CORR Insights ®: Cervical Spine CT Can Miss Fractures in American Football Players When Protective Equipment is in Place: A Cadaver Study
Clin Orthop Relat Res. 2021 Jun 22. doi: 10.1097/CORR.0000000000001878. Online ahead of print.NO ABSTRACTPMID:34156355 | DOI:10.1097/CORR.0000000000001878 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 22, 2021 Category: Orthopaedics Authors: J Bruce Kneeland Source Type: research

Letter to the Editor: The Effect of Postural Pelvic Dynamics on the Three-dimensional Orientation of the Acetabular Cup in THA Is Patient Specific
Clin Orthop Relat Res. 2021 Jun 22. doi: 10.1097/CORR.0000000000001870. Online ahead of print.NO ABSTRACTPMID:34156392 | DOI:10.1097/CORR.0000000000001870 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 22, 2021 Category: Orthopaedics Authors: Jing-Xin Zhao Xiu-Yun Su Zhe Zhao Li-Cheng Zhang Pei-Fu Tang Source Type: research

CORR Insights ®: Clinically Important Reductions in Physical Function and Quality of Life in Adults with Tumor Prostheses in the Hip and Knee: A Cross-sectional Study
Clin Orthop Relat Res. 2021 Jun 22. doi: 10.1097/CORR.0000000000001879. Online ahead of print.NO ABSTRACTPMID:34156987 | DOI:10.1097/CORR.0000000000001879 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 22, 2021 Category: Orthopaedics Authors: Lukas M Nystrom Source Type: research

Residency Diary: Third Year-Fatherhood
Clin Orthop Relat Res. 2021 Jun 22. doi: 10.1097/CORR.0000000000001885. Online ahead of print.NO ABSTRACTPMID:34156988 | DOI:10.1097/CORR.0000000000001885 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 22, 2021 Category: Orthopaedics Authors: Drake G LeBrun Source Type: research

Statistics in Brief: The Cluster Randomized Controlled Trial-What Is It and Why Is It Relevant to Research in Surgery?
Clin Orthop Relat Res. 2021 Jun 22. doi: 10.1097/CORR.0000000000001859. Online ahead of print.NO ABSTRACTPMID:34157009 | DOI:10.1097/CORR.0000000000001859 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 22, 2021 Category: Orthopaedics Authors: Patricia Farrugia Source Type: research

What Is the Mid-Term Survivorship of Infected Rotating-Hinge Implants Treated with One-stage-exchange?
CONCLUSION: With an overall revision rate of about 25% at 6 years and the limited functional results based on the poor Oxford Knee Scores, patients should be counseled to have modest expectations concerning postoperative pain and function level after one-stage exchange of an infected rotating-hinge arthroplasty. Nevertheless, patients may be informed about a reasonable chance of PJI eradication and might opt for this approach as a means to try to avoid high transfemoral amputation or joint arthrodesis, which in this population often is associated with the inability to ambulate at all. Regarding the relatively high number o...
Source: Clinical Orthopaedics and Related Research - June 21, 2021 Category: Orthopaedics Authors: Malte Ohlmeier Fadi Alrustom Mustafa Citak Jochen Salber Thorsten Gehrke Jannik Frings Source Type: research

What Is the Mid-Term Survivorship of Infected Rotating-Hinge Implants Treated with One-stage-exchange?
CONCLUSION: With an overall revision rate of about 25% at 6 years and the limited functional results based on the poor Oxford Knee Scores, patients should be counseled to have modest expectations concerning postoperative pain and function level after one-stage exchange of an infected rotating-hinge arthroplasty. Nevertheless, patients may be informed about a reasonable chance of PJI eradication and might opt for this approach as a means to try to avoid high transfemoral amputation or joint arthrodesis, which in this population often is associated with the inability to ambulate at all. Regarding the relatively high number o...
Source: Clinical Orthopaedics and Related Research - June 21, 2021 Category: Orthopaedics Authors: Malte Ohlmeier Fadi Alrustom Mustafa Citak Jochen Salber Thorsten Gehrke Jannik Frings Source Type: research

