Opportunistic Osteoporosis Screening-- Gleaning Additional Information from Diagnostic Wrist CT Scans
Conclusions: HU measurements can be obtained from any diagnostic CT scan using modern software programs and can be obtained by physicians in the office setting with minimal effort and at no additional cost or radiation exposure to the patient. Regardless of imaging indications, we suggest that patients with HU values below the identified thresholds be considered for further metabolic bone disease work-up, such as additional imaging, laboratory assessments, the initiation of osteoporosis treatment, or appropriate referral. Level of Evidence: Diagnostic Level III. See Instructions for Authors for a complete description of l...
Source: The Journal of Bone and Joint Surgery - July 1, 2015 Category: Orthopaedics Authors: Schreiber, J. J., Gausden, E. B., Anderson, P. A., Carlson, M. G., Weiland, A. J. Tags: Hand & Wrist, Trauma Scientific Articles Source Type: research

Surgical Treatments of Tumor-Induced Osteomalacia Lesions in Long Bones: Seventeen Cases with More Than One Year of Follow-up
Conclusions: Most lesions in long bones are located in the epiphysis, so curettage is first suggested to maintain joint function. If curettage is incomplete or there is a recurrence, secondary segmental resection should be considered curative. Changes of serum FGF-23 and phosphorus levels before and after the operation may be of prognostic help. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - July 1, 2015 Category: Orthopaedics Authors: Wang, H., Zhong, D., Liu, Y., Jiang, Y., Qiu, G., Weng, X., Xing, X., Li, M., Meng, X., Li, F., Zhu, Z., Yu, W., Xia, W., Jin, J. Tags: Oncology Scientific Articles Source Type: research

Intermittent Parathyroid Hormone Enhances Cancellous Osseointegration of a Novel Murine Tibial Implant
Conclusions: iPTH increased osseointegration, cancellous mass, and the strength of the bone-implant interface. Clinical Relevance: Our murine model is an excellent platform on which to study biological enhancement of cancellous osseointegration. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - July 1, 2015 Category: Orthopaedics Authors: Yang, X., Ricciardi, B. F., Dvorzhinskiy, A., Brial, C., Lane, Z., Bhimani, S., Burket, J. C., Hu, B., Sarkisian, A. M., Ross, F. P., van der Meulen, M. C. H., Bostrom, M. P. G. Tags: Basic Science Scientific Articles Source Type: research

Surgical Anatomy of the Supraclavicular Brachial Plexus
Conclusions: These findings differ from the standard illustrations and descriptions of the brachial plexus. A thorough understanding of the course of the upper trunk and its branches, such as the suprascapular nerve, is vital to performing nerve transfer surgery or neuroma excision and grafting. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - July 1, 2015 Category: Orthopaedics Authors: Leung, S., Zlotolow, D. A., Kozin, S. H., Abzug, J. M. Tags: Pediatrics, Shoulder Scientific Articles Source Type: research

Effect of Different Preconditioning Protocols on Anterior Knee Laxity After ACL Reconstruction with Four Commonly Used Grafts
Conclusions: Preconditioning had no significant effect on the progressive increase of anterior tibial translation from the first cycle to cycle 250 for any of the graft tissues tested. Clinical Relevance: On the basis of these results, current preconditioning methods appear to be ineffective in reducing progressive increases in anterior knee laxity from cyclic loading. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - July 1, 2015 Category: Orthopaedics Authors: Boguszewski, D. V., Joshi, N. B., Wang, D., Markolf, K. L., Petrigliano, F. A., McAllister, D. R. Tags: Knee Scientific Articles Source Type: research

The Effect of Smoking on Short-Term Complications Following Total Hip and Knee Arthroplasty
Conclusions: On the basis of our findings, current smokers have an increased risk of wound complications and both current and former smokers have an increased total complication risk following total hip or total knee arthroplasty. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - July 1, 2015 Category: Orthopaedics Authors: Duchman, K. R., Gao, Y., Pugely, A. J., Martin, C. T., Noiseux, N. O., Callaghan, J. J. Tags: Hip, Knee Scientific Articles Source Type: research

Association Between Orthopaedic Outpatient Satisfaction and Non-Modifiable Patient Factors
Conclusions: The finding that non-modifiable patient factors such as age and geographic location affect patient satisfaction challenges the utility of comparing patient satisfaction between populations that differ significantly with regard to such characteristics. Clinical Relevance: A more complete knowledge of the factors that influence patient satisfaction may enable better insight into the interpretation of current patient satisfaction metrics and may allow physicians and hospitals to improve their delivery of care. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - July 1, 2015 Category: Orthopaedics Authors: Abtahi, A. M., Presson, A. P., Zhang, C., Saltzman, C. L., Tyser, A. R. Tags: Scientific Articles Source Type: research

