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Letter From The Co-Editors, Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Letter From The Chief Of The Division Of Physical Therapy, Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Severely Deformed Extraarticular Fractures Of The Scapula: A Review, Sean B. Kuehn

UNM Orthopaedic Research Journal

Nonoperative treatment of severely deformed fractures of the scapula was historically common. However, the findings of newer research have challenged the notion that conservatively managing these fractures results in the most successful outcomes. In an attempt to possibly reveal important indicators for surgical treatment, I reviewed studies on scapula fractures involving scapular anatomy; associated injuries; technological advances that have helped with fracture evaluation; and treatment outcomes between nonsurgical and surgical methods. Although a universally accepted classification scheme of scapula fractures does not exist, use of 3D reconstruction with computed tomography can help define the level and category of fracture deformity. …

Learning The Laprade Technique For Reconstruction Of The Posterolateral Corner Of The Knee, Dustin L. Richter

UNM Orthopaedic Research Journal

No abstract provided.

Treatment Of Full Circumferential Segmental Bone Loss Of The Tibia Resulting From Acute Traumatic Injuries And Complications: A Review, Gregory C. Strohmeyer

UNM Orthopaedic Research Journal

Full circumferential segmental bone loss of the tibia presents a challenge to orthopaedic surgeons. These open fractures often involve extensive soft-tissue damage, which can contribute to poor long-term outcomes even if the tibia is successfully reconstructed. Although amputation was historically used to treat full circumferential segmental bone loss of the tibia because of the severity of the injury, the development of new reconstruction procedures has provided the option of limb salvage techniques. I reviewed studies on treatment of traumatic tibia bone loss, focusing particularly on full circumferential bone loss of greater than 3 cm. Treatment options included amputation, allograft replacement, …

Isolated Traumatic Subscapularis Tear In A 12-Year-Old Male Gymnast: A Case Report, Katherine J. Gavin, Gehron P. Treme

UNM Orthopaedic Research Journal

Isolated avulsion fractures of the lesser tuberosity are rarely encountered in younger and older populations. However, because the tendon of the subscapularis insertion is stronger in skeletally immature individuals, isolated tears to the tendon occur more commonly in adults than children and adolescents. Most studies have been limited to case reports that mainly describe traumatic subscapularis tears in adolescent athlete-patients. We present a 12-year-old male gymnast who reported to our clinic with pain and weakness in the right shoulder at 2 months after the initial injury. We performed open repair with suture anchor fixation for treatment of an isolated subscapularis …

Severe Ischemia Of The Finger After Use Of Compressive Self-Adherent Wrap: Report Of Two Cases, Andrea B. Lese, Elizabeth A. Mikola, Deana M. Mercer

UNM Orthopaedic Research Journal

Use of Coban compressive self-adherent wraps (3M, St Paul, MN) has been found helpful in treating various conditions and injuries of the extremities, including lymphedema, edema in burned hands, and sprains or strains. However, the availability and easy application of the wrap have resulted in its common usage with or without adequate instructions. We report two cases in which severe pain and ischemia developed after this bandage was circumferentially applied to a finger to stop bleeding from a simple laceration. One patient required amputation at the level of the proximal interphalangeal joint; the other had resolution of venous congestion symptoms …

Nonunion After Hybrid Plating With Locking And Nonlocking Screws In Radius And Ulna Shaft Fractures: Report Of Two Cases, Zainab Cheema, Nathan E. Huff, Deana M. Mercer

UNM Orthopaedic Research Journal

Conventional compression plating has been found effective in treating forearm diaphyseal fractures, providing stability as well as resistance to axial, torsional, and bending forces. Locked plating has provided stability without frictional force between the bone-plate interface, which may help preserve periosteal blood supply, and is useful in treating metaphyseal, comminuted, and osteoporotic fractures. Hybrid plating has been used in an attempt to combine the strengths of these two techniques; however, in the context of simple forearm diaphyseal fractures with healthy bone, its effectiveness is only theoretical. We describe two patients in whom open reduction and internal fixation with hybrid plating …

