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Saturday, November 26, 2011

2 Research Related Ortho Articles from PubMed


1. Post-Vertebral Augmentation Back Pain: Evaluation and Management. Kamalian S, Bordia R, Ortiz AO. AJNR Am J Neuroradiol. 2011 Nov 24. [Epub ahead of print] PMID: 22116104
2. Current Concepts in Clinical Research: Web-Based, Automated, Arthroscopic Surgery Prospective Database Registry. Lubowitz JH, Smith PA. Arthroscopy. 2011 Nov 22. [Epub ahead of print] PMID: 22115540

Research Reveals How Physicians Learn - Or Not

When seeking a physician, you should look for one with experience. Right? Maybe not. Research on physicians' decision-making processes has revealed that those who pay attention to failures as well as successes become more adept at selecting the correct treatment.

"We found that all the physicians in the study included irrelevant criteria in their decisions," said Read Montague, Ph.D., director of the Human Neuroimaging Laboratory at the Virginia Tech Carilion Research Institute, who led the study. "Notably, however, the most experienced doctors were the poorest learners." (PDF) NewsWise

Thursday, November 24, 2011

Happy Thanksgiving!




1. [The prevalance of Orthopedic disabilities in the district of Cay, Afyon, Turkey]. Maralcan G, Kuru I, Aydin UY, Altinel L, Bozan ME, Ellidokuz H. Acta Orthop Traumatol Turc. 2004;38(5):343-7. Turkish. PMID: 15724116; [PubMed - indexed for MEDLINE] Free Article Related citations

Wednesday, November 23, 2011

The Joint Commission: not acceptable to text patient orders

"No it is not acceptable for physicians or licensed independent practitioners to text orders for patients to the hospital or other healthcare setting. This method provides no ability to verify the identity of the person sending the text and there is no way to keep the original message as validation of what is entered into the medical record". Joint Commission

DARPA calls for antibiotic replacement

As noted in the RFP, the military has seen firsthand the problems with current antibiotics; soldiers experiencing wounds in war, especially those involved in fires, that develop bacterial infections now require triple the amount of hospital time to recover as doctor’s plow through a host of antibiotics in trying to find the one that will work. Clearly frightened at the prospect of sending soldiers into battle where they may encounter bioengineered bacterial agents, the top brass has decided it’s time to take another approach and to get on it now.

Instead of working to develop new antibiotics, DARPA proposes the development and use of so-called nanoparticles to deliver gene altering chemicals directly to the cells of bacteria to kill them. MedicalXpress

New Ortho Books Soon to be Released

Atlas of Emergency Ultrasound  John Christian Fox (Dec 31, 2011)

External Fixation in Orthopedic Traumatology David Seligson, Cyril Mauffrey and Craig S. Roberts (Dec 28, 2011)

Normal Ultrasound Anatomy of the Musculoskeletal System: A Practical Guide  Enzo Silvestri, Alessandro Muda and Luca Maria Sconfienza (Dec 28, 2011)

Practical Procedures in Elective Orthopaedic Surgery: Pelvis and Lower Extremity Peter V. Giannoudis (Dec 28, 2011)

Practical Procedures in Orthopaedic Surgery: Joint Aspiration/Injection, Bone Graft Harvesting and Lower Limb Amputations Peter V. Giannoudis (Dec 28, 2011)

Joint Replacement Arthroplasty: Basic Science, Hip, Knee, and Ankle  Bernard F. Morrey, Daniel J. Berry MD, Kai-Nan An PhD and Harold B. Kitaoka (Dec 19, 2011)

Presentation, Imaging and Treatment of Common Musculoskeletal Conditions Expert Consult: MRI-Arthroscopy Correlation   Mark D. Miller MD and Timothy G. Sanders MD (Dec 15, 2011)

The Textbook of Spinal Surgery (2 Volume Set) Keith H. Bridwell and Ronald L. DeWald (Dec 5, 2011)

MRI of the Whole Body Dr. Nikhil Bhuskut, Dr. Edward Hoey and Dr. Kshitij Mankad (Dec 1, 2011)

Manual of Definitive Surgical Trauma Care, 3rd edition  Kenneth Boffard (Dec 1, 2011)

Atlas of Human Anatomy on MRI: Spine Extremities Joints Hariqbal Singh (Nov 30, 2011)

Text and Atlas of Complications of Fractures John Ebnezar (Nov 30, 2011)

Imaging in Percutaneous Musculoskeletal Interventions (Medical Radiology / Diagnostic Imaging) Afshin Gangi, Stephane Guth, Ali Guermazi and V. Baert (Nov 29, 2011)

