Investigators found patients returned to work 2.7 weeks after acute arthroscopic repair of the radial ulnohumeral ligament for elbow dislocation.
Michael J. O’Brien, MD, and colleagues retrospectively reviewed the results of surgeries they performed in 14 consecutive high-demand patients. The investigators defined high-demand patients as those who needed both hands to work or play a competitive sport. One patient in the series was a surgeon.
Few guidelines exist about return to work after elbow dislocation, according to O’Brien, who presented the results at the American Academy of Orthopaedics Surgeons Annual Meeting, here.
In this series, “All patients returned to their pre-injury level of function,” he said.
The investigators followed the patients for an average of 30 months after either acute or subacute treatment of the radial ulnohumeral ligament (RUHL).
O’Brien said all patients achieved a Mayo Elbow Performance Score that was excellent and ranged from 95 points to 100 points.
According to the paper abstract, results using a goniometer showed a final range of motion from -3 º in full extension to full flexion that exceeded 130 º.
O’Brien said the return to work was longer — at about 4.6 weeks — in the patients who underwent arthroscopic stabilization subacutely.
Q: My 14 year old daughter is a competitive ski racer and has been having hip pain. Could she have a labral tear?
A: Hip injuries are on the rise in adolescent athletes. This is due to the increasing number of young athletes participating in organized sports as well as advances in technology that have improved clinician’s diagnostic ability.
Smith & Nephew DYONICS(TM) PLAN brings first-of-its-kind, individualized surgical planning to hip arthroscopy
Source: The Wall Street Journal
Smith & Nephew (NYSE:SNN;LSE:SN), the global medical technology business, will launch its DYONICS PLAN Hip Impingement Planning System at this week’s American Academy of Orthopaedic Surgeons (AAOS) annual meeting in New Orleans. Unlike standard imaging tools, DYONICS PLAN is a revolutionary 3D software system that allows surgeons to visualize, assess and generate a comprehensive surgical report for each patient’s unique Femoroacetabular impingement (FAI) surgery before that patient ever enters the operating room.
Source: Science Daily
Genetics may explain why some senior athletes are high functioning despite having one or both hip abnormalities typically associated with early onset osteoarthritis: developmental dislocation of the hip (dysplasia), a loose hip joint; or femoroacetabular impingement (FAI), a condition in which the hip bones are abnormally shaped.
Source: Science Daily
Using pure silk protein derived from silkworm cocoons, investigators have developed surgical plates and screws that offer improved remodeling following injury and can be absorbed by the body over time. When a person suffers a broken bone, current treatment calls for the surgeon to insert screws and plates to help bond the broken sections and enable the fracture to heal. These “fixation devices” are usually made of metal alloys. But metal devices may have disadvantages: Because they are stiff and unyielding, they can cause stress to underlying bone, among other problems.
Source: BBC News Health
Researchers in Oxford have developed a degradable implant which they say has huge potential to improve surgical success rates.
The protective patch, which wraps round soft tissue repairs, will be trialled in patients with shoulder injuries.
Source: News Medical
High-level college football players frequently return to the field after an ACL reconstruction, according to research presented today at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Specialty Day. The study added to earlier research by exploring specific factors that affected return to play, including player standing on rosters and year in school.
Source: News Medical
After every play, we all see the athletes adjusting their mouthguards, but what do they actually protect? Houston Methodist sports medicine experts discuss important facts about mouthguards.
Can wearing a mouthguard prevent a concussion?
“No, mouthguards cannot prevent a concussion,” said Dr. Vijay Jotwani, a sports medicine-focused primary care physician with Houston Methodist Orthopedics & Sports Medicine. “Mouthguards do not affect the movement of the brain within the skull and cerebrospinal fluid, so they are ineffective at reducing the forces on the brain that cause concussions.”
Source: US News
Get out and enjoy winter but take steps to protect yourself from common ski- and snowboard-related injuries such as sprains, strains, dislocations and fractures, an orthopedist says.
“No matter your skill level, everyone is susceptible to injury on the slopes,” said Dr. Allston Stubbs, an associate professor of orthopedics at Wake Forest Baptist Medical Center, said in a center news release. “Most of these injuries happen at the end of the day, so you may want to think twice before going for ‘one last run,’ especially when you’re tired.”
Researchers from Boston have found wide variation in the use of common upper extremity procedures such as rotator cuff repair, shoulder arthroscopy and carpal tunnel release.
“Our data shows substantial age and demographic differences in the utilization of these commonly performed upper extremity ambulatory procedures,” Nitin Jain, MD, MSPH, and colleagues wrote in their study. “While over one million upper extremity procedures of interest were performed, evidence-based clinical indications for these procedures remain poorly defined.”
Jain and researchers combined U.S. Census Bureau and National Survey of Ambulatory Surgery data to estimate the number of carpal tunnel releases, rotator cuff repair, non-rotator cuff repair shoulder arthroscopies and non-carpal tunnel release wrist arthroscopies performed in 2006.
Overall, carpal tunnel release had the highest rate of use, ranging from 44.2 per 10,000 persons for patients aged 75 years and older to 37.3 per 10,000 persons for patients aged 45 years to 64 years. For rotator cuff repairs, patients aged 65 years to 74 years had the highest use (28.3 per 10,000 persons).
While the most common reported indications for shoulder arthroscopy not related to rotator cuff repair included impingement, bursitis and SLAP tears; wrist arthroscopy for non-carpal tunnel cases was frequently performed for articular cartilage disorders and diagnostic reasons.