Third Extensor Compartment Disruption And The Biomechanics Of Thumb Extension, Christina Salas, Drew K. Newhoff, Zainab Cheema, Allison A. Richards, Deana M. Mercer, Amanda K. Medoro, Ahmed M. Afifi, Moheb S. Moneim, John M. Veitch

UNM Orthopaedic Research Journal

Background: Procedures involving release of the third dorsal wrist compartment have been thought to transpose the extensor pollicis longus (EPL) tendon from its anatomical position. Few studies, however, have reported on the effects this might have on function and mechanics of the thumb. We analyzed the impacts of intact extensor retinaculum, release of the third dorsal compartment, and removal of Lister’s tubercle on thumb extension.

Methods: A total of 15 fresh-frozen cadaveric upper extremities (eight male, seven female; mean age, 52 years; range, 38-59 years) were used. For each specimen, three phases of testing were analyzed: the extensor retinaculum was …

Removal Of Partly Threaded Cannulated Screws After Treatment Of Slipped Capital Femoral Epiphysis: A Pilot Study, Nathan T. Morrell, Ian A. Power, Dukens Labaze, Elizabeth A. Szalay

UNM Orthopaedic Research Journal

Background: Partly threaded cannulated screws (PTCS) are currently recommended for management of slipped capital femoral epiphysis (SCFE), but no advantage of these screws over fully threaded cannulated screws (FTCS) has been demonstrated. We investigated whether PTCS are more difficult to remove than FTCS.

Methods: The records of 33 patients who underwent implant removal after operative treatment of SCFE were reviewed, and the following data were collected: age and sex of the patient, type of screw used (partly or fully threaded), length of removal operation, and any comments on the difficulty of screw removal.

Results: Sixty-one percent of operative reports for …

Survey Of Current Articles Published On Total Ankle Arthroplasty And Ankle Fusion, Tony G. Pedri, Richard A. Miller

UNM Orthopaedic Research Journal

In the United States, ankle fusion is more commonly performed than total ankle arthroplasty (TAA) for treatment of degenerative joint disease of the ankle. However, recent advances in implant design and technique have led to a renewed interest in research on TAA. To shed light on current research trends and limited data rather than examine the merits between both methods, we performed a PubMed search of studies on TAA and ankle fusion between January 1, 2009, and January 1, 2015, published in both the American edition of the Journal of Bone and Joint Surgery (JBJS) and Foot & Ankle International …

Open Reduction And Internal Fixation For Treatment Of Proximal Humerus Fractures: A Review, Heather K. Woodin

UNM Orthopaedic Research Journal

Fractures of the proximal humerus are common in older patients, and the incidence of these fractures in the United States is expected to notably increase with the aging population. Nonoperative procedures have been preferred in elderly patients with stable fracture patterns to avoid complications associated with osteoporotic bone. However, more complex and unstable fracture patterns often necessitate operative techniques to allow for more anatomical healing. Although proximal humerus fractures have been thoroughly examined, systemized, and studied, no clear method to choosing an appropriate surgical treatment or candidate has been accepted. I reviewed the role of the following factors on successful …

Carpal Tunnel Syndrome Associated With A Palmaris Profundus Tendon: A Case Report, Andrea B. Lese, Kristin M. Loker, Moheb S. Moneim

UNM Orthopaedic Research Journal

Carpal tunnel syndrome (CTS) is often found in adults and may be associated with rare anatomical abnormalities in the hand, such as the presence of a palmaris profundus tendon. Although the muscle was originally thought to be a variant of the palmaris longus muscle, some case studies have described both structures during operative treatment with open carpal tunnel release. We present a case of a 51-year-old woman who underwent open carpal tunnel release to treat CTS of the right hand. Preoperatively, results of electrodiagnostic tests and clinical examinations, respectively, were normal and equivocal. Intraoperatively, a palmaris profundus tendon was found …

