Medical Specialties Commons^™

Suturing Workshop For Third-Year Medical Students: A Modern Educational Approach, Mary E. Logue, Ryan D. Lurtsema, Yuridia Leyva, Tyler J. Hough, Kelly M. Harrington, Deana M. Mercer

UNM Orthopaedic Research Journal

Background: This study sought to determine if developing suturing workshops based on modern educational theory would lead to a significant increase in third-year medical students’ confidence and preparedness as compared to before the workshop.

Methods: A group of pre-clinical, third-year medical students (n = 20) were voluntarily recruited. The workshop consisted of an interactive didactic session, a hands-on suturing session, and a question-answer session with surgeons. The nine-point Likert scale surveys were given pre-and post-workshop to 17 participants. Total scores of “confidence” and “preparedness” were analyzed using the Student t-test. Results of Q-Q plot and normality tests were used to …

Evaluation Of Content And Accessibility Of Orthopaedic Trauma Fellowship Websites, Travis M. Hughes, Bobby Dezfuli, Kimberly J. Franke, Jordan L. Smith, John T. Ruth

UNM Orthopaedic Research Journal

Background: Residents frequently use the internet to find material on fellowship programs. The Orthopaedic Trauma Association (OTA) website serves as a central hub for information on an orthopaedic trauma fellowship (OTF). This study aims to evaluate the accessibility, content, and perceived importance of OTF websites.

Methods: We reviewed the 49 OTFs accredited by the OTA fellowship database as of January 2014. We searched for corresponding OTF websites by using the provided OTA hyperlinks and conducting a separate Google search of program location and institution. Links to websites of general orthopaedic programs were not counted. Content of OTF websites was analyzed …

Automated Device To Enable Passive Pronation And Supination Activities Of The Hand For Experimental Testing With Cadaveric Specimens: A Collaboration Between The University Of New Mexico And New Mexico Institute Of Mining And Technology, Jodie Gomez, Jakub Mroczkowski, Lauren Long, Christopher A. Buksa, Deana M. Mercer, Christina Salas, David I. Grow

UNM Orthopaedic Research Journal

In cadaveric research, reproducing physiological conditions under which the specimens would be loaded in vivo is essential to achieve clinical applicability. This is a collaborative study bringing together engineers from The University of New Mexico and New Mexico Institute of Mining and Technology. We describe development of an automated device to enable passive pronation and supination of the hand (rotation achieved through direct manipulation) for use in cadaveric experimental testing of the hand, wrist, forearm, or elbow. We present a brief motivation for development of this device, design details, an overview of one possible application, and ways to use this …

3d Bioprinter + Electrospinner For Bone-Ligament Tissue Engineering, Sherif H. Aboubakr, Steven Nery, Lauren Long, Christopher A. Buksa, Chanju Fritch, Christina Salas

UNM Orthopaedic Research Journal

Modern 3D bioprinters have been shown to allow for precise control of structural geometry to build patientspecific scaffolds for tissue regeneration—primarily nonload- bearing tissue. However, 3D bioprinting is limited by cell viability, polymer cross-linking characteristics, and poor tensile properties. In comparison, electrospinning has been used to form fibrous structures with accelerated cellular maturation properties, improved growth and migration of cells, and increased tensile properties. Conversely, the mostly uncontrolled deposition of electrospun fibers can limit pore size and cell infiltration. In our Orthopaedic Biomechanics & Biomaterials Laboratory, a custom 3D Bioprinter + Electrospinner hybrid system (E-Spin Printer) was designed to merge …

Pilot Study Investigating The Use Of 3d Printing In Designing Upper-Extremity Prosthetics For Children: A Progress Report, Lauren Long, Christina Salas, Deana M. Mercer, Selina R. Silva, Jared Knigge

UNM Orthopaedic Research Journal

The availability and cost-effectiveness of functional prototypes and designs has increased considerably over the last decade because of 3D printing. The growing field of biomedical engineering is expanding on 3D-printing technology to make low-cost, upper-extremity prosthetics. This pilot study reports on the potential use of 3D printing for low-cost, upper-extremity prosthetics, specifically prosthetic hands for children. We start by characterizing existing open-source, 3D-printed upper-extremity prosthetics to determine their mechanical strength, statically and dynamically. Based on outcomes from these early tests, we optimize the existing designs to develop a new prosthetic. The prosthetic design, fabricated in The University of New Mexico …

