Orthopedics Commons^™

The Postero-Anterior X-Ray View Of The Thumb To Illustrate The Basal Joint Articulations, Corey Carlston, Alfred Lopez, Moheb S. Moneim

UNM Orthopaedic Research Journal

No abstract provided.

Efficacy Of A Novel Examination Maneuver In Diagnosing Meniscal Pathology, Eric J. Freeh, Ryan Lurtsema

UNM Orthopaedic Research Journal

In this retrospective study we examine the effectiveness of the here named “Twist test” in diagnosing meniscal pathology. In preparation for this study, a literature review was conducted to look at commonly used “gold standard” exam maneuvers utilized in the diagnosis of meniscal lesions. The data from these studies was used as comparisons against the twist test. Medical records of patients who underwent knee arthroscopy from the 2013 calendar year were pulled and assessed for positive or negative Twist test results. These results were then correlated with Magnetic Resonance Imaging (MRI), and more definitively, arthroscopic findings. With this data, we …

Regional Anesthesia At University Of New Mexico: A Diffusion Of Innovation, Matthew Martin, Evan Baldwin, Randy Rossett, Firoz Vagh, Kyle Leggot, David Sklar, Deana M. Mercer

UNM Orthopaedic Research Journal

No abstract provided.

Congenital Scoliosis: A Retrospective Chart Review, Antony Kalllur, Azadeh F. Fotouhie, Skye C. King

UNM Orthopaedic Research Journal

Background: The etiology, severity and prognosis of congenital scoliosis depend on multiple factors, with limited data in the literature. There is also limited data on surgical correction based on the underlying vertebral anomaly. Given the progressive nature of the disease and eventual need for surgical intervention, the study was designed to obtain more data, assess disease presentation and progression in relation to environmental and physical characteristics, and evaluate surgical predictors to elucidate the disease and understand its prognosis in relation to various factors.

Methods: Using a retrospective chart review, we created a database for patients with congenital scoliosis seen at …

Anatomy Primer Of The Wrist Ligaments, Deana M. Mercer, Moheb Moneim

UNM Orthopaedic Research Journal

No abstract provided.

Arthroscopic Management Of Extra-Articular Hypertrophy Of The Anterior Inferior Iliac Spine Apophysis Resulting In Hip Impingement: A Case Report, Michael Hopson, Jeremy Becker

UNM Orthopaedic Research Journal

No abstract provided.

Chondroblastoma Of The Humeral Epiphysis In A 15-Year-Old Female: A Case Report, Katherine Gavin, Therese Bocklage, David Chafey, Deana M. Mercer

UNM Orthopaedic Research Journal

No abstract provided.

Tuberculosis Of The Ankle: A Case Report, Drew Newhoff, Richard A. Miller

UNM Orthopaedic Research Journal

No abstract provided.

Pediatric Spinal Cord Injury And Functional Electrical Stimulation Cycling, Katie Crow, Marybeth Barkocy

UNM Orthopaedic Research Journal

No abstract provided.

Physical Therapy And The Treatment Of Chronic Pelvic Pain: A Comparison Of Pelvic Floor Exercises And Manual Therapy, Rachel Johansen, James Dexter

UNM Orthopaedic Research Journal

No abstract provided.

Treatment Of Severe Ankle Diabetic Neuroarthropathy (Charcot Ankle) With Retrograde Intramedullary Nailing: Report Of Two Cases, Ian Power, Richard A. Miller

UNM Orthopaedic Research Journal

No abstract provided.

Anterior Cruciate Ligament Revision — Posterolateral Bundle Augmentation Of Vertical Graft: A Case Report, Dustin L. Richter, Robert C. Schenck Jr

UNM Orthopaedic Research Journal

No abstract provided.

Report From The Division Of Physical Therapy, Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Gait Training Strategies To Optimize Functional Ambulation In Adults With Chronic Traumatic Brain Injury: A Review Of The Evidence, Joy Iris Schoenherr, Fred Carey

UNM Orthopaedic Research Journal

No abstract provided.

Osteoarthritis Of The Knee: Does Physical Therapy Intervention Alone Improve Functional Outcome Scores Of The Timed Up And Go More Than Total Knee Arthroplasty?, Alyson N. Wilson, Beth Moody Jones

UNM Orthopaedic Research Journal

No abstract provided.

What Cost To “Buy” Academic Accomplishments?, Elizabeth Szalay

UNM Orthopaedic Research Journal

No abstract provided.

Letters From Landstuhl, Thomas A. Decoster

UNM Orthopaedic Research Journal

No abstract provided.

Multiple Epidural Steroid Injections And Body Mass Index Linked With Occurrence Of Epidural Lipomatosis: A Case Series., Rafael Jaimes, Angelo G. Rocco

Orthopaedic Surgery Faculty Publications

BACKGROUND:

Epidural lipomatosis (EL) is an increase of adipose tissue, normally occurring in the epidural space, sufficient to distort the thecal sac and compress neural elements. There is a lack of knowledge of risk factors, impact on patient's symptoms, and its possible association with epidural steroid injections.