What Are the Tradeoffs in Outcomes after Casting Versus Surgery for Closed Extraarticular Distal Radius Fractures in Older Patients? A Statistical Learning Model
CONCLUSION: There are tradeoffs in outcomes after treating patients older than 60 years with closed extraarticular distal radius fractures with casting or surgery. When patients are attempting to balance minimizing pain and improving functional outcomes, unless they desire maximal functional recovery, casting may be the better treatment. Surgery may be beneficial if patients want to regain as much grip strength and ROM as possible, even with the possibility of having residual pain. These findings can be referenced for more concrete preoperative counseling and patient expectation management before treatment selection.LEVEL ...
Source: Clinical Orthopaedics and Related Research - June 18, 2021 Category: Orthopaedics Authors: Alfred P Yoon Yibo Wang Lu Wang Kevin C Chung Kevin C Chung H Myra Kim Steven C Haase Jeffrey N Lawton John R Lien Adeyiza O Momoh Kagan Ozer Erika D Sears Jennifer F Waljee Matthew S Brown Hoyune E Cho Brett F Michelotti Sunitha Malay Melissa J Shauver T Source Type: research

What Are the Tradeoffs in Outcomes after Casting Versus Surgery for Closed Extraarticular Distal Radius Fractures in Older Patients? A Statistical Learning Model
CONCLUSION: There are tradeoffs in outcomes after treating patients older than 60 years with closed extraarticular distal radius fractures with casting or surgery. When patients are attempting to balance minimizing pain and improving functional outcomes, unless they desire maximal functional recovery, casting may be the better treatment. Surgery may be beneficial if patients want to regain as much grip strength and ROM as possible, even with the possibility of having residual pain. These findings can be referenced for more concrete preoperative counseling and patient expectation management before treatment selection.LEVEL ...
Source: Clinical Orthopaedics and Related Research - June 18, 2021 Category: Orthopaedics Authors: Alfred P Yoon Yibo Wang Lu Wang Kevin C Chung Kevin C Chung H Myra Kim Steven C Haase Jeffrey N Lawton John R Lien Adeyiza O Momoh Kagan Ozer Erika D Sears Jennifer F Waljee Matthew S Brown Hoyune E Cho Brett F Michelotti Sunitha Malay Melissa J Shauver T Source Type: research

What Are the Tradeoffs in Outcomes after Casting Versus Surgery for Closed Extraarticular Distal Radius Fractures in Older Patients? A Statistical Learning Model
CONCLUSION: There are tradeoffs in outcomes after treating patients older than 60 years with closed extraarticular distal radius fractures with casting or surgery. When patients are attempting to balance minimizing pain and improving functional outcomes, unless they desire maximal functional recovery, casting may be the better treatment. Surgery may be beneficial if patients want to regain as much grip strength and ROM as possible, even with the possibility of having residual pain. These findings can be referenced for more concrete preoperative counseling and patient expectation management before treatment selection.LEVEL ...
Source: Clinical Orthopaedics and Related Research - June 18, 2021 Category: Orthopaedics Authors: Alfred P Yoon Yibo Wang Lu Wang Kevin C Chung Kevin C Chung H Myra Kim Steven C Haase Jeffrey N Lawton John R Lien Adeyiza O Momoh Kagan Ozer Erika D Sears Jennifer F Waljee Matthew S Brown Hoyune E Cho Brett F Michelotti Sunitha Malay Melissa J Shauver T Source Type: research

CORR Insights ®: Does the Use of Sanders Staging and Distal Radius and Ulna Classification Avoid Mismatches in Growth Assessment with Risser Staging Alone?
Clin Orthop Relat Res. 2021 Jun 17. doi: 10.1097/CORR.0000000000001880. Online ahead of print.NO ABSTRACTPMID:34138782 | DOI:10.1097/CORR.0000000000001880 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 17, 2021 Category: Orthopaedics Authors: Dana L Duren Source Type: research

CORR Insights ®: Does the Use of Sanders Staging and Distal Radius and Ulna Classification Avoid Mismatches in Growth Assessment with Risser Staging Alone?
Clin Orthop Relat Res. 2021 Jun 17. doi: 10.1097/CORR.0000000000001880. Online ahead of print.NO ABSTRACTPMID:34138782 | DOI:10.1097/CORR.0000000000001880 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 17, 2021 Category: Orthopaedics Authors: Dana L Duren Source Type: research