Military Related Ortho Articles from PubMed

1. Foot salvage after loss of the first and second metatarsal rays with a free fibular osteocutaneous flap. Salgado CJ, Lin CH, Fuller DA, Duncan AN, Camison L, Mardini S. J Am Podiatr Med Assoc. 2011 Nov;101(6):531-6. PMID:  22106202
2. Fracture Patterns on the Infant Porcine Skull Following Severe Blunt Impact(*). Powell BJ, Passalacqua NV, Baumer TG, Fenton TW, Haut RC. J Forensic Sci. 2011 Nov 21. [Epub ahead of print] PMID: 22103781
3. Sonographic evaluation of peripheral nerve injuries following the Wenchuan earthquake. Tang P, Wang Y, Zhang L, He C, Liu X. J Clin Ultrasound. 2011 Nov 21. doi: 10.1002/jcu.20895. [Epub ahead of print] PMID: 22102338
4. Complications associated with military spine injuries. Possley DR, Blair JA, Schoenfeld AJ, Lehman RA, Hsu JR; the Skeletal Trauma Research Consortium (STReC). Spine J. 2011 Nov 17. [Epub ahead of print] PMID: 22100207 5.
Military penetrating spine injuries compared with blunt. Blair JA, Possley DR, Petfield JL, Schoenfeld AJ, Lehman RA, Hsu JR; Skeletal Trauma Research Consortium (STReC). Spine J. 2011 Nov 17. [Epub ahead of print] PMID: 22100206
6. San antonio military and civilian hand transplantation program: a case report. Tuder D, Pederson WC, Abrahamian GA, Ingari JV, Bagg MC, Person DW, Martyak GG. Transplant Proc. 2011 Nov;43(9):3561-2. PMID: 22099842
Can J Surg. 2011 Dec;54(6):S130-4. PMID: 22099326 Free Article
8. Open pelvic fractures: the university of tennessee medical center at knoxville experience over ten years. Black EA, Lawson CM, Smith S, Daley BJ. Iowa Orthop J. 2011;31:193-8. PMID:  22096441 Free PMC Article
9. Current Concepts Review: Carpal Injuries - Fractures, Ligaments, Dislocations. Neuhaus V, Jupiter JB. Acta Chir Orthop Traumatol Cech. 2011;78(5):395-403. PMID: 22094152

Radiation exposure during 3D fluoroscopy of the knee: an experimental study

Radiation exposure during 3D fluoroscopy of the knee decreases with increasing distance from the focus point. A higher number of scans in the high-resolution mode causes greater radiation exposure. In isocentric 3D fluoroscopy of the knee, a safe zone is located at least 1.5 m away from the focus point. T. Tharmviboonsri, K. Riansuwan, A. Nitising and B. Mahaisavariya. European Journal of Trauma and Emergency Surgery; Nov 2011 [epub ahead of print]

Tuesday, November 22, 2011

3D4Medical.com brings popular NOVA series to the Mac App Store

The apps now available are:
  1. Muscle System Pro II
  2. Brain Pro
  3. Heart Pro
  4. Skeletal System Pro   iMedicalApps

Journal of Orthopaedic Trauma [epub ahead of print] - link here onsite

Use Athens login offsite

Surgery Outcomes Better With Some Fat on the Bones

Compared with patients with a BMI of 26.3 to 29.6, those with a value below 23.1 had a significantly higher risk of death (adjusted OR 1.40, 95% CI 1.25 to 1.58), according to an analysis of 189,533 surgeries performed in 2005 and 2006 and recorded in the National Surgical Quality Improvement Program (NSQIP) database.

Patients with higher BMI values above 23.1 -- including the morbidly obese -- had about the same risk of 30-day mortality as the moderately overweight, George J. Stukenborg, PhD, of the University of Virginia in Charlottesville, and colleagues, reported online in Archives of Surgery. MedPage Today

Improved method of electrical stimulation could help treat damaged nerves

Functional electrical stimulation (FES) was developed to help return lost function to patients with upper and lower extremity injuries and spinal cord injuries, among other applications. However, the devices, which work by stimulating neuronal activity in nerve-damaged patients, have a potential shortcoming in that the electrical currents needed for the treatment to work can also send errant signals to surrounding nerves, resulting in painful side effects.

Earlier this fall, a plastic surgery research team at Beth Israel Deaconess Medical Center (BIDMC) and an engineering team from the Massachusetts Institute of Technology (MIT), described a new method of nerve stimulation that reduces the device's electrical threshold by 40 percent, compared with traditional FES therapy. Reported in the October 23 Advance On-line issue of the journal Nature Materials, the findings could help researchers develop a safer, more efficient FES therapy with fewer side effects. Eurekalert!

Monday, November 21, 2011

Tweaking a Gene Makes Muscles Twice as Strong

An international team of scientists has created super-strong, high-endurance mice and worms by suppressing a natural muscle-growth inhibitor, suggesting treatments for age-related or genetics-related muscle degeneration are within reach.

The scientists found that a tiny inhibitor may be responsible for determining the strength of our muscles. By acting on a genome regulator (NCoR1), they were able to modulate the activity of certain genes, creating a strain of mighty mice whose muscles were twice a strong as those of normal mice. NewsWise

Nathan Promoted to Navy Surgeon General

Rear Adm. Matthew L. Nathan, commander of Navy Medicine for the National Capital Area, officially received his third admiral's star Nov. 18, during his promotion to Surgeon General of the U.S. Navy. Military.com

Sunday, November 20, 2011

Recipient's immune system governs stem cell regeneration

A new study in Nature Medicine describes how different types of immune system T-cells alternately discourage and encourage stem cells to regrow bone and tissue, bringing into sharp focus the importance of the transplant recipient's immune system in stem cell regeneration.