METHODS:

History, physical examination, patient chart, and MRI were analyzed from 856 outpatients referred for epidural steroid injections. Seventy patients with signs of EL on MRI comprised the study group. Thirty-four randomly selected patients comprised the control group. The severity of EL was determined by the MRI assessment. The impact of EL was …

A Clinical Pathway For Total Shoulder Arthroplasty-A Pilot Study, A. K. Goon, D. M. Dines, E. V. Craig, M. A. Gordon, E. A. Goytizolo, Y. Lin, E. Lin, J. T. Yadeau

Journal Articles

BACKGROUND: Appropriate pain management after total shoulder arthroplasty (TSA) facilitates rehabilitation and may improve clinical outcomes.; QUESTIONS/PURPOSES: This prospective, observational study evaluated a multimodal analgesia clinical pathway for TSA.; METHODS: Ten TSA patients received an interscalene nerve block (25cm(3) 0.375% ropivacaine) with intraoperative general anesthesia. Postoperative analgesia included regularly scheduled non-opioid analgesics (meloxicam, acetaminophen, and pregabalin) and opioids on demand (oral oxycodone and intravenous patient-controlled hydromorphone). Patients were evaluated twice daily to assess pain, anterior deltoid strength, handgrip strength, and sensory function.; RESULTS: The nerve block lasted an average of 18h. Patients had minimal pain after surgery; 0 (median score …

Effect Of Graft Choice On The Outcome Of Revision Anterior Cruciate Ligament Reconstruction In The Multicenter Acl Revision Study (Mars) Cohort, R. W. Wright, L. J. Huston, A. K. Haas, K. P. Spindler, S. K. Nwosu, C. R. Allen, A. F. Anderson, D. E. Cooper, E. B. Hershman, J. J. York, +83 Additional Authors

Journal Articles

Background: Most surgeons believe that graft choice for anterior cruciate ligament (ACL) reconstruction is an important factor related to outcome; however, graft choice for revision may be limited due to previously used grafts. Hypotheses: Autograft use would result in increased sports function, increased activity level, and decreased osteoarthritis symptoms (as measured by validated patient-reported outcome instruments). Autograft use would result in decreased graft failure and reoperation rate 2 years after revision ACL reconstruction. Study Design: Cohort study; Level of evidence, 2. Methods: Patients undergoing revision ACL reconstruction were identified and prospectively enrolled by 83 surgeons at 52 sites. Data collected …

The Importance Of Managing Psychosocial Health: A Case Study, Mary Insana Fisher, Harold L. Merriman

Physical Therapy Faculty Publications

Managing the physical aspects of lymphedema requires an individual to be committed to daily treatment of this chronic condition. Performing manual lymph drainage, using compression bandaging or compression garments, exercising, and caring for the skin all take time and a high level of dedication. This commitment to self-care can be emotionally and psychologically exhausting.

When coupled with other emotional stressors in a patient’s life, successful treatment of lymphedema is challenging. We present a case demonstrating how the physical and psychological aspects of care interplay, and, when well-managed, can positively affect the outcome.

Breast Cancer Edge Task Force Outcomes - Clinical Measures Of Strength And Muscular Endurance: A Systematic Review, Mary Insana Fisher, Claire Davies, Christine Beuthin, Genevieve Colon, Brittany Zoll, Lucinda Pfalzer

Physical Therapy Faculty Publications

Background: Muscular strength deficits are a common morbidity following treatment for breast cancer. Accurate assessment of strength and muscular endurance following breast cancer treatments is essential in identifying deficits and planning rehabilitation strategies.

Purpose: The purpose of this systematic review was to identify strength and muscular endurance outcome measures for use with women treated for breast cancer that possess strong psychometric properties and are clinically useful.

Methods: Multiple electronic databases were searched between February and June 2013. Included studies of tools used to assess strength and muscular endurance met the following criteria: reported psychometric properties, clinically feasible methods, adults (preferably …

Test Items In The Complete And Short Forms Of The Bot-2 That Contribute Substantially To Motor Performance Assessments In Typically Developing Children 6-10 Years Of Age, Kadi Carmosino, Ashley Grzeszczak, Kaylie Mcmurray, Ali Olivo, Bo Slutz, Brittany Zoll, Betsy Donahoe-Fillmore, C. Jayne Brahler

Physical Therapy Faculty Publications

Objectives: Determine the magnitude of association between individual subtest items of the Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2), and the respective total subtest scores and to review items on the BOT-2 Short Form.

