HSS JournalThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the latest items in this publication.

Pages: 1 2 3

142 records returned

Hepatitis C- and Human Immunodeficiency Virus-Induced Hypersensitivity VasculitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Clinical Pathology ConferenceDOI 10.1007/s11420-009-9141-8Authors Roodabeh Michelle Koolaee, St. Luke’s–Roosevelt Hospital Center Department of Internal Medicine 1000 10th Avenue New York NY 10019 USAOra Singer, Hospital for Special Surgery Department of Rheumatology 535 East 70th Street New York NY 10021 USAAnne Bass, Hospital for Special Surgery Department of Rheumatology 535 East 70th Street New York NY 10021 USARobert Winchester, Columbia University New York Presbyterian Hospital Department of Rheumatology 630 West 168th Street New York NY 10032 USASurya Seshan, Weill-Cornel...
Source: HSS Journal - November 17, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Musculoskeletal Complications of HemophiliaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The most important clinical strategy for management of patients with hemophilia is the avoidance of recurrent hemarthroses by means of continuous, intravenous hematological prophylaxis. When only intravenous on-demand hematological treatment is available, frequent evaluations are necessary for the early diagnosis and treatment of episodes of intra-articular bleeding. The natural history of the disease in patients with poorly controlled intra-articular bleeding is the development of chronic synovitis and, later, multi-articular hemophilic arthropathy. Once arthropathy develops, the functional prognos...
Source: HSS Journal - November 17, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Local Soft Tissue Compression Enhances Fracture Healing in a Rabbit FibulaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a preliminary study assessing the relationship between constant soft tissue compression and enhanced fracture healing in an osteotomy model designed to minimize confounding variables. Fibulae of nine New Zealand white rabbits were bilaterally osteotomized, openly stabilized, and fitted with spandex stockinets. Soft tissue at the osteotomy site was unilaterally compressed using a deforming element (load = 26 mmHg). The contralateral side was saved as the control and was not compressed. Osteotomies were monitored with weekly radiographs. All fibulae in both groups were healed 6 weeks postoperativ...
Source: HSS Journal - November 13, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

The Hospital for Special Surgery 1955 to 1972: T. Campbell Thompson Serves as Sixth Surgeon-in-Chief 1955–1963 Followed by Robert Lee Patterson, Jr. the Seventh Surgeon-in-Chief 1963–1972Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract After two decades as the fifth Surgeon-in-Chief (1935–1955) of The Hospital for Special Surgery (HSS), Philip Duncan Wilson, MD (1886–1969) retired, having implemented, during his administration, major changes in the hospital. The first most important accomplishment was finalizing a formal affiliation with New York Hospital-Cornell Medical Center in 1955 and moving adjacent to the medical campus at 535 East 70th Street. The second was changing the name of the Hospital in 1940 from The Hospital for the Ruptured and Crippled to The Hospital for Special Surgery. During the two decades as Surgeon-in...
Source: HSS Journal - November 3, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Transforaminal Thoracic Interbody Fusion (TTIF) for Treatment of a Chronic Chance InjuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Multiple anterior and posterior approaches to the thoracic disc space have been reported. However, we are not aware of any previous reports describing a transforaminal approach for thoracic disc release and interbody cage placement. In this case report, we describe a method to perform transforaminal thoracic interbody fusion (TTIF), which is an adaptation of an established lumbar fusion technique (transforaminal lumbar interbody fusion). Key differences between the two procedures are discussed. A 24-year-old woman presented after sustaining a T11-12 Chance fracture that had been treated in a brace. ...
Source: HSS Journal - October 15, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Late-Onset Radial Nerve Palsy Associated with Conservatively Managed Humeral Fracture. A Case Report and Suggested Classification SystemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a case of late-onset radial nerve palsy, which developed 9 weeks after an attempted closed management of a midshaft humerus fracture. Exploration of the nerve was performed. The radial nerve was found to be stretched over the ends of the fracture. Open reduction and external fixation of the fracture with mobilization of the nerve from the fracture site lead to complete return of radial nerve function occurring by 3 months. We recommend exploration of cases of late-onset radial nerve palsy in contrast to primary or secondary radial nerve palsy, which can be treated conservatively. Our experience s...
