Orthopedics Commons^™

The Association Between Critical Thinking And Scholastic Aptitude On First-Time Pass Rate Of The National Physical Therapy Examination, Daniel W. Suckow, C. Jayne Brahler, Betsy Donahoe-Fillmore, Mary Insana Fisher, Philip A. Anloague

Physical Therapy Faculty Publications

Objectives: 1) To investigate the relationships among critical thinking (CT) abilities, overall academic performance in the Doctorate of Physical Therapy (DPT) program as measured by cumulative grade point average (GPA), and National Physical Therapy Examination (NPTE) licensure scores, and 2) To determine if NPTE scores were significantly different between groups of students who were classified as having low, moderate or high CT abilities.

Background: It is well-established that physical therapy practice requires good clinical reasoning skills. Passage of the NPTE is required for licensure. Research to date has been mixed as to whether CT abilities or GPA can predict success …

Terrorist Attacks In The Largest Metropolitan City Of Pakistan: Profile Of Soft Tissue And Skeletal Injuries From A Single Trauma Center, Muhammad Shahid Khan, Shahan Waheed, Arif Ali, Narjis Rizvi, Asher B. Feroze, Shahryar Noordin

Department of Surgery Docs

BACKGROUND: Pakistan has been hugely struck with massive bomb explosions (car and suicide bombs) resulting in multiple casualties in the past few years. The aim of this study is to present the patterns of skeletal and soft tissue injuries and to review the outcome of the victims who presented to our hospital. METHODS: This is a retrospective chart review from January 2008 to December 2012. The medical record numbers of patients were obtained from the hospital Health Information and Management Sciences (HIMS) as per the ICD-9 coding. RESULTS: During the study period, more than 100 suicide and implanted bomb blast …

Effectiveness Of Surgery For Lumbar Stenosis And Degenerative Spondylolisthesis In The Octogenarian Population: Analysis Of The Spine Patient Outcomes Research Trial (Sport) Data., Jeffrey A Rihn, Alan S Hilibrand, Wenyan Zhao, Jon D Lurie, Alexander Vaccaro, Md, Phd, Todd Albert, James Weinstein

Rothman Institute Papers

BACKGROUND: The purpose of this study was to determine whether surgery is an effective option for the treatment of stenosis of the lumbar spine and degenerative spondylolisthesis in the octogenarian population.

METHODS: An as-treated analysis of patients with lumbar stenosis and degenerative spondylolisthesis enrolled in the Spine Patient Outcomes Research Trial (SPORT) was performed. Patients who were at least eighty years of age (n = 105) were compared with those younger than eighty years (n = 1130). Baseline patient and clinical characteristics were noted, and the difference in improvement from baseline between operative and nonoperative treatment was determined for each …

Front Matter, Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Faculty And Mid-Level Providers, Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Fellows, Chiefs And Residents, Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Physical Therapy Faculty, Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Division Of Research, 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, …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

Unicameral Bone Cyst Of The Pelvis In A 13-Yearold Boy Treated With Cannulated Screw Decompression After Open Curettage And Grafting: A Case Report, Reilly J. Kuehn, David H. Chafey

UNM Orthopaedic Research Journal

Although studied for more than a century, the cause of unicameral bone cyst (UBC) remains uncertain. UBC of the pelvis in younger patients has been particularly problematic because its rarity often results in misdiagnosis and improper treatment. Surgical treatment has typically involved percutaneous or open curettage and bone grafting; however, some studies have described the use of a continuous decompression device to address high recurrence rates of the lesion. We present a 13-year-old male patient in whom, after two unsuccessful operations, open curettage and grafting and insertion of a cannulated screw led to resolution of pain caused by a large, …

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 …

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.

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.

A Gentleman Surgeon, Richard V. Worrell, Md, Thomas A. Decoster

UNM Orthopaedic Research Journal

No abstract provided.