Treatment Guideline for Patients with Native Culture-negative Pyogenic Vertebral Osteomyelitis
CONCLUSION: Among patients with negative initial nonoperative culture results, spinal decompression and abscess drainage can be used in those with substantial or aggravating neurological deficits or intractable pain caused by an abscess, while additional early spinal instrumentation can be applied upon consideration of their medical comorbidities and the presence of a psoas abscess when mechanical instability is present before or after the spinal decompression. Reasonable clinical results can be expected, regardless of the results from subsequent operative cultures. However, our study results should be replicated by other ...
Source: Clinical Orthopaedics and Related Research - June 15, 2021 Category: Orthopaedics Authors: Seung Hun Lee Jihye Kim Tae-Hwan Kim Source Type: research

CORR Insights ®: Does Adding Femoral Lengthening at the Time of Rotation Hip Transposition After Periacetabular Tumor Resection Allow for Restoration of Limb Length and Function? Interim Results of a Modified Hip Transposition Procedure
Clin Orthop Relat Res. 2021 Jul 1;479(7):1531-1533. doi: 10.1097/CORR.0000000000001702.NO ABSTRACTPMID:34128910 | DOI:10.1097/CORR.0000000000001702 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 15, 2021 Category: Orthopaedics Authors: Ajay Puri Source Type: research

Mapping and Crosswalk of the Oxford Hip Score and Different Versions of the Hip Disability and Osteoarthritis Outcome Score
CONCLUSION: The HOOS-12 is the most complete and suitable form of the HOOS for mapping with the Oxford-12, while the equipercentile method is the most suitable for predicting values after mapping. This study provides clinicians with a reliable tool to crosswalk between these scores not only for joint arthroplasty but also for all types of hip surgeries while also assessing quality of life. Our findings should be confirmed in additional studies.CLINICAL RELEVANCE: The resulting crosswalk tables can be used in meta-analyses, systematic reviews, or clinical practice to compare clinical studies that did not include both outcom...
Source: Clinical Orthopaedics and Related Research - June 15, 2021 Category: Orthopaedics Authors: Sophie Putman Cristian Preda Julien Girard Alain Duhamel Henri Migaud Source Type: research

CORR Insights ®: Compliant Compression Reconstruction of the Proximal Femur Is Durable Despite Minimal Bone Formation in the Compression Segment
Clin Orthop Relat Res. 2021 Jul 1;479(7):1586-1588. doi: 10.1097/CORR.0000000000001689.NO ABSTRACTPMID:34128912 | DOI:10.1097/CORR.0000000000001689 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 15, 2021 Category: Orthopaedics Authors: Michelle Ghert Source Type: research

What Is the Risk of Intraoperative Cerebral Oxygen Desaturation in Patients Undergoing Shoulder Surgery in the Beach Chair Position?
CONCLUSION: The intraoperative cerebral desaturation risk in the beach chair position was high. Female sex was an intraoperative cerebral desaturation risk factor. However, there was no association between intraoperative cerebral desaturation and postoperative cognitive decline. Patients with hypertension and dyslipidemia are at risk of intraoperative hypotension after positioning. Further large-scale studies are required to identify intraoperative cerebral desaturation-associated adverse neurologic outcome.LEVEL OF EVIDENCE: Level II, therapeutic study.PMID:34128914 | DOI:10.1097/CORR.0000000000001864 (Source: Clinical Or...
Source: Clinical Orthopaedics and Related Research - June 15, 2021 Category: Orthopaedics Authors: Chanon Thanaboriboon Panramon Vanichvithya Pongkwan Jinaworn Source Type: research

Treatment Guideline for Patients with Native Culture-negative Pyogenic Vertebral Osteomyelitis
CONCLUSION: Among patients with negative initial nonoperative culture results, spinal decompression and abscess drainage can be used in those with substantial or aggravating neurological deficits or intractable pain caused by an abscess, while additional early spinal instrumentation can be applied upon consideration of their medical comorbidities and the presence of a psoas abscess when mechanical instability is present before or after the spinal decompression. Reasonable clinical results can be expected, regardless of the results from subsequent operative cultures. However, our study results should be replicated by other ...
Source: Clinical Orthopaedics and Related Research - June 15, 2021 Category: Orthopaedics Authors: Seung Hun Lee Jihye Kim Tae-Hwan Kim Source Type: research