Source: HSS Journal - October 8, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Complementary and Alternative Medicine in Rheumatoid Arthritis: No Longer the Last Resort!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Complementary and alternative medicine (CAM) has become popular with consumers worldwide and accounts for significant private and public health expenditures. According to earlier reports, the prevalence of CAM use by rheumatoid arthritis (RA) patients in the United States is anywhere between 28% and 90%. Extensive use among RA patients and the limited knowledge among physicians had confirmed the need to evaluate the increasing prevalence of various CAM modalities. The primary aim of this study was to identify the incidence of CAM usage among our RA patients. Additionally, we aimed to correlate patie...
Source: HSS Journal - September 29, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Detection of Pulmonary Embolism in the Postoperative Orthopedic Patient Using Spiral CT ScansEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was performed to compare the clinical presentations of a suspected versus a documented PE/DVT and to determine the actual incidence of PE/DVT in the post-operative orthopedic patient in whom CT was ordered. All 695 patients at our institution who had a postoperative spiral CT to rule out PE/DVT from March 2004 to February 2006 were evaluated and information regarding their surgical procedure, risk factors, presenting symptoms, location of PE/DVT, and anticoagulation were assessed. Statistical analysis was performed using an independent samples t test with a two-tailed p value to examine significant associati...
Source: HSS Journal - September 24, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Conversion of Glenohumeral Fusion to Total Shoulder Arthroplasty for Scapulothoracic Pain: Case Report and Surgical TechniqueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract There are several references in the hip and knee literature that mention converting fusions to a prosthetic total arthroplasty, but similar reports of total shoulder arthroplasty after glenohumeral fusion are lacking. The indication for conversion of a glenohumeral arthrodesis to a total shoulder arthroplasty is persistent periscapular pain refractory to conservative treatment. The purpose of the following article is to describe the preoperative plan and surgical technique in the conversion of a glenohumeral fusion to a total shoulder arthroplasty in single case of protracted scapulothoracic pain. ...
Source: HSS Journal - September 22, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Subacromial Injection Improves Deltoid Firing in Subjects with Large Rotator Cuff TearsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study provides direct evidence that subacromial injection improves deltoid firing in symptomatic subjects with rotator cuff tears. These findings reinforce the concept that deltoid inhibition resulting from pain is an important component of the motor disability associated with rotator cuff tears. Content Type Journal ArticleDOI 10.1007/s11420-009-9127-6Authors Frank A. Cordasco, Hospital for Special Surgery Sports Medicine and Shoulder Service, Department of Orthopaedic Surgery 535 East 70th Street New York NY 10021 USANeal C. Chen, Orthopaedic Sports Medicine Program, University of Michigan Health System 24 Fr...
Source: HSS Journal - September 18, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Vascular Endothelial Growth Factor: An Essential Component of Angiogenesis and Fracture HealingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the current literature surrounding the role of VEGF and other growth factors in reestablishing vascular supply to fractured bone, as well as medications and surgical techniques that may inhibit this process. Content Type Journal ArticleDOI 10.1007/s11420-009-9129-4Authors Brandon Beamer, Weill Medical College of Cornell University New York NY 10021 USACarolyn Hettrich, Hospital for Special Surgery New York NY 10021 USAJoseph Lane, Hospital for Special Surgery New York NY 10021 USA Journal HSS JournalOnline ISSN 1556-3324Print ISSN 1556-3316 (Source: HSS Journal)
Source: HSS Journal - September 17, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Creation of a Novel Recuperative Pain Medicine Service to Optimize Postoperative Analgesia and Enhance Patient SatisfactionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Many patients have difficulty with pain control after transition from patient-controlled analgesia modalities to oral analgesics. The creation of a Recuperative Pain Medicine (RPM) service was intended to bridge this gap in pain management at the Hospital for Special Surgery. Specific goals were to improve patient and staff satisfaction with management of postoperative oral analgesics by improving clinical care, administrative policies, and patient and staff education. Primary outcome measures for improved satisfaction were Press Ganey surveys and staff surveys. From inception in Aug 2007 to Dec 200...