Association Of Meniscal Status, Lower Extremity Alignment, And Body Mass Index With Chondrosis At Revision Anterior Cruciate Ligament Reconstruction, R. H. Brophy, A. K. Haas, L. J. Huston, S. K. Nwosu, R. W. Wright, E. Hershman

Journal Articles

BACKGROUND: Knees undergoing revision anterior cruciate ligament reconstruction (rACLR) have a high prevalence of articular cartilage lesions. HYPOTHESIS: The prevalence of chondrosis at the time of rACLR is associated with meniscal status and lower extremity alignment. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: Data from the prospective Multicenter ACL Revision Study (MARS) cohort were reviewed to identify patients with preoperative lower extremity alignment films. Lower extremity alignment was defined by the weightbearing line (WBL) as a percentage of the tibial plateau width, while the chondral and meniscal status of each weightbearing compartment was recorded at the time of …

Patient Expectations And Long-Term Outcomes In Rheumatoid Arthritis Patients: Results From The Sara (Silicone Arthroplasty In Rheumatoid Arthritis) Study, K. C. Chung, K. W. Nellans, P. B. Burns, E. F. S. Wilgis, F. D. Burke, D. A. Fox, H. M. Kim

Journal Articles

Little evidence exists to understand the influence of patient expectations on outcomes for silicone metacarpophalangeal arthroplasty (SMPA). The purpose of this paper is to compare long-term treatment outcome experiences regarding hand function/appearance for a surgical and nonsurgical cohort of rheumatoid arthritis (RA) patients and contrast them to expectations at baseline. This sample is part of a larger multicenter prospective cohort study of RA patients enrolled from 2004 to 2008. A total of 169 RA patients with severe deformities at the metacarpophalangeal (MCP) joints were recruited in the original study. Expectations for SMPA were collected at enrollment. A follow-up patient-reported questionnaire …

Cruciate-Retaining Tka Is An Option In Patients With Prior Patellectomy, K. R. Reinhardt, S. J. Huffaker, T. S. Thornhill, R. D. Scott

Journal Articles

The recommendation for using posterior-stabilized (PS) implants in patellectomy patients undergoing total knee arthroplasty (TKA) is based on older case series with heterogeneous patient populations. The use of cruciate-retaining implants in these patients has not been evaluated with more contemporary implant designs. The purpose of this study was to evaluate the survivorship and functional outcomes (Knee Society score, presence of an extensor lag, and range of motion) of cruciate-retaining (CR) TKA in patients with prior patellectomy. Between 1986 and 2012, we performed 27 CR TKAs in 25 patients after patellectomy. Of those, 23 CR TKAs in 21 patients were available …

Multirater Agreement Of The Causes Of Anterior Cruciate Ligament Reconstruction Failure: A Radiographic And Video Analysis Of The Mars Cohort, M. J. Matava, R. A. Arciero, K. M. Baumgarten, J. A. Hannafin, B. S. Miller, C. W. Nissen, T. N. Taft, B. R. Wolf, E. B. Hershman, R. W. Wright, +3 Additional Authors

Journal Articles

BACKGROUND: Anterior cruciate ligament (ACL) reconstruction failure occurs in up to 10% of cases. Technical errors are considered the most common cause of graft failure despite the absence of validated studies. Limited data are available regarding the agreement among orthopaedic surgeons regarding the causes of primary ACL reconstruction failure and accuracy of graft tunnel placement. HYPOTHESIS: Experienced knee surgeons have a high level of interobserver reliability in the agreement about the causes of primary ACL reconstruction failure, anatomic graft characteristics, and tunnel placement. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 3. METHODS: Twenty cases of revision ACL reconstruction were …

Mri Evaluation Of Lumbar Disc Degenerative Disease, Pokhraj Suthar, Rupal Patel, Chetan Mehta, Narrotam Patel

Orthopaedic Surgery Publications

Introduction:

Lower back pain secondary to degenerative disc disease is a condition that affects young to middle-aged persons with peak incidence at approximately 40 y. MRI is the standard imaging modality for detecting disc pathology due to its advantage of lack of radiation, multiplanar imaging capability, excellent spinal soft-tissue contrast and precise localization of intervertebral discs changes.

Aims and Objective:

To evaluate the characterization, extent, and changes associated with the degenerative lumbar disc disease by Magnetic Resonance Imaging.

Study Design:

Cross-sectional and observational study.

Materials and Methods:

A total 109 patients of the lumbar disc degeneration with age group between …