Orthopedic Clinics of North America 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Brachial Plexus Birth Injuries
Brachial plexus birth injuries (BPBIs) are typically traction type injuries to the newborn that occur during the delivery process. Although the incidence of these injuries has overall decreased from 1.5 to around 0.9 per 1000 live births in the United States over the past 2 decades, these injuries remain common, with incidence holding fairly steady from 2008 to 2014. Shoulder dystocia is the strongest identified risk factor, imparting a 100-fold greater risk. The newborn’s shoulder is caught behind the mother’s pubic bone, and traction performed on the child duri ng delivery results in injury to the brachial plexus. ...
Source: Orthopedic Clinics of North America - March 5, 2022 Category: Orthopaedics Authors: James S. Lin, Julie Balch Samora Source Type: research
Peripheral Nerve Block Complications in Children
Regional anesthesia, and in particular peripheral nerve block (PNB) techniques, complement existing anesthetic and pain management strategies and facilitate a comprehensively safer experience for the pediatric patient. Ultimately, the use of regional anesthesia cultivates a more satisfactory experience for all involved. Complication rates are very low, making PNBs a very safe option as proliferative incorporation of ultrasound technology has led to further enhancement of regional anesthesia safety and efficacy in the pediatric population. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - March 5, 2022 Category: Orthopaedics Authors: Blas Catalani, Jerry Jones Source Type: research
Risk Factors, Management, and Prognosis of Brachial Plexopathy Following Reverse Total Shoulder Arthroplasty
Brachial plexus injuries can have a significant impact on patient outcomes following RTSA by slowing the overall recovery and return of function. Risk factors for brachial plexopathy include traction injury related to arm positioning and exposure during the procedure, direct nerve injury from surgical dissection, and compression injury from retractor placement. Risk of nerve injury can be minimized by limiting the time spent with the arm extended and externally rotated and avoiding excessive traction on the arm during humeral preparation and implant insertion. Prompt identification of postoperative brachial plexopathy is i...
Source: Orthopedic Clinics of North America - March 5, 2022 Category: Orthopaedics Authors: Zachary Burnett, Brian C. Werner Source Type: research
Surgical Treatment of Foot Drop: Patient Evaluation & Peripheral Nerve Treatment Options
Foot drop is a common clinical condition which may substantially impact physical function and health-related quality of life. The etiologies of foot drop are diverse and a detailed history and physical examination are essential in understanding the underlying pathophysiology and capacity for spontaneous recovery. Patients presenting with acute foot drop or those without significant spontaneous recovery of motor deficits may be candidates for surgical intervention. The timing, mechanism, and severity of neural injury resulting in foot drop influence the selection of the most appropriate peripheral nerve surgery, which may i...
Source: Orthopedic Clinics of North America - March 5, 2022 Category: Orthopaedics Authors: Nishant Dwivedi, Ambika E. Paulson, Jeffrey E. Johnson, Christopher J. Dy Source Type: research
Incidence, Risk Factors, Prevention, and Management of Peripheral Nerve Injuries Following Shoulder Arthroplasty
In this article, the authors review the incidence and causes of iatrogenic peripheral nerve injuries following shoulder arthroplasty and provide preventative measures to decrease nerve injury rate and management options. They describe common direct and indirect causes of injury such as laceration and retractor use versus arm positioning and lengthening, respectively. Preventative measures include an understanding of anatomy and high-risk locations in the shoulder, minimizing extreme ranges of arm motion and utilization of intraoperative nerve monitoring. Lastly, the authors review diagnosis and management of neurologic sym...
Source: Orthopedic Clinics of North America - March 2, 2022 Category: Orthopaedics Authors: Manan S. Patel, Mohammad Daher, David A. Fuller, Joseph A. Abboud Source Type: research
Preface
Damage to peripheral nerves can occur secondary to an accident or iatrogenic injury that compresses, stretches, or severs nerve fibers or secondary to a disease process, such as diabetes, rheumatoid arthritis, or even tumors. The symptoms of these injuries can be mild or severe, progressive or static. Regardless, treatment should be sought expeditiously to prevent permanent impairment. This issue mostly focuses on the treatment of peripheral nerve injuries related to trauma or surgical injury. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - March 2, 2022 Category: Orthopaedics Authors: Frederick M. Azar Tags: Preface Source Type: research
Vascular Injuries During Hip and Knee Replacement
Vascular injuries associated with hip and knee arthroplasty are rare but can result in devastating outcomes for the patient. A sound knowledge of vascular anatomy, potential mechanisms of injury, and diagnosis and management of vascular injuries are vital to an arthroplasty surgeon. Identifying high-risk patients and procedures allows careful preoperative planning, which combined with meticulous intraoperative technique, may help avoid vascular complications. When vascular injuries do occur, early recognition and intervention are critical to an improved outcome. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 17, 2021 Category: Orthopaedics Authors: Matthew W.J. Street, Lisa C. Howard, Michael E. Neufeld, Bassam A. Masri Source Type: research
Temporizing Care of Acute Traumatic Foot and Ankle Injuries
Temporizing care has become a critical part of the treatment armamentarium for select foot and ankle injuries. Indications for performing temporizing care are based on the specific injury pattern, the host, associated injuries, as well as surgeon resources. Foot and ankle injuries are often associated with severe adjacent injury to the soft tissue sleeve. An acute procedure performed through a traumatized soft tissue envelope will often lead to the failure of wound healing and/or infectious complications. Thus, delayed reconstruction of acute foot and ankle injuries is often advisable in these cases. (Source: Orthopedic Cl...
Source: Orthopedic Clinics of North America - November 17, 2021 Category: Orthopaedics Authors: Ivan S. Tarkin, Christopher D. Murawski, Peter N. Mittwede Source Type: research
Necrotizing Soft Tissue Infections of the Hand and Wrist
Necrotizing soft tissue infections of the upper extremity threaten life and limb. Their presentation is often difficult to recognize and multiple factors contribute to the varied presentation, speed of spread, and morbidity of the disease process. The only treatment to be definitively shown to improve outcomes is prompt surgical treatment. It should be expected to perform multiple debridements as well as reconstructive procedures once the infection and necrosis has been arrested. The use of a multidisciplinary team is mandatory to optimize care for these patients. Despite advances in knowledge and treatment, these infectio...
Source: Orthopedic Clinics of North America - November 17, 2021 Category: Orthopaedics Authors: M. Lucius Pomerantz Source Type: research
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Trauma to or infection of any part of the musculoskeletal system, in general, falls under the category of urgent or emergent orthopedic care. Timing and immediacy of treatment depend on the severity of injury, which can range from minor, such as a strain or a sprain, to critical, when survival of the limb or the patient is uncertain. This issue reviews injuries and conditions that require urgent attention to preserve life, limb, and functional outcomes. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 17, 2021 Category: Orthopaedics Authors: Frederick M. Azar Tags: Preface Source Type: research
Orthopedic Clinics of North America
www.orthopedic.theclinics.com (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 17, 2021 Category: Orthopaedics Source Type: research
Copyright
ELSEVIER (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 17, 2021 Category: Orthopaedics Source Type: research
Editorial Board
Professor, Department of Orthopaedic Surgery& Biomedical Engineering, University of Tennessee-Campbell Clinic; Chief-of-Staff, Campbell Clinic, Inc, Memphis, Tennessee (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 17, 2021 Category: Orthopaedics Source Type: research
Contributors
FREDERICK M. AZAR, MD (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 17, 2021 Category: Orthopaedics Source Type: research
Contents
Frederick M. Azar (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 17, 2021 Category: Orthopaedics Source Type: research
