Triquetral Fractures Overview
AbstractPurpose of ReviewThe triquetrum is the second most commonly fractured carpal bone, comprising 15 –18% of all carpal bone fractures. This review summarizes the current knowledge of triquetral fractures, including the anatomy and pathophysiology, evaluation and diagnosis, treatment and management, post-treatment outcomes, and complications.Recent FindingsTriquetral fractures are frequently caused by impaction of the ulnar wrist after a fall on an outstretched hand or by avulsion of attached ligaments. There are three main types of triquetral fractures: dorsal cortical fractures, triquetral body fractures, and volar...
Source: Current Reviews in Musculoskeletal Medicine - January 23, 2021 Category: Orthopaedics Source Type: research

Efficacy of Arm Care Programs for Injury Prevention
AbstractPurpose of ReviewArm care programs for baseball players are an increasingly popular area of interest for players, parents, coaches, sports performance staff, and team physicians. Once a general afterthought, the design of arm care programs is now heavily scrutinized in order to maximize performance and help reduce injury risk. Given the recent spike in interest for arm care programs for baseball players of all ages, the purpose of this work is to review the relevant literature regarding the efficacy of arm care programs and to discuss the authors ’ preferred, evidence-based principles for arm care programs.Recent...
Source: Current Reviews in Musculoskeletal Medicine - January 22, 2021 Category: Orthopaedics Source Type: research

Orthopedic Surgery and Telemedicine in Times of COVID-19 and Beyond: a Review
AbstractPurpose of ReviewThis review article presents the current knowledge on the use of telemedicine and summarizes the literature highlighting the advantages and limitations of this technology in the field of orthopedic surgery during the COVID-19 pandemic and beyond.Recent FindingsOrthopedic surgery is the surgical specialty that has seen the highest proportion of its procedures cancelled due to the pandemic. In this context and onward, telemedicine seems to be a reasonable option for the orthopedic surgeon. Multiple studies have described its safety and a similar patient satisfaction compared to in-person consultation...
Source: Current Reviews in Musculoskeletal Medicine - January 18, 2021 Category: Orthopaedics Source Type: research

Femoral Stem Cementation in Hip Arthroplasty: The Know-How of a “Lost” Art
AbstractPurpose of ReviewTo describe the (1) indications, (2) preoperative precautions, and (3) stepwise technical details of modern femoral stem cemented fixation.Recent FindingsFemoral stem cementation provides excellent implant longevity with a low periprosthetic fracture rate among patients with compromised bone quality or aberrant anatomy. Unfamiliarity with the details of modern cementation techniques among trainees who may lack frequent exposure to cementing femoral stems may preclude them from offering this viable option to suitable patients in later stages of their careers. As such, maximizing benefit from cemente...
Source: Current Reviews in Musculoskeletal Medicine - January 16, 2021 Category: Orthopaedics Source Type: research

Minimally Invasive Surgery: Is There a Role in Distal Radius Fracture Management?
AbstractPurpose of ReviewThis review explores minimally invasive surgical techniques for distal radius fractures and guides their use in conjunction with, or as an alternative to, volar locked plating.Recent FindingsFractures of the lunate facet, die-punch fractures, and marginal articular shear injuries present challenges that cannot be easily addressed with volar plating. The use of external fixation, Kirschner wires, and dorsal bridge plating should all be considered. These techniques, in combination and in addition to volar locked plating, continue to play an important role in fracture management. Arthroscopically assi...
Source: Current Reviews in Musculoskeletal Medicine - January 14, 2021 Category: Orthopaedics Source Type: research

Minimal Clinically Important Difference, Substantial Clinical Benefit, and Patient Acceptable Symptom State of Outcome Measures Relating to Shoulder Pathology and Surgery: a Systematic Review
AbstractPurpose of the ReviewTo provide a comprehensive summary of available literature on the minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient acceptable symptom state (PASS) of patient-reported outcome measures (PROMs) for various shoulder conditions and outcomes and to identify factors that influence these metrics.Recent FindingsOver the past 2  years, there has been an increasing interest in utilizing MCID, SCB, and PASS as a gauge to evaluate the success of an intervention for shoulder conditions. Efforts at calculating these thresholds have yielded multiple and inconsis...
Source: Current Reviews in Musculoskeletal Medicine - January 12, 2021 Category: Orthopaedics Source Type: research

Tibial Torsion and Patellofemoral Pain and Instability in the Adult Population: Current Concept Review
AbstractPurpose of reviewTibial torsion is a recognized cause of patellofemoral pain and instability in the paediatric population; however, it is commonly overlooked in the adult population. The aim of this review article is to summarize the current best evidence on tibial torsion for the adult orthopaedic surgeon.Recent FindingsThe true incidence of tibial torsion in the adult population is unknown, with significant geographical variations making assessment very difficult. CT currently remains the gold standard for quantitatively assessing the level of tibial torsion and allows assessment of any associated femoral and kne...
Source: Current Reviews in Musculoskeletal Medicine - January 8, 2021 Category: Orthopaedics Source Type: research

