News Blog (Part 11)

Chondromyxoid Fibroma of the Lumbar Spine in a Pediatric Patient

Posted on November 11, 2008

By Nelson S. Saldua, MD; Anthony I. Riccio, MD; Jeffrey A. Cassidy, MD ORTHOPEDICS 2008; 31:610 Chondromyxoid fibroma is a rare, nonmalignancy that comprises <1% of all bone tumors. It typically presents with pain, swelling, and tenderness to palpation. The lesion has a predilection for the metaphysis of long bones of the lower extremity, …

Criminal vs. civil liability: What is the difference?

Posted on November 11, 2008

Surgeons under contract with a device manufacturer should examine all agreements for legal compliance and assume that all are being reported to the government. By B. Sonny Bal, MD, MBA ORTHOPEDICS TODAY 2008; 28:40 Recent media coverage of surgeon/industry relationships has raised the possibility of criminal sanctions for violations of federal criminal …

Chondroblastoma of trapezium with metacarpal involvement

Posted on November 10, 2008

By Eiichi Konishi, MD, PhD; Takako Okubo, MD, PhD; Megumi Itoi, MD, PhD; Yasukazu Katsumi, MD, PhD; Hiroaki Murata, MD, PhD; Akio Yanagisawa, MD, PhD ORTHOPEDICS 2008; 31:395 Chondroblastomas typically affect the epiphysis of the long bones in young patients, and only rarely occur in elderly patients >70 years.1-6 Approximately 10% to 20% of chondroblastomas are located in …

New study suggests pain is a cause of arthritis

Posted on October 2, 2008

Findings of a new study suggest that pain is not merely a symptom of arthritis but rather a cause of the condition. The researchers, from the University of Rochester School of Medicine and Dentistry and the University of Torino, Italy, said new treatments may seek to interrupt “crosstalk” between joints …

Hand-arm vibration syndrome correlated with central nervous system changes

Posted on September 19, 2008

CHICAGO — Swedish researchers have identified changes in the brains of patients with hand-arm vibration syndrome compared to a healthy control group. The investigation, presented as a poster at the 63rd Annual Meeting of the American Society for Surgery of the Hand, here, used functional magnetic resonance imaging (FMRI) to …

Aches and Pains Are Worth It

Posted on August 13, 2008

by Charles Sorbie, MB, ChB, FRCS(E), FRCS(C) High cholesterol’s deadly risk to the heart makes it worth putting up with aching muscles for the effects of statin therapy. Myalgia affecting one or several muscle groups occurs in 5% to 10% of patients taking statins to lower their cholesterol. Statins (3-hydroxy-3-methylglutaryl …

Surgeon characteristics and medical malpractice: Are orthopedists at risk?

Posted on April 10, 2008

Study finds orthopedists with many claims have lower moral reasoning scores. By Lawrence H. Brenner, JD; B. Sonny Bal, MD, MBA ORTHOPEDICS TODAY 2008; 28:40 April 2008 Medical malpractice is a complex, poorly understood phenomenon. Why claims are filed, by which patients, and under what conditions remain vexing questions. Two articles in the …

How to deal with the digitally empowered patient

Posted on April 10, 2008

In November I wrote an article for the Time magazine Web site about an encounter with a demanding and computer-search savvy patient named Susan that touched off a small firestorm in the blogosphere. At least 20 well-read blog sites ran pieces about it with vigorous reader-response on both sides, either pro-patient or …

Rehabilitation of Military Amputees: From Injury to Independence

Posted on March 11, 2008

by LTC Romney Andersen, MD; LTC Shelton Davis, MD; COL (Ret) Chuck Scoville, PhD In this issue of ORTHOPEDICS, Drs Andersen (Orthopedic Surgeon), Davis (Physical Medicine and Rehabilitation), and Scoville (Amputee Patient Care) with the Integrated Department of Orthopedics and Rehabilitation at National Naval Medical Center and Walter Reed Army Medical …

Total Hip Arthroplasty in Paralytic Dislocation From Poliomyelitis

Posted on February 10, 2008

by Rafael Laguna, MD; Jesús Barrientos, MD Poliomyelitis is an acute infection disease caused by a group of neurotrophic viruses, which has a special affinity by the anterior horns cells of the spinal cord and for certain motor nuclei of the brain stem. Paralysis is a flaccid type and characteristically …