CORR Insights ®: Does Adding Femoral Lengthening at the Time of Rotation Hip Transposition After Periacetabular Tumor Resection Allow for Restoration of Limb Length and Function? Interim Results of a Modified Hip Transposition Procedure
Clin Orthop Relat Res. 2021 Jul 1;479(7):1531-1533. doi: 10.1097/CORR.0000000000001702.NO ABSTRACTPMID:34128910 | DOI:10.1097/CORR.0000000000001702 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 15, 2021 Category: Orthopaedics Authors: Ajay Puri Source Type: research

Mapping and Crosswalk of the Oxford Hip Score and Different Versions of the Hip Disability and Osteoarthritis Outcome Score
CONCLUSION: The HOOS-12 is the most complete and suitable form of the HOOS for mapping with the Oxford-12, while the equipercentile method is the most suitable for predicting values after mapping. This study provides clinicians with a reliable tool to crosswalk between these scores not only for joint arthroplasty but also for all types of hip surgeries while also assessing quality of life. Our findings should be confirmed in additional studies.CLINICAL RELEVANCE: The resulting crosswalk tables can be used in meta-analyses, systematic reviews, or clinical practice to compare clinical studies that did not include both outcom...
Source: Clinical Orthopaedics and Related Research - June 15, 2021 Category: Orthopaedics Authors: Sophie Putman Cristian Preda Julien Girard Alain Duhamel Henri Migaud Source Type: research

CORR Insights ®: Compliant Compression Reconstruction of the Proximal Femur Is Durable Despite Minimal Bone Formation in the Compression Segment
Clin Orthop Relat Res. 2021 Jul 1;479(7):1586-1588. doi: 10.1097/CORR.0000000000001689.NO ABSTRACTPMID:34128912 | DOI:10.1097/CORR.0000000000001689 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 15, 2021 Category: Orthopaedics Authors: Michelle Ghert Source Type: research

What Is the Risk of Intraoperative Cerebral Oxygen Desaturation in Patients Undergoing Shoulder Surgery in the Beach Chair Position?
CONCLUSION: The intraoperative cerebral desaturation risk in the beach chair position was high. Female sex was an intraoperative cerebral desaturation risk factor. However, there was no association between intraoperative cerebral desaturation and postoperative cognitive decline. Patients with hypertension and dyslipidemia are at risk of intraoperative hypotension after positioning. Further large-scale studies are required to identify intraoperative cerebral desaturation-associated adverse neurologic outcome.LEVEL OF EVIDENCE: Level II, therapeutic study.PMID:34128914 | DOI:10.1097/CORR.0000000000001864 (Source: Clinical Or...
Source: Clinical Orthopaedics and Related Research - June 15, 2021 Category: Orthopaedics Authors: Chanon Thanaboriboon Panramon Vanichvithya Pongkwan Jinaworn Source Type: research

Can the Knee Outcome and Osteoarthritis Score (KOOS) Function Subscale Be Linked to the PROMIS Physical Function to Crosswalk Equivalent Scores?
CONCLUSION: The PROMIS PF 10a can be robustly linked to the KOOS ADL measure. The developed crosswalk table can be used to convert PROMIS PF scores from KOOS ADL and vice versa.CLINICAL RELEVANCE: The creation of a crosswalk table between the KOOS Function in ADL subscale and PROMIS PF allows clinicians and researchers to easily convert scores between the measures, thus permitting greater choice in PROM selection while preserving comparability between patient cohorts and PROM data collected from older outcome measures. Creating a crosswalk, or concordance table, between the two scales will facilitate this comparison, espec...
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Marilyn Heng Xiaodan Tang Benjamin D Schalet Austin K Collins Antonia F Chen Christopher M Melnic Todd M O'Brien Rachel C Sisodia Patricia D Franklin David Cella Source Type: research

