Pediatric Trauma and the COVID-19 Pandemic: A 12-Year Comparison in a Level-1 Trauma Center
ConclusionThe COVID-19 pandemic significantly reduced the number of acute traumatic pediatric admissions and procedures performed in our level-I trauma center, likely because of a reduction in school days. With the reopening of schools, playgrounds, and sporting events, an increase in pediatric trauma admissions is anticipated. The results of this study can help prepare institutions and regulatory bodies to plan appropriately for this new phase. (Source: HSS Journal)
Source: HSS Journal - October 6, 2020 Category: Orthopaedics Source Type: research

Pre-operative Hypoalbuminemia Is Associated with Complications Following Proximal Humerus Fracture Surgery: An Analysis of 919 Patients
ConclusionOur study suggests hypoalbuminemia is associated with an increased risk of complications, specifically pneumonia and sepsis, and total health care costs in patients undergoing surgery for proximal humerus fractures. These findings provide insight for individualized patient care that will aid in evaluating the potential risk of surgical complications in an effort to improve outcomes and reduce costs. (Source: HSS Journal)
Source: HSS Journal - October 6, 2020 Category: Orthopaedics Source Type: research

Telemedicine in Rheumatology at the Advent of the COVID-19 Pandemic
(Source: HSS Journal)
Source: HSS Journal - October 6, 2020 Category: Orthopaedics Source Type: research

In the Eye of the Storm: Bioethics in the Time of COVID-19
(Source: HSS Journal)
Source: HSS Journal - October 1, 2020 Category: Orthopaedics Source Type: research

Management Considerations for the COVID-19 Patient with Severe Disease: a Case Scenario and Literature Review
(Source: HSS Journal)
Source: HSS Journal - October 1, 2020 Category: Orthopaedics Source Type: research

Association of Clinical Assessments of Hand Function and Quantitative Ultrasound Metrics in First Carpometacarpal Osteoarthritis
ConclusionsCorrelations between mean SWE values in the thenar eminence muscles and clinical measures of hand function suggest decreased function in subjects with less stiff thenar eminence muscles. (Source: HSS Journal)
Source: HSS Journal - September 29, 2020 Category: Orthopaedics Source Type: research

Timeline and Procedures on Restarting Non-Emergent Arthroplasty Care in the US Epicenter of the COVID-19 Pandemic
(Source: HSS Journal)
Source: HSS Journal - September 29, 2020 Category: Orthopaedics Source Type: research

A Novel Illness, a Novel Communications Approach
(Source: HSS Journal)
Source: HSS Journal - September 22, 2020 Category: Orthopaedics Source Type: research

Superior Capsule Reconstruction: A Glimpse into the Future?
This article is a critical review of how the aforementioned study fits into a growing literature surrounding the use of SC R for irreparable rotator cuff tears and how these results may impact clinical and operative decision-making for this patient population. The series compares clinical and radiographic data taken pre-operatively with data taken at 1 year and 5 years post-operatively in a group of 30 patients who un derwent SCR utilizing tensor fascia lata autograft. While the results of the study suggest that a healed SCR graft utilizing this specific technique successfully restored shoulder function and preve...
Source: HSS Journal - September 18, 2020 Category: Orthopaedics Source Type: research

Rheumatic Disease-Related Symptoms During the Height of the COVID-19 Pandemic
ConclusionCoping with the COVID-19 pandemic was associated with rheumatic disease –related physical and psychological effects, even among patients not infected with SARS-CoV-2. According to patients, these effects adversely impacted their rheumatic diseases. Clinicians will need to ascertain the long-term sequelae of these effects and determine what therapeutic and psychologica l interventions are indicated. (Source: HSS Journal)
Source: HSS Journal - September 18, 2020 Category: Orthopaedics Source Type: research

Scholarship in a Time of Pandemic
(Source: HSS Journal)
Source: HSS Journal - September 17, 2020 Category: Orthopaedics Source Type: research

