Why do I like Google+ even in Medicine?

This is a real professional networking site, while Facebook is just a playground for friends. ScienceRoll

Bone Feed allows the busy orthopedist to quickly browse abstracts, but can be improved

Being able to scan and read journal articles is integral to clinical practice and teaching. However, with so much information and new research available, sorting through the publications can be a daunting task. Even Orthopedics, considered to be a specialized field, has over 50 American publications and journals.

Dr. Jeffrey Wint, an orthopedic hand specialist in cooperation with Hand Fed developers created Bone Feed as a way for orthopedic surgeons at all levels of training to have access to abstracts from popular orthopedic journals using an iPhone. It is a good concept, but does the app perform?

Knee Surg Sports Traumatol Arthrosc. 2011 Jul 20. [Epub ahead of print]

1. Primary total knee arthroplasty using rotating-hinge prosthesis in severely affected knees.

Yang JH, Yoon JR, Oh CH, Kim TS. Knee Surg Sports Traumatol Arthrosc. 2011 Jul 20. [Epub ahead of print] PMID: 21773833

2. Development of femoral trochlear groove in growing rabbit after patellar instability.

Huri G, Atay OA, Ergen B, Atesok K, Johnson DL, Doral MN. Knee Surg Sports Traumatol Arthrosc. 2011 Jul 20. [Epub ahead of print] PMID: 21773832

3. Conventional rotator cuff repair complemented by the aid of mononuclear autologous stem cells.

Ellera Gomes JL, da Silva RC, Silla LM, Abreu MR, Pellanda R. Knee Surg Sports Traumatol Arthrosc. 2011 Jul 20. [Epub ahead of print] PMID:  21773831

4. Validity and reliability of the SPORTS score.

Blonna D, Castoldi F, Delicio D, Bruzzone M, Dettoni F, Bonasia DE, Rossi R. Knee Surg Sports Traumatol Arthrosc. 2011 Jul 20. [Epub ahead of print] PMID: 21773830

5. Increase in posterior tibial slope would result in correction loss in frontal plane after medial open-wedge high tibial osteotomy. Asada S, Akagi M, Mori S, Matsushita T, Hashimoto K, Hamanishi C.

Knee Surg Sports Traumatol Arthrosc. 2011 Jul 20. [Epub ahead of print] PMID:  21773829

6. Anterior cruciate ligament tears: conservative or surgical treatment? A critical review of the literature. Delincé P, Ghafil D. Knee Surg Sports Traumatol Arthrosc. 2011 Jul 20. [Epub ahead of print] PMID:  21773828

7. Partial tear of the anterior cruciate ligament of the knee: injury patterns on MR imaging.

Van Dyck P, De Smet E, Veryser J, Lambrecht V, Gielen JL, Vanhoenacker FM, Dossche L, Parizel PM. Knee Surg Sports Traumatol Arthrosc. 2011 Jul 20. [Epub ahead of print] PMID:  21773827

8. Cryopreservation increases apoptosis in human menisci. Villalba R, Peña J, Navarro P, Luque E, Jimena I, Romero A, Gómez Villagrán JL. Knee Surg Sports Traumatol Arthrosc. 2011 Jul 20. [Epub ahead of print] PMID:  21773826

The Effect of Long-term Alendronate Treatment on Cortical Thickness of the Proximal Femur.

Long-term alendronate treatment did not appear to cause thickened femoral cortices within the detection limits of our method. This finding contrasts with the notion that long-term alendronate treatment leads to generalized cortical thickening. Unnanuntana A, Ashfaq K, Ton QV, Kleimeyer JP, Lane JM. Clin Orthop Relat Res. 2011 Jul 20. [Epub ahead of print] PMID: 21773861

Trying to save troops' lives with flying hospital

The critical care flights are part of a big evolution in getting wounded troops back to the U.S., which took about three weeks on average during the Vietnam War. That process can now take as little as three days, depending on the patient's needs.  The Associated Press rode along on one of these special flights when Castagna and two other patients were flown from Germany home to the U.S. AP

Coagulate is a useful reference when dealing with the anticoagulated patient in the OR

“Is it safe for me to perform a regional or neuraxial procedure on this patient taking anticoagulants?”
This is a question we are often faced with in the operating room when dealing with patients taking anticoagulants. Answering this question has become increasingly difficult as both the number of anticoagulant drugs and the indications for these drugs have increased recently. iMedicalApps

New Audio-Digest Orthopaedics

Now available online!  Contact Library for User Name and Password

ETHICS
Audio-Digest Orthopaedics
Volume 34, Issue 15
August 7, 2011
Death and dying – Steven Z. Pantilat, MD
"Do not resuscitate" in the perioperative period – Carl W. Peters, MD

PEDIATRIC FOOT PROBLEMS
Audio-Digest Orthopaedics
Volume 34, Issue 14
July 21, 2011
Painful flatfoot in adolescents – Vincent Mosca, MD,
Adults with a history of club foot – Richard Miller, MD
Tarsal coalition: it’s not just about size – Dr. Mosca

FOOT AND ANKLE ORTHOPAEDICS
Audio-Digest Orthopaedics
Volume 34, Issue 13
July 7, 2011
Maximizing nonoperative treatment – Jeffrey L. Nacht, MD
Optimizing the patient for surgery – Alastair S.E. Younger, MD
Nonoperative management of the ankle – Kevin J. Wing, MD
Osteochondritis dissecans lesions of the talus – Gregory C. Berlet, MD

When injured muscles mistakenly grow bones

For hundreds of thousands of people, injuring a muscle through an accident like falling off a bike or having surgery can result in a strange and serious complication. Their muscles start growing bones. New research shows a neuropeptide called Substance P appears to trigger the formation of the extraskeletal bone. Eliminating Substance P prevents the bone growth, offering a new drug target to prevent and treat the bone growth. Journal of Cellular Biochemistry via Eurekalert!

Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery?

Wrong-site surgery is defined as an operation conducted at the wrong site, on the wrong person, or resulting in the wrong procedure. Since 1993, more than 2200 wrong-site surgeries have been reported by the National Practitioner Data Base. A 2005 survey reported, 5.6% of replying academy fellows encountered a wrong-site surgery incident. Multiple interventions have been since suggested for prevention of these occurrences by the American Academy of Orthopaedic Surgeons and Joint Commission on Accreditation of Healthcare Organizations. Bergal LM, Schwarzkopf R, Walsh M, Tejwani NC. J Patient Saf. 2010 Dec;6(4):221-5. PMID: 21500609

Painful legacy of teen sports

Vigorous sports activities, like basketball, during childhood and adolescence can cause abnormal development of the femur in young athletes, resulting in a deformed hip with reduced rotation and pain during movement. This may explain why athletes are more likely to develop osteoarthritis than more sedentary individuals, according to Dr. Klaus Siebenrock, from the University of Bern in Switzerland, and colleagues, whose work is published online in Springer's journal Clinical Orthopaedics and Related Research. Eurekalert!

Army Develops Home-Made Leg Prostheses

The DIY spirit is so strong these days that even the U.S. Army is now building home made leg prostheses and planning on teaching Afghans how to make more from readily available parts. A team of soldiers developed a custom prototype for an eight year old boy who lost both legs, with the idea that locals should be able to make their own prostheses so that people injured by mines and bombs can get on their feet quickly, without having to wait for a distant charity to help.  medGadget.com

CPT