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Articles 31 - 60 of 71
Full-Text Articles in Orthopedics
New Diagnosis Of X-Linked Agammaglobulinemia Presenting As Multi-Focal Acute Pseudomonal Osteomyelitis And Septic Arthritis In A 16-Month Old Boy: A Case Report, Walter Dehority
Western Journal of Orthopaedics
A previously healthy 16-month-old boy presented with 5 days of fever, a limp favoring his right side, and swelling and erythema of the dorsal left foot and left great toe. Contrasted magnetic resonance imaging revealed septic arthritis of the left knee, the interphalangeal joint of the left great toe, and the left subtalar and ankle joints. He had osteomyelitis of the left talus and intraosseous abscess formation in the left calcaneus. Cultures of the blood, left knee synovial fluid, and abscess fluid all showed growth of Pseudomonas aeruginosa. He was subsequently diagnosed with X-linked agammaglobulinemia with a novel mutation in …
Bilateral Peroneal Tendon Subluxation Associated With Complex Hindfoot Fractures: A Case Report, Benjamin C. Howse, Benjamin D. Packard, Rick J. Gehlert
Bilateral Peroneal Tendon Subluxation Associated With Complex Hindfoot Fractures: A Case Report, Benjamin C. Howse, Benjamin D. Packard, Rick J. Gehlert
Western Journal of Orthopaedics
A 41-year-old man presented to the emergency department after crashing his dirt bike and sustaining bilateral subtalar fracture dislocations. The left talus underwent open reduction internal fixation. At his first postoperative visit, the patient was found to have bilateral peroneal tendon subluxation (PTS). This case report discusses the cause of PTS and the challenges associated with accurate identification and diagnosis of this injury. We review the diagnostic and therapeutic challenges associated with injury, the negative impact on clinical outcomes, and the association between PTS and hindfoot trauma.
Chronic Complex Volar Dislocation Of The Middle And Ring Finger Metacarpophalangeal Joint: A Case Report, Fernando Moreno, Jordan T. Carter, John J. Pisquiy, Michael M. Polmear
Chronic Complex Volar Dislocation Of The Middle And Ring Finger Metacarpophalangeal Joint: A Case Report, Fernando Moreno, Jordan T. Carter, John J. Pisquiy, Michael M. Polmear
Western Journal of Orthopaedics
Metacarpophalangeal (MCP) joint dislocations are uncommon injuries. Most dislocations occur dorsally, with volar dislocations being rarer owing to the architecture of the joint. Because of the rarity of the condition, there is no accepted standard treatment for these injuries. The most commonly affected digit is the ring finger, followed by the middle finger and then the small finger. Management depends on the complexity of the injury, with complex dislocations requiring open reduction owing to interposed soft tissue and repair of damaged ligaments and tendons. We describe a 52-year-old man with chronic MCP dislocation who underwent unsuccessful open reduction and subsequently …
Reconstruction Of A Chronic Quadriceps Tendon Rupture After Multiple Failed Repair Attempts: Technique And Case Report, Lauren Edge, Elizabeth Mcleod, Om Pathak, Justin Bartley
Reconstruction Of A Chronic Quadriceps Tendon Rupture After Multiple Failed Repair Attempts: Technique And Case Report, Lauren Edge, Elizabeth Mcleod, Om Pathak, Justin Bartley
Western Journal of Orthopaedics
Rupture of the quadriceps tendon is a relatively uncommon injury that requires prompt surgical intervention to restore the function of the extension apparatus of the knee. Early, definitive surgical intervention generally produces excellent results. In the case of delayed surgery or re-rupture, the tendon is often retracted and scarred, thus complicating subsequent repairs and resulting in poor outcomes. We describe a middle-aged man who presented 4 years after his initial quadriceps rupture, following two repair attempts that failed. Upon presentation, he was unable to perform any active extension at the knee, and he ambulated with the use of a hinged …
Orthopaedic Residency And The Covid Kid, Finley Kemp, Deana Mercer
Orthopaedic Residency And The Covid Kid, Finley Kemp, Deana Mercer
Western Journal of Orthopaedics
N/A
Excessive Tibial Overgrowth Associated Ankle Valgus Deformity After Pediatric Open Mid-Shaft Tibial Fracture: A Case Report, Ahmed M. Thabet, Rami Khalifa, Rasheed Alnajjar, Amr Abdelgawad
Excessive Tibial Overgrowth Associated Ankle Valgus Deformity After Pediatric Open Mid-Shaft Tibial Fracture: A Case Report, Ahmed M. Thabet, Rami Khalifa, Rasheed Alnajjar, Amr Abdelgawad
Western Journal of Orthopaedics
Tibial overgrowth after pediatric tibial fractures has been reported in the literature. Multiple factors can affect the amount of overgrowth, including age and gender of patients, type of fracture (open vs closed), degree of communion, reduction techniques, and fixation method. We describe a 10-year-old boy with a 2-cm overgrowth after sustaining an isolated open tibia fracture with an intact fibula, which is more than what has been previously described in the literature for tibia fractures. This overgrowth was associated with asymmetrical growth of the distal tibial physis, asymmetrical growth between tibia and fibula, and ankle valgus deformity.
