Orthobullets

Here are 2-year postoperative images of yesterday's case by Dr. Thomas Throckmorton and Campbell Clinic Orthopaedics. GLENOHUMERAL ARTHRITIS IN 79F This case will be debated at the 2024 New York Shoulder Arthroplasty Course in New York, NY, Dec 13-14, 2024. PROCEDURE: Reverse Total Shoulder Arthroplasty Here is the link to the clinical presentation and the pre-op imaging: https://lnkd.in/gu84d3-j HPI: This is a 79-year-old female who presents with left shoulder pain. She has exhausted physical therapy, medications, and corticosteroid injections. PMH: Her past medical history is unremarkable. PE: On exam, FE is 110, ER is 30, IR is 30. Rotator cuff strength is 5/5 but limited by pain. How would you manage this patient? Share your opinion with the Orthobullets community about this case by joining the discussion and taking the poll on our site! Vote on this case and Earn FREE CME: https://lnkd.in/dJbncT7N

New expert video by John Masonis MD of OrthoCarolina at the 2023 Anterior Hip Foundation (AHF). The Return of Cemented THA, Even From The Front Speaker: John Masonis, MD Can you discuss the historical reasons for the decline in the use of cemented THA and what has prompted its resurgence? Click here to watch this and related videos on Orthobullets: https://lnkd.in/g34DwQxs #orthopedic #orthopedics #orthopedicsurgery #orthopedicdoctor #orthopedicsurgeon #medicalstudent #medicaleducation #residency #residencylife

Can you answer our FREE Question of the Day? A 57-year-old male laborer presents to your office with complaints of long-standing right elbow pain. He says he his elbow catches and clicks during a full range of motion and it is becoming increasingly painful and bothersome. A radiograph of his right elbow is seen in Figure A. After failing nonoperative management, you ultimately recommend arthroscopic debridement and removal of loose bodies. Which of the following should be done to prevent infection after elbow arthroscopy? 1. Avoid use of posterior midline portals 2. Avoid the use of intraoperative steroid injection 3. Avoid elbow arthroscopy in patients with osteoarthritis 4. Close portals with only absorbable subcuticular suture 5. Restrict elbow range of motion for 3-4 weeks postoperatively QID: 217374 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/45DHJyC #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor #physician

Suprascapular neuropathy is compression of the suprascapular nerve that most commonly occurs at the suprascapular notch or spinoglenoid notch by a mass (i.e cyst). These are also associated with SLAP tears. The pathophysiology includes suprascapular notch entrapment (proximal compression of suprascapular nerve in the suprascapular notch) and spinoglenoid notch entrapment (distal compression of suprascapular nerve). Diagnosis can be suspected clinically with weakness and atrophy of the infraspinatus or supraspinatus and confirmed with MRI studies showing cysts in the suprascapular notch or spinoglenoid notch. Treatment of suprascapular nerve compression at the suprascapular notch requires decompression of a cyst when present. Treatment of a spinoglenoid cyst requires either decompression or repair of an associated labral lesion (if present). Learn more high-yield concepts about Suprascapular Neuropathy on our DAILY Orthobullets podcast. Listen wherever you listen to podcasts! https://bit.ly/3LMoRVr

Can you answer our FREE Question of the Day? A 32-year-old male sustains the injury depicted in Figures A and B after he fell off a ladder at work. The decision is made to treat the patient with an intramedullary nail construct. During the procedure, the surgeon states blocking screws will be used to augment the nail fixation. Placement of a screw in which location would counterbalance the deforming force of the patellar tendon? 1. Anterior to the nail in the proximal fragment 2. Posterior to the nail in the proximal fragment 3. Through the nail in the distal fragment 4. Anterior to the nail in the distal fragment 5. Lateral to the nail in the distal fragment QID: 217331 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/41Gn7Tf #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor #physician

Can you answer our FREE Question of the Day? A 42-year-old IV drug user presents to the ED with a 2-day history of severe pain and swelling in his right index finger. He states he cut it on a piece of metal and its condition has been worsening since. His inflammatory markers are significantly elevated. The clinical appearance of the finger is seen in Figure A. Which of the following is true of the most likely diagnosis? 1. Gram positive bacilli are most common causes of infection 2. Diagnosis is confirmed with MRI 3. Early IV antibiotic administration correlates most closely with good outcomes 4. Involvement of the index finger can lead to a horseshoe abscess 5. Two-incision irrigation and debridement is more effective than open irrigation and debridement QID: 217417 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/3orhzOK #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor #physician

Here is a clip from our latest episode of CoinFlips & Controversies, “Acute on Chronic Massive Rotator Cuff Tear in 62M” featuring expert faculty from the Critical Concepts in Shoulder & Elbow Surgery 2024 Course (taking place Nov. 14-16, 2024 at the FIVE Labs Las Vegas in Las Vegas, Nevada.) Watch Drs. Robert Gillespie & Vani Sabesan, discuss “I’m Feeling Sad”. Click here to learn more about Critical Concepts and watch their full webinar on Orthobullets: https://lnkd.in/gZ7qSN8z #orthopedic #orthopedics #orthopedicsurgery #orthopedicdoctor #orthopedicsurgeon #medicalstudent #medicaleducation #residency #residencylife Foundation for Orthopaedic Research and Education (FORE)

Can you answer our FREE Question of the Day? A 45-year-old male presents to the ED after sustaining a fall while mountain biking. His injury films are shown in Figure A. Subsequent imaging obtained immediately after ulnar fixation are shown in Figure B. Which of the following should be performed next? 1. Radial neck osteotomy 2. Radial head arthroplasty 3. Elbow extension, radial head reduction and splinting in supination 4. Ulnar shortening osteotomy proximal to the plate 5. Revision ORIF of the ulna QID: 216883 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/3MFcQRy #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor #physician

Distal Biceps Avulsions are injuries to the biceps tendon at the radial tuberosity insertion that generally occurs due to a sudden excessive eccentric contraction of the biceps brachii. This tends to occur in men (93%) in their 40s on their dominant elbow (86%). Risk factors include anabolic steroids, smoking (7.5x greater than nonsmokers), hypovascularity, intrinsic degeneration, and mechanical impingement in the space available for the biceps tendon. Diagnosis can be made clinically in the setting of complete tears with a hook test. MRI studies can be used to discern between a complete tear and a partial tear. Treatment can be nonoperative or operative depending on patient age, patient activity demands, chronicity of tear, and degree of tear. Complications include LABCN injury, PIN injury, superficial radial nerve injury, heterotopic ossification, synostosis, proximal radius fracture, and suture rupture. Learn more high-yield concepts about Distal Biceps Avulsions on our DAILY Orthobullets podcast. Listen wherever you listen to podcasts! https://bit.ly/4fkTcrt

New expert video by Karl M. Schweitzer, Jr, MD of Duke Health at the 2023 Total Ankle Replacement Summit. ContraIndications for TAR: Indications for Fusion Speaker: Karl M. Schweitzer, Jr, MD What specific clinical and imaging criteria do you use to determine the suitability of a patient for ankle fusion instead of TAR? Click here to watch this and related videos on Orthobullets: https://lnkd.in/dz266VBt #orthopedic #orthopedics #orthopedicsurgery #orthopedicdoctor #orthopedicsurgeon #medicalstudent #medicaleducation #residency #residencylife Foundation for Orthopaedic Research and Education (FORE)