Musculoskeletal Urgent Care Centers Restrict Access for Patients with Medicaid Insurance Based on Policy and Location
This study was given an exemption waiver by our institution's IRB. MUCCs were contacted using a standardized script to assess acceptance of Medicaid insurance and identify barriers to care. Question 1 was answered through determining the percentage of MUCCs that accepted Medicaid insurance. Question 2 considered whether there was an association between Medicaid acceptance and factors such as Medicaid physician reimbursements or MUCC center type. Question 3 sought to characterize the prevalence of any other means of limiting access for Medicaid patients, including requiring a referral for a visit and disallowing continuity ...
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Laurie C Yousman Walter R Hsiang Grace Jin Michael Najem Alison Mosier-Mills Akshay Khunte Siddharth Jain Howard Forman Daniel H Wiznia Source Type: research

A Conversation with … Mark Ellison, Builder of Impossible Things
Clin Orthop Relat Res. 2021 Jun 11. doi: 10.1097/CORR.0000000000001862. Online ahead of print.NO ABSTRACTPMID:34114976 | DOI:10.1097/CORR.0000000000001862 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Seth S Leopold Source Type: research

In Orthopaedic Speciality Care, Longer Explanations Are Not More Caring or More Satisfying
CONCLUSION: Patients with greater misinterpretation of symptoms experience a slightly less satisfying visit and less empathetic relationship with a musculoskeletal specialist despite a longer duration of expertise transfer. This supports the concept that directive strategies (such as teaching healthy interpretation of symptoms) may be less effective then guiding strategies (such as nurturing openness to alternative, healthier interpretation of symptoms using motivational interviewing tactics, often over more than one visit or point of contact).LEVEL OF EVIDENCE: Level II, therapeutic study.PMID:34114977 | DOI:10.1097/CORR....
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Koen van Maren Laura E Brown Teun Cremers Michael Zoulfi Khatiri David Ring Amirreza Fatehi Source Type: research

Can the Knee Outcome and Osteoarthritis Score (KOOS) Function Subscale Be Linked to the PROMIS Physical Function to Crosswalk Equivalent Scores?
CONCLUSION: The PROMIS PF 10a can be robustly linked to the KOOS ADL measure. The developed crosswalk table can be used to convert PROMIS PF scores from KOOS ADL and vice versa.CLINICAL RELEVANCE: The creation of a crosswalk table between the KOOS Function in ADL subscale and PROMIS PF allows clinicians and researchers to easily convert scores between the measures, thus permitting greater choice in PROM selection while preserving comparability between patient cohorts and PROM data collected from older outcome measures. Creating a crosswalk, or concordance table, between the two scales will facilitate this comparison, espec...
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Marilyn Heng Xiaodan Tang Benjamin D Schalet Austin K Collins Antonia F Chen Christopher M Melnic Todd M O'Brien Rachel C Sisodia Patricia D Franklin David Cella Source Type: research

Musculoskeletal Urgent Care Centers Restrict Access for Patients with Medicaid Insurance Based on Policy and Location
This study was given an exemption waiver by our institution's IRB. MUCCs were contacted using a standardized script to assess acceptance of Medicaid insurance and identify barriers to care. Question 1 was answered through determining the percentage of MUCCs that accepted Medicaid insurance. Question 2 considered whether there was an association between Medicaid acceptance and factors such as Medicaid physician reimbursements or MUCC center type. Question 3 sought to characterize the prevalence of any other means of limiting access for Medicaid patients, including requiring a referral for a visit and disallowing continuity ...
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Laurie C Yousman Walter R Hsiang Grace Jin Michael Najem Alison Mosier-Mills Akshay Khunte Siddharth Jain Howard Forman Daniel H Wiznia Source Type: research

A Conversation with … Mark Ellison, Builder of Impossible Things
Clin Orthop Relat Res. 2021 Jun 11. doi: 10.1097/CORR.0000000000001862. Online ahead of print.NO ABSTRACTPMID:34114976 | DOI:10.1097/CORR.0000000000001862 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Seth S Leopold Source Type: research

In Orthopaedic Speciality Care, Longer Explanations Are Not More Caring or More Satisfying
CONCLUSION: Patients with greater misinterpretation of symptoms experience a slightly less satisfying visit and less empathetic relationship with a musculoskeletal specialist despite a longer duration of expertise transfer. This supports the concept that directive strategies (such as teaching healthy interpretation of symptoms) may be less effective then guiding strategies (such as nurturing openness to alternative, healthier interpretation of symptoms using motivational interviewing tactics, often over more than one visit or point of contact).LEVEL OF EVIDENCE: Level II, therapeutic study.PMID:34114977 | DOI:10.1097/CORR....
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Koen van Maren Laura E Brown Teun Cremers Michael Zoulfi Khatiri David Ring Amirreza Fatehi Source Type: research