Surgical Treatment Of Chronic Dislocation Of A Posterior Tibial Tendon In A Collegiate Athlete: A Case Report, Tony G. Pedri, Richard A. Miller

UNM Orthopaedic Research Journal

Traumatic dislocation of the posterior tibial tendon (PTT) is a rare and often misdiagnosed injury. The limited number of cases, ambiguous results of initial imaging studies, and presence of symptoms similar to medial ankle sprains can contribute to unsuccessful long-term treatment. Current studies, although limited, report high rates of failure in nonoperative compared with operative treatment. We describe a 21-year-old male baseball player who experienced pain and mild swelling in his ankle after falling while running at full speed. After 5 months of continuous pain in the medial ankle, the patient was referred to our clinic and underwent suture anchor …

Custom-Made Angled Polyethylene Insert Exchange For Treatment Of Valgus Malalignment In Revision Total Knee Arthroplasty: A Case Report, Reilly J. Kuehn, Ch Christopher R Hanosh

UNM Orthopaedic Research Journal

Single- and dual-component revisions have typically been used to correct coronal malalignment after total knee arthroplasty (TKA). However, realignment of well-fixed components can result in complications such as bone loss and the need for increasing constraint of implants. Exchange to a custom-made angled polyethylene insert, although primarily implemented in cases of osteolysis, has been described with low complication rates and minimal loss of motion. We describe a 74-year-old woman who underwent TKA in January 2006 and presented to our clinic in March 2013 with symptoms of pain and instability of the right knee. We performed a revision TKA using two …

Scaphoid Stress Fracture In A 65-Year-Old Man With Low Bone Mineral Density: A Case Report, Dean W. Smith

UNM Orthopaedic Research Journal

Although commonly reported in women and less commonly in younger athletes, no studies have reported stress fractures of the scaphoid in older, sedentary men. Because of its rarity, osteoporosis in older men is often unrecognized and only diagnosed after the fracture. I describe a previously sedentary 65-year-old man who presented to my clinic with pain in the right wrist after his first day of intense physical activity and underwent 8 weeks of splinting and bracing for treatment of a fracture of the waist of the scaphoid. Ten weeks after the pain began, a computed tomography image revealed healing of the …

American Indian Children And U.S. Policy, Angelique Eaglewoman (Wambdi A. Wastewin), Sisseton-Wahpeton Dakota Oyate Of The Lake Traverse Reservation, G. William Rice, United Keetoowah Band Of Cherokee Indians In Oklahoma

Tribal Law Journal

This article presents the major impact of implemented U.S. Indian policies on the lives of American Indian children. First, the article discusses U.S. policies aimed to re-socializing American Indians through imposition of external language, culture, and beliefs through a system of government-mandated education. In the late 1700s through the 1800s, the U.S. government set a course for military control over American Indian peoples. Re-socialization as an assimilation policy forced profound lifestyle and culture changes. These policies were aimed directly at American Indian children through mandatory Indian residential boarding schools. After decades of resistance, many tribal communities achieved educational reform. Assimilation …

Celebrating The Life, Laughter, And Leadership Of Dr. Dale V. Hoekstra, Robert C. Schenck Jr

UNM Orthopaedic Research Journal

No abstract provided.

Encouraging Participation Of Women In Orthopaedic Surgery And Engineering At The Third Annual Perry Outreach Program In New Mexico, Christina Salas, Sahar Freedman, Deana M. Mercer

UNM Orthopaedic Research Journal

No abstract provided.

First Chairman Of The Department Of Orthopaedics & Rehabilitation: A Tribute To George E. Omer Jr, Md, Thomas A. Decoster

UNM Orthopaedic Research Journal

No abstract provided.

Commemorating Dr. Elizabeth A. Szalay’S Academic Accomplishments, Robert C. Schenck Jr

UNM Orthopaedic Research Journal

No abstract provided.