The University Of New Mexico Orthopaedics Research Journal 2021, Unm Department Of Orthopaedic Surgery
The University Of New Mexico Orthopaedics Research Journal 2021, Unm Department Of Orthopaedic Surgery
Western Journal of Orthopaedics
No abstract provided.
Risk Factors For The Development Of A Symptomatic Contralateral Discoid Lateral Meniscus, Jason Nielson, Sean Davis, Aaron Gray, Brock Wentz
Risk Factors For The Development Of A Symptomatic Contralateral Discoid Lateral Meniscus, Jason Nielson, Sean Davis, Aaron Gray, Brock Wentz
Western Journal of Orthopaedics
Background: Discoid menisci (DM) are oval or disc shaped menisci, differing from the normal crescent shaped meniscus. This difference in shape may be one factor as to why DM are more prone to injury when compared to normal menisci. The purpose of this study was to evaluate potential risk factors that may lead to the development of symptoms, requiring arthroscopic saucerization in adolescents with a history of symptomatic DM in the contralateral extremity. Methods: We retrospectively reviewed 126 patients with an arthroscopic diagnosis of DM to evaluate for the presence of a symptomatic contralateral DM variant. Mildly symptomatic DM status …
Cartilage Restoration Of The Patella Using Prochondrix® Osteochondral Allograft: A Case Report, Evan D. Boyd, Michael S. Barnum, James R. Slauterbeck
Cartilage Restoration Of The Patella Using Prochondrix® Osteochondral Allograft: A Case Report, Evan D. Boyd, Michael S. Barnum, James R. Slauterbeck
Western Journal of Orthopaedics
Articular cartilage injuries are challenging to treat because of the limited healing potential of articular cartilage. Various cartilage restoration procedures have been developed to restore the protective role of articular cartilage and to delay or prevent additional damage to the articular surface. ProChondrix® Cartilage Restoration Matrix is a cryopreserved hyaline cartilage allograft with viable chondrocytes and growth factors necessary to promote its incorporation and viability. We describe a 19-year-old man with a well-contained, full-thickness cartilage defect on his patella. He subsequently underwent cartilage restoration with a ProChondrix® osteochondral allograft. At 1-year postoperatively, the patient had both clinical and radiographic evidence …
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 …
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 …
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.
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 …
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.
Mesh Plate Fixation For Complex Patella Fractures: A Surgical Technique, Rami Khalifia, Eric Potter, Sherif Dabash, Richard S. Yoon
Mesh Plate Fixation For Complex Patella Fractures: A Surgical Technique, Rami Khalifia, Eric Potter, Sherif Dabash, Richard S. Yoon
Western Journal of Orthopaedics
Different types of low-profile plates have been designed for fixation of complex patellar fractures. Plate fixation of patella fractures provides stable fixation and allows earlier mobilization. This report describes three cases of complex patellar fractures. The report includes a detailed description and tips of the surgical technique
Alumni Map 2020, Unm Department Of Orthopaedic Surgery
Alumni Map 2020, 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 …
Front Matter, Unm Department Of Orthopaedic Surgery
Front Matter, Unm Department Of Orthopaedic Surgery
Western Journal of Orthopaedics
No abstract provided.
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.
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 …
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 …
Intra-Articular Osteoid Osteoma Of The Elbow: A Case Report, Catherine M. Westbom, John E. Nolan, Nathan T. Morrell
Intra-Articular Osteoid Osteoma Of The Elbow: A Case Report, Catherine M. Westbom, John E. Nolan, Nathan T. Morrell
Western Journal of Orthopaedics
A 24-year-old woman, with 5 years of left elbow pain, was given a preliminary diagnosis of focal pigmented villonodular synovitis based on magnetic resonance imaging. She underwent arthroscopic debridement and was found to have an intra-articular bony mass. Histopathology was consistent with an intra-articular osteoid osteoma. The mass was removed arthroscopically with excellent symptomatic improvement. There was no recurrence of symptoms at 1 year follow-up.
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
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 …
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 …
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 …
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.
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 …
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
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