Can the Knee Outcome and Osteoarthritis Score (KOOS) Function Subscale Be Linked to the PROMIS Physical Function to Crosswalk Equivalent Scores?
CONCLUSION: The PROMIS PF 10a can be robustly linked to the KOOS ADL measure. The developed crosswalk table can be used to convert PROMIS PF scores from KOOS ADL and vice versa.CLINICAL RELEVANCE: The creation of a crosswalk table between the KOOS Function in ADL subscale and PROMIS PF allows clinicians and researchers to easily convert scores between the measures, thus permitting greater choice in PROM selection while preserving comparability between patient cohorts and PROM data collected from older outcome measures. Creating a crosswalk, or concordance table, between the two scales will facilitate this comparison, espec...
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Marilyn Heng Xiaodan Tang Benjamin D Schalet Austin K Collins Antonia F Chen Christopher M Melnic Todd M O'Brien Rachel C Sisodia Patricia D Franklin David Cella Source Type: research

Musculoskeletal Urgent Care Centers Restrict Access for Patients with Medicaid Insurance Based on Policy and Location
This study was given an exemption waiver by our institution's IRB. MUCCs were contacted using a standardized script to assess acceptance of Medicaid insurance and identify barriers to care. Question 1 was answered through determining the percentage of MUCCs that accepted Medicaid insurance. Question 2 considered whether there was an association between Medicaid acceptance and factors such as Medicaid physician reimbursements or MUCC center type. Question 3 sought to characterize the prevalence of any other means of limiting access for Medicaid patients, including requiring a referral for a visit and disallowing continuity ...
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Laurie C Yousman Walter R Hsiang Grace Jin Michael Najem Alison Mosier-Mills Akshay Khunte Siddharth Jain Howard Forman Daniel H Wiznia Source Type: research

A Conversation with … Mark Ellison, Builder of Impossible Things
Clin Orthop Relat Res. 2021 Jun 11. doi: 10.1097/CORR.0000000000001862. Online ahead of print.NO ABSTRACTPMID:34114976 | DOI:10.1097/CORR.0000000000001862 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Seth S Leopold Source Type: research

In Orthopaedic Speciality Care, Longer Explanations Are Not More Caring or More Satisfying
CONCLUSION: Patients with greater misinterpretation of symptoms experience a slightly less satisfying visit and less empathetic relationship with a musculoskeletal specialist despite a longer duration of expertise transfer. This supports the concept that directive strategies (such as teaching healthy interpretation of symptoms) may be less effective then guiding strategies (such as nurturing openness to alternative, healthier interpretation of symptoms using motivational interviewing tactics, often over more than one visit or point of contact).LEVEL OF EVIDENCE: Level II, therapeutic study.PMID:34114977 | DOI:10.1097/CORR....
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Koen van Maren Laura E Brown Teun Cremers Michael Zoulfi Khatiri David Ring Amirreza Fatehi Source Type: research

Can the Knee Outcome and Osteoarthritis Score (KOOS) Function Subscale Be Linked to the PROMIS Physical Function to Crosswalk Equivalent Scores?
CONCLUSION: The PROMIS PF 10a can be robustly linked to the KOOS ADL measure. The developed crosswalk table can be used to convert PROMIS PF scores from KOOS ADL and vice versa.CLINICAL RELEVANCE: The creation of a crosswalk table between the KOOS Function in ADL subscale and PROMIS PF allows clinicians and researchers to easily convert scores between the measures, thus permitting greater choice in PROM selection while preserving comparability between patient cohorts and PROM data collected from older outcome measures. Creating a crosswalk, or concordance table, between the two scales will facilitate this comparison, espec...
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Marilyn Heng Xiaodan Tang Benjamin D Schalet Austin K Collins Antonia F Chen Christopher M Melnic Todd M O'Brien Rachel C Sisodia Patricia D Franklin David Cella Source Type: research