Three-Dimensional Printing in Orthopedics: from the Basics to Surgical Applications
AbstractPurpose of ReviewAdditive manufacturing (AM) is a rapidly evolving field traditionally utilized in non-medical industries. Recently, the medical use of AM is expanding, especially in orthopedics. The goal of this article is presenting the principles of AM and its main applications in orthopedics.Recent FindingsThe main indications for AM in orthopedics are education, orthotics, surgical planning, surgical guides, and custom-made implants. Three-dimensional (3D) digital models can be obtained from tomographic scans using available free software. Then, it can be used to create a physical model, plan surgeries, or dev...
Source: Current Reviews in Musculoskeletal Medicine - January 7, 2021 Category: Orthopaedics Source Type: research

The Evidence Behind Weighted Ball Throwing Programs for the Baseball Player: Do They Work and Are They Safe?
AbstractPurpose of ReviewWeighted baseball throwing programs have gained significant attention recently. They have been promoted as proven option for pitchers wishing to increase their throwing velocity and improve throwing mechanics. However, there is some concern that, if not applied properly, they may increase injury risk. In this review, we aim to (1) give a brief description of the potential mechanisms through with weighed ball programs that could improve throwing velocity, (2) summarize the available evidence regarding their effectiveness in increasing throwing velocity, (3) summarize the evidence on injury risk, and...
Source: Current Reviews in Musculoskeletal Medicine - January 6, 2021 Category: Orthopaedics Source Type: research

Patient Education in Orthopedics: the Role of Information Design and User Experience
AbstractPurpose of ReviewThis narrative review will focus on concepts and methods of Information Design and User Experience for patient education in orthopedics, with osteoarthritis as an application example.Recent FindingsInformation design can make complex health information clear according to the needs of the patients. Digital health presents new opportunities to design scalable educational interventions and may be improved with User Experience Design. Human-centered design methods such as user research, co-design, and prototype testing are being applied in orthopedics to achieve patient-centered care. Current internati...
Source: Current Reviews in Musculoskeletal Medicine - January 6, 2021 Category: Orthopaedics Source Type: research

Current Applications of Growth Factors for Knee Cartilage Repair and Osteoarthritis Treatment
AbstractPurpose of ReviewThe decreased contact area, edge loading, and increased stress in the adjacent area cartilage resulting from chondral defects are believed to predispose this tissue to degenerative changes that have significant economic implications, especially when considering its progression to osteoarthritis of the knee. Growth factors are considered therapeutic possibilities to enhance healing of chondral injuries and modify the progression to degenerative arthritis. Thus, the purposes of this review are to first to summarize important points for defect preparation and recent advances in techniques for marrow s...
Source: Current Reviews in Musculoskeletal Medicine - November 12, 2020 Category: Orthopaedics Source Type: research

Upper Extremity Compressive Neuropathies in the Pediatric and Adolescent Populations
AbstractPurpose of ReviewAlthough somewhat rare, upper extremity compressive neuropathies can occur in the pediatric and adolescent populations due to various etiologies. Some of the most common conditions seen include thoracic outlet syndrome, supracondylar process syndrome, cubital tunnel syndrome with subluxation of the ulnar nerve, and carpal tunnel syndrome. This review will focus on these diagnoses and how to address them in the pediatric and adolescent populations.Recent FindingsDue to the rarity of upper extremity compressive neuropathies in the pediatric and adolescent populations, substantial advancement in the l...
Source: Current Reviews in Musculoskeletal Medicine - November 12, 2020 Category: Orthopaedics Source Type: research

Injectable Biologics for the Treatment of Degenerative Disc Disease
AbstractPurpose of ReviewSpinal pain and associated disability is a leading cause of morbidity worldwide that has a strong association with degenerative disc disease (DDD). Biologically based therapies to treat DDD face significant challenges posed by the unique milieu of the environment within the intervertebral disc, and many promising therapies are in the early stages of development. Patient selection, reasonable therapeutic goals, approach, and timing will need to be discerned to successfully translate potential therapeutics. This review provides a brief overview of the status of intradiscal biologic therapies.Recent F...
Source: Current Reviews in Musculoskeletal Medicine - November 12, 2020 Category: Orthopaedics Source Type: research

The Prevalence and Management of Stingers in College and Professional Collision Athletes
AbstractPurpose of ReviewParticularly common in collision sports such as American football or rugby, stingers are a traumatic transient neuropraxia of a cervical nerve root(s) or brachial plexus that may last anywhere from minutes to hours. This review summarizes the knowledge on the diagnosis and management of stingers in college and professional collision athletes by providing an overview of their epidemiology and pathophysiology, followed by a discussion on current treatment guidelines and return-to-play recommendations.Recent FindingsDespite modifications to tackling technique, increasing awareness, and various equipme...
Source: Current Reviews in Musculoskeletal Medicine - November 12, 2020 Category: Orthopaedics Source Type: research

Open Brostrom for Lateral Ligament Stabilization
AbstractPurpose of ReviewLateral ankle ligament sprains are one of the most commonly reported injuries in high-level athletes and the general population. Unfortunately, up to 40% of these can go on to develop chronic lateral ankle instability which in the right circumstances requires surgical intervention. The purpose of this review is to present the gold standard surgical treatment for chronic lateral instability with anatomic ligament repair and to highlight the techniques, outcomes, and importance of anatomy when considering surgical treatment.Recent FindingsRecent and remote literature agrees that the initial treatment...
Source: Current Reviews in Musculoskeletal Medicine - November 7, 2020 Category: Orthopaedics Source Type: research