Ortho ”Facts” * (group of orthopaedic surgeons)

@Orthofacts

*not necessarily ”facts” or about orthopaedic surgery. Many surgeons post to this & opinions are not shared by all contributors. WE BLOCK TROLLS - LOW THRESHOLD

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Vrijeme pridruživanja: rujan 2013.

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  1. Prikvačeni tweet

    Another physician friend of mine committed suicide. I’m not saying you shouldn’t sue physicians - but whenever you do, please realize that the physician committing suicide is a possible outcome.

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  2. 29. sij
    Odgovor korisniku/ci

    It’s interesting I was thinking about how busy the hospital is today. We’re just wondering around trying to get through the day. The patients and their families may be experiencing the scariest or saddest or most joyous day of their lives. Good perspective!

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  3. Ironically I used to hate this test (OITE, the ortho in training exam we take every year in residency), and now I’m part of the question writing committee. 😅😂

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  4. Displaced pediatric lateral condyle fractures should be treated surgically to avoid nonunion. Nonunion has been associated with cubitus valgus, pain, loss of motion, and tardy ulnar nerve palsy. The ulnar nerve palsy develops due to stretching from cubitus valgus deformity.

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  5. prije 2 sata

    Follow up: After lengthy discussion with the patient, we elected for HWR/IMN. Non-displaced butterfly fragment medially that propagated while taking a buried flat-head screw out. Used fibular alignment to assist with reduction/length. Ankle stress test negative.

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  6. AJSM is proud to celebrate ! (National Girls & Women in Sports Day) This is the 34th Annual celebration motivating girls and women to play sports and be active! The tools learned through sport participation are the tools needed to make powerful impacts on those around you.

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  7. prije 1 sat
    Odgovor korisniku/ci

    Me ☝🏻. Fracture dislocation of the shoulder.

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  8. 10. sij

    Degenerative spondylolisthesis is anterior translation of one vertebral body (usually L4) on another vertebral body (usually L5). Because of associated instability with this diagnosis, a fusion is needed to preserve longterm outcomes. Learn more:

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  9. 11. sij

    DISH is recognized radiographically by the presence of "flowing" ossification along the anterolateral margins of at least 4 contiguous vertebrae & the absence of changes of spondyloarthropathy or degenerative spondylosis. Learn more on the podcast:

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  10. 12. sij

    Cortical bone has higher density than cancellous, and therefore higher ratios of cortical to cancellous bone are optimal for weight-bearing and fixation. The pedicles of the thoracic spine have the highest ratio of cortical to cancellous bone. Learn more:

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  11. 14. sij

    Atlantoaxial rotatory subluxation can occur after upper respiratory infection & is felt to be caused by adjacent inflammation of soft tissues in the neck. If subluxation persists after 1 week of rest, the patient should be transitioned to halter traction.

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  12. 15. sij

    Osteoid Osteoma & osteoblastoma of the spine commonly present in the 2nd decade of life. CT shows a low attenuation nidus with central mineralization and varying degrees of perinidal sclerosis. Learn more about Pathologic Scoliosis on the podcast:

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  13. 16. sij

    Spondylolithesis falls on the spectrum from pars stress reaction, to spondylolysis, and then spondylolithesis. Risk of progression and development of neurologic symptoms is associated with dysplastic facets at the L5-S1 level. Learn more on the podcast:

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  14. 17. sij

    While both tenotomy & tenodesis relieve pain and preserve elbow/forearm strength for proximal tendonitis of the long head of the biceps, tenotomy may result in a cosmetic (“popeye”) deformity & should be discussed preoperatively with patients. Learn more:

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  15. 24. sij

    Arthroscopic SLAP repair is known to be a safe & relatively simple procedure. However, deep drilling or anchor insertion from the anterior or anteriosuperior portal during surgery can place the suprascapular nerve at risk of iatrogenic injury. Learn more:

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  16. 25. sij

    Posterior branch of the axillary nerve travels within 1mm of the inferior capsule of the glenohumeral joint & can be injured with suture passing devices during posterior-inferior labral repairs. Learn more about posterior labral tears on the podcast:

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  17. 26. sij

    The patient in the video has medial winging of the scapula due to a lesion affecting the serratus anterior. The serratus anterior is supplied by the long thoracic nerve. Learn more about scapular winging on the most recent Orthobullets podcast.

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  18. 30. sij

    The medial ulnar collateral ligament is one of the primary static stabilizers of the elbow and is composed of three parts: anterior, posterior and transverse. The MCL provides resistance to valgus and distractive stresses. Learn more on the podcast:

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  19. 31. sij

    Semiconstrained total elbow arthroplasty components are generally preferred for end-stage elbow arthritis with advanced joint destruction because constrained components have been associated with a high rate of early prosthetic loosening. Learn more:

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  20. 1. velj

    Medial epicondylitis is caused by repeated eccentric loading causing microtrauma at the tendon origin which sets in motion the degenerative process initially marked by peritendinous inflammation followed by angiofibrous hyperplasia & fibrosis. Learn more:

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  21. 2. velj

    Partial tears of the distal biceps tendon are rare and may be frequently misdiagnosed. They typically occur in the radial portion of the tendon’s distal insertion. Learn more about distal biceps avulsions on the most recent podcast episode.

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