Musculoskeletal Urgent Care Centers Restrict Access for Patients with Medicaid Insurance Based on Policy and Location
This study was given an exemption waiver by our institution's IRB. MUCCs were contacted using a standardized script to assess acceptance of Medicaid insurance and identify barriers to care. Question 1 was answered through determining the percentage of MUCCs that accepted Medicaid insurance. Question 2 considered whether there was an association between Medicaid acceptance and factors such as Medicaid physician reimbursements or MUCC center type. Question 3 sought to characterize the prevalence of any other means of limiting access for Medicaid patients, including requiring a referral for a visit and disallowing continuity ...
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Laurie C Yousman Walter R Hsiang Grace Jin Michael Najem Alison Mosier-Mills Akshay Khunte Siddharth Jain Howard Forman Daniel H Wiznia Source Type: research

A Conversation with … Mark Ellison, Builder of Impossible Things
Clin Orthop Relat Res. 2021 Jun 11. doi: 10.1097/CORR.0000000000001862. Online ahead of print.NO ABSTRACTPMID:34114976 | DOI:10.1097/CORR.0000000000001862 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Seth S Leopold Source Type: research

In Orthopaedic Speciality Care, Longer Explanations Are Not More Caring or More Satisfying
CONCLUSION: Patients with greater misinterpretation of symptoms experience a slightly less satisfying visit and less empathetic relationship with a musculoskeletal specialist despite a longer duration of expertise transfer. This supports the concept that directive strategies (such as teaching healthy interpretation of symptoms) may be less effective then guiding strategies (such as nurturing openness to alternative, healthier interpretation of symptoms using motivational interviewing tactics, often over more than one visit or point of contact).LEVEL OF EVIDENCE: Level II, therapeutic study.PMID:34114977 | DOI:10.1097/CORR....
Source: Clinical Orthopaedics and Related Research - June 11, 2021 Category: Orthopaedics Authors: Koen van Maren Laura E Brown Teun Cremers Michael Zoulfi Khatiri David Ring Amirreza Fatehi Source Type: research

Erratum to: Which Preoperative Factors are Associated with Not Attaining Acceptable Levels of Pain and Function After TKA? Findings from an International Multicenter Study
Clin Orthop Relat Res. 2021 Jun 10. doi: 10.1097/CORR.0000000000001831. Online ahead of print.NO ABSTRACTPMID:34111045 | DOI:10.1097/CORR.0000000000001831 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 10, 2021 Category: Orthopaedics Authors: James W Connelly Vincent P Galea Pakdee Rojanasopondist Christian Skovgaard Nielsen Charles R Bragdon Andreas Kappel James I Huddleston Henrik Malchau Anders Troelsen Source Type: research

Erratum to: Which Preoperative Factors are Associated with Not Attaining Acceptable Levels of Pain and Function After TKA? Findings from an International Multicenter Study
Clin Orthop Relat Res. 2021 Jun 10. doi: 10.1097/CORR.0000000000001831. Online ahead of print.NO ABSTRACTPMID:34111045 | DOI:10.1097/CORR.0000000000001831 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 10, 2021 Category: Orthopaedics Authors: James W Connelly Vincent P Galea Pakdee Rojanasopondist Christian Skovgaard Nielsen Charles R Bragdon Andreas Kappel James I Huddleston Henrik Malchau Anders Troelsen Source Type: research

Editorial: Can Journals, as Trusted Intermediaries, Cut Through the Signal-to-Noise Problem in Medical Publishing?
Clin Orthop Relat Res. 2021 Jun 8. doi: 10.1097/CORR.0000000000001845. Online ahead of print.NO ABSTRACTPMID:34106902 | DOI:10.1097/CORR.0000000000001845 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 9, 2021 Category: Orthopaedics Authors: Seth S Leopold Source Type: research

Art in Science: The Boxer at Rest
Clin Orthop Relat Res. 2021 Jun 8. doi: 10.1097/CORR.0000000000001847. Online ahead of print.NO ABSTRACTPMID:34106904 | DOI:10.1097/CORR.0000000000001847 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 9, 2021 Category: Orthopaedics Authors: Shin Mei Chan Jay Moran Linda K Friedlaender Gary E Friedlaender Source Type: research

