When Is Grafting for Achilles Tendinosis Needed?

Mary Ann Porucznik

“Surgical treatment of insertional Achilles tendinosis is indicated after more conservative measures—including NSAID medications, stretching and eccentric strength training, activity restriction, immobilization, and even extra-corporeal shock wave treatments—have proven ineffective,” John T. Campbell, MD, told members of the American Orthopaedic Foot & Ankle Society (AOFAS) during their 2013 Annual Meeting. Dr.

What’s Causing A Patient’s Groin Pain?

Jennie McKee

Groin pain, which is often related to hip pathology, is a common problem for athletes and nonathletes alike. Making a diagnosis can be challenging, given that groin pain often results from multiple coexisting issues that may or may not be orthopaedic in nature.

Stay on Target with the MOC Dashboard

Shepard R. Hurwitz, MD

These days, the American Board of Orthopaedic Surgery (ABOS) no longer requires paper documentation of credits earned from continuing medical education (CME) or from scored and recorded self-assessment examinations (SAE) as part of its maintenance of certification (MOC) process. Instead, diplomates can use their MOC dashboard (Fig.

Is Tendon Regeneration Possible?

Mary Ann Porucznik

Early in his career, his interest in regenerating injured tendon tissue won MaCalus V. Hogan, MD, a Resident Clinician Scientist Training Grant from the Orthopaedic Research and Education Foundation. This year, a study that he and longtime collaborator Roshan James, PhD, developed on Achilles tendon regeneration in a rat model won them the J. Leonard Goldner Award from the American Orthopaedic Foot & Ankle Society (AOFAS). Dr.

Studies Tackle Sports Injuries

Stress fractures, ankle pain, and elbow surgery were among the topics covered at the 2013 annual meeting of the American Orthopaedic Society for Sports Medicine. The following summaries review three of the studies presented. Reducing stress fracture risk According to Kenneth L. Cameron, PhD, MPH, ATC, director of orthopaedic research at Keller Army Hospital, West Point, N.Y., programs to improve movement patterns may help prevent stress fractures in athletes and military personnel.

What Is Your CCC IQ?

Letha Y. Griffin, MD

To properly evaluate and treat patients, we, as orthopaedists, need to be aware of the principles of culturally competent care (CCC). This requires us to be knowledgeable of cultural differences in the way that individuals view and respond to medical care. As noted in the AAOS Culturally Competent Care Guidebook, edited by Ramon L. Jimenez, MD, and Valerae O. Lewis, MD, “Communication is the cornerstone of good quality care.”

Safety First

Calin S. Moucha, MD

Did you know that double-gloving has been shown to reduce blood contact to the hands of the operating team members by nearly 90 percent? The risk of contamination from blood can be 13 times higher when using single compared with double gloves, and double indicator gloves (gloves with a puncture indicator system) appear to be better than two regular gloves. Double-gloving, interestingly, has shown a similar incidence of wound contamination when compared to single-gloving.

CCC IQ Answers

Culturally competent care (CCC) requires an understanding of cultural differences. The increasing number of Hispanic Americans, in particular, necessitates that we, as orthopaedic surgeons, have a sensitivity to cultural norms other than our own. The scenario on “What Is Your CCC IQ?” presented several opportunities for us to show our CCC IQ. See the correct responses below to find out how well you did. Meet Maria You should address the patient as “Senora Salcedo” (D).

Orthopaedic Trivia Quiz

AAOS Now tests your knowledge of orthopaedic trivia. Take a minute and see how well you know your orthopaedic trivia—but don’t peek at the answers! An expanded explanation of the correct answers can be found below. 1. This clinical sign of ulnar nerve palsy refers to abduction of the little finger caused by weakness of the intrinsic muscles. Wartenberg sign Vanzetti sign Thomas sign Marie-Foix sign 2.

Constructing the 2013 OITE

Montri D. Wongworawat, MD

The Orthopaedic In-Training Examination (OITE) is a formative—and formidable—assessment tool. It not only measures a resident’s knowledge as compared to his or her peers, it also enables residency programs and program directors to compare their programs with other residency programs, with results stratified by content domain and training year.

Second Look – Clinical News and Views

Displaced intra-articular calcaneal fractures According to findings in Journal of Bone & Joint Surgery (JBJS) (Aug. 7), surgical treatment may be superior to nonsurgical treatment of displaced intra-articular calcaneal fractures, but only at long-term follow-up.