Missed Early Glenohumeral Septic Arthritis During Emergency Department Visit Owing To Low Virulence Streptococcus Mitis: A Case Report, Ashley A. Crum, Christopher A. Mcgrew, Matthew A. Tennison

UNM Orthopaedic Research Journal

Glenohumeral joint septic arthritis in a native joint is uncommon but can be debilitating if not treated early. Septic arthritis does not always present with the typical clinical findings, especially in immunocompromised patients. We report a rare case of glenohumeral septic arthritis from Streptococcus mitis infection in a diabetic woman that was initially missed on first presentation in the emergency department (ED). The exact cause of infection in this case remains unclear but is likely due to poor dentition and possible transient bacteremia in the setting of large rotator cuff tear in an immunocompromised patient (diabetes). The patient had a …

Posttraumatic Attenuation Of The Lisfranc Ligament In A 14-Year-Old Athlete: A Case Report, Paul J. Johnson, David M. Bennett

UNM Orthopaedic Research Journal

Lisfranc injuries in children are rare and range from mild midfoot sprains to severe traumatic fracture-dislocations. Management of sprains is nonoperative, whereas treatment of fracture-dislocations often requires internal fixation. We present a unique case of a midfoot sprain in a 14-year-old adolescent boy, with gradual increased instability at the joint owing to attenuation of the Lisfranc ligament. Closed reduction and percutaneous pinning resulted in successful treatment at 3 weeks postoperatively. Midfoot sprains may lead to further ligamentous attenuation and widening as seen on radiographs and thus should be monitored for signs of persistent pain and instability. Because midfoot instability contributes …

Capitate Stress Injuries Of Both Wrists In An Adolescent Female Gymnast: A Case Report, Brynne R.W Latterell, Deana M. Mercer, Shane P. Cass, Christopher A. Mcgrew

UNM Orthopaedic Research Journal

Gymnastic activities expose the wrist to a wide variety of overuse and acute stresses. Injuries to the distal radius are the most commonly reported gymnastic wrist condition; however, many other structures are at risk of injury from the sport’s high acute and overuse demands, including the carpal bones, most commonly the scaphoid. We describe a 17-year-old female, high-level gymnast in whom stress injuries to both capitate bones were ultimately diagnosed after initial symptoms of pain. This case demonstrated the need for prompt recognition, without which much chronic and debilitating injury would develop. For successful diagnosis, healthcare providers should carefully examine …

Carpal Tunnel Release During Pregnancy: Report Of Two Cases, Erica J. Gauger, Deana M. Mercer, Moheb S. Moneim

UNM Orthopaedic Research Journal

Symptoms of carpal tunnel syndrome are common occurrences during pregnancy, particularly in the third trimester. Most patients undergo successful nonoperative treatment shortly after birth or the cessation of breast feeding. However, symptoms noted earlier during pregnancy are more likely to be severe and persistent. We present the cases of two women who developed symptoms of severe carpal tunnel syndrome during the second trimester and did not improve with nonoperative measures. Both underwent carpal tunnel release during pregnancy, with excellent postoperative result. Obstetric providers and surgeons alike should consider surgical treatment for patients with carpal tunnel syndrome who do not improve …

Lipoma Of The Tendon Sheath Causing Symptoms Of De Quervain’S Tenosynovitis: A Case Report, James Rose, Moheb S. Moneim

UNM Orthopaedic Research Journal

Deep lipomas arising from the extensor compartments of the wrist are extremely rare. Owing to infrequent presentation and mass effect on nearby structures, lipomas can be mistaken for other clinical entities. We describe a 70-year-old woman who presented to our clinic with symptoms initially suggestive of de Quervain’s tenosynovitis of the left wrist. However, findings of physical examinations and imaging techniques revealed a lipoma of the tendon sheath of the second dorsal compartment. The patient was successfully treated operatively, with excision and release of the first dorsal compartment. To help accurately diagnosis and treat lipomas of the wrist in deep-tissue …

