Traumatic Rhabdomyolysis: Crush Syndrome, Compartment Syndrome, and the 'Found Down' Patient
J Am Acad Orthop Surg. 2023 Dec 13. doi: 10.5435/JAAOS-D-23-00734. Online ahead of print.ABSTRACTTraumatic rhabdomyolysis is a systemic manifestation of muscle injury and can occur from various traumatic etiologies, including crush syndrome (CrshS) and compartment syndrome (CS). Although historically described in natural disaster survivors trapped under collapsed structures, the frequency of CrshS has increased in the setting of 'found down' patients from opioid overdoses. Signs and symptoms of the injured limb in CrshS may range from pressure-induced skin changes to neurologic deficits and paralysis. Although its pathophy...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 18, 2023 Category: Orthopaedics Authors: John J Fernandez Shelby R Smith Source Type: research

Electrical Stimulation Use in Upper Extremity Peripheral Nerve Injuries
J Am Acad Orthop Surg. 2023 Dec 14. doi: 10.5435/JAAOS-D-23-00437. Online ahead of print.ABSTRACTPeripheral nerve injuries can be debilitating and often have a variable course of recovery. Electrical stimulation (ES) has been used as an intervention to attempt to overcome the limits of peripheral nerve surgery and improve patient outcomes after peripheral nerve injury. Little has been written in the orthopaedic literature regarding the use of this technology. The purpose of this review was to provide a focused analysis of past and current literature surrounding the utilization of ES in the treatment of various upper extrem...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 18, 2023 Category: Orthopaedics Authors: Nathan T Morrell Ryan K Dahlberg Kelly L Scott Source Type: research

The Effect of Underrepresented Minority Mentorship on Orthopaedic Spine Surgery Recruitment and Diversity: A 20-Year Analysis at a Single Institution
CONCLUSION: This retrospective study provides empirical evidence of the importance of URM representation among orthopaedic spine surgery faculty and the potential effect on URMs pursuing orthopaedic fellowships. Institutions should consider prioritizing the representation of URM faculty in spine surgery to address the lack of current and future diversity in the field.LEVEL OF EVIDENCE: III.PMID:38109731 | DOI:10.5435/JAAOS-D-23-00666 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 18, 2023 Category: Orthopaedics Authors: Stephane Owusu-Sarpong Tyler K Williamson Kola Jegede Nirmal C Tejwani Source Type: research

Orthotic Devices for the Foot and Ankle
J Am Acad Orthop Surg. 2023 Dec 15. doi: 10.5435/JAAOS-D-23-00832. Online ahead of print.ABSTRACTMillions of Americans wear ankle-foot orthotic devices for protection, pain relief, and deformity correction. Inquiries about off-the-shelf and custom devices are a common reason for evaluation with a foot and ankle surgeon or general orthopaedic surgeon. Despite limited high-quality evidence for their use, these devices can have a notable clinical impact on physical function. An up-to-date understanding of orthotic device options and their appropriate use in managing musculoskeletal pathologies applies to all orthopaedic provi...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 18, 2023 Category: Orthopaedics Authors: Tonya W An Gary Berke Wendy Beattie Jeremy Y Chan Source Type: research

Traumatic Rhabdomyolysis: Crush Syndrome, Compartment Syndrome, and the 'Found Down' Patient
J Am Acad Orthop Surg. 2023 Dec 13. doi: 10.5435/JAAOS-D-23-00734. Online ahead of print.ABSTRACTTraumatic rhabdomyolysis is a systemic manifestation of muscle injury and can occur from various traumatic etiologies, including crush syndrome (CrshS) and compartment syndrome (CS). Although historically described in natural disaster survivors trapped under collapsed structures, the frequency of CrshS has increased in the setting of 'found down' patients from opioid overdoses. Signs and symptoms of the injured limb in CrshS may range from pressure-induced skin changes to neurologic deficits and paralysis. Although its pathophy...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 18, 2023 Category: Orthopaedics Authors: John J Fernandez Shelby R Smith Source Type: research

