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Articles 1 - 23 of 23
Full-Text Articles in Medical Specialties
A Novel Method In The Classification Of Proximal Fifth Metatarsal Fractures, Kathryn Yeager, Benjamin Packard, Richard A. Miller, Shravin Sridhar
A Novel Method In The Classification Of Proximal Fifth Metatarsal Fractures, Kathryn Yeager, Benjamin Packard, Richard A. Miller, Shravin Sridhar
Western Journal of Orthopaedics
Background: Proximal fifth metatarsal fractures are common. The authors previously performed a study examining the inter- and intraobserver reliability of the Lawrence and Botte Classification, which showed poor interobserver reliability of 16.67%. A novel approach was proposed for the classification of fifth metatarsal fractures using a mortise ankle radiographic view. Methods: The observers from the authors’ prior study reviewed non-weight bearing mortise views of 20 patients with isolated fifth metatarsal base fractures. These radiographs were identified from the 60 radiographs from the authors’ prior study. Five physicians evaluated the radiographs and classified the fractures as type 1, 2, or 3. …
Distal Radial Shaft Malunion And Distal Radioulnar Joint Instability 8 Years After Postoperative Plate Failure: A Case Report, Allicia O. Imada, Casey D. Mcdonald, Deana Mercer
Distal Radial Shaft Malunion And Distal Radioulnar Joint Instability 8 Years After Postoperative Plate Failure: A Case Report, Allicia O. Imada, Casey D. Mcdonald, Deana Mercer
Western Journal of Orthopaedics
Radius shaft fractures often require operative treatment after skeletal maturity to restore functional range of motion. If the radial bow is not anatomically restored, pain and instability can occur from bony impingement and disruption of the distal radioulnar joint (DRUJ). We describe a 25-year-old woman with a radius shaft malunion and DRUJ instability. Eight years prior, at the age of 17, she underwent open reduction and internal fixation for a radial shaft fracture with subsequent reinjury at 10 weeks postoperatively. The reinjury was treated nonoperatively, and the patient went on to have painful range of motion and DRUJ instability. Radiographs …
The Chevron Capitate-Trapezoid Joint: A Case Report, Dean W. Smith
The Chevron Capitate-Trapezoid Joint: A Case Report, Dean W. Smith
Western Journal of Orthopaedics
Anatomical variations to the human skeletal system are common and frequently reported in the literature. The structures around the hand and wrist are no exception, and these variations can affect ligaments, tendons, muscles, nerves, arteries, joints, and bone morphology. Musculoskeletal health care providers must be familiar with normal, individual variations when encountered during patient care and diagnostic imaging. In some instances, morphological variations have resulted in differences in kinematics, while others have been found in association with certain medical conditions. We discuss an unusual variation of the capitate-trapezoid joint. To the best of our knowledge, no prior studies have previously …
Bisphosphonate Associated Atypical Femur Fracture And Contralateral Impending Atypical Femur Fracture In A Pediatric Patient With Osteogenesis Imperfecta: A Case Report, Benjamin Albertson, Taylor Polander, Selina Silva
Bisphosphonate Associated Atypical Femur Fracture And Contralateral Impending Atypical Femur Fracture In A Pediatric Patient With Osteogenesis Imperfecta: A Case Report, Benjamin Albertson, Taylor Polander, Selina Silva
Western Journal of Orthopaedics
Atypical femur fractures are rare, low-energy fractures that involve a specific constellation of radiographic findings. These fractures have been well described in adult osteoporotic patients on long-term bisphosphonates; however, little to no literature exists on atypical femur fractures in pediatric patients on long-term bisphosphonates. The use of bisphosphonates as treatment of osteogenesis imperfecta is common to reduce fracture rate and improve bone mineral density. We describe a 15-year-old adolescent boy with type I osteogenesis imperfecta on long-term bisphosphonate therapy. He presented with an atypical right femur fracture and an impending left femur fracture. To the authors’ knowledge, these findings represent …
Seven Deadly Sins Of Volar Distal Radius Fracture Fixation, Allicia O. Imada, Jorge Orbay, Deana Mercer
Seven Deadly Sins Of Volar Distal Radius Fracture Fixation, Allicia O. Imada, Jorge Orbay, Deana Mercer
Western Journal of Orthopaedics
Distal radius fractures are common injuries, accounting for 17.0% of all emergency department visits. Operative treatment is an option when indicated. Volar plating has become the most frequently used mode of fixation. Although fixed angle volar locking plates allow for reliable and stable fixation, complications have been reported. Complications include flexor and extensor tendon rupture, intra-articular screw penetration, malreduction, loss of reduction, carpal tunnel syndrome, implant failure, and complex regional pain syndrome. We propose seven principles to avoid these preventable outcomes and tips to succeed.