Medicolegal Sidebar: Telemedicine-New Opportunities and New Risks
Clin Orthop Relat Res. 2021 Jun 8. doi: 10.1097/CORR.0000000000001856. Online ahead of print.NO ABSTRACTPMID:34100792 | DOI:10.1097/CORR.0000000000001856 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 8, 2021 Category: Orthopaedics Authors: Michael C Hoaglin Lawrence H Brenner Wendy Teo B Sonny Bal Source Type: research

What Are the Functional Outcomes and Pain Scores after Medial Clavicle Fracture Treatment?
CONCLUSION: Medial clavicle fractures have favorable functional outcomes and pain relief at minimum 1-year follow-up among those patients who survive the trauma, but a high proportion will die within 3 years of the injury. This likely reflects both the frailty of a predominantly older patient population and the fact that these often are high-energy injuries. The outcome measures in our cohort were not associated with fracture displacement, shortening, or comminution; however, our sample size was underpowered on these points, and so these findings should be considered preliminary. Further studies are needed to determine the...
Source: Clinical Orthopaedics and Related Research - June 8, 2021 Category: Orthopaedics Authors: Matthew H Lindsey Phillip Grisdela Laura Lu Dafang Zhang Brandon Earp Source Type: research

Cochrane in CORR ®: Psychological Interventions to Foster Resilience in Healthcare Professionals
Clin Orthop Relat Res. 2021 Jun 10. doi: 10.1097/CORR.0000000000001809. Online ahead of print.NO ABSTRACTPMID:34101672 | DOI:10.1097/CORR.0000000000001809 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 8, 2021 Category: Orthopaedics Authors: Leen Naji Mohit Bhandari Source Type: research

Medicolegal Sidebar: Telemedicine-New Opportunities and New Risks
Clin Orthop Relat Res. 2021 Jun 8. doi: 10.1097/CORR.0000000000001856. Online ahead of print.NO ABSTRACTPMID:34100792 | DOI:10.1097/CORR.0000000000001856 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 8, 2021 Category: Orthopaedics Authors: Michael C Hoaglin Lawrence H Brenner Wendy Teo B Sonny Bal Source Type: research

What Are the Functional Outcomes and Pain Scores after Medial Clavicle Fracture Treatment?
CONCLUSION: Medial clavicle fractures have favorable functional outcomes and pain relief at minimum 1-year follow-up among those patients who survive the trauma, but a high proportion will die within 3 years of the injury. This likely reflects both the frailty of a predominantly older patient population and the fact that these often are high-energy injuries. The outcome measures in our cohort were not associated with fracture displacement, shortening, or comminution; however, our sample size was underpowered on these points, and so these findings should be considered preliminary. Further studies are needed to determine the...
Source: Clinical Orthopaedics and Related Research - June 8, 2021 Category: Orthopaedics Authors: Matthew H Lindsey Phillip Grisdela Laura Lu Dafang Zhang Brandon Earp Source Type: research

Cochrane in CORR ®: Psychological Interventions to Foster Resilience in Healthcare Professionals
Clin Orthop Relat Res. 2021 Jun 8. doi: 10.1097/CORR.0000000000001809. Online ahead of print.NO ABSTRACTPMID:34101672 | DOI:10.1097/CORR.0000000000001809 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 8, 2021 Category: Orthopaedics Authors: Leen Naji Mohit Bhandari Source Type: research

Letter to the Editor: Editor's Spotlight/Take 5: Do Relaxation Exercises Decrease Pain After Arthroscopic Rotator Cuff Repair? A Randomized Controlled Trial
Clin Orthop Relat Res. 2021 Jun 7. doi: 10.1097/CORR.0000000000001846. Online ahead of print.NO ABSTRACTPMID:34096528 | DOI:10.1097/CORR.0000000000001846 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 7, 2021 Category: Orthopaedics Authors: Ana-Maria Vranceanu Source Type: research

Letter to the Editor: Editor's Spotlight/Take 5: Do Relaxation Exercises Decrease Pain After Arthroscopic Rotator Cuff Repair? A Randomized Controlled Trial
Clin Orthop Relat Res. 2021 Jun 7. doi: 10.1097/CORR.0000000000001846. Online ahead of print.NO ABSTRACTPMID:34096528 | DOI:10.1097/CORR.0000000000001846 (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - June 7, 2021 Category: Orthopaedics Authors: Ana-Maria Vranceanu Source Type: research