The study, conducted at the Center for Craniofacial Molecular Biology at the Ostrow School of Dentistry of USC, examined how mice with genetic bone defects responded to infusions of bone marrow mesenchymal stem cells, or BMMSC. Eurekalert!

Discovery of new muscle repair gene

An international team of researchers from Leeds, London and Berlin has discovered more about the function of muscle stem cells, thanks to next-generation DNA sequencing techniques. The work, which was co-led from the University of Leeds' School of Medicine and the CharitĂ©, Berlin, is published this week in the journal Nature Genetics. Eurekalert!

Android 4.0 Ice Cream Sandwich features for medical professionals

Android 4.0 (Ice Cream Sandwich) is the latest version of the Android platform for phones, tablets, and more. It builds on the things people love most about Android — easy multitasking, rich notifications, customizable home screens, resizable widgets, and deep interactivity — and adds powerful new ways of communicating and sharing.

Let's look at some of these new features that could be very helpful for medical professionals who rely on their smartphones each day: Medical Smartphones

Recent PubMed results for combat or high-energy trauma

1. Open pelvic fractures: the university of tennessee medical center at knoxville experience over ten years. Black EA, Lawson CM, Smith S, Daley BJ. Iowa Orthop J. 2011;31:193-8. PMID: 22096441
2. Incidence of low- and high-energy fractures in persons with and without HIV-infection: a Danish population-based cohort study. Hansen AB, Gerstoft J, Kronborg G, Larsen CS, Pedersen C, Pedersen G, Obel N. AIDS. 2011 Nov 16. [Epub ahead of print] PMID: 22095195
Acta Chir Orthop Traumatol Cech. 2011;78(5):395-403. PMID: 22094152
4. Knee injuries related to sports in young adult males during military service - Incidence and risk factors. Kuikka PI, Pihlajamäki HK, Mattila VM. Scand J Med Sci Sports. 2011 Oct 7. [Epub ahead of print] PMID: 22092849

The Iowa Orthopaedic Journal: good research and free online


Electronic Links:

University of Iowa Department of Orthopaedics and Rehabilitation  (large PDF - not recommended)

PubMed Central (recommended access)

Predictive measures of a resident's performance on written orthopaedic board scores.

USMLE Step 1 and 2 scores along with OITE scores are helpful in gauging an orthopaedic resident's performance on written boards. Lower USMLE scores along with consistently low OITE scores likely identify residents at risk of failing their written boards. Close monitoring of the annual OITE scores is recommended and may be useful to identify struggling residents. Future work involving multiple institutions is warranted and would ensure applicability of our findings to other orthopedic residency programs. Dyrstad BW, Pope D, Milbrandt JC, Beck RT, Weinhoeft AL, Idusuyi OB. Iowa Orthop J. 2011;31:238-43. PMID: 22096449

Flexor pollicis longus tendon rupture after volar plating of a distal radius fracture: pronator quadratus plate coverage may not adequately protect tendons.

The senior author previously reported a case of rupture of the flexor policis longus tendon after volar plating of a distal radius fracture. We hypothesized that restoration of the pronator quadratus to its native position after plating might prevent this problem. Brown EN, Lifchez SD. Eplasty. 2011;11:e43. Epub 2011 Nov 9. PMID: 22096615

International Journal of Surgery Case Reports: 2011 Volume 2

1.Bilateral persistent sciatic arteries complicated with chronic lower limb ischemia. Wang B, Liu Z, Shen L. Int J Surg Case Rep. 2011;2(8):309-12. Epub 2011 Oct 12. PMID: 22096762
2. Closed reduction of radius refracture: A case report. Shahid M, Yeo M, Smibert JG. Int J Surg Case Rep. 2011;2(8):275-7. Epub 2011 Sep 7. PMID: 22096752
Int J Surg Case Rep. 2011;2(8):235-8. Epub 2011 Jan 21. PMID: 22096738
4. The adverse consequences of pyoderma gangrenosum in a 13 year old child. Lambropoulos V, Patsatsi A, Tsona A, Papakonstantinou A, Filippopoulos A, Sotiriadis D. Int J Surg Case Rep. 2011;2(7):221-4. Epub 2011 Jul 30. PMID: 22096733
5. Bilateral symmetrical periprosthetic (mirror) fractures of knee fixed with dual plating technique. Gurava Reddy V, Krishna Mootha A, Chiranjeevi T, Kantesaria P, Kumar Ramireddy V, Reddy D. Int J Surg Case Rep. 2011;2(7):175-7. Epub 2011 Jul 8. PMID: 22096719
6. Intramuscular cavernous haemangioma of the triceps. Patten DK, Wani Z, Kamineni S. Int J Surg Case Rep. 2011;2(6):86-9. Epub 2011 Mar 3. PMID: 22096691
7. Simple repair of a giant inguinoscrotal hernia. Coetzee E, Price C, Boutall A. Int J Surg Case Rep. 2011;2(3):32-5. Epub 2010 Dec 22. PMID: 22096682