Where There Is Smoke, There Is Fire!: Commentary on an article by Kyle R. Duchman, MD, et al.: "The Effect of Smoking on Short-Term Complications Following Total Hip and Knee Arthroplasty"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - July 1, 2015 Category: Orthopaedics Authors: Cherian, J. J., Mont, M. A. Tags: Hip, Knee Commentary and Perspective Source Type: research

Surgical Coaching from Head-Mounted Video in the Training of Fluoroscopically Guided Articular Fracture Surgery
Conclusions: Personalized video-based feedback improved performance on a standardized articular fracture trainer for first-year and second-year residents. The described technique may further enhance resident surgical skills education. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - June 17, 2015 Category: Orthopaedics Authors: Karam, M. D., Thomas, G. W., Koehler, D. M., Westerlind, B. O., Lafferty, P. M., Ohrt, G. T., Marsh, J. L., Van Heest, A. E., Anderson, D. D. Tags: Education & Training, Trauma Topics in Training Source Type: research

What's New in Spine Surgery
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - June 17, 2015 Category: Orthopaedics Authors: Bridwell, K. H., Anderson, P. A., Boden, S. D., Kim, H. J., Vaccaro, A., Wang, J. C. Tags: Spine Specialty Update Source Type: research

Cell Salvage in Hip and Knee Arthroplasty: A Meta-Analysis of Randomized Controlled Trials
Conclusions: Looking at all trials, cell salvage still significantly reduced the RBC exposure rate and the volume of RBCs transfused in both THA and TKA. However, in trials published more recently (2010 to 2012), cell salvage reduced neither the exposure rate nor the volume of RBCs transfused in THA and TKA, most likely explained by changes in blood transfusion management. Level of Evidence: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - June 17, 2015 Category: Orthopaedics Authors: van Bodegom-Vos, L., Voorn, V. M., So-Osman, C., Vliet Vlieland, T. P., Dahan, A., Koopman-van Gemert, A. W., Vehmeijer, S. B., Nelissen, R. G., Marang-van de Mheen, P. J. Tags: Hip, Knee Evidence-Based Orthopaedics Source Type: research

Retraction
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - June 17, 2015 Category: Orthopaedics Authors: Swiontkowski, M. F., Tolo, V. T. Tags: Retraction Source Type: research

Dioxin Exposure Impairs BMP-2-Mediated Spinal Fusion in a Rat Arthrodesis Model
Conclusions: Dioxin treatment significantly inhibited spinal fusion in a rat arthrodesis model, and a prolonged cessation of dioxin exposure facilitated only a partial recovery of bone-healing capacity. This finding indicates that, although the effects of dioxin are persistent, an extended recovery from exposure could potentially restore bone regeneration in vivo. Clinical Relevance: Development of a pharmacologic agent that reduces the adverse effects of cigarette smoke on bone-healing could prove useful to orthopaedic surgeons. Since dioxin and other similar cigarette smoke toxins exert their effects through Ahr pathway...
Source: The Journal of Bone and Joint Surgery - June 17, 2015 Category: Orthopaedics Authors: Hsu, E. L., Sonn, K., Kannan, A., Bellary, S., Yun, C., Hashmi, S., Nelson, J., Mendoza, M., Nickoli, M., Ghodasra, J., Park, C., Mitchell, S., Ashtekar, A., Ghosh, A., Jain, A., Stock, S. R., Hsu, W. K. Tags: Basic Science, Spine Scientific Articles Source Type: research

Pediatric Triplane Ankle Fractures: Impact of Radiographs and Computed Tomography on Fracture Classification and Treatment Planning
Conclusions: Computed tomography had a definite impact on the fracture classification, displacement, and treatment plan, supporting its use as an adjunct to radiographs for the treatment of pediatric triplane fractures. Level of Evidence: Diagnostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - June 17, 2015 Category: Orthopaedics Authors: Eismann, E. A., Stephan, Z. A., Mehlman, C. T., Denning, J., Mehlman, T., Parikh, S. N., Tamai, J., Zbojniewicz, A. Tags: Pediatrics, Trauma Scientific Articles Source Type: research

Association Between Diabetes, Obesity, and Short-Term Outcomes Among Patients Surgically Treated for Ankle Fracture
Conclusions: We found that patients with concurrent diagnoses of diabetes and obesity had higher health-care utilization and costs than those with neither diagnosis or with obesity alone or diabetes alone. The delay in the diagnosis of diabetes may somewhat obscure the true effect. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - June 17, 2015 Category: Orthopaedics Authors: Cavo, M. J., Fox, J. P., Markert, R., Laughlin, R. T. Tags: Foot & Ankle, Trauma Scientific Articles Source Type: research