Perioperative management of the obese pediatric patient

Advice from anesthesiologists According to the Centers for Disease Control and Prevention, approximately 12.5 million children and adolescents between ages 2 and 19 are obese. Recently, AAOS Now editorial board member Howard R. Epps, MD, sat down with two anesthesiologists—Nancy L. Glass, MD, professor of anesthesiology and pediatrics at the Baylor College of Medicine in Houston, Texas, and Olubukola O.

Experience is a factor in scoliosis surgery outcomes

Terry Stanton

Study calls for innovative training, mentorships Patients with adolescent idiopathic scoliosis (AIS) who undergo surgery performed by surgeons with less than 5 years of experience in practice have significantly higher blood loss, longer surgery times, and lower SRS-22 scores than patients whose surgeons are more experienced, according to a study presented at the 2011 annual meeting of the Scoliosis Research Society. Presenter Patrick J.

What’s your diagnosis?

In this feature, AAOS Now publishes a series of images, challenging readers to diagnose the condition depicted. The images for this month’s challenge were submitted by Stuart J. Fischer, MD, who provided the following information: The patient is a 63-year-old man, who had a total hip arthroplasty 18 years ago. He was seen in the emergency department after experiencing a sudden snap in his hip, inability to bear weight, and a feeling that his hip was giving way.

Meetings and Course Listings

Listed below are upcoming continuing medical education (CME) courses and orthopaedic meetings (January through mid-April 2012). For more information about AAOS-sponsored courses, contact the AAOS customer service department at (800) 626-6726 or visit the CME course section of the AAOS website at www.aaos.org/courses For more information about other CME courses or orthopaedic meetings listed, contact the source provided.

AAOS supports new concussion statement

Key change: No same-day return-to-play A collaborative effort by the AAOS, American College of Sports Medicine (ACSM), American Academy of Family Physicians, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine has resulted in an updated team physician consensus statement on concussion (mild traumatic brain injury).

Pediatric fracture patterns are changing

Maureen Leahy

Location influences treatment options: casting or surgery? Research presented at the American Society for Surgery of the Hand annual meeting reveals that scaphoid fracture patterns in children and adolescents are now similar to those in adults and that most acute nondisplaced fractures heal with cast immobilization. However, the authors recommend surgical reduction and internal fixation as the primary treatment approach for chronic nonunions.

Second Look—Clinical News and Views

If you missed these Headline News Now items the first time around, AAOS Now gives you a second chance to review them. Headline News Now—the AAOS thrice-weekly, online update of news of interest to orthopaedic surgeons—brings you the latest on clinical, socioeconomic, and political issues, as well as important announcements from AAOS. Class I Recall of Mizuho OSI Modular Table Systems The U.S.

The AAOS 2012 webinar series

Gerald R. Williams Jr, MD

Shorter programs, lower subscription price, more interaction Webinars are an increasingly popular learning tool for orthopaedic surgeons and residents. For 2012, the AAOS CME Courses Committee has developed a 10-program webinar series, covering a range of orthopaedic topics.

Treatment options for Dupuytren’s contracture expanding

Maureen Leahy

Needle aponeurotomy alternative to open fasciectomy “Treatment of Dupuytren’s contracture has undergone a seismic shift over the past decade. As surgeons, we are left with more questions than answers on how to treat these problems in the small finger—or in any finger,” said Martin I. Boyer, MD, FRCS, during “Dupuytren’s Contracture of the Small Finger PIP Joint: Treatment Preferences in 2011,” a symposium held during the American Society for Surgery of the Hand annual meeting. Dr.

Maintenance of Certification deadlines during 2012

Certificate expiration Exam date Deadline date Requirement 2012, 2013, 2014 2012 1/7/2012 Late reporting deadline for MOC materials originally due 12/15/2011; late fee applies 2013, 2014, 2015 2013 2013 Late reporting deadline for MOC materials originally due 12/15/2011; late fee applies 2013, 2014, 2015 2013 2/1/2012 Application available at www.abos.

OMeGA announces CCI grant recipients

The OmeGA Medical Grants Association has selected nine residency programs to receive Core Competency Innovation (CCI) grants for the 2011–2012 academic year. “The current work hour restrictions have mandated new innovations to make our educational process more effective,” said Richard H. Gross, MD, OMeGA Medical Grants Association board member. “These programs are to be commended for their creativity.”

Bisphosphonates: the good, the bad, and the unidentified

Corey O. Montgomery, MD; John W. Bracey, MD; Larry J. Suva, PhD

Bisphosphonates (BPs) are chemically stable analogues of inorganic pyrophosphate. Studies on the role of inorganic pyrophosphate in the control of soft-tissue and skeletal mineralization resulted in the discovery that these compounds could inhibit calcification. This realization triggered additional studies to determine whether these compounds could inhibit other physiologic processes, such as bone resorption.