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- Fractures (3)
- Sports Medicine (3)
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- Femur Shaft Fracture (2)
- Orthopaedics (2)
- Pronator Quadratus (2)
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- Athletic Injuries (1)
- Autograft (1)
- Bone (1)
- COVID-19 (1)
- Cheilectomy (1)
- Classification (1)
- Collateral Ligament (1)
- Complex Fractures Nonunion (1)
- Cost Analysis (1)
- Cost-Effective Analysis (1)
- Crossover Toe (1)
Articles 1 - 30 of 32
Full-Text Articles in Medicine and Health Sciences
Hallus Rigidus: A Technique For Reliable, Safe, And Reproducible Cheilectomy Excision, Jory Wasserburger, Amber Price, Matthew Wharton, Richard Miller
Hallus Rigidus: A Technique For Reliable, Safe, And Reproducible Cheilectomy Excision, Jory Wasserburger, Amber Price, Matthew Wharton, Richard Miller
Western Journal of Orthopaedics
Hallux rigidus is a common cause of foot pain involving the hallux; however, the etiology is yet to be elucidated. There are many different treatments that have been described, including cheilectomy. Taking too much bone can cause joint instability and altered joint mechanics, whereas taking too little bone may not relieve pain. We present a reliable, safe, and reproducible technique for cheilectomy in the hallux rigidus.
Treatment Of Both Column Acetabular Bone Loss In Multiple Myeloma Patient With Custom Triflange Acetabular Component: A Case Report, Scott Plaster, Kyle Stephen, David Chafey
Treatment Of Both Column Acetabular Bone Loss In Multiple Myeloma Patient With Custom Triflange Acetabular Component: A Case Report, Scott Plaster, Kyle Stephen, David Chafey
Western Journal of Orthopaedics
Massive acetabular bone loss with pelvic discontinuity remains a challenging obstacle with few arthroplasty solutions. We present a case of a 61-year-old man with multiple myeloma who suffered a pathologic acetabular fracture resulting in acetabular protrusio and eventually extensive acetabular bone loss. His prognosis was initially poor; however, he ultimately responded to his radiation and chemotherapy and was limited in his mobility by his extensive acetabular bone loss. Given his complex presentation, it was decided to go forward with total hip arthroplasty utilizing the Zimmer-Biomet custom triflange acetabular component. His outcome at 9 months is fair
Malreductions Following Intramedullary Nail Fixation Of Femur Shaft Fractures, Jory Wasserburger, Christopher Kurnik, Thomas A. Decoster
Malreductions Following Intramedullary Nail Fixation Of Femur Shaft Fractures, Jory Wasserburger, Christopher Kurnik, Thomas A. Decoster
Western Journal of Orthopaedics
Femur shaft fractures are common injuries frequently treated with intramedullary fixation. Although satisfactory alignment is usually achieved, malreductions can happen in sagittal and coronal planes, as well as along the longitude axis. The causes of malposition with femoral nailing include fracture location, comminution, and suboptimal technique. We identify the most common patterns of malreduction of nailed femu
The Vulcan Sign: A Radiographic And Clinical Indicator Of Plantar Plate And Collatoeral Ligament Injury, Katherine Gavin
The Vulcan Sign: A Radiographic And Clinical Indicator Of Plantar Plate And Collatoeral Ligament Injury, Katherine Gavin
Western Journal of Orthopaedics
Introduction: There is no consensus on terminology used to describe the radiographic and clinical findings commonly encountered in second metatarsophalangeal (MTP) instability. We propose the use of a consensus term, the Vulcan sign, to describe the deformity commonly seen in second MTP instability and verify its utility as an adjunct in the diagnosis and treatment of plantar plate and collateral ligament pathology. Methods: We retrospectively evaluated preoperative anteroposterior weight-bearing x-rays of 156 feet of patients who underwent operative intervention for second MTP instability and the presence of a Vulcan sign at the second webspace, defined as more than 50% medial …
Inter- And Intra-Observer Differences In Proximal Fifth Metatarsal Fractures, Benjamin Packard, Kathryn Yeagar, Richard A. Miller, Katherine Gavin