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.
Early Open Reduction And Internal Fixation Of Acute Low-Energy Tibial Plateau Fractures Does Not Increase The Rate Of Perioperative Complications, Jorge D. Guerra, Madison Craft, Diana P. Guerra, Ahmed M. Thabet
Early Open Reduction And Internal Fixation Of Acute Low-Energy Tibial Plateau Fractures Does Not Increase The Rate Of Perioperative Complications, Jorge D. Guerra, Madison Craft, Diana P. Guerra, Ahmed M. Thabet
Western Journal of Orthopaedics
Introduction: The treatment algorithm for tibial plateau fractures continues to evolve as surgeon experience increases. Initial surgical procedures have been fine-tuned over time. Methods: This is a retrospective chart review of 132 patients with low-energy tibial plateau fractures (Schatzker I–IV) treated at a level-1 academic trauma center between January 2008 and February 2018. This study analyzes patient outcomes managed with primary operative intervention within 48 hours of admission. The average age was 45 years (range, 19 to 84 years). There were 92 men and 40 women. Statistical analysis focused on comparisons between historical complication rates and the findings of this …
A Novel High Tibial Biplanar Osteotomy Technique For Simultaneous Coronal And Sagittal Correction: A Case Example, Ryan C. Price, Kathryn C. Helmig, Dustin L. Richter, Robert C. Schenck Jr
A Novel High Tibial Biplanar Osteotomy Technique For Simultaneous Coronal And Sagittal Correction: A Case Example, Ryan C. Price, Kathryn C. Helmig, Dustin L. Richter, Robert C. Schenck Jr
Western Journal of Orthopaedics
Medial opening wedge high tibial osteotomy (HTO) can provide symptom relief, improved ligamentous stability, and lower failure rates in patients with symptomatic medial knee osteoarthritis, ligament instability, and varus alignment after ligament reconstruction. It has been reported that correcting coronal plane abnormalities with a medial opening wedge HTO has resulted in altered posterior tibial slope angle (PTSA). We describe a 38-year-old woman with a history of severe polytrauma who presented with an anterior cruciate ligament tear in the setting of increased PTSA and a posterolateral corner injury with varus deformity of the knee. A medial biplanar HTO was performed using …
Gunshot Wounds To The Foot And Ankle: Review Of Cases From A Level-1 Trauma Center, Allicia O. Imada, Jory Wasserburger, Aamir N. Ahmad, Katherine Gavin
Gunshot Wounds To The Foot And Ankle: Review Of Cases From A Level-1 Trauma Center, Allicia O. Imada, Jory Wasserburger, Aamir N. Ahmad, Katherine Gavin
Western Journal of Orthopaedics
Background: Gunshot injuries frequently involve the foot and ankle. The standard of care for treatment of gunshot injuries to the foot and ankle is not clear. To better understand these injuries, we completed a retrospective review of foot and ankle gunshot injuries at a level-1 trauma center seen as orthopaedic consults over a 2-year period. Methods: Orthopaedic consults for foot and ankle gunshot injuries from June 1st, 2018, through May 31st, 2020, were reviewed. Patient characteristics, zone of injury, mechanism of injury, associated injuries, treatment, follow-up, and outcomes were recorded. Results: Forty-eight foot and ankle gunshot injuries were identified, encompassing …
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.
Alumni Map 2021, Unm Department Of Orthopaedic Surgery
Alumni Map 2021, Unm Department Of Orthopaedic Surgery
Western Journal of Orthopaedics
No abstract provided.
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.
