-
Mashup Score: 4
Explore JAAOS peer-reviewed articles covering the expanse of orthopaedic medicine and representing o
Source: journals.lww.comCategories: General Medicine News, OrthopedicsTweet
-
Mashup Score: 3Association of Relative Skeletal Immaturity of the... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 19 hour(s) ago
of patients presenting with a SCFE was conducted from 2009 to 2015. Inclusion criteria were (1) radiographic evidence of a unilateral SCFE treated with in situ fixation, (2) contralateral prophylactic fixation of an unslipped hip, and (3) at least 3 years of follow-up. Measurements were made on radiographs and included greater trochanter height relative to the center of the femoral head, femoral head-neck offset, and femoral neck length. Skeletal maturity was evaluated by assessing the status of the proximal femoral physis and triradiate cartilage (TRC) of the hip, in addition to the length of time to closure of these physes. Values were compared from initial presentation to final follow-up. Statistical analysis included descriptive statistics and linear regression. Results: Twenty-seven patients were included. Bivariable linear regression demonstrated that an increased relative trochanteric overgrowth was associated with TRC width (β = 3.048, R = 0.585, P = 0.001) and an open TRC (β =
Source: journals.lww.comCategories: General Medicine News, OrthopedicsTweet
-
Mashup Score: 0No Value Found With Routine Early Postoperative Radiographs ... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 4 day(s) ago
rmal activities. To our knowledge, the value of early, routine postoperative radiographs after elective implant removal in pediatric patients has not been studied. Methods: A retrospective patient cohort of pediatric patients who had implant removal from an extremity from 2017 to 2019 was used in this study. Data were collected for patient demographics, implant site, reason for primary surgery, complications, number of postoperative radiographs, radiation exposure, cost of imaging, and whether the postoperative plan was changed by imaging. Results: Two hundred ninety patients were included in the study. Postoperative plans were changed only in 0.69% of patients (n = 2) because of abnormal 2-week radiographs and 1.72% (n = 5) because of abnormal 6-week radiographs. However, the event’s proportion difference (change of management) was not statically significant (P = 0.182) between those who had a radiograph obtained and those who did not. The mean follow-up time was 16 months. The mean n
Source: journals.lww.comCategories: General Medicine News, OrthopedicsTweet
-
Mashup Score: 0
Liana Tedesco, MD | Amiethab Aiyer, MD, FAAOS, FAOA May 6, 2024 Got a topic you’d like to see in a future post? Submit your ideas here. How to study during residency seems a little redundant …
Source: soundsfromthetrainingroom.comCategories: General Medicine News, OrthopedicsTweet
-
Mashup Score: 1No Delay in Age of Crawling, Standing or Walking with... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 5 day(s) ago
35 patients were prospectively enrolled to participate and received questionnaires with sequential clinical visits monitoring treatment of their developmental dysplasia of the hip. One-sample Student t-tests assessed differences in milestone attainment age, and the Benjamini-Hochberg procedure was conducted to decrease the false discovery rate. Post hoc power analyses of each test were conducted. The age of achievement of eight early motor milestones were recorded and compared with a previously published cohort of healthy infants. Results: Infants treated with a Pavlik harness achieved four early motor milestones markedly later than the reported age of achievement in a historical control group. These milestones included “roll supine” (5.3 vs. 4.5 months; P = 0.039), “roll prone” (5.7 vs. 5.0 months; P = 0.039), “sit” (6.4 vs. 5.2 months; P < 0.001), and “crawl on stomach” (7.7 vs. 6.6 months; P = 0.039). However, there was no difference in time to achievement of later motor milestones
Source: journals.lww.comCategories: General Medicine News, OrthopedicsTweet
-
Mashup Score: 31Dedicated Early Morning Orthopaedic Trauma Operating Room... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 6 day(s) ago