Inter- And Intra-Observer Differences In Proximal Fifth Metatarsal Fractures, Benjamin Packard, Kathryn Yeagar, Richard A. Miller, Katherine Gavin
Western Journal of Orthopaedics
Introduction: Proximal fifth metatarsal fractures are common. When using the Lawrence and Botte Classification for these injuries, they are classified as type 1, 2, and 3. Identifying the zone of injury is crucial to guide treatment. The authors hypothesize that interand intra-observer reliability of these fractures is low. Methods: Anteroposterior (AP), lateral, and oblique x-rays of 60 patients with isolated fifth metatarsal base fractures were reviewed. Five physicians evaluated the radiographs and classified the fractures as type 1,2, or 3. Each of the three radiographic views were examined separately. Results were then analyzed for inter- and intra-observer reliability. Results: Sixty …
Aspetic Nonunion Of Long Bones In Children: A Report Of Twelve Cases, Rami Khalifa, Amr Abdelgawad, Ahmed M. Thabet
Aspetic Nonunion Of Long Bones In Children: A Report Of Twelve Cases, Rami Khalifa, Amr Abdelgawad, Ahmed M. Thabet
Western Journal of Orthopaedics
Background: There are very few reports in the literature that directly address nonunion in children. The current study aimed to present a series of long bones nonunion in children following fractures and corrective osteotomies. Methods: This was a retrospective study that included pediatric patients diagnosed with nonunion following long bone fractures or corrective osteotomies. Patients with nonunion following femoral neck or lateral humeral condyle fractures were excluded. The clinical and radiological records were retrospectively analyzed. Results: Eight patients developed nonunion after fractures, while four patients had nonunion after corrective osteotomies. The mean age at the time of surgical procedure for …
The University Of New Mexico Orthopaedics Research Journal 2020, Unm Department Of Orthopaedic Surgery
The University Of New Mexico Orthopaedics Research Journal 2020, Unm Department Of Orthopaedic Surgery
Western Journal of Orthopaedics
No abstract provided.
Foreign Bodies In The Hand: A Case Report, Review Of Literature, And Guidance For Acute Management, Jessica Avila, Griffin Biedron, Jordan Carter, Gilberto A. Gonzalez
Foreign Bodies In The Hand: A Case Report, Review Of Literature, And Guidance For Acute Management, Jessica Avila, Griffin Biedron, Jordan Carter, Gilberto A. Gonzalez
Western Journal of Orthopaedics
No abstract provided.
Osteomalacia In A Young Adult Male Presenting As Chronic Wrist Pain: A Case Report, Daniel Gonzales-Luna, Dean W. Smith
Osteomalacia In A Young Adult Male Presenting As Chronic Wrist Pain: A Case Report, Daniel Gonzales-Luna, Dean W. Smith
Western Journal of Orthopaedics
Chronic wrist pain is a common problem encountered by orthopaedic surgeons, yet osteomalacia is rarely considered in the differential diagnosis in the United States. We present a case involving a 37-year-old man who experienced bilateral wrist pain and weakness for more than 2 years. Further investigation revealed a history of chronic leg pain, low serum 25-hydroxy vitamin D levels, and decreased bone density. He was diagnosed with osteomalacia and treated with vitamin D supplementation and increased sun exposure. At 6 months follow-up, the patient had resolution of his pain and normalized vitamin D levels. To our knowledge, the literature has …
Identification And Management Of Injuries Associated With Femoral Shaft Fracture, Brian N. Hodges, Thomas A. Decoster
Identification And Management Of Injuries Associated With Femoral Shaft Fracture, Brian N. Hodges, Thomas A. Decoster
Western Journal of Orthopaedics
Femoral shaft fractures are common injuries typically due to high-energy trauma. Injuries associated with femoral shaft fractures include ipsilateral femoral neck fractures, ipsilateral distal femur fractures, ipsilateral patella fractures, ipsilateral tibial shaft fractures, ipsilateral knee ligament injuries, acetabular and pelvis fractures, and small bone fractures. These injuries can go unnoticed, and it is important to recognize and treat these injuries accordingly.