Source: HSS Journal - September 17, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Deleterious Effects of Intermittent Recombinant Parathyroid Hormone on Cartilage Formation in a Rabbit Microfracture Model: a Preliminary StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Intermittent parathyroid hormone administration can enhance fracture healing in an animal model. Despite the success of exogenous parathyroid hormone on fracture healing and spine fusion, few studies have examined the role of parathyroid hormone on cartilage formation. We determined the effects of intermittent parathyroid hormone on cartilage formation in a rabbit microfracture model of cartilage regeneration. Twelve rabbits were divided into three equal groups: (1) microfracture alone, (2) microfracture + parathyroid hormone daily for 7 days, and (3) microfracture + parathyroid hormone for 28&...
Source: HSS Journal - September 15, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Hospital for Special Surgery 2009 Resident and Fellow Research Presentations Award-Winning AbstractsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory AbstractDOI 10.1007/s11420-009-9132-9 Journal HSS JournalOnline ISSN 1556-3324Print ISSN 1556-3316 (Source: HSS Journal)
Source: HSS Journal - August 18, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Noninvasive Quantitative Assessment of Bone Healing After Distraction OsteogenesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract One of the greatest challenges of limb lengthening and deformity correction is deciding when the bone has healed enough to remove the external fixator. Standard radiography is the most common imaging method used to assess bone healing after distraction osteogenesis because it is widely available, cheap, and relatively safe. However, other imaging technologies and methods are being investigated that will help quantify bone healing after distraction osteogenesis, providing an objective method for deciding when it is appropriate to remove an external fixator. This review will examine the latest techniq...
Source: HSS Journal - August 18, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

What Would a Good Doctor Do? Reflections on the Ethics of MedicineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Ethical challenges are prevalent in modern-day medicine. Whether arising in the daily practice of medicine, in the conduct of research, or in our educational practices, physicians need to understand the relevance ethics plays in our professional lives. This paper examines the ethical foundations of medical ethics, suggests qualities that define optimal professionalism, and frames the discussion employing two hypothetic case presentations. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11420-009-9126-7Authors C. Ronald MacKenzie, Hospital for Special Surgery 535 East 70th Stree...
Source: HSS Journal - July 24, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Overlap Between Systemic Lupus Erythematosus and Kikuchi Fujimoto DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Clinical Pathology ConferenceDOI 10.1007/s11420-009-9123-xAuthors Jessica K. Gordon, Hospital for Special Surgery Department of Rheumatology 535 East 70th Street New York NY 10021 USACynthia Magro, Weill-Cornell Medical College-New York Presbyterian Hospital Department of Dermatopathology 546 East 68th Street New York NY 10021 USATheresa Lu, Hospital for Special Surgery Department of Rheumatology 535 East 70th Street New York NY 10021 USARobert Schneider, Hospital for Special Surgery Department of Radiology 535 East 70th Street New York NY 10021 USAApril Chiu, Weill-Cornell Medical ...
Source: HSS Journal - July 18, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Percutaneous CT-Guided Treatment of Lumbar Facet Joint Synovial CystsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Symptomatic intraspinal lumbar facet joint synovial cysts can be managed both conservatively and surgically. Diagnosis of the lumbar facet joint cyst is made through cross-sectional imaging of the spine, either by computerized tomography (CT) scan, myelography, or most commonly magnetic resonance imaging. Conservative treatment by facet joint injection can be performed under fluoroscopic or CT guidance, although only CT guidance provides direct visualization of the cyst confirming accurate needle placement. This case report illustrates the use of percutaneous CT-guided facet joint cyst treatment as ...
Source: HSS Journal - July 14, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Cryosurgery and Impaction Subchondral Bone Graft for the Treatment of Giant Cell Tumor Around the KneeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Giant cell tumors are neoplasms of mesenchymal stromal cells with varied manifestations. There is no uniform accepted treatment protocol for these tumors. Curettage, although an accepted method of treatment, carries a high local recurrence rate. Adjuvant therapies including high-speed burr debridement, cryotherapy, and phenol treatment have been advocated to reduce local recurrence. We have used these adjuvants to determine if improved cure rate with improved outcomes could be attained with regard to local tumor control and functional outcome. Twenty-eight cases of proven giant cell tumors of the di...