Early Peri-operative Outcomes Were Unchanged in Patients Undergoing Spine Surgery During the COVID-19 Pandemic in New York City
ConclusionThis study represents the first report of post-operative outcomes in a large group of spine surgical patients in an area heavily affected by the SARS-CoV-2 pandemic. (Source: HSS Journal)
Source: HSS Journal - September 15, 2020 Category: Orthopaedics Source Type: research

Patient Perceptions of COVID-19-Related Surgical Delay: An Analysis of Patients Awaiting Total Hip and Knee Arthroplasty
ConclusionOverall, patients reported that they understood the need for elective surgical delays during the COVID-19 pandemic. However, the psychological implications they reported were not negligible. Patient preference for immediate reengagement with the healthcare system was dichotomous, with many patients favoring precautionarily furthering the delay. Understanding these preferences will help optimize elective orthopedic care during unprecedented times. (Source: HSS Journal)
Source: HSS Journal - September 15, 2020 Category: Orthopaedics Source Type: research

Public Interest in Knee Replacement Fell During the Onset of the COVID-19 Pandemic: A Google Trends Analysis
ConclusionPublic interest in knee replacement, assessed through internet search queries, decreased during the onset of the COVID-19 pandemic. While interest in pain has returned, the continued decreased level of interest in surgery may represent a fear of surgery among the general public in the setting of COVID-19. Surgeons may wish to focus outreach and education efforts on the safety and efficacy of knee replacement. (Source: HSS Journal)
Source: HSS Journal - September 15, 2020 Category: Orthopaedics Source Type: research

Correction to: At the US Epicenter of the COVID-19 Pandemic, an Orthopedic Residency Program Reorganizes
The published article contained four sentences with incorrect reference citations. Here, those sentences and the reference list are corrected. (Source: HSS Journal)
Source: HSS Journal - September 15, 2020 Category: Orthopaedics Source Type: research

Perioperative Nonsteroidal Anti-Inflammatory Agents in the COVID-19 Orthopedic Patient
ConclusionsIn this context, we recommend that NSAIDs be used at the lowest effective dose for the shortest duration possible in orthopedic patients with COVID-19. However, pending further data and based on the concerns outlined in this review, we recommend avoiding NSAIDs in orthopedic patients with significant comorbidities and those who are undergoing major orthopedic surgery. (Source: HSS Journal)
Source: HSS Journal - September 14, 2020 Category: Orthopaedics Source Type: research

The Actis and Corail Femoral Stems Provide for Similar Clinical and Radiographic Outcomes in Total Hip Arthroplasty
ConclusionThe Actis stem does not carry an increased risk of device-related complications compared with the Corail implant. Although aspects of bone remodeling differed between groups, Actis achieved radiographic signs of bone ingrowth at the 1-year mark and performed well clinically, with equivalent patient reported outcome scores to the Corail stem. (Source: HSS Journal)
Source: HSS Journal - September 10, 2020 Category: Orthopaedics Source Type: research

Maximal Medical Improvement Following Shoulder Stabilization Surgery May Require up to 1  Year: A Systematic Review
ConclusionMaximal medical improvement as determined by commonly utilized PROMs occurs by 1  year after operative management of anterior shoulder instability. The DASH tool does not appear to demonstrate a reliable time frame for clinically significant outcome improvement. (Source: HSS Journal)
Source: HSS Journal - September 10, 2020 Category: Orthopaedics Source Type: research

Five Myths of COVID-19 for the Team Physician
(Source: HSS Journal)
Source: HSS Journal - September 10, 2020 Category: Orthopaedics Source Type: research

Essential Spine Surgery During the COVID-19 Pandemic: A Comprehensive Framework for Clinical Practice from a Specialty Orthopedic Hospital in New York City
(Source: HSS Journal)
Source: HSS Journal - September 10, 2020 Category: Orthopaedics Source Type: research

Pivoting to Telehealth: the HSS Experience, Value Gained, and Lessons Learned
(Source: HSS Journal)
Source: HSS Journal - September 8, 2020 Category: Orthopaedics Source Type: research