Can The Contralateral Knee Effectively Estimate Pre-Injury Patellar Height? A Control Study, Benjamin Albertson, Andrew Ockuly, Ian Fletcher, Daniel Wascher
Can The Contralateral Knee Effectively Estimate Pre-Injury Patellar Height? A Control Study, Benjamin Albertson, Andrew Ockuly, Ian Fletcher, Daniel Wascher
Western Journal of Orthopaedics
Introduction: Patellar height abnormalities have been associated with patellar instability, which is common among adolescents and young adults. Pre-injury patellar height is often unknown in patients with a patellar instability episode. The purpose of this study was to determine whether patellar height of one knee could effectively estimate patellar height of the contralateral knee in control patients between the ages of 13 and 25 years. Methods: A retrospective chart review was conducted to identify 40 patients who obtained bilateral knee radiographs with no prior surgical intervention or diagnosis of injury to the extensor mechanism. CatonDeschamps Index (CDI) was measured by …
Measurement Of Femoral Notch Type Show Low Inter-Rater Reliability, Evan D. Boyd, Michael S. Barnum, James R. Saluterbeck, Pamela M. Vacek
Measurement Of Femoral Notch Type Show Low Inter-Rater Reliability, Evan D. Boyd, Michael S. Barnum, James R. Saluterbeck, Pamela M. Vacek
Western Journal of Orthopaedics
Background: Preventing first time anterior cruciate ligament (ACL) injury and the devastating sequela of post-traumatic osteoarthritis in the young athlete has attracted efforts to identify risk factors for development of ACL injury. Femoral notch type has been related to risk of ACL injury in previous studies. However, little data exists to support the reliability of assessing this qualitative measurement amongst independent investigators. Methods: Femoral notch type was measured from magnetic resonance imaging sections of 344 injured ACL and control knees by three investigators with different levels of professional experience. Inter-rater reliability was assessed using Cohen’s kappa statistic. Results: The simple …
The Versatility Of Taylor Spatial Frame In Treating Comple Posttraumatic Deformities Of The Lower Extremity, Rami Khalifa, Amr Abdelgawad, Ahmed M. Thabet
The Versatility Of Taylor Spatial Frame In Treating Comple Posttraumatic Deformities Of The Lower Extremity, Rami Khalifa, Amr Abdelgawad, Ahmed M. Thabet
Western Journal of Orthopaedics
Background: The Taylor Spatial Frame (TSF) is a multiplanar external fixator with a computerized web-based program to provide accurate fractures reduction and deformity correction. This study aimed to evaluate our results after the treatment of complex lower extremity injuries with the external fixators including TSF. Methods: This retrospective case series included eight patients with complex lower extremity injuries treated with TSF. The medical records and radiographs were reviewed. The ASAMI score was used as an outcome measure. Statistical analysis used Microsoft Excel descriptive statistics. No inferential statistical tests were done owing to the small sample size. Results: The mean age …
Prevalence Of Prolonged Sitting Among Orthoapedic Residents, Benjamin D. Packard, Richard A. Miller
Prevalence Of Prolonged Sitting Among Orthoapedic Residents, Benjamin D. Packard, Richard A. Miller
Western Journal of Orthopaedics
Background: There is a plethora of data regarding the negative health consequences of sitting, including increased cardiometabolic risk factors and all-cause mortality. Correctable actions should be identified. Methods: A literature review was performed to examine articles that identified sitting prevalence and health consequences. A survey querying average hours per day spent sitting was distributed to orthopaedic residents at a single institution. Statistical analysis of the data was performed using a 2-tailed t test. Results: A total of 25 orthopaedic residents were surveyed, and 20 responses were received. The average time spent sitting was 5.38 hours per day. There was equal …
Single-Event Multilevel Surgery Of The Upper Extremity: A Case Report, Elizabeth Mcleod, Lacey Floyd, Justin Bartley
Single-Event Multilevel Surgery Of The Upper Extremity: A Case Report, Elizabeth Mcleod, Lacey Floyd, Justin Bartley
Western Journal of Orthopaedics
Single-event multilevel surgery has been used successfully to treat pediatric patients with cerebral palsy for decades; however, it has not been widely used to treat adult patients. Tendinopathies of the arm often coexist, and performing single event surgery to correct one joint pathology may further exacerbate coexisting tendinopathies. Accordingly, performing single-event multilevel surgery in the appropriate patient allows for the correction of multiple conditions of the same limb in a single surgery. Single-event multilevel surgery offers many benefits, including cost savings, convenience for the patient, less potential complications owing to a single anesthetic and hospitalization event, and a shorter overall …