urgical intervention for supracondylar humerus fractures. Methods: This retrospective comparative cohort study at a level I pediatric trauma center included patients younger than 12 years with supracondylar humerus fractures urgently treated with closed or open reduction and percutaneous pinning. Index surgical cases from April 28, 2013, to February 26, 2020, were included. Patients with prior humerus fracture, concomitant injuries, open fracture, pulseless supracondylar fracture, or missing data were excluded. Patients were analyzed based on the type of OR: dedicated early morning orthopaedic trauma OR or typical daytime orthopaedic OR. The primary outcome was time from presentation to surgery. Secondary outcomes included surgical time, complications, and LOS. Results: A total of 401 patients with a mean age of 5 ± 2 (range: 1 to 11) years and a mean follow-up of 2.0 ± 2.1 (range: 0.5 to 25.0) months were included, of whom 137 patients (34%) underwent surgery in the early morning dedi
Source: journals.lww.comCategories: General Medicine News, OrthopedicsTweet
-
Mashup Score: 57Dedicated Early Morning Orthopaedic Trauma Operating Room... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 6 day(s) ago
urgical intervention for supracondylar humerus fractures. Methods: This retrospective comparative cohort study at a level I pediatric trauma center included patients younger than 12 years with supracondylar humerus fractures urgently treated with closed or open reduction and percutaneous pinning. Index surgical cases from April 28, 2013, to February 26, 2020, were included. Patients with prior humerus fracture, concomitant injuries, open fracture, pulseless supracondylar fracture, or missing data were excluded. Patients were analyzed based on the type of OR: dedicated early morning orthopaedic trauma OR or typical daytime orthopaedic OR. The primary outcome was time from presentation to surgery. Secondary outcomes included surgical time, complications, and LOS. Results: A total of 401 patients with a mean age of 5 ± 2 (range: 1 to 11) years and a mean follow-up of 2.0 ± 2.1 (range: 0.5 to 25.0) months were included, of whom 137 patients (34%) underwent surgery in the early morning dedi
Source: journals.lww.comCategories: General Medicine News, OrthopedicsTweet
-
Mashup Score: 5Spinal Manifestations of Skeletal Dysplasia: A Practical... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 8 day(s) ago
rmine the diagnosis. As patients may present with a primary spinal concern, a careful clinical and radiographic evaluation can allow the physician to develop a working diagnosis to guide additional evaluation. Spinal manifestations include scoliosis and kyphoscoliosis, cervical instability, cervical kyphosis, thoracolumbar kyphosis, spinal stenosis, and atypical vertebral body morphology. An understanding of the affected conditions, prevalence, and natural history of these radiographic findings aids the orthopaedic surgeon in establishing a diagnosis and guides appropriate orthopaedic care….
Source: journals.lww.comCategories: General Medicine News, OrthopedicsTweet
-
Mashup Score: 8A Comprehensive Review of Bone Health in a Child: From... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 11 day(s) ago
orosis in children, highlighting its limitations and the potential for underdiagnosis. It also discusses the timing of screening initiation and various techniques used to assess bone health, along with their respective benefits and limitations. In addition, this article identifies several causes of primary and secondary osteoporosis in children, shedding light on previously overlooked disorders that can contribute to poor bone quality. The article emphasizes the importance of a multidisciplinary approach to therapeutic management and aims to optimize patient outcomes and improve the overall care of pediatric bone health disorders….
Source: journals.lww.comCategories: General Medicine News, OrthopedicsTweet
-
Mashup Score: 5Treatment of Length-Unstable Pediatric Femur Fractures in... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 12 day(s) ago
scular plates (SMP), or lateral-entry rigid intramedullary nails (LE-RIMN). With length-unstable fracture patterns, however, the decision is more complex. Age, weight, fracture pattern, fracture location, surgical technique, surgeon experience, several implant-specific details, and additional factors are all important when choosing between flexible intramedullary nail, SMP, and LE-RIMN. These familiar methods of fixation may all be supported by conflicting and sometimes heterogeneous data. When planning to treat length-unstable fractures in young children, surgeons should understand evidence-based details associated with each implant and how each patient-specific scenario affects perioperative decisions….
Source: journals.lww.comCategories: General Medicine News, OrthopedicsTweet
Missed yesterday's webinar? JAAOS offers a wide selection of webinars that cover a variety of topics; find upcoming and those available for replay here https://t.co/NOGK5h58t8 https://t.co/5BZltToRIn