Diagnosing An Acute Quadratus Plantae Tear In A 37-Year-Old Athlete: A Case Report, James P. Toldi, Shane P. Cass, Richard A. Miller, Christopher A. Mcgrew

UNM Orthopaedic Research Journal

Foot injuries occur frequently in distance runners and can notably impact training performance. Common diagnoses include plantar fasciitis, tendinopathies of the forefoot or midfoot, and stress fractures of the metatarsals. Occasionally, more obscure structures may be involved. We describe a 37-year-old male distance runner who presented with symptoms of heel pain and ecchymosis, suggesting an acute plantar fascia injury. However, findings of magnetic resonance imaging revealed a tear to the quadratus plantae (QP). The patient gradually returned to normal levels of physical activity, with complete resolution of symptoms by 4 months after the initial injury. Healthcare providers should be aware …

Unsuccessful Metatarsophalangeal Joint Replacement For Treating Arthritis Of The Great Toe: Report Of Three Cases, Jory Wasserburger, Paul J. Johnson, Katherine J. Gavin, Richard A. Miller

UNM Orthopaedic Research Journal

Metatarsophalangeal (MTP) joint fusion or replacement are commonly performed for treating advanced arthritis of the MTP joint of the great toe. However, results of MTP joint arthroplasty have shown no clear advantages compared to those of fusion. We present a 72-year old woman (case 1), 66-year-old woman (case 2), and 64-yearold man (case 3) who underwent unsuccessful MTP joint replacement of the great toe and presented to our clinic with pain at 15, 1, and 20 years postoperatively, respectively. Operative resection has been scheduled for case 1, whereas symptoms were managed nonoperatively in case 2. In case 3, operative removal …

Rare Tumors Adjacent To The Achilles Tendon: Report Of Two Cases, Jay J. Wojcik, Aditi S. Majumdar, Kathleen M. Madden, Richard A. Miller

UNM Orthopaedic Research Journal

Benign masses are not uncommon near the Achilles tendon of the ankle. However, the occurrence of angiomyomas or glomus tumors in the region has rarely been reported. We describe two patients, a 44-year-old woman and 44-yearold man, who presented with a tender mass posterior to the Achilles tendon. Excision led to successful removal of the lesion in both cases. Results of histological examinations revealed an angiomyoma and glomus tumor in the woman and man, respectively. Although rare, the presence of these tumors should be considered in the differential diagnosis of masses near the Achilles tendon.

Preparing Resident Physicians For Healthcare Reform, Michael M. Decker

UNM Orthopaedic Research Journal

No abstract provided.

Hosting The Perry Outreach Program And Medical Student Outreach Program In Albuquerque: Promoting Women Leaders In Engineering And Orthopaedic Surgery, Lauren Long, Sahar Freedman, Jodi Gomez, Deana M. Mercer, Christina Salas

UNM Orthopaedic Research Journal

No abstract provided.

The Albuquerque Community Sports Medicine Experience: Four Decades And Counting, Christopher A. Mcgrew, Thomas A. Decoster, Shane P. Cass, Richard Gerrells, Edward R. Sweetser

UNM Orthopaedic Research Journal

No abstract provided.

Novel Strategies For Time Efficiency In An Orthopaedic Clinic: A Satire, Christopher L. Shultz, Richard A. Miller

UNM Orthopaedic Research Journal

No abstract provided.

Degree Of Knowledge, Potential Barriers, And Reasons For Finding Out About Genetic Testing, Lisa Ann Atkinson, Drew Alexander Holm, Michael Jacob

All Electronic Theses and Dissertations

Genetic testing is a resource that continues to evolve and change the world of medicine. The availability of such testing has created opportunities for many to better understand and take control of their health. However, studies show that the general population is still lacking in awareness toward genetic testing and what it has to offer. The purpose of this study was to assess the knowledge about genetic testing and participant’s feelings towards finding out about a possible inheritable disease. A nine question survey was distributed to 156 participants at two Minnesota schools and one Minnesota clinic. The study found that …

Patient Understanding Of The Physician Assistant Profession Across Age Groups, Amber Baumann, Galen Hilgendorf