High Number of Daily Steps Recorded by Runners Recovering from Bone Stress Injuries
ConclusionRunners with BSIs averaged over 10,000 steps per day during early recovery. Clinicians may not be aware of the amount of activity runners maintain after being diagnosed with a BSI. Although daily steps and symptoms could not be correlated in this study, objectively measuring activity may assist clinicians in guiding runners recovering from BSIs. (Source: HSS Journal)
Source: HSS Journal - August 28, 2020 Category: Orthopaedics Source Type: research

Information Technology in Support of Our Heroes during the COVID-19 Pandemic: A Commentary
(Source: HSS Journal)
Source: HSS Journal - August 27, 2020 Category: Orthopaedics Source Type: research

A Transarticular Approach to Posterior Sternoclavicular Dislocation: A Case Report
(Source: HSS Journal)
Source: HSS Journal - August 26, 2020 Category: Orthopaedics Source Type: research

How COVID-19 Patients Were Moved to Speak: A Rehabilitation Interdisciplinary Case Series
ConclusionInterdisciplinary cooperation and synchronized implementation of PT and SLP interventions in three COVID-19 patients following prolonged intubation facilitated participation in treatment and achievement of functional milestones. Further study is warranted. (Source: HSS Journal)
Source: HSS Journal - August 26, 2020 Category: Orthopaedics Source Type: research

Restructuring the Peri-operative Pain Service to Palliative Care as a Response to the COVID-19 Pandemic
(Source: HSS Journal)
Source: HSS Journal - August 26, 2020 Category: Orthopaedics Source Type: research

Restructuring a Physician Assistant Department at an Orthopedic Specialty Hospital in Response to the COVID-19 Pandemic
(Source: HSS Journal)
Source: HSS Journal - August 18, 2020 Category: Orthopaedics Source Type: research

Clinical Experience with COVID-19 at a Specialty Orthopedic Hospital Converted to a Pandemic Overflow Field Hospital
ConclusionProfessional and organizational flexibility during pandemic conditions allowed a specialty orthopedic hospital to provide excellent care in a global public health emergency. (Source: HSS Journal)
Source: HSS Journal - August 18, 2020 Category: Orthopaedics Source Type: research

Clinical Characteristics and Multisystem Imaging Findings of COVID-19: An Overview for Orthopedic Surgeons
This article reviews initial and emerging literature on clinical characteristics and imaging findings of COVID-19. (Source: HSS Journal)
Source: HSS Journal - August 17, 2020 Category: Orthopaedics Source Type: research

HSS Beyond: Moving Forward After COVID-19
(Source: HSS Journal)
Source: HSS Journal - August 13, 2020 Category: Orthopaedics Source Type: research

Considerations for Return to Exercise Following Mild-to-Moderate COVID-19 in the Recreational Athlete
AbstractThe COVID-19 pandemic has resulted in significant morbidity and mortality around the world. The spectrum of COVID-19 is broad, from clinical disease requiring intensive medical care to less severe symptoms that are treated with supportive care. The majority of COVID-19 cases fall into the mild-to-moderate category, with symptoms lasting less than 6  weeks. Nevertheless, the morbidity from COVID-19 is significant and can affect multiple body systems, most frequently the cardiac, pulmonary, hematologic, musculoskeletal, and gastrointestinal systems. For patients who wish to return to exercise after mild-to-moder...
Source: HSS Journal - August 10, 2020 Category: Orthopaedics Source Type: research

The Effect of Type of Femoral Component Fixation on Mortality and Morbidity after Hip Hemiarthroplasty: A Systematic Review and Meta-Analysis
ConclusionsWhile we found that cemented hemiarthroplasty results in less postoperative pain than uncemented hemiarthroplasty in older patients with femoral neck fracture, the lack of significant differences in functional hip scores, mortality, and complications was surprising. Further high-level research is needed. (Source: HSS Journal)
Source: HSS Journal - August 5, 2020 Category: Orthopaedics Source Type: research