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 …
Considerations In Surgical Timing For Femoral Shaft Fractures, Trevor Crean, William Curtis, Thomas A. Decoster
Considerations In Surgical Timing For Femoral Shaft Fractures, Trevor Crean, William Curtis, Thomas A. Decoster
Western Journal of Orthopaedics
Femoral shaft fractures are a common orthopaedic injury. They are generally treated with intramedullary nailing. The optimal timing of operative treatment is variable and debated. Relatively simple femoral shaft fractures can be successfully treated in less than 24 hours in most health care systems. Femoral shaft fractures can be more complicated owing to various factors, such as multiple traumatic injuries, associated conditions, etc. These more complicated femoral shaft fractures benefit from stabilization within the first 6 hours to minimize complications. Stabilization of the long bones helps achieve an upright chest position and improves pulmonary, circulatory, and musculoskeletal function. Some patients …
A Systematic Review To Examine Functional Recovery After Total Knee Arthroplasty And Successful Physical Therapy Protocols, Dominique M. Patterson, Colin F.K. Hansen, Yuri Yoshida
A Systematic Review To Examine Functional Recovery After Total Knee Arthroplasty And Successful Physical Therapy Protocols, Dominique M. Patterson, Colin F.K. Hansen, Yuri Yoshida
Western Journal of Orthopaedics
Background: Total knee arthroplasty (TKA) continues to be the most common elective procedure performed every year, with the goal to reduce pain and improve return to functional activities. Recent studies have investigated new surgical techniques and therapeutic interventions to determine which protocols result in reduced pain and accelerate return to function. Methods: We systematically reviewed 131 out of 301 studies between 1996 and 2019 to assess trends in patient functional performance and perceptive functional recovery after TKA from preoperative up to 2 years postoperative. We evaluated functional outcome measures recommended by the Osteoarthritis Research Society International. Results that considerably deviated …
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
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 …
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 …
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 …
Front Matter, Unm Department Of Orthopaedic Surgery
Front Matter, Unm Department Of Orthopaedic Surgery
Western Journal of Orthopaedics
No abstract provided.
Hamstring Strength Recovery In Relation To Landing Patterns Following Anterior Cruciate Ligament Reconstruction: A Case Comparison Report, Kelsey A. Edwards, Rebecca A. Dutton, Yuri Yoshida, Dustin L. Richter
Hamstring Strength Recovery In Relation To Landing Patterns Following Anterior Cruciate Ligament Reconstruction: A Case Comparison Report, Kelsey A. Edwards, Rebecca A. Dutton, Yuri Yoshida, Dustin L. Richter
Western Journal of Orthopaedics
Introduction: Deficits in quadriceps strength following anterior cruciate ligament reconstruction (ACLR) are common and can be associated with biomechanical asymmetries during landing tasks. The relationship between quadriceps strength and knee function during ACLR recovery is well established. However, less is known regarding the role of hamstring strength in functional recovery after ACLR. We examined movement patterns during a drop-landing task in three patients following ACLR with different levels of quadriceps and hamstring strength. Methods: Three participants were assessed for quadriceps and hamstrings strength, functional performance, and lower-extremity biomechanics captured by a 3D motion analysis 6 months after ACLR. Results: Participant …
Effect Of Patient-Surgeon Orientation On Plunge Depth During Plate Fixation Of Clavicle Fractures, Aaron Mullane, Layla A. Haidar, Adam Kozemchak, Colton Wayne
Effect Of Patient-Surgeon Orientation On Plunge Depth During Plate Fixation Of Clavicle Fractures, Aaron Mullane, Layla A. Haidar, Adam Kozemchak, Colton Wayne
Western Journal of Orthopaedics
Background: Operative management of clavicle fractures indicated for open reduction internal fixation poses significant risk to critical anatomic structures. The associated risks to the underlying neurovascular structures during clavicle fixation as a result of plunge depth for patients in the supine position in comparison to patients in the beach-chair position is currently unknown. The purpose of this study was to compare plunge depth measurements between the supine and beach-chair positions during plate fixation of clavicle fractures. Methods: The participant population at this single institution was comprised of residents, fellows, and fellowship-trained, attending orthopaedic surgeons. The participants drilled three bicortical holes …