Cost Analyses Of Nonoperative Treatment Of Sports-Medicine Conditions Are Lacking, Casey Slattery, Jai Yao, Amy Cizik, Mia S. Hagen
Cost Analyses Of Nonoperative Treatment Of Sports-Medicine Conditions Are Lacking, Casey Slattery, Jai Yao, Amy Cizik, Mia S. Hagen
Western Journal of Orthopaedics
The purpose of this study was to qualitatively review existing studies that examined cost data within sports medicine. A literature search was conducted for all economic studies related to sports-medicine conditions from 2000 to 2017 within the United States. Area of analysis, data source utilized, and the type of collected cost data was identified. There were 29 studies that met criteria, with the majority of studies (60%) focused on rotator cuff repair and anterior cruciate ligament reconstruction. Substantial variability in data source, practice setting, data metrics, and reported measures makes interpretation of existing reports challenging. Greater diversity in topics and …
Pronator Quadratus Rotational Muscle Flap Technique For Coverage Of Hardware After Distal Radius Orif, Camille Aubin-Lemay, Henry Ran, Deana Mercer
Pronator Quadratus Rotational Muscle Flap Technique For Coverage Of Hardware After Distal Radius Orif, Camille Aubin-Lemay, Henry Ran, Deana Mercer
Western Journal of Orthopaedics
Flexor tenosynovitis and tendon rupture are rare. Yet these occurrences can be serious complications after treatment of a fractured distal radius with a volar plate. The highest incidents of rupture are associated with the plate on or distal to the watershed line of the radius. Although studies have shown that reattachment of the pronator quadratus (PQ) following plating does not lead to improved measures in grip strength or range of motion, it is possible that doing so may reduce the incidence of flexor tendon irritation or rupture. Reattachment of the PQ after a standard approach does not often capture the …
Systematic Review Of Cost-Effective Analyses In Sports Medicine From 2014 To 2020, Casey Slattery, Mia S. Hagen, Amy Cizik, Albert O. Gee
Systematic Review Of Cost-Effective Analyses In Sports Medicine From 2014 To 2020, Casey Slattery, Mia S. Hagen, Amy Cizik, Albert O. Gee
Western Journal of Orthopaedics
The quality of recent cost-effectiveness studies and whether there is sufficient evidence to achieve valuebased health care in sports medicine are unknown. The purpose of this study was to perform a systematic review of recent cost-effective analyses (CEA) in sports medicine to determine the quality of publications from the last 6 years. A literature search was conducted for CEA studies on diagnostic tests, treatment options, and surgical procedures for sports medicine-related conditions between 2014 and 2020 in the United States. Two reviewers scored each study using the Quality of Health Economic Studies (QHES) instrument to assess methodological quality. Eighteen CEA …
Femoral Diaphysis Fracture In A Collegiate Male Hockey Player: A Case Report, Matthew Bain, James Slauterbeck
Femoral Diaphysis Fracture In A Collegiate Male Hockey Player: A Case Report, Matthew Bain, James Slauterbeck
Western Journal of Orthopaedics
Femoral diaphysis fractures represent a small subset of sports-related orthopaedic trauma, accounting for less than 1% of all sports fractures. We describe a 22-year-old male ice hockey player who slid and crashed into the boards during practice. Radiographs revealed fracture of the femoral diaphysis, necessitating surgical intervention to insert an intermedullary nail. Rehabilitation was a hybrid of an anterior cruciate ligament reconstruction and hip labrum repair protocols. There was emphasis on rotator cuff strengthening and lower-extremity rehabilitation owing to a pre-existing shoulder dislocation that occurred during the same season. He returned to skating at 16 weeks, and at 20 weeks …
Arthroscopic Management Of Focal Pigmented Villonodular Synovitis In The Scaphotrapeziotrapezoidal Joint, John E. Nolan, Brian W. Gross, Nathan T. Morrell
Arthroscopic Management Of Focal Pigmented Villonodular Synovitis In The Scaphotrapeziotrapezoidal Joint, John E. Nolan, Brian W. Gross, Nathan T. Morrell
Western Journal of Orthopaedics
A 43-year-old man presented with persistent wrist pain and loss of range of motion after nonoperative therapy. Magnetic resonance imaging showed features consistent with pigmented villonodular synovitis (PVNS) of the scaphotrapeziotrapezoidal joint. He underwent arthroscopic excision and synovectomy. At 2 years postoperatively, he had no symptomatic recurrence. This case shows the importance of considering PVNS for chronic pain of small joints, and it highlights the viability for arthroscopic synovectomy as a treatment option.