Dual Mobility Total Hip Arthroplasty Is Not Associated with a Greater Incidence of Groin Pain in Comparison with Conventional Total Hip Arthroplasty and Hip Resurfacing:A Retrospective Comparative Study
ConclusionIn this population of hip arthroplasty patients, the incidence of groin pain 1  year after surgery did not differ among patients undergoing DM and conventional THA; DM THA in particular was not associated with a higher risk of groin pain, despite its comparatively larger femoral head sizes. HR, on the other hand, was associated with a higher risk of pain. Appropriate implant sizing and bearing couple choice may optimize the functional benefit of THA. (Source: HSS Journal)
Source: HSS Journal - August 4, 2020 Category: Orthopaedics Source Type: research

Reply to Letter to the Editor: Pediatric Septic Arthritis and Osteomyelitis in the USA: A National KID Database Analysis
(Source: HSS Journal)
Source: HSS Journal - August 3, 2020 Category: Orthopaedics Source Type: research

The Value of Communication, Education, and Self-Management in Providing Guideline-Based Care: Lessons Learned from Musculoskeletal Telerehabilitation During the COVID-19 Crisis
(Source: HSS Journal)
Source: HSS Journal - August 3, 2020 Category: Orthopaedics Source Type: research

Pediatric Septic Arthritis and Osteomyelitis in the USA: A National KID Database Analysis
(Source: HSS Journal)
Source: HSS Journal - August 3, 2020 Category: Orthopaedics Source Type: research

Using Magnetic Resonance Imaging to Identify Complications Associated with Bioabsorbable Implant Fixation of Osteochondral Lesions: A Practical Guide
(Source: HSS Journal)
Source: HSS Journal - August 1, 2020 Category: Orthopaedics Source Type: research

Association of Claustrophobia and Anxiety with Cast Intolerance in Patients with Extremity Injuries
ConclusionsOur hypothesis was not supported. Although we did not find a relationship between claustrophobia and cast intolerance, we did find significant correlations between anxiety and pain. The tolerant group ’s initial and final pain scores had significantly positive correlations to final anxiety, suggesting that pain is likely to cause or increase anxiety; indeed, as pain decreased, so did anxiety. The intolerant group, however, had a significant negative correlation between initial pain and final an xiety scores. It would not be expected that lower pain scores would increase anxiety. This may suggest that cast-...
Source: HSS Journal - July 28, 2020 Category: Orthopaedics Source Type: research

Hip-Sparing Equalization Procedures for Leg-Length Discrepancy After Total Hip Arthroplasty: A Retrospective Case Series
ConclusionWe believe that hip-sparing equalization procedures can be part of the treatment algorithm of LLD after THA. These advancements in the field are promising and might expand the indications of lengthening and equalization procedures to include LLD after THA. (Source: HSS Journal)
Source: HSS Journal - July 24, 2020 Category: Orthopaedics Source Type: research

The Ethics of Treating Acute Achilles Tendon Ruptures During the COVID-19 Pandemic: A Case Report
(Source: HSS Journal)
Source: HSS Journal - July 23, 2020 Category: Orthopaedics Source Type: research

Delivering Telerehabilitation to COVID-19 Inpatients:A Retrospective Chart Review Suggests It Is a Viable Option
ConclusionsInpatient telerehabilitation appears to be a viable option for selected hospitalized patients with COVID-19 and may be a safe way of delivering inpatient rehabilitation to isolated or at-risk populations. At our hospital, the use of inpatient telerehabilitation reduced staff exposure while providing important education and services to patients. To our knowledge, no studies have investigated the use of telerehabilitation for hospitalized patients, including those with COVID-19. Our findings suggest that this innovative approach warrants further study. (Source: HSS Journal)
Source: HSS Journal - July 16, 2020 Category: Orthopaedics Source Type: research

