J Strauss, Kenneth A Egol
Sharps-related injuries represent a significant occupational hazard to orthopedic surgeons. Despite increased attention and targeted interventions, evidence suggests that the majority of incidents continue to go unreported. The purpose of this study was to examine the incidence, attitudes, and factors that affect the reporting of sharps injuries among orthopedic surgery residents at a large academic teaching hospital in an effort to increase reporting rates and design effective interventions. This study administered an anonymous cross-sectional survey regarding intraoperative sharps exposures to current orthopedic house staff, with an 87% (54/62) response rate...
June 2018: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/29799372/approach-to-the-patient-with-disproportionate-pain
#15
REVIEW
Diana C Patterson, Ronald P Grelsamer
Faced with a patient who presents with unexplained disproportionate pain, a surgeon may be tempted to diagnose a low pain threshold, malingering, poor coping, anxiety, or other emotional condition. However, a variety of conditions must be ruled out before the orthopedist can prescribe watchful waiting. Computed tomography and magnetic resonance imaging can detect occult fractures, acute spinal conditions or vascular occlusions, but early on are inadequate to diagnose a compartment syndrome, necrotizing fasciitis, or reflex sympathetic dystrophy (RSD)...
June 2018: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/29799371/the-impact-of-anterior-glenoid-defects-on-reverse-shoulder-glenoid-fixation-in-a-composite-scapula-model
#16
Christopher P Roche, Nicholas J Stroud, Pablo Palomino, Pierre-Henri Flurin, Thomas W Wright, Joseph D Zuckerman, Matthew J DiPaola
BACKGROUND: Achieving glenoid fixation with anterior bone loss can be challenging. Limited guidelines have been established for critical defect sizes that can be treated without supplemental bone graft when performing reverse shoulder arthroplasty. METHODS: We quantified the impact of two sizes of anterior glenoid defects on glenoid baseplate fixation in a composite scapula using the ASTM F 2028-14 reverse shoulder glenoid loosening test method. RESULTS: All glenoid baseplates remained well-fixed after cyclic loading in composite scapula without a defect and in scapula with an 8...
June 2018: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/29799370/michigan-hand-outcomes-questionnaire-for-the-evaluation-of-patients-with-mucopolysaccharidosis
#17
Marcos A Matos, Ingrid C F Barboza, Marina V A R Ferraz, Guy Hembroff
This study evaluates hand functioning in patients with mucopolysaccharidosis (MPS) and validates the Michigan Hand Outcomes Questionnaire (MHQ) as a measure of hand functioning evaluation. Patients with diagnosis of MPS between the ages of 8 and 21 years were eligible for enrolment in the study irrespective of whether they were or were not receiving treatment (enzyme replacement therapy). Individuals with mental disorders and those who had already undergone hand surgery were excluded. Clinical and demographic data were collected as well as hand functioning evaluation based on the Brazilian-Portuguese version of the MHQ...
June 2018: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/29799369/radiographic-predictors-of-patient-satisfaction-following-primary-total-knee-arthroplasty
#18
Hassan Alosh, Omar A Behery, Brett R Levine
BACKGROUND: Predicting satisfaction following total knee arthroplasty (TKA) continues to be a clinical challenge. We sought to quantify radiographic variables associated with clinical improvement and satisfaction following TKA. METHODS: We reviewed a consecutive series of primary TKAs performed by a single surgeon with a minimum 2-year follow-up. Radiographic variables assessed included preoperative and postoperative mechanical axis alignment, osteophyte size and location, and the presence of tibial or patella subluxation...
June 2018: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/29799368/posterior-dynamic-stabilization-of-the-lumbar-spine-review-of-biomechanical-and-clinical-studies
#19
REVIEW
Vineet Tyagi, Russell Strom, Omar Tanweer, Anthony K Frempong-Boadu
Fusion and rigid instrumentation have been the mainstay for the surgical treatment of degenerative diseases of the spine for many years. Dynamic stabilization provides a theoretical advantage of decreased biomechanical stress on adjacent spinal segments and decreased fatigue failure of implants. Artificial discs provide an alternative treatment and have been well-studied in the literature. Another technology that is currently used in Europe but rarely in the USA is flexible rods attached to pedicle screws instead of rigid rods or bone fusion...
June 2018: Bulletin of the Hospital for Joint Diseases
https://read.qxmd.com/read/29799367/neuropathic-arthropathy-of-the-glenohumeral-joint-a-review-of-the-literature
#20
REVIEW
Lauren Santiesteban, Brent Mollon, Joseph D Zuckerman
Neuropathic arthropathy, also known as Charcot arthropathy, is a degenerative disorder most commonly characterized by rapid destruction of the joint with extensive involvement of the bone and soft tissue. The underlying pathophysiology is thought to be due to loss of nociception (pain sensation), most frequently caused by diabetes mellitus, syphilitic myelopathy, or syringomyelia. A neuropathic shoulder is rare, with historic case series forming the bulk of the literature. The purpose of this review is to better understand the pathogenesis, clinical presentation, and management of neuropathic arthropathy of the glenohumeral joint...
June 2018: Bulletin of the Hospital for Joint Diseases
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