Paying Respects To A Dedicated Hand Surgeon And Family Man, Dr. John M. Veitch, Robert C. Schenck Jr

UNM Orthopaedic Research Journal

No abstract provided.

Protecting River Flows For Fun And Profit: Colorado's Unique Water Rights For Whitewater Parks, Reed D. Benson

Faculty Scholarship

Since 2001, Colorado has recognized a special type of water right for whitewater parks, which are constructed within a river channel to provide play features for kayakers and other boaters. These water rights, called "recreational in-channel diversions, " are unique to Colorado, even though whitewater parks exist in several western states. This Article addresses some of the underlying reasons that recreational in-channel diversions were established in Colorado, and traces the controversy surrounding their recognition by that state's courts and legislature. Over the last decade, however, the controversy has largely died away, and whitewater park rights have now become an accepted …

Read Poster For Dr. Welage, University Of New Mexico Health Sciences Library And Informatics Center

READ Posters

Lynda S. Welage, PharmD, FCCP, is the Dean of the UNM College of Pharmacy. She is shown with her favorite book, Miracle on the Mesa: A History of the University of New Mexico 1889-2003 by William E. Davis. This photo was taken in September 2015 at the Health Sciences Library and Informatics Center (HSLIC) - the best place to study on the HSC campus!

Usage Of Tobacco Cessation Helpline (Quitnow) In Rural New Mexico, Abigail Velasquez, Theresa Cruz, Andrea Cantarero, Sally Davis

Posters and Presentations

The QUITNOW program is an evidence-based method for increasing tobacco cessation in New Mexico. Although many efforts have been made to create and implement tobacco cessation interventions, research on the effectiveness of such programs in rural communities is limited. Data obtained from cities are typically generalized to all communities. This study aims to address the following question: "To what extent are adults in rural communities engaging in the QUITNOW program compared with adults in urban communities?" We hypothesize that rural communities may have a considerably lower rate of accessing QUITNOW than urban communities because of unique circumstances, which vary according …

The Science Around Us: Partnerships To Foster Interest And Competency In Science Among Middle School Students In Rural Nm, Sally Davis, Shiraz Mishra, Alejandro Ortega, Kathryn Peters

Posters and Presentations

The New Mexico SEPA project engages rural Hispanic and American Indian middle school students in the science around us, through curricula, summer camp, field trips, career days, school gardens, nature hikes and other learning opportunities in and out of the classroom. Emphasis is placed on role models, health careers, healthy living, and natural history. Learning activities are inquiry based, culturally appropriate and educationally sound. Frequent “think tanks” ensure teacher input and guidance. Professional development is aligned with the program objectives and needs of the teachers.

2015-2016 Healthy Here Mobile Farmers’ Market Evaluation Report, T H. Cruz, C A. Fitzgerald, C Solomon

Reports & Documents

No abstract provided.

New Mexico Snap-Ed Evaluation Report, T Cruz, E A. Lilo, R Cuddy, C Solomon

Reports & Documents

No abstract provided.

Mobile Market: A Healthy Here Initiative: 2015 Pilot Season Evaluation Report, R Cuddy, C Fitzgerald, T Cruz

Reports & Documents

No abstract provided.

New Mexico Youth Risk & Resiliency 2013 Survey Results Report: Tobacco Use And Related Behaviors, C Fitzgerald, J Padilla, D Green, L Penaloza

Reports & Documents

Te negative effects of tobacco use are well documented: cigarette smoking has been linked to cancer, heart disease, and chronic obstructive pulmonary disease (COPD). The earlier a person initiates smoking, the greater their risk for long-term health problems and nicotine addiction. The Centers for Disease Control and Prevention (CDC) estimates that 1 in 5 high school students currently uses some form of tobacco. NM-YRRS measures tobacco use, attitudes, and behaviors among New Mexico students in grades 6–12.