Source: HSS Journal - July 10, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Case Report of Spontaneous, Nonspinal Fractures in a Multiple Myeloma Patient on Long-term Pamidronate and Zoledronic AcidEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory ErratumDOI 10.1007/s11420-009-9121-zAuthors Greg Wernecke, Hospital for Special Surgery Department of Orthopaedic Surgery New York NY USASurena Namdari, Hospital for Special Surgery Department of Orthopaedic Surgery New York NY USAEdward F. DiCarlo, Hospital for Special Surgery Department of Orthopaedic Surgery New York NY USARobert Schneider, Hospital for Special Surgery Department of Orthopaedic Surgery New York NY USAJoseph Lane, Hospital for Special Surgery Department of Orthopaedic Surgery New York NY USA Journal HSS JournalOnline ISSN 1556-3324Print ISSN 1556-3316 (Source: HSS Journal)
Source: HSS Journal - June 19, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Scoliosis in a Case of Schinzel–Giedion SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this report is to describe the possibility of development of scoliosis in SGS due to the neuromuscular nature of the syndrome, especially in long survivors. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11420-009-9111-1Authors Amit K. Sharma, Hospital for Special Surgery Clinical Fellow-Spine 535 East 70th Street New York NY 10021 USAJoseph A. Gonzales, Children’s Hospital Department of Orthopedic Surgery New Orleans LA USA Journal HSS JournalOnline ISSN 1556-3324Print ISSN 1556-3316 (Source: HSS Journal)
Source: HSS Journal - June 17, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Spontaneous Posterior Iliac Crest Regeneration Enabling Second Bone Graft Harvest; A Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of a revision spinal fusion in which successful bone graft reharvesting was performed from the posterior iliac crest 4 years after initial intracortical harvesting. To date, only anterior iliac crest regeneration has been reported in orthopedic trauma patients. A 70-year-old man with a history of two prior instrumented lumbar fusion operations developed thoracolumbar kyphosis junctional to the lumbosacral fusion mass. His first operation was an instrumented posterolateral lumbar fusion L1 to L5, where bone graft was harvested from the right iliac crest using the intracortical harvesting technique...
Source: HSS Journal - June 17, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Urine Desmosine as a Marker of Lung Injury Following Total Knee Arthroplasty. A Pilot StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Lung injury following total knee arthroplasty (TKA) may occur secondary to embolization of bone debris, fat, and cement. Clinically relevant respiratory failure is rare and is therefore difficult to study. To facilitate future investigations on this subject, we evaluated the utility of the elastin breakdown product desmosine as a potential marker of lung injury during TKA surgery. The goals of this study were to answer (1) if desmosine levels would increase in response to the perioperative insults in patients undergoing TKA and (2) if this increase would differ among unilateral and bilateral TKA pro...
Source: HSS Journal - June 12, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

A Simple Technique for Alignment in Total Hip Resurfacing Arthroplasty: Technical Note and Preliminary ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The functioning and survival of hip resurfacing arthroplasty depends on correct positioning and alignment of the implant. Correct positioning of the femoral alignment wire with respect to the femoral neck is the key to avoiding complications. Although the surgeon must align the wire in two planes, we can only control one plane at a time without changing position or relying on the indications of an assistant. Independent placement of two parallel alignment wires, one for varus-valgus orientation and another for version orientation, will help to determine two planes, the valgus sagittal plane and the ...
Source: HSS Journal - June 9, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Ulnar Neuropathy at the WristEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A case of ulnar nerve compression at the wrist within Guyon’s canal is reported. The clinical presentation initially appeared consistent with an ulnar nerve entrapment at the elbow. The true diagnosis of an ulnar sensorimotor nerve lesion occurring within the canal of Guyon was made electrophysiologically. Magnetic resonance imaging demonstrated compression of the nerve within the canal by a ganglionic cyst, which was confirmed by surgical intervention. Ulnar nerve entrapment at the wrist is uncommon and difficult to diagnose; therefore, it is important to understand the nerve’s anatomical cours...