Side-By-Side Comparison Of 4-Strand Versus 5-Strand Hamstring Graft Diameters In Patients Undergoing Anterior Cruciate Ligament Reconstruction, Dustin L. Richter, Michael Hopson, Tony Pedri, Gehron P. Treme
Side-By-Side Comparison Of 4-Strand Versus 5-Strand Hamstring Graft Diameters In Patients Undergoing Anterior Cruciate Ligament Reconstruction, Dustin L. Richter, Michael Hopson, Tony Pedri, Gehron P. Treme
Western Journal of Orthopaedics
Background: Hamstring (HS) graft size is an independent risk factor in determining outcomes related to anterior cruciate ligament reconstruction (ACLR). Although anthropometric correlations with HS tendon size have been studied, a predictable association with resultant graft size has not been established. This study directly compares the difference in diameter between a 4-strand (4S) and 5-strand (5S) HS autograft in the same patient. Methods: A total of 31 consecutive patients undergoing ACLR with HS autograft were included in the study. The gracilis and semitendinosus tendons were harvested for each patient. The diameters and lengths of a standard 4S HS graft followed …
Tibial Lengthening Using A Magnetic Lengthening Intramedullary Nail In An Hiv-Positive Patient: A Case Report And Review Of Literature, Rami Khalifa, Christopher Gerzina, Amr Abdelgawad, Ahmed M. Thabet
Tibial Lengthening Using A Magnetic Lengthening Intramedullary Nail In An Hiv-Positive Patient: A Case Report And Review Of Literature, Rami Khalifa, Christopher Gerzina, Amr Abdelgawad, Ahmed M. Thabet
Western Journal of Orthopaedics
Limb lengthening can be affected by poor bone healing in patients with human immunodeficiency virus. This is a case report of a 56-year-old man with 6.1 cm leg length discrepancy and end-stage arthritis in the hip. The patient had total hip arthroplasty prior to his lengthening procedure. The patient was human immunodeficiency virus positive. This case report describes the experiences of using a motorized intramedullary magnetic lengthening nail in equalization of limb length discrepancy. Treatment for the patient included tibial lengthening with a motorized nail to correct the limb length discrepancy, with adequate bone healing in a patient with an …
Predicting Running Ability After Lower Extremity Amputation: A Review, Rebecca Dutton
Predicting Running Ability After Lower Extremity Amputation: A Review, Rebecca Dutton
Western Journal of Orthopaedics
The ability to ambulate with a prosthesis after lower extremity limb loss is an important determinant of functional independence and quality of life. Some individuals may be capable of achieving higher levels of mobility (eg, running) that can further improve function, physical health, and mental health. Thus, a fundamental understanding of the variables that help predict ambulation ability after lower limb loss is important. Particular attention should be given to modifiable predictors, as interventions directed at these conditions can help facilitate optimal mobility and function. This article reviews various factors that influence the ability
Front Matter, Unm Department Of Orthopaedic Surgery
Front Matter, Unm Department Of Orthopaedic Surgery
Western Journal of Orthopaedics
No abstract provided.