Background: The Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2), is a test used to measure gross motor proficiency in both typically developing children and children with developmental disabilities between the ages of four and twenty-one. The BOT-2 Short Form consists of fourteen test items proportionally selected from the subtests of the Complete Form. It can be used as a screening tool and takes less …

Arthroscopic Subscapularis Bankart Technique As A Salvage Procedure For Failed Anterior Shoulder Stabilization, S. Chaudhury, D. Delos, J. S. Dines, D. W. Altchek, C. C. Dodson, A. M. Newman, S. J. O'Brien

Journal Articles

BACKGROUND: Shoulder instability is a relatively common problem. Even with contemporary surgical techniques, instability can recur following both open and arthroscopic fixation. Surgical management of capsular insufficiency in anterior shoulder stabilization represents a significant challenge, particularly in young, active patients. There are a limited number of surgical treatment options. The Laterjet technique can present with a number of intraoperative challenges and postoperative complication.; DESCRIPTION OF TECHNIQUE: We report an arthroscopic subscapularis tenodesis technique as a salvage procedure for challenging glenohumeral instability cases. Sutures are passed through the subscapularis tendon and capsule before they are tied as one in the subdeltoid …

Shoulder Instability After Total Shoulder Arthroplasty: A Case Of Arthroscopic Repair, A. O. Gee, M. E. Angeline, J. S. Dines, D. M. Dines

Journal Articles

No abstract provided.

Does The Direct Anterior Approach In Tha Offer Faster Rehabilitation And Comparable Safety To The Posterior Approach?, J. A. Rodriguez, A. J. Deshmukh, P. A. Rathod, M. L. Greiz, P. P. Deshmane, M. S. Hepinstall, A. S. Ranawat

Journal Articles

Newer surgical approaches to THA, such as the direct anterior approach, may influence a patient's time to recovery, but it is important to make sure that these approaches do not compromise reconstructive safety or accuracy. We compared the direct anterior approach and conventional posterior approach in terms of (1) recovery of hip function after primary THA, (2) general health outcomes, (3) operative time and surgical complications, and (4) accuracy of component placement. In this prospective, comparative, nonrandomized study of 120 patients (60 direct anterior THA, 60 posterior THAs), we assessed functional recovery using the VAS pain score, timed up and …

Tissue Engineered Meniscus Repair: Influence Of Cell Passage Number, Tissue Origin, And Biomaterial Carrier, J. A. Schwartz, W. Wang, T. Goldstein, D. A. Grande

Journal Articles

Objective. Studies have shown that meniscal repairs have better outcomes over both partial and total meniscectomies. Tissue engineering strategies to repair meniscus tears have been explored using cell sources that involve a donor as well as a period of in vitro cell expansion before use. This study explored cell sources that could be easily harvested and rapidly isolated by enzymatic digestion and cannulated delivery. Methods. Bovine menisci were used to create a bucket handle tear. Cell lines were established from meniscus, synovium, and adipose tissue and fluorescently labeled. At passages P2, P4, and P8, cells were added to the defect …

Minimally Invasive Lateral Lumbar Interbody Fusion With Direct Psoas Visualization, P. S. Yuan, K. Rowshan, R. B. Verma, L. E. Miller, J. E. Block

Journal Articles

Background: Minimally invasive lateral approaches to the lumbar spine have been adopted to allow access to the intervertebral disc space while avoiding the complications associated with anterior or posterior approaches. This report describes a minimally invasive technique for lateral lumbar interbody fusion LLIF that allows direct intraoperative visualization of the psoas and surrounding neurovasculature (DV-LIF). Methods: The technique utilizes a radiolucent tubular retractor and a secondary psoas retractor that allows a muscle-sparing approach while offering excellent visualization of the operative site. The unique advantage of this procedure is that the psoas muscle and surrounding nerves can be directly visualized intraoperatively …

Even Incomplete Bisphosphonate-Induced Femoral Shaft Fractures Are Best Treated With Nailing, Aditi S. Majumdar, Thomas A. Decoster

UNM Orthopaedic Research Journal

No abstract provided.

Operative Environment, Pouya Alijanipour Md, Joseph Karam Md, Adolfo Llinas Md, Kelly G. Vince Md, Charalampos Zalavras Md, Matthew Austin Md, Grant Garrigues Md, Snir Heller Md, James Huddleston Md, Brian Klatt Md, Viktor Krebs Md, Christoph Lohmann Md, Edward J. Mcpherson Md, Robert Molloy Md, Ali Oliashirazi Md, Mitchell Schwaber Md, Eoin Sheehan Md, Eric Smith Md, Robert Sterling Md, Gregory Stocks Md, Shrinand Vaidya Md

Orthopaedics

Postoperative SSIs are believed to occur via bacterial inoculation at the time of surgery or as a result of bacterial contamination of the wound via open pathways to the deep tissue layers.^1–3 The probability of SSI is reflected by interaction of parameters that can be categorized into three major groups.² The first group consists of factors related to the ability of bacteria to cause infection and include initial inoculation load and genetically determined virulence factors that are required for adherence, reproduction, toxin production, and bypassing host defense mechanisms. The second group involves those factors related to the defense …