Source: HSS Journal - June 9, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

The Hospital for Special Surgery Affiliates with Cornell University Medical College and New York Hospital, 1951; Philip D. Wilson Retires as Surgeon-in-Chief, 1955Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract When World War II ended in 1945, the Hospital for Special Surgery (HSS), the oldest orthopedic hospital in the country, was entering its eighth decade. Only 5 years previously, its name was changed from the Hospital for the Ruptured and Crippled (R & C). In 1934, Dr. Philip D. Wilson (1886–1969) had been recruited to fill the office of the fifth Surgeon-in-Chief with a key charge to restore the hospital as the leading orthopedic institution in our country, a role it originally held for over half a century since its founding in 1863. Wilson believed that a close affiliation with a university c...
Source: HSS Journal - June 9, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Rotational Acetabular Osteotomy for Secondary Osteoarthritis After Surgery for Developmental Dysplasia of the HipEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The treatment of residual deformity following surgery for developmental dysplasia of the hip remains controversial. The rationale for the use of the rotational acetabular osteotomy (RAO) is that it increases the weight-bearing area by shifting the osteotomized acetabulum to cover the femoral head. This can improve joint function as well as achieve relief of pain. However, it is unclear if this osteotomy can improve a compromised hip when performed for the treatment of residual deformity and acetabular dysplasia after surgery for developmental dysplasia of the hip. We aimed to report the clinical out...
Source: HSS Journal - June 9, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Does Shoe Insole Modification Prevent Stress Fractures? A Systematic ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to systematically review the best evidence on the use of insoles as a method of stress fracture prevention in a high-risk population. Using MEDLINE, Cochrane, Current Controlled Trials, UK National Research Register, ScienceDirect, CINAHL, and EMBASE, a review of randomized (level I) and quasi-randomized (level II) controlled trials was performed using an insole as the intervention and stress fracture incidence as the primary outcome measure. Five trials were included, and a random effects model was used to generate a summary estimate and an overall odds ratio. One study found a signifi...
Source: HSS Journal - June 9, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Varus Gonarthrosis Predisposes to Varus Malalignment in TKAEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Postoperative alignment is a predictor for long-term survival of total knee arthroplasty (TKA). The purpose of this study was to evaluate whether or not preoperative deformities predispose to intraoperative malposition of TKA components. A retrospective radiographic analysis of 53 primary TKA cases was performed. Preoperative AP hip to ankle and lateral knee radiographs were compared with postoperative views to evaluate component positioning. The following angles were measured: the hip–knee–ankle (HKA) angle expressing the mechanical axis of the leg, the mechanical lateral distal femur angle (mL...
Source: HSS Journal - May 20, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Is There a Role for NFAT Inhibitors in the Prevention of Bone Destruction?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Pathologic conditions resulting from excessive bone destruction include osteoporosis, rheumatoid arthritis, metastases, periprosthetic osteolysis, cherubism, and others. A scarcity of molecular targets in bone has thwarted the development of drugs to combat these conditions. Nuclear factor of activated T-cells (NFAT) is a master regulator of osteoclastogenesis and is induced by RANKL. The immunosuppressive drugs, Cyclosporin A and Tacrolimus, inhibit osteoclast formation by targeting the NFAT/calcineurin pathway. These NFAT inhibitors should be considered in the treatment of osteoclastic hyper-resor...
Source: HSS Journal - May 16, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Fracture of the Medial Tubercle of the Posterior Process of the Talus: Magnetic Resonance Imaging Appearance with Clinical Follow-UpEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a clinically unsuspected fracture of the medial tubercle of the posterior process of the talus seen on magnetic resonance imaging, treated conservatively, with interval satisfactory healing of the fracture at 6 weeks follow-up. Content Type Journal ArticleDOI 10.1007/s11420-009-9113-zAuthors Padhraig O’Loughlin, Hospital for Special Surgery Orthopaedic Surgery, Foot and Ankle Service 535 East 70th St New York NY 10021 USACarolyn M. Sofka, Hospital for Special Surgery Department of Radiology and Imaging 535 East 70th St New York NY 10021 USAJohn G. Kennedy, Hospital for Special Surgery Orth...
