Disease Burden of Medial Epicondylitis in the USA Is Increasing: An Analysis of 19,856 Patients From 2007 to 2014
ConclusionsWhile the annual incidence of ME and surgical treatment of ME increased significantly from 2007 to 2014, the proportion of cases treated surgically did not. Notably, the proportion of patients 65 years of age or older diagnosed with and being surgically treated for ME has increased in recent years. Total reimbursement for ME has steadily risen, although per-patient reimbursement rates have not significantly changed. (Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
Repair of a Proximal Hamstring Rupture in a 14-Year-Old Patient: A Case Report
We present the case of a 14-year-old male with a widely displaced ischial avulsion fracture and a bony fragment that was too small to allow for bony fixation. The patient presented with left-buttock pain and ecchymosis, as well as tenderness at the ischial tuberosity, following an injury sustained while running 2 weeks prior. Imaging demonstrated an avulsion of the proximal hamstrings with a 4-mm bony fragment, too small to allow for repair. The patient underwent primary repair using two 3-mm suture anchors. The bony fragment was not excised but incorporated into the repair. Although most proximal hamstrin g injuries in ...
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
MRI Findings at the Bone-Component Interface in Symptomatic Unicompartmental Knee Arthroplasty and the Relationship to Radiographic Findings
ConclusionMRI with the addition of MAVRIC sequences could be a complementary tool for assessing symptomatic UKA and for quantifying appearances at the bone-component interface. This technique showed good reproducibility of analysis of the bone-component interface after cemented UKA. Future studies are necessary to define the bone-component interface of symptomatic and asymptomatic UKA patients. (Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
The Quality of Online Resources Available to Patients Interested in Knee Biologic Therapies Is Poor
ConclusionMany online resources are available for patients seeking information about knee biologic therapies, but the quality of websites identified was very poor. Patients should be counseled that the information available online for knee biologic therapy is unreliable. Surgeons should play an increased role in providing resources to patients and educating them on biologic options. (Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
Implant Removal and Spacer Placement for Infected Shoulder Arthroplasty: Risk Factors for Repeat Procedures, Spacer Retention, and Mortality
ConclusionThe fate of antibiotic spacers placed for PJI of the shoulder at 1 year is variable, with numerous independent risk factors for outcomes other than reimplantation. Patients with PJI following total shoulder arthroplasty should be counseled on the risk factors that influence the outcomes of staged revision for shoulder PJI. (Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
Contingent Valuation Studies in Orthopaedic Surgery: A Health Economic Review
ConclusionCVM is not commonly reported in orthopaedic surgery and is seldom used in the context of cost –benefit analysis. There is wide variability in the methods used to perform CVM. We propose that CVM is an appropriate and underappreciated method for understanding the value of orthopaedic interventions. Increased attention should be paid to consumer valuations for orthopaedic interventions. (Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
An Epidemiologic Perspective on Scaphoid Fracture Treatment and Frequency of Nonunion Surgery in the USA
ConclusionsOur estimated incidence of scaphoid fracture is higher than previously reported. The increased enthusiasm in the USA to surgically treat scaphoid fractures is reflected by our trend analysis. The frequency of surgical treatment for presumed nonunion after initial surgical management for closed scaphoid fractures exceeded 10%. Given the increased utilization of surgery, surgeons and patients should be aware of the frequency of nonunion treatment to inform treatment decisions. (Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
Patient and Surgeon Expectations Prior to Anterior Cruciate Ligament Reconstruction
ConclusionIn general, patient expectations align well with surgeon expectations. Patients who are older, have a lower activity level, and who have selected allograft over autograft for ACLR could also be at risk for greater discordance. Understanding these differences, and their predictors, will help guide physicians when they are counseling patients about ACLR and also help them interact with patients after surgery as they assess outcomes. (Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
Peer-to-Peer Collaboration Adds Value for Surgical Colleagues
ConclusionIn the majority of cases exchanged between young surgeons via a group messaging system, a significant impact on patient care was appreciated. In a technology-driven era, peer-to-peer advisory for difficult cases via a rapid feedback method may allow for substantial improvement in patient care, particularly for surgeons not practicing at a large academic medical center with access to several partners and multiple opinions. (Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
Institutional Guidelines Can Decrease the Amount of Opioids Prescribed After Total Joint Replacement
ConclusionAn institutional guideline for opioid prescribing after total joint arthroplasty significantly reduced the number of pills prescribed to patients without causing a significant increase in the number of phone calls to the service. (Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
Septic Shoulder Joint After Pneumococcal Vaccination Requiring Surgical Debridement
(Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
A Preliminary Comparison Suggests Poor Performance of Carbon Fiber Reinforced Versus Titanium Plates in Distal Femoral Osteotomy
ConclusionThe CFR plate was associated with a longer time to unite and higher fracture displacement rate than the titanium plate. As this is a retrospective case series, further research is required to confirm these results and clarify best practices in plating of distal femoral osteotomy for deformity correction. (Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
Basic Science Research Trends in Orthopedic Surgery: An Analysis of the Top 100 Cited Articles
ConclusionThis review may aid those seeking insight into landmark studies and future direction of basic science research in orthopedics. (Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
Differences in Coracoid and Glenoid Dimensions Based on Sex, Race, and Age: Implications for Use of the Latarjet Technique in Glenoid Reconstruction
ConclusionDimensions were significantly larger in males and in Caucasians, aside from coracoid thickness. Mean dimensions increased with advancing age. Coracoid positioning using classic or modified Latarjet techniques restored glenoid width defects measuring 20% of the glenoid width, while the modified technique allowed for restoration of larger defects. (Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
Health Care Disparity Remains an Important Challenge for American Orthopedics
(Source: HSS Journal)
Source: HSS Journal - October 1, 2018 Category: Orthopaedics Source Type: research