Covid-19: The New Mexico Experience And Background, Matthew Wharton, Marisa Su, Meghan Brett, Jon Femling
Covid-19: The New Mexico Experience And Background, Matthew Wharton, Marisa Su, Meghan Brett, Jon Femling
Western Journal of Orthopaedics
Introduction: The novel Coronavirus Disease 19 (COVID-19) identified in December 2019 and the associated pandemic has temporarily changed the way that we conduct medicine, allocate resources, and educate resident and fellows. The present investigation is a summary of The University of New Mexico clinical experience managing the sudden surge of critical patients, personal protective equipment management (PPE), and resident education. Methods: We evaluated and analyzed the data related to the COVID-19 pandemic patient load and management in New Mexico, the formation of teams to protect the providers from simultaneous exposure, the resident experience, the PPE management, and the change in …
Isolated Proximal Fibula Fractures In Young Athletes Mimic Lateral Collateral Ligament Injury, Aaron M. Gray, Jason H. Nielson
Isolated Proximal Fibula Fractures In Young Athletes Mimic Lateral Collateral Ligament Injury, Aaron M. Gray, Jason H. Nielson
Western Journal of Orthopaedics
Lateral knee injury is common among adolescent athletes in both contact and non-contact sports. Injuries in this population deserve special consideration regarding diagnosis and treatment due to the presence of open, closing, or recently closed physes. We describe two cases of isolated proximal fibula fractures with knee pain and laxity to varus stress in young athletes. Isolated proximal fibula fractures can mimic lateral collateral ligament injuries in the knee. Treatment for these injuries is conservative with bracing, protected weight bearing, and delayed or protected return to activity.
A Case Of Osteosarcoma And Its Presentation In A Division I Collegiate Athlete, Alec Sundet, Allison Shepherd, James Slauterbeck
A Case Of Osteosarcoma And Its Presentation In A Division I Collegiate Athlete, Alec Sundet, Allison Shepherd, James Slauterbeck
Western Journal of Orthopaedics
Primary bone and soft-tissue tumors may present by mimicking common sports injuries. Their diagnosis is contingent on maintaining a broad differential. We report a case of a 20-year-old male athlete who sustained a twisting injury to his planted right knee while playing college lacrosse. He was unable to bear weight or fully extend his knee. The team’s orthopaedic surgeon was concerned for a locked knee secondary to a possible flipped meniscal tear. Radiographs and magnetic resonance imaging were performed that led to the discovery of an expansile, sclerotic lesion arising from the posteromedial aspect of the distal femur. Biopsy of …
The Importance Of The Screening Anteroposterior Pelvis Radiograph In Trauma Patients: A Level-1 Trauma Center's Experience With Traumatic Hip Dislocations, Ansab Khwaja, Brad Askam, Matt Morin, Aditya Manoharan
The Importance Of The Screening Anteroposterior Pelvis Radiograph In Trauma Patients: A Level-1 Trauma Center's Experience With Traumatic Hip Dislocations, Ansab Khwaja, Brad Askam, Matt Morin, Aditya Manoharan
Western Journal of Orthopaedics
Background: Advanced Trauma Life Support guidelines strongly recommend obtaining anteroposterior (AP) pelvis radiographs when evaluating patients with traumatic injuries. Recently, there has been a trend at our institution to forego AP pelvis radiographs, and to obtain computed tomography (CT) scans as the initial imaging modality of the pelvis instead. Lifesaving interventions, such as the application of a pelvic binder, can be delayed due to the time it takes to complete a primary survey and a CT scan. This study aims to evaluate the effects of bypassing an AP pelvis radiograph on the management of acute traumatic dislocations of the hip. …
Quantifying Coverage Of A Distal Radius Volar Plate Using A Novel Pronator Quadratus Rotational Muscle Flap Technique, Christina Salas, Leslie Neher, Joshua Romero, Camille Aubin-Lemay
Quantifying Coverage Of A Distal Radius Volar Plate Using A Novel Pronator Quadratus Rotational Muscle Flap Technique, Christina Salas, Leslie Neher, Joshua Romero, Camille Aubin-Lemay
Western Journal of Orthopaedics
Background: Flexor tenosynovitis and tendon rupture are rare, yet serious complications after treatment of a fractured distal radius with a volar plate. The highest incidents of rupture are associated with the plate on or distal to the watershed line of the radius. While studies have shown that reattachment of the pronator quadratus (PQ) following plating does not lead to improved measures in grip strength or range of motion, it may reduce the incidence of these complications. Reattachment of the PQ after a standard approach does not often capture the distal edge of the plate. We report results of a new …
Alumni Map 2020, Unm Department Of Orthopaedic Surgery
Alumni Map 2020, Unm Department Of Orthopaedic Surgery
Western Journal of Orthopaedics
No abstract provided.