AAOS Now, August 2014
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Risk Factors for Little League Shoulder
Limited range of motion may predict future injury Little League elbow, or medial apophysitis, is a common overuse injury that affects young pitchers. Less well known, but increasing in frequency, is another overuse injury—proximal humeral epiphysiolysis, or Little League shoulder (LLS). During the 2014 annual meeting of the American Orthopaedic Society for Sports Medicine (AOSSM), Benton E.
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Face Off: Early Pelvic Osteotomy for DDH
POINT: Early intervention is appropriate in most instances of residual DDH. Dennis R. Wenger, MD The need for intervention—specifically for performing early pelvic osteotomy in young children with radiographic evidence of developmental dysplasia of the hip (DDH)—may be dictated by signs and symptoms.
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Does a Patient’s Sex Affect Healing after Achilles Tendon Rupture?
Sex may play a role in patient outcomes after acute Achilles tendon rupture, according to data presented at the 2014 American Orthopaedic Society for Sports Medicine annual meeting. The study found that, overall, male patients had better functional outcomes at 1 year compared to females, regardless of treatment method. In addition, males treated surgically had better outcomes at 6 and 12 months than females who were treated surgically.
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Study Finds Low Complication Rates for Adolescent Clavicle Fractures
A study of treatment outcomes for clavicle fractures in adolescents found that although refracture is more common in patients who receive nonsurgical treatment, overall complication rates are higher in those who undergo surgery, with the most common complication being implant-related symptoms. These findings were presented at the annual meeting of the American Orthopaedic Society for Sports Medicine (AOSSM), by Benton E.
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Return to Play After In-Season Shoulder Instability
More than 70 percent of intercollegiate athletes returned to playing contact sports within 1 week of experiencing in-season shoulder instability, according to a study presented at the 2014 annual meeting of the American Orthopaedic Society for Sports Medicine. However, nearly two-thirds of the athletes who returned to play continued to have recurrent instability.
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Managing Orthopaedic Infections
Diagnosis is key, but not always easy Maureen Leahy Diagnosis of orthopaedic infections is the first step to effective treatment. However, some infections are easier than others to diagnose. During the recent AAOS/Orthopaedic Research Society research symposium, Musculoskeletal Infection: Where are we in 2014? experts discussed diagnostic challenges associated with orthopaedic infections, including those in the spine, shoulder, and foot and ankle.
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Getting Your CME Credits from “Point A” to “Point B”
Common questions and answers about transferring credits from AAOS to ABOS As a board-certified orthopaedic surgeon, you know the importance of submitting your continuing medical education (CME) credits—including credits from scored and recorded self-assessment exams (SAE)—to meet Maintenance of Certification (MOC) requirements. You’re probably familiar with the Academy’s Learning Portfolio; you may even use it to track your CME credits.
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Screening for Musculoskeletal Infection in the ED
"With all the research that’s been done during the last 20 years, we’ve become facile at identifying infected patients from those without infection,” explained Jonathan G. Schoenecker, MD. “However, we have observed that all infections are not created equal.” Dr.
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What Is the Impact of CPGs on Treatment?
"Clinical practice guidelines (CPGs) are becoming increasingly important in the practice of medicine,” Matthew E. Oetgen, MD, said. “They’re a resource to improve quality and efficiency of care and to decrease variability. But data are limited—especially in orthopaedics—regarding their actual clinical impact.” Dr.
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Second Look—Clinical News and Views
Walking for knee OA Findings published online in Arthritis Care & Research suggest that increased walking may be linked with reduced risk of functional limitation for patients with knee osteoarthritis (OA).