Supracondylar Humerus Fracture in Children: How to Stay Out of Trouble

Terry Stanton

Supracondylar humerus fracture is a common injury in children, and it generally heals uneventfully under appropriate orthopaedic management. Still, serious complications may arise, most notably compartment syndrome and nerve injury—with permanent consequences if they are not anticipated or recognized and managed promptly. At an AAOS 2018 Annual Meeting symposium, a panel addressed “Staying Out of Trouble in Pediatric Trauma,” offering guidance on managing various fractures in children. David L.

Experts Offer Treatment Pearls During ‘Top Tips’ Lecture

Maureen Leahy

Acute trauma patients who arrive at hospitals that don’t have the necessary resources to care for them should be transferred immediately to the nearest appropriate facility, according to trauma surgeon Lisa K. Cannada, MD. “Additional diagnostic tests only delay definitive care,” she explained during an instructional course lecture (ICL) held at the AAOS 2018 Annual Meeting.

Second Look - Clinical News and Views

Denosumab—A study in The Lancet—Diabetes & Endocrinology (online) suggests that denosumab may help reduce risk of fracture for certain patients who have been prescribed glucocorticoids.

Debate: Are Ultrasounds Necessary for Routine Knee and Shoulder Injections in the Office?

Holly J. Duck, MD; Alan M. Reznik, MD, MBA

The use of ultrasound guidance for routine knee and shoulder injections in the office is increasing. There is no doubt that ultrasound can improve the accuracy of injections, yet questions remain. How much accuracy is gained and at what cost? Moreover, are patient outcomes negatively affected if ultrasound is not used for these injections? Two respected sports medicine physicians debate the issue.

Exposure: Radiation Is the ‘Invisible Enemy’ of Female Orthopaedic Surgeons

Sravya Vajapey, MD; Julie Balch Samora, MD, PhD

Marie Curie, a brilliant physicist, was the first female to win the Nobel prize for her pioneering work on radioactivity. She is a role model for her groundbreaking contributions to science. It’s ironic that the same research that brought her such well-earned recognition eventually led to her demise: aplastic anemia secondary to radiation exposure. Adverse events associated with radiation include deterministic (e.g., hair loss, skin burns, nausea, cataracts) and stochastic (i.e.

Will Osseointegration Become the Standard of Care for Amputees?

David B. Doherty Jr, MD

When I arrived at the Ibn Sina Hospital in Baghdad, Iraq, I was stunned to see the conditions of some of the patients. I had never been in a war zone, and although the active fighting was north of Baghdad, the steady flow of subacute and chronic injuries into the clinic seemed never-ending. Until then, hasty battlefield reductions and wound closures had been the definitive treatments.