Electrical Stimulation Use in Upper Extremity Peripheral Nerve Injuries
J Am Acad Orthop Surg. 2023 Dec 14. doi: 10.5435/JAAOS-D-23-00437. Online ahead of print.ABSTRACTPeripheral nerve injuries can be debilitating and often have a variable course of recovery. Electrical stimulation (ES) has been used as an intervention to attempt to overcome the limits of peripheral nerve surgery and improve patient outcomes after peripheral nerve injury. Little has been written in the orthopaedic literature regarding the use of this technology. The purpose of this review was to provide a focused analysis of past and current literature surrounding the utilization of ES in the treatment of various upper extrem...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 18, 2023 Category: Orthopaedics Authors: Nathan T Morrell Ryan K Dahlberg Kelly L Scott Source Type: research

The Effect of Underrepresented Minority Mentorship on Orthopaedic Spine Surgery Recruitment and Diversity: A 20-Year Analysis at a Single Institution
CONCLUSION: This retrospective study provides empirical evidence of the importance of URM representation among orthopaedic spine surgery faculty and the potential effect on URMs pursuing orthopaedic fellowships. Institutions should consider prioritizing the representation of URM faculty in spine surgery to address the lack of current and future diversity in the field.LEVEL OF EVIDENCE: III.PMID:38109731 | DOI:10.5435/JAAOS-D-23-00666 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 18, 2023 Category: Orthopaedics Authors: Stephane Owusu-Sarpong Tyler K Williamson Kola Jegede Nirmal C Tejwani Source Type: research

Orthotic Devices for the Foot and Ankle
J Am Acad Orthop Surg. 2023 Dec 15. doi: 10.5435/JAAOS-D-23-00832. Online ahead of print.ABSTRACTMillions of Americans wear ankle-foot orthotic devices for protection, pain relief, and deformity correction. Inquiries about off-the-shelf and custom devices are a common reason for evaluation with a foot and ankle surgeon or general orthopaedic surgeon. Despite limited high-quality evidence for their use, these devices can have a notable clinical impact on physical function. An up-to-date understanding of orthotic device options and their appropriate use in managing musculoskeletal pathologies applies to all orthopaedic provi...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 18, 2023 Category: Orthopaedics Authors: Tonya W An Gary Berke Wendy Beattie Jeremy Y Chan Source Type: research

Marital Status, Race, Insurance Type, and Socioeconomic Status-Assessment of Social Predictors for Outcomes After Total Knee Arthroplasty
CONCLUSION: Social factors are important considerations in understanding outcomes after TKA. Additional investigations are indicated in identifying at-risk patients and subsequent optimization of these patients.PMID:38100772 | DOI:10.5435/JAAOS-D-23-00368 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 15, 2023 Category: Orthopaedics Authors: Tahsin M Rahman Mary Hennekes Ali Mehaidli Jonathan H Shaw Craig D Silverton Source Type: research

Proximal Tibial Recurvatum-Valgus: Analysis and Treatment
J Am Acad Orthop Surg. 2023 Dec 8. doi: 10.5435/JAAOS-D-23-00642. Online ahead of print.ABSTRACTGenu recurvatum-valgus arises from the proximal tibia and poses challenges in its treatment. The etiology of the combined deformities can include physeal trauma (often unrecognized), iatrogenic injury, infection, tumor, Osgood-Schlatter syndrome, skeletal dysplasia, and ligamentous laxity. Both osseous and ligamentous contributions must be recognized for successful treatment. A graphical planning method identifies the true (oblique) plane of deformity. Surgical treatment options include epiphysiodesis to prevent progressive defo...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 13, 2023 Category: Orthopaedics Authors: Andrew G Georgiadis Nickolas J Nahm Mark T Dahl Source Type: research

Lumbar Laminotomy: Variables Affecting 90-day Overall Reimbursement
This study assessed a large cohort of lumbar laminotomies/diskectomies and found substantial variations in reimbursement/cost to the healthcare system. The largest increase in reimbursement was associated with admission (with the index procedure or readmission), followed by insurance type, postoperative adverse events, and postoperative emergency department visits. These results highlight the need to balance inpatient versus outpatient surgeries while limiting postoperative readmissions to minimize the costs associated with healthcare delivery.PMID:38064482 | DOI:10.5435/JAAOS-D-23-00365 (Source: The Journal of the America...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 8, 2023 Category: Orthopaedics Authors: Scott J Halperin Meera M Dhodapkar Michael Gouzoulis Maxwell Laurans Arya Varthi Jonathan N Grauer Source Type: research