Source: HSS Journal - April 5, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Total Hip Arthroplasty in Rapidly Destructive Osteoarthritis of the Hip: A Case SeriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Rapidly destructive osteoarthritis (RDO) of the hip is a rare condition characterized by rapid joint degeneration and destruction similar to findings of infection, osteonecrosis, or Charcot disease but without a definitive diagnosis. The cause and natural history of RDO are unclear, but total hip arthroplasty has been utilized as a treatment modality due to the severity of the symptoms. We reviewed retrospectively the records of total hip arthroplasties performed between 1990 and 2003 and identified ten hips in eight patients who fit the profile of the diagnosis of RDO. The mean age at time of surge...
Source: HSS Journal - March 24, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

SAS Weekly Rounds: Avascular NecrosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Osteonecrosis of the femoral head is a condition that affects upwards of 10,000 individuals in the USA each year. The peak incidence is in the fourth decade of life, and overall, there is a male preponderance. The condition accounts for up to 12% of total hip arthroplasties performed in developed countries. The etiology can be traumatic or non-traumatic, with 90% of atraumatic cases attributed to corticosteroid therapy or excess alcohol consumption. Osteonecrosis of the femoral head reflects the final common pathway of a range of insults to the blood supply and ultimately results in femoral head col...
Source: HSS Journal - March 18, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Recent Advances Toward the Clinical Application of PTH (1-34) in Fracture HealingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract PTH 1-34, an active form of parathyroid hormone, has been shown to enhance osteoblastic bone formation when administered as a daily subcutaneous injection. The effect of the intermittent administration of PTH (1-34) is an uncoupling of bone turnover with an increase in bone mass and density and decrease in risk of vertebral and nonvertebral fractures. While PTH (1-34) has been used clinically to increase bone mass and reduce fracture risk in postmenopausal women with osteoporosis, there is increasing evidence that PTH (1-34) may promote fracture healing. Animal studies have demonstrated accelerated ...
Source: HSS Journal - March 17, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

A Musculoskeletal Profile of Elite Female Soccer PlayersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The purpose of this study is to identify lower-extremity (LE) musculoskeletal characteristics of elite female soccer players and to determine whether differences between dominant and nondominant extremities exist with respect to strength, flexibility, and range of motion. Physical data were collected from 26 female professional soccer players. Core control, hip and knee passive range of motion (PROM), LE flexibility, hip abductor strength, and dynamic functional alignment were assessed for each LE. Of 26 subjects, 21 scored 2/5 or less on core control. Mean hip internal rotation and external rotatio...
Source: HSS Journal - March 17, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

T2 Mapping of Articular Cartilage of Glenohumeral Joint with Routine MRI Correlation—Initial ExperienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objectives of this study were to evaluate the feasibility of magnetic resonance T2 mapping of the glenohumeral joint in routine clinical imaging, to assess the normal T2 mapping appearance of the glenohumeral joint, and to compare the findings on T2 maps to conventional MR pulse sequences. Magnetic resonance imaging (MRI) examinations of 27 shoulders were performed in a routine clinical setting. All studies included acquisition of T2 mapping using a dedicated software. The T2 maps were analyzed along with the routine MR exam and correlation of cartilage appearance on T2 map and on conventional MR sequences. T2 ima...
Source: HSS Journal - January 22, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Treatment of Diffuse Pigmented Villonodular Synovitis of the Knee with Combined Surgical and RadiosynovectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Treatment of extensive diffuse pigmented villonodular synovitis (PVNS) of large joints by isolated surgical resection is unsatisfactory, with high rates of local recurrence. Post-synovectomy adjuvant treatment with external beam radiation therapy or intra-articular injection of radioactive material as yttrium-90 (90Y) yielded better results. Between January 2005 and January 2007, 12 patients (eight men and four women aged 19–49 years) with extensive diffuse PVNS of the knee were treated. All patients had an adjuvant post-operative external beam radiation therapy (2,600–3,000 cGy) conve...
