Latest journal articles about orthopaedic trauma and fracture management from Journal of Orthopaedic Trauma, Archives of Orthopaedic and Trauma Surgery, Orthopaedics and Traumatology: Surgery and Research, The Bone & Joint Journal, Journal of Bone and Joint Surgery, Clinical Orthopaedics and Related Research, Acta Orthopaedica, Orthopedic Clinics of North, America, Journal of Orthopaedic Surgery and Research, Orthopedics
BACKGROUND: The tibial tuberosity-trochlear groove distance is used as an indicator for medial tibial tubercle transfer; however, to our knowledge, no studies have verified whether this distance is strongly affected by tubercle lateralization at the proximal part of the tibia. We hypothesized that the tibial tuberosity-trochlear groove distance is mainly affected by tibial tubercle lateralization at the proximal part of the tibia.
METHODS: Forty-four patients with a history of patellar dislocation and forty-four age and sex-matched controls were analyzed with use of computed tomography. The tibial tuberosity-trochlear groove distance, tibial tubercle lateralization, trochlear groove medialization, and knee rotation were measured and were compared between the patellar dislocation group and the control group.
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JBJS-A is an AAOS Member benefit for AAOS Fellows. Please login to the OrthoPortal using the link in the top right of this page to access all volumes of JBJS-A since 1960.
Non AAOS Members may access the JBJS-A online directly on the www.jbjs.org web site via individual or institutional subscription.
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These pubmed results were generated on 2013/11/30
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These pubmed results were generated on 2013/09/22
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Exam Corner - August 2013.
Bone Joint J. 2013 Aug 1;95-B(8):1151-1152
Authors: Khanduja V
Abstract
The FRCS (Tr & Orth) examination has three components: MCQs, Vivas and Clinical Examination. The Vivas are further divided into four sections comprising Basic Science, Adult Pathology, Hands and Children's Orthopaedics and Trauma. The Clinical Examination section is divided into Upper and Lower limb cases. The aim of this section in the Journal is to focus specifically on the trainees preparing for the exam and to cater to all the sections of the exam. The vision is to complete the cycle of all relevant exam topics (as per the syllabus) in four years.
PMID: 23908437 [PubMed - as supplied by publisher]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23908437?dopt=Abstract
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Erratum to: Design and preliminary biomechanical analysis of artificial cervical joint complex.
Arch Orthop Trauma Surg. 2013 Aug 3;
Authors: Jian Y, Lan-Tao L, Jian-Ning Z
PMID: 23907297 [PubMed - as supplied by publisher]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23907297?dopt=Abstract
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Preventing Eccentric Reaming of the Trochanter During Trochanteric Nailing.
J Orthop Trauma. 2013 Jul 28;
Authors: Ziran B, Morgenstein A
PMID: 23899769 [PubMed - as supplied by publisher]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23899769?dopt=Abstract
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Is radiographic measurement of distal femoral torsion reliable?
Orthop Traumatol Surg Res. 2013 Jul 29;
Authors: Viel T, Casin C, Ducellier F, Steiger V, Bigorre N, Bizot P
Abstract
BACKGROUND: Distal femur torsion (DFT) is a crucial parameter in knee replacement surgery. The reference standard for measuring DFT is posterior condylar angle (PCA) measurement using computed tomography (CT). The objective of this study was to assess the feasibility and reliability of a radiographic PCA measurement method.
MATERIALS AND METHODS: We studied 125 osteoarthritic knees in 79 patients (42 women and 37 men) with a mean age of 71.6±8.8years (range 47 to 86 years); 32 knees were aligned, 85 in varus, and eight in valgus. DFT was measured on an antero-posterior (AP) radiograph of the knee in 90° of flexion (known as the seated AP view). The PCA was defined as the angle subtended by the tangent to the posterior condyles and the transepicondylar axis (anatomic PCA [aPCA]) or the line connecting the lateral epicondyle to the medial sulcus (surgical PCA [sPCA]). The PCA was conventionally recorded as positive in the event of external torsion and negative in the event of internal torsion. PCA measurements were performed three times by each of five observers to allow assessments of inter-observer and test-retest reliabilities.
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Lack of Proficiency in Musculoskeletal Medicine Amongst Emergency Medicine Physicians.
J Orthop Trauma. 2013 Jul 29;
Authors: Comer GC, Liang E, Bishop JA
Abstract
OBJECTIVES:: Emergency medicine physicians are frequently responsible for evaluating and treating patients with urgent or emergent musculoskeletal conditions, so it is critical that they achieve a basic level of proficiency in musculoskeletal medicine. However, inadequacies in musculoskeletal education have previously been documented amongst medical students, residents and attending physicians in a number of specialties. The goal of this study was to assess the proficiency with musculoskeletal medicine amongst emergency medicine physicians in particular.
METHODS:: A validated musculoskeletal medicine competency examination was administered to the emergency medicine residents and faculty at a university-affiliated level 1 trauma center. Demographic data and satisfaction with musculoskeletal education were also surveyed.
RESULTS:: Twenty-three emergency medicine residents and twenty-one attending physicians completed the survey. 35% of residents and 43% of attending physicians failed to demonstrate proficiency on the examination. Pass rates were not significantly different amongst junior residents, senior residents or attending physicians. 23% of respondents indicated that they were dissatisfied with their musculoskeletal education.
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