At the US Epicenter of the COVID-19 Pandemic, an Orthopedic Residency Program Reorganizes
(Source: HSS Journal)
Source: HSS Journal - June 30, 2020 Category: Orthopaedics Source Type: research

Reliability and Validity of Acetabular and Femoral Bone Loss Classification Systems in Total Hip Arthroplasty: A Systematic Review
ConclusionAlthough surgical techniques, treatment options, and advanced imaging available to the surgeon have evolved over the past few decades, the acetabular and femoral bone loss classification systems, first developed in the 1990s, have remained largely unchanged. Our results indicate that improvements to these systems are necessary in order for them to be as useful as possible in planning the surgical course. (Source: HSS Journal)
Source: HSS Journal - June 18, 2020 Category: Orthopaedics Source Type: research

Clinical Practice Guidelines on Ordering Echocardiography Before Hip Fracture Repair Perform Differently from One Another
ConclusionsIn patients requiring fixation of osteoporotic hip fractures, TTE can be useful for identifying pathologies that could directly change peri-operative management. Our data suggest that established CPGs can be safely used to identify which patients should undergo pre-operative TTE with low risk of missed pathology. (Source: HSS Journal)
Source: HSS Journal - June 8, 2020 Category: Orthopaedics Source Type: research

Recurrent Complement-Mediated Thrombotic Microangiopathy in a Patient with Systemic Lupus Erythematosus
(Source: HSS Journal)
Source: HSS Journal - May 29, 2020 Category: Orthopaedics Source Type: research

The Clavicle Continues to Grow During Adolescence and Early Adulthood
ConclusionWe found substantial clavicular growth potential after age 18  years, when growth is thought to be nearly finished, as well as remodeling potential even up to age 25 years. Further research is needed, but our findings suggest that strategies for managing clavicle fracture in adults may not be applied universally to adolescents and young adults. (Source: HSS Journal)
Source: HSS Journal - April 26, 2020 Category: Orthopaedics Source Type: research

Reporting Clinical Significance in Hip Arthroscopy: Where Are We Now?
ConclusionsNearly all studies evaluated met MCID, while fewer met SCB. Only half discussed these clinical measures. It is proposed that all future studies report both statistical and clinical significance as standard best practice. (Source: HSS Journal)
Source: HSS Journal - April 12, 2020 Category: Orthopaedics Source Type: research

Prevalence and Treatment Outcomes of Hand and Wrist Injuries in Professional Athletes: A Systematic Review
ConclusionsBased on the available evidence, a large majority of hand and wrist injuries in professional athletes are treated conservatively. Athletes frequently return to preinjury levels of performance after surgery. Additionally, return to play after a hand injury appears to be faster than that after other bony injuries. Further research is needed into the impact of these injuries on athletic performance, as well as how surgical intervention affects validated patient-reported outcome measures in professional athletes. (Source: HSS Journal)
Source: HSS Journal - April 8, 2020 Category: Orthopaedics Source Type: research

Permanent Spacers Are a Reliable Solution for Peri-prosthetic Shoulder Infection: A Systematic Review
ConclusionThe use of a permanent cement spacer is a reliable solution to PSI in low-demand, older patients with comorbidities, a population in whom it is desirable to avoid additional surgery. Our review found a high rate of infection eradication and moderate-to-good objective and subjective results. However, the overall level of evidence of included studies was very low, and higher-quality studies are needed to clarify the role of permanent spacers in the treatment of PSI. (Source: HSS Journal)
Source: HSS Journal - April 8, 2020 Category: Orthopaedics Source Type: research

Misclassification of Case –Control Studies in the Orthopedic Literature Is Common: A Bibliometric Analysis
ConclusionsStudies reported in the orthopedic literature to have a case –control design frequently have another study design, and this pattern is consistent across subspecialties. Enhanced rigor in accurately defining study designs in orthopedics could be achieved through training and stricter review processes. (Source: HSS Journal)
Source: HSS Journal - March 30, 2020 Category: Orthopaedics Source Type: research