Source: HSS Journal - December 19, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Catastrophic Antiphospholipid Syndrome Triggered by SepsisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Clinical Pathology ConferenceDOI 10.1007/s11420-008-9103-6Authors Susan Kim, Weill-Cornell New York Presbyterian Hospital Department of Medicine 546 East 68th Street New York NY 10021 USANeal K. Moskowitz, Hospital for Special Surgery Department of Rheumatology 535 East 70th Street New York NY 10021 USAEdward F. DiCarlo, Hospital for Special Surgery Department of Pathology 535 East 70th Street New York NY 10021 USAAnne R. Bass, Hospital for Special Surgery Department of Rheumatology 535 East 70th Street New York NY 10021 USADoruk Erkan, Hospital for Special Surgery Department of Rhe...
Source: HSS Journal - December 19, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Sciatic Nerve Injury Associated with Acetabular FracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Sciatic nerve injuries associated with acetabular fractures may be a result of the initial trauma or injury at the time of surgical reconstruction. Patients may present with a broad range of symptoms ranging from radiculopathy to foot drop. There are several posttraumatic, perioperative, and postoperative causes for sciatic nerve palsy including fracture–dislocation of the hip joint, excessive tension or inappropriate placement of retractors, instrument- or implant-related complications, heterotopic ossification, hematoma, and scarring. Natural history studies suggest that nerve recovery depends o...
Source: HSS Journal - December 17, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals

T1 Radiculopathy: Electrodiagnostic EvaluationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Electromyography (EMG) studies are useful in the anatomical localization of nerve injuries and, in most cases, isolating lesions to a single nerve root level. Their utility is important in identifying specific nerve-root-level injuries where surgical or interventional procedures may be warranted. In this case report, an individual presented with right upper extremity radicular symptoms consistent with a clinical diagnosis of cervical radiculopathy. EMG studies revealed that the lesion could be more specifically isolated to the T1 nerve root and, furthermore, provided evidence that the abductor polli...
Source: HSS Journal - December 14, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Efficiency of Autologous Blood Donation in Combination with a Cell Saver in Bilateral Total Knee ArthroplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The increased blood loss and resulting need for allogenic blood has been a major concern of one-stage bilateral total knee arthroplasty (TKA). One hundred eighteen consecutive patients donating either 2 units (87 patients) or 3 units (31 patients) of autologous blood prior to one-stage bilateral TKA were retrospectively evaluated to determine: (1) how many patients received allogenic transfusion; (2) what percentage of autologous blood was wasted; and (3) whether donating 2 or 3 units of autologous blood before surgery is more cost-effective. Fifteen patients in the 2-units donation g...
Source: HSS Journal - December 14, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Differences in Tendon Graft Healing Between the Intra-articular and Extra-articular Ends of a Bone TunnelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The basic biology of healing between a tendon graft and bone tunnel remains incompletely understood. Distinct variability in the morphological characteristics of the healing tendon–bone attachment site has been reported. We hypothesized that spatial and temporal differences in tendon-to-bone healing exist at different regions of a surgically created bone tunnel. Twenty-four male, Sprague–Dawley rats underwent anterior cruciate ligament (ACL) reconstruction in the left knee using a flexor digitorum longus tendon graft secured using suspensory periosteal fixation. Animals were sacrificed at 4, 7, ...
Source: HSS Journal - December 4, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Traumatic Bilateral Knee Dislocations, Unilateral Hip Dislocation, and Contralateral Humeral Amputation: A Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of bilateral traumatic knee dislocations with concomitant right hip dislocation and complete traumatic amputation of the left, nondominant upper extremity at the level of the proximal one-third of the humerus. Angiograms revealed no evidence of popliteal artery injury. Orthopedic treatment consisted of immediate reduction of the dislocations and urgent revision amputation of the upper extremity. Staged, bilateral knee ligamentous reconstructions were performed on hospital days 24 and 29, respectively. Despite this constellation of devastating injuries, the patient had a satisfactory outcome. In p...
Source: HSS Journal - December 4, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Rehabilitating Psoas Tendonitis: A Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract This case report describes the examination and physical therapy intervention for a woman with anterior hip pain whose medical diagnosis following magnetic resonance imaging (MRI) was bilateral labral tears and psoas tendinitis. Her physical therapy evaluation revealed findings consistent with psoas tendonitis. Utilizing theories of neuromuscular patterning and knowledge of normal muscle function, the patient was successfully treated in physical therapy following six physical therapy sessions, once a week for 6 weeks. The patient was found to have an overactive psoas muscle, as indicated by hip ...
Source: HSS Journal - December 2, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals

The Hospital for the Ruptured and Crippled Renamed The Hospital for Special Surgery 1940; The War Years 1941–1945Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract In 1939, the 75th anniversary program marking the founding of the Hospital for the Ruptured and Crippled (R & C), the oldest orthopaedic hospital in the nation, was held at the hospital site in New York City. Dr. Philip D. Wilson, Surgeon-in-Chief since 1935, used this event to mark the return of the hospital to its leadership role in the country. When the Hospital for the Ruptured and Crippled first opened its doors on May 1, 1863, the name of the hospital was not unusual; it described the type of patients treated. In 1940, the Board of Managers with guidance from Dr. Wilson changed the name to the...
Source: HSS Journal - December 2, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Ipsilateral Fibular Transport Using Ilizarov–Taylor Spatial Frame for a Limb Salvage Reconstruction: a Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Segmental bone defects of the tibia present a challenging problem, particularly when they are associated with soft tissue injuries or instability. Various techniques have been reported to treat bone loss in the tibia. This case report describes a patient with massive segmental bone loss associated with a soft tissue injury, which required a flap for coverage. The injury was treated with an ipsilateral fibular transport utilizing an Ilizarov/Taylor spatial frame. At one and a half year follow-up, the patient was able to walk without any support at home and wore a protective shell for outdoor activiti...
Source: HSS Journal - November 26, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Displacement of the Posterior Horn of the Lateral Meniscus into Posterolateral Compartment: An Unusual Injury PatternEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of acute ACL injury with an unusual lateral meniscal tear pattern. The entire posterior horn of the lateral meniscus was avulsed from its attachments while remaining in continuity with the body of the meniscus. It was displaced posteriorly and laterally to the popliteus tendon so that it was not immediately visible at the time of arthroscopy. This type of displacement of the posterior horn of the lateral meniscus is difficult to identify at arthroscopy and has not previously been described in the literature to our knowledge. We recommend to surgeons who encounter an absent posterior horn of the lateral...
Source: HSS Journal - November 18, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Pulmonary Artery Versus Central Venous Catheter Monitoring in the Outcome of Patients Undergoing Bilateral Total Knee ReplacementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Bilateral total knee replacement (BTKR) has been associated with a higher incidence of fat embolism (FES) compared to single knee replacement. Consequently, intraoperative monitoring with a pulmonary artery catheter (PAC) has been recommended. This study compares clinical outcome in BTKR patients monitored with central venous pressure versus PAC. A retrospective chart review of 249 consecutive patients undergoing BTKR, 132 of whom had PAC insertion versus 117 who had central line insertion, over a 1-year period were included in the study. Their medical records were reviewed for co-morbidities, basel...
Source: HSS Journal - November 11, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Imaging-Guided Treatment of Meniscal CystsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Meniscal and parameniscal pathology is usually diagnosed through magnetic resonance imaging. The availability of high-frequency high-resolution linear transducers for sonographic detection of peripheral meniscal and parameniscal pathology has made not only the diagnosis but also the treatment of symptomatic parameniscal cysts a more accessible option. This case report illustrates the use of sonographically guided meniscal cyst aspiration and injection as an alternative to surgical treatment in the proper clinical scenario. Content Type Journal ArticleDOI 10.1007/s11420-008-9098-zAuthors Anthony...
Source: HSS Journal - November 7, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Global Musculoskeletal Health: Inaugural Meeting of the International Society of Orthopaedic CentersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The International Society of Orthopaedic Centers (ISOC) was founded in 2006 to function as a think tank for leading international orthopaedic academic centers. ISOC’s mission is to facilitate the exchange of ideas and cutting edge practices among these centers and to work together on patient care, education, and research in order to make global improvements in orthopaedic care. The inaugural meeting, hosted by Hospital for Special Surgery on May 17–19, 2007, is described here. Content Type Journal ArticleCategory Special InterestDOI 10.1007/s11420-008-9092-5Authors Thomas P. Sculco, Hospital...
Source: HSS Journal - October 29, 2008 Category: Orthopaedics Tags: HSS Journal Source Type: journals