Front Matter,
2020
University of New Mexico
Front Matter, Unm Department Of Orthopaedic Surgery
Western Journal of Orthopaedics
No abstract provided.
Mesh Plate Fixation For Complex Patella Fractures: A Surgical Technique,
2020
Texas Tech University Health Sciences Center
Mesh Plate Fixation For Complex Patella Fractures: A Surgical Technique, Rami Khalifia, Eric Potter, Sherif Dabash, Richard S. Yoon
Western Journal of Orthopaedics
Different types of low-profile plates have been designed for fixation of complex patellar fractures. Plate fixation of patella fractures provides stable fixation and allows earlier mobilization. This report describes three cases of complex patellar fractures. The report includes a detailed description and tips of the surgical technique
Osteomalacia In A Young Adult Male Presenting As Chronic Wrist Pain: A Case Report,
2020
University of Texas Health Science Center
Osteomalacia In A Young Adult Male Presenting As Chronic Wrist Pain: A Case Report, Daniel Gonzales-Luna, Dean W. Smith
Western Journal of Orthopaedics
Chronic wrist pain is a common problem encountered by orthopaedic surgeons, yet osteomalacia is rarely considered in the differential diagnosis in the United States. We present a case involving a 37-year-old man who experienced bilateral wrist pain and weakness for more than 2 years. Further investigation revealed a history of chronic leg pain, low serum 25-hydroxy vitamin D levels, and decreased bone density. He was diagnosed with osteomalacia and treated with vitamin D supplementation and increased sun exposure. At 6 months follow-up, the patient had resolution of his pain and normalized vitamin D levels. To our knowledge, the literature has …
Single-Event Multilevel Surgery Of The Upper Extremity: A Case Report,
2020
Burrell College of Osteopathic Medicine
Single-Event Multilevel Surgery Of The Upper Extremity: A Case Report, Elizabeth Mcleod, Lacey Floyd, Justin Bartley
Western Journal of Orthopaedics
Single-event multilevel surgery has been used successfully to treat pediatric patients with cerebral palsy for decades; however, it has not been widely used to treat adult patients. Tendinopathies of the arm often coexist, and performing single event surgery to correct one joint pathology may further exacerbate coexisting tendinopathies. Accordingly, performing single-event multilevel surgery in the appropriate patient allows for the correction of multiple conditions of the same limb in a single surgery. Single-event multilevel surgery offers many benefits, including cost savings, convenience for the patient, less potential complications owing to a single anesthetic and hospitalization event, and a shorter overall …
Systematic Review Of Cost-Effective Analyses In Sports Medicine From 2014 To 2020,
2020
University of Washington/The University of New Mexico Health Sciences Center
Systematic Review Of Cost-Effective Analyses In Sports Medicine From 2014 To 2020, Casey Slattery, Mia S. Hagen, Amy Cizik, Albert O. Gee
Western Journal of Orthopaedics
The quality of recent cost-effectiveness studies and whether there is sufficient evidence to achieve valuebased health care in sports medicine are unknown. The purpose of this study was to perform a systematic review of recent cost-effective analyses (CEA) in sports medicine to determine the quality of publications from the last 6 years. A literature search was conducted for CEA studies on diagnostic tests, treatment options, and surgical procedures for sports medicine-related conditions between 2014 and 2020 in the United States. Two reviewers scored each study using the Quality of Health Economic Studies (QHES) instrument to assess methodological quality. Eighteen CEA …
Measurement Of Femoral Notch Type Show Low Inter-Rater Reliability,
2020
University of Vermont
Measurement Of Femoral Notch Type Show Low Inter-Rater Reliability, Evan D. Boyd, Michael S. Barnum, James R. Saluterbeck, Pamela M. Vacek
Western Journal of Orthopaedics
Background: Preventing first time anterior cruciate ligament (ACL) injury and the devastating sequela of post-traumatic osteoarthritis in the young athlete has attracted efforts to identify risk factors for development of ACL injury. Femoral notch type has been related to risk of ACL injury in previous studies. However, little data exists to support the reliability of assessing this qualitative measurement amongst independent investigators. Methods: Femoral notch type was measured from magnetic resonance imaging sections of 344 injured ACL and control knees by three investigators with different levels of professional experience. Inter-rater reliability was assessed using Cohen’s kappa statistic. Results: The simple …
Alumni Map 2020,
2020
University of New Mexico
Alumni Map 2020, Unm Department Of Orthopaedic Surgery
Western Journal of Orthopaedics
No abstract provided.
Prevalence Of Prolonged Sitting Among Orthoapedic Residents,
2020
The University of New Mexico Health Sciences Center
Prevalence Of Prolonged Sitting Among Orthoapedic Residents, Benjamin D. Packard, Richard A. Miller
Western Journal of Orthopaedics
Background: There is a plethora of data regarding the negative health consequences of sitting, including increased cardiometabolic risk factors and all-cause mortality. Correctable actions should be identified. Methods: A literature review was performed to examine articles that identified sitting prevalence and health consequences. A survey querying average hours per day spent sitting was distributed to orthopaedic residents at a single institution. Statistical analysis of the data was performed using a 2-tailed t test. Results: A total of 25 orthopaedic residents were surveyed, and 20 responses were received. The average time spent sitting was 5.38 hours per day. There was equal …
Pronator Quadratus Rotational Muscle Flap Technique For Coverage Of Hardware After Distal Radius Orif,
2020
The University of New Mexico Health Sciences Center/Honore-Mercier Hospital
Pronator Quadratus Rotational Muscle Flap Technique For Coverage Of Hardware After Distal Radius Orif, Camille Aubin-Lemay, Henry Ran, Deana Mercer
Western Journal of Orthopaedics
Flexor tenosynovitis and tendon rupture are rare. Yet these occurrences can be serious complications after treatment of a fractured distal radius with a volar plate. The highest incidents of rupture are associated with the plate on or distal to the watershed line of the radius. Although studies have shown that reattachment of the pronator quadratus (PQ) following plating does not lead to improved measures in grip strength or range of motion, it is possible that doing so may reduce the incidence of flexor tendon irritation or rupture. Reattachment of the PQ after a standard approach does not often capture the …
Hallus Rigidus: A Technique For Reliable, Safe, And Reproducible Cheilectomy Excision,
2020
The University of New Mexico Health Sciences Center
Hallus Rigidus: A Technique For Reliable, Safe, And Reproducible Cheilectomy Excision, Jory Wasserburger, Amber Price, Matthew Wharton, Richard Miller
Western Journal of Orthopaedics
Hallux rigidus is a common cause of foot pain involving the hallux; however, the etiology is yet to be elucidated. There are many different treatments that have been described, including cheilectomy. Taking too much bone can cause joint instability and altered joint mechanics, whereas taking too little bone may not relieve pain. We present a reliable, safe, and reproducible technique for cheilectomy in the hallux rigidus.
Foreign Bodies In The Hand: A Case Report, Review Of Literature, And Guidance For Acute Management,
2020
Texas Tech University Health Sciences Center
Foreign Bodies In The Hand: A Case Report, Review Of Literature, And Guidance For Acute Management, Jessica Avila, Griffin Biedron, Jordan Carter, Gilberto A. Gonzalez
Western Journal of Orthopaedics
No abstract provided.
Isolated Proximal Fibula Fractures In Young Athletes Mimic Lateral Collateral Ligament Injury,
2020
University of Nevada Las Vegas School of Medicine
Isolated Proximal Fibula Fractures In Young Athletes Mimic Lateral Collateral Ligament Injury, Aaron M. Gray, Jason H. Nielson
Western Journal of Orthopaedics
Lateral knee injury is common among adolescent athletes in both contact and non-contact sports. Injuries in this population deserve special consideration regarding diagnosis and treatment due to the presence of open, closing, or recently closed physes. We describe two cases of isolated proximal fibula fractures with knee pain and laxity to varus stress in young athletes. Isolated proximal fibula fractures can mimic lateral collateral ligament injuries in the knee. Treatment for these injuries is conservative with bracing, protected weight bearing, and delayed or protected return to activity.
Femoral Diaphysis Fracture In A Collegiate Male Hockey Player: A Case Report,
2020
University of Vermont
Femoral Diaphysis Fracture In A Collegiate Male Hockey Player: A Case Report, Matthew Bain, James Slauterbeck
Western Journal of Orthopaedics
Femoral diaphysis fractures represent a small subset of sports-related orthopaedic trauma, accounting for less than 1% of all sports fractures. We describe a 22-year-old male ice hockey player who slid and crashed into the boards during practice. Radiographs revealed fracture of the femoral diaphysis, necessitating surgical intervention to insert an intermedullary nail. Rehabilitation was a hybrid of an anterior cruciate ligament reconstruction and hip labrum repair protocols. There was emphasis on rotator cuff strengthening and lower-extremity rehabilitation owing to a pre-existing shoulder dislocation that occurred during the same season. He returned to skating at 16 weeks, and at 20 weeks …
A Case Of Osteosarcoma And Its Presentation In A Division I Collegiate Athlete,
2020
University of Vermont College of Medicine
A Case Of Osteosarcoma And Its Presentation In A Division I Collegiate Athlete, Alec Sundet, Allison Shepherd, James Slauterbeck
Western Journal of Orthopaedics
Primary bone and soft-tissue tumors may present by mimicking common sports injuries. Their diagnosis is contingent on maintaining a broad differential. We report a case of a 20-year-old male athlete who sustained a twisting injury to his planted right knee while playing college lacrosse. He was unable to bear weight or fully extend his knee. The team’s orthopaedic surgeon was concerned for a locked knee secondary to a possible flipped meniscal tear. Radiographs and magnetic resonance imaging were performed that led to the discovery of an expansile, sclerotic lesion arising from the posteromedial aspect of the distal femur. Biopsy of …
Treatment Of Both Column Acetabular Bone Loss In Multiple Myeloma Patient With Custom Triflange Acetabular Component: A Case Report,
2020
The University of New Mexico Health Sciences Center
Treatment Of Both Column Acetabular Bone Loss In Multiple Myeloma Patient With Custom Triflange Acetabular Component: A Case Report, Scott Plaster, Kyle Stephen, David Chafey
Western Journal of Orthopaedics
Massive acetabular bone loss with pelvic discontinuity remains a challenging obstacle with few arthroplasty solutions. We present a case of a 61-year-old man with multiple myeloma who suffered a pathologic acetabular fracture resulting in acetabular protrusio and eventually extensive acetabular bone loss. His prognosis was initially poor; however, he ultimately responded to his radiation and chemotherapy and was limited in his mobility by his extensive acetabular bone loss. Given his complex presentation, it was decided to go forward with total hip arthroplasty utilizing the Zimmer-Biomet custom triflange acetabular component. His outcome at 9 months is fair
Tibial Lengthening Using A Magnetic Lengthening Intramedullary Nail In An Hiv-Positive Patient: A Case Report And Review Of Literature,
2020
Texas Tech University Health Sciences Center
Tibial Lengthening Using A Magnetic Lengthening Intramedullary Nail In An Hiv-Positive Patient: A Case Report And Review Of Literature, Rami Khalifa, Christopher Gerzina, Amr Abdelgawad, Ahmed M. Thabet
Western Journal of Orthopaedics
Limb lengthening can be affected by poor bone healing in patients with human immunodeficiency virus. This is a case report of a 56-year-old man with 6.1 cm leg length discrepancy and end-stage arthritis in the hip. The patient had total hip arthroplasty prior to his lengthening procedure. The patient was human immunodeficiency virus positive. This case report describes the experiences of using a motorized intramedullary magnetic lengthening nail in equalization of limb length discrepancy. Treatment for the patient included tibial lengthening with a motorized nail to correct the limb length discrepancy, with adequate bone healing in a patient with an …
Intra-Articular Osteoid Osteoma Of The Elbow: A Case Report,
2020
Larner College of Medicine
Intra-Articular Osteoid Osteoma Of The Elbow: A Case Report, Catherine M. Westbom, John E. Nolan, Nathan T. Morrell
Western Journal of Orthopaedics
A 24-year-old woman, with 5 years of left elbow pain, was given a preliminary diagnosis of focal pigmented villonodular synovitis based on magnetic resonance imaging. She underwent arthroscopic debridement and was found to have an intra-articular bony mass. Histopathology was consistent with an intra-articular osteoid osteoma. The mass was removed arthroscopically with excellent symptomatic improvement. There was no recurrence of symptoms at 1 year follow-up.
Arthroscopic Management Of Focal Pigmented Villonodular Synovitis In The Scaphotrapeziotrapezoidal Joint,
2020
The University of Vermont Medical Center/The University of Vermont
Arthroscopic Management Of Focal Pigmented Villonodular Synovitis In The Scaphotrapeziotrapezoidal Joint, John E. Nolan, Brian W. Gross, Nathan T. Morrell
Western Journal of Orthopaedics
A 43-year-old man presented with persistent wrist pain and loss of range of motion after nonoperative therapy. Magnetic resonance imaging showed features consistent with pigmented villonodular synovitis (PVNS) of the scaphotrapeziotrapezoidal joint. He underwent arthroscopic excision and synovectomy. At 2 years postoperatively, he had no symptomatic recurrence. This case shows the importance of considering PVNS for chronic pain of small joints, and it highlights the viability for arthroscopic synovectomy as a treatment option.
Predicting Running Ability After Lower Extremity Amputation: A Review,
2020
The University of New Mexico Health Sciences Center
Predicting Running Ability After Lower Extremity Amputation: A Review, Rebecca Dutton
Western Journal of Orthopaedics
The ability to ambulate with a prosthesis after lower extremity limb loss is an important determinant of functional independence and quality of life. Some individuals may be capable of achieving higher levels of mobility (eg, running) that can further improve function, physical health, and mental health. Thus, a fundamental understanding of the variables that help predict ambulation ability after lower limb loss is important. Particular attention should be given to modifiable predictors, as interventions directed at these conditions can help facilitate optimal mobility and function. This article reviews various factors that influence the ability
Malreductions Following Intramedullary Nail Fixation Of Femur Shaft Fractures,
2020
The University of New Mexico Health Sciences Center
Malreductions Following Intramedullary Nail Fixation Of Femur Shaft Fractures, Jory Wasserburger, Christopher Kurnik, Thomas A. Decoster
Western Journal of Orthopaedics
Femur shaft fractures are common injuries frequently treated with intramedullary fixation. Although satisfactory alignment is usually achieved, malreductions can happen in sagittal and coronal planes, as well as along the longitude axis. The causes of malposition with femoral nailing include fracture location, comminution, and suboptimal technique. We identify the most common patterns of malreduction of nailed femu