All Electronic Theses and Dissertations

The demand for healthcare providers such as Physician Assistants is ever increasing with the growing and aging United States population. The number of Physician Assistant education programs as well as practicing Physician Assistants is growing at an astronomical rate, making the general population’s understanding of this profession more important than ever. Therefore, this study is aimed at assessing the degree of understanding of the Physician Assistant profession across the Twin Cities metro and south central Minnesota. It also assesses if a gap in understanding exists across age groups within these areas. The study utilized a web-based questionnaire consisting of 12 …

Patient Satisfaction With Physician Assistants In Family Practice, Megan A. Bendix, Mariah Eystad

All Electronic Theses and Dissertations

Introduction: The nation is experiencing an expanding, aging population. As the nation faces an imminent physician shortage, physician assistants (PAs) will be utilized in practice to a greater extent. Maintaining patient satisfaction is important because it improves patient outcomes. Purpose: The purpose of this study is to evaluate patient satisfaction with PAs in family practice. By researching determinants of satisfaction, this study will identify the factors that influence overall patient satisfaction. The results will indicate what aspects of a patient’s visit can be improved upon to increase satisfaction. Methods: A survey was given at family practice clinics to patients that …

Sports Specialization And Injury Prevalence, Jacob P. Berwyn, Jordan Lee Reiner

All Electronic Theses and Dissertations

This retrospective study examines musculoskeletal injury prevalence rates among high school athletes. Specifically, it examines if there is a higher injury prevalence amongst single sport athletes compared to multi-sport high school athletes. Also, it looks at injury prevalence by gender to determine if male or female athletes are more prone to injuries. The population for this study consisted of student athletes from Bethel University in Arden Hills, Minnesota. In order to qualify for the study the athletes must have participated in a State High School League sanctioned sport prior to competing at the collegiate level. Consent forms and questionnaires were …

Dynamic Knee Hyperextension Screening As A Predictor Of Acl Injury Potential In Competitive High School Soccer Players, Jon-Paul W. Ciszewski, David Mcgehee, Jessica Schindler

All Electronic Theses and Dissertations

Introduction: Young, active populations who play sports that include sudden cutting motions, are at heightened risk of injury to the anterior cruciate ligament (ACL). Female athletes with increased joint laxity and subsequent hyperextension of the knee, are at greatest risk of ACL injury when compared to males. Purpose: The purpose of this retrospective study was to explore the incidence of dynamic knee hyperextension in high school soccer athletes by sex and team level, as observed through high-speed photography. This could lead to a potentially practicable screening tool for identifying high school soccer athletes at increased risk of ACL injury. Methods: …

Prevalence Of Caffeine Use And Knowledge Of Its Benefits, Side Effects, And Withdrawal Symptoms Among Pre-Pa Students, Pa Students, And Clinically Practicing Pas, Kjerstin Grace Durie, Chelsie Nicole Horner, Greta Sowles

All Electronic Theses and Dissertations

Caffeine is consumed daily by eighty percent of the world’s population, making it the most widely used stimulant drug. Caffeine has various benefits, side effects, and withdrawal symptoms associated with its use, but there is a lack of research that studies how much caffeine users know about these effects. This research study assessed the use of caffeine for academic and professional purposes and the knowledge about the benefits, side effects, and withdrawal symptoms of caffeine among pre-PA students, PA students, and practicing PAs in Minnesota. To do so, a paper copy of a survey was given to pre-PA students and …

Patient Satisfaction Of Physician Assistants And Physicians In The Emergency Department, Brittany Geditz, Yu Guan, Lauren Lahr

All Electronic Theses and Dissertations

Introduction: Emergency medicine has developed rapidly since the 1960s with an increasing need for providers due to the increasing number of presenting patients in the emergency department. Physician assistants have filled that gap; however, patient knowledge and subsequent patient satisfaction of emergency department physician assistants remains to be researched. Purpose: The purpose of this study is to determine and evaluate patient satisfaction after seeing a physician assistant and a physician in the emergency department. Patient knowledge of the role of a physician assistant in an emergency department setting was assessed, as well as the possible correlation between patient knowledge of …

End-Of-Life Education And Preparedness Of Physician Assistants In Minnesota And The Surrounding States, Julie Ann Graner, Lukas Steffan, Zachary Stutzman

All Electronic Theses and Dissertations

As the population in the United States ages, palliative care spending and needs have been increasing. Most quality outcome measures, however, have shown inadequate satisfaction among patients and caregivers. A number of studies have investigated the preparation and preparedness of physicians and other medical providers when dealing with end-of-life care, but few have looked in the preparedness of physician assistants (PAs). The aim of this study was to assess the preparedness of PAs when it comes to dealing with end-of-life care and to determine when and how comfort is achieved when dealing with patients at end-of-life. A novel electronic survey …

Health Literacy And Medication Administration Knowledge Of Unlicensed Health Care Workers In Assisted Living Facilities, Lynsey Jae Kissinger, Kelsey Walczak

All Electronic Theses and Dissertations

The purpose of this research was to determine the health literacy and medication administration knowledge of unlicensed health care workers such as certified nursing assistants and non-certified caregivers working in assisted living facilities in Minnesota. Currently, there is a lack of research about both the health literacy and medication administration knowledge of unlicensed health care workers. Unlicensed health care workers in assisted living facilities provide healthcare assistance to the elderly and may provide services such as medication administration, blood glucose monitoring, and assistance with activities of daily living. This research utilized the Newest Vital Sign (NVS) assessment to determine the …

The Barriers: Psychosocial And Economic Resistance Men Face In Seeking Fertility Evaluations, Cynthia C. Konrath, Ashton Makwana

All Electronic Theses and Dissertations

There has been a minimal amount of research conducted regarding barriers presenting to male patients presenting for fertility evaluations. Research that focuses on the male gender’s reactions to infertility has been just as limited. The purpose of this research, which was preformed through a literature review and custom survey, was to find some foundational insight on the barriers encountered by men seeking a fertility evaluation. These barriers include psychosocial and economical barriers. The medical field can use the outcomes of this research to as a basis to direct further studies, and to better understand barriers affecting men from seeking infertility …

Complications Of Bone And Soft Tissue Sarcoma Patients Following Limb Salvage And Amputation Procedures, Sandra Ogato

All Electronic Theses and Dissertations

Background: Extremity bone and soft tissue sarcoma are a rare type of cancer with treatment modalities to include chemotherapy and radiation and surgical procedures. Surgery can be limb salvage or limb amputation. Patients of extremity bone and soft tissue sarcomas may experience physical and psychosocial effects due to sarcoma treatments impacting physical performance, quality of life, and social support. Therefore, this study sought to evaluate the complications of extremity bone and soft tissue sarcoma in patients following limb salvage and amputation surgeries. Methods: Patients were selected from the University of Minnesota Fairview Hospital database and had a primary tumor located …

Pa Compensation Models In The Twin Cities, Kayli J. Piechowski, Alannah Pratt

All Electronic Theses and Dissertations

A variety of compensation models for medical providers exist today. Current literature reveals that the main compensation models present for physicians and other advanced practice providers today include fee for service (FFS), fixed salary, pay for performance (P4P), and mixed models. To our knowledge, no previous studies that have characterized the compensation models of physician assistants (PAs) or their satisfaction in relation to those models exists. This study aims to characterize PA compensation models in the Twin Cities metro area and analyze PA satisfaction with these models. An electronic survey was used to collect data characterizing compensation models of PAs …

Reduced Cost And Decreased Length Of Stay Associated With Acute Ischemic Stroke Care Provided By Nurse Practitioners: A Single Primary Stroke Center Experience, Leah Roering Np, Michelle Peterson Np, Muhammad Shah Miran Md, Melissa Freese, Kenneth Shea Md, M Fareed K. Suri Md

Nursing Posters

Nurse practitioner (NP) have a wider role in modern stroke centers providing quality evidence based care to patients with both in and outpatient settings for acute ischemic stroke (AIS) and transient ischemic attack (TIA) patients. We studies the outcome measures, length of stay (LOS) and cost before and after implementation of nurse practitioners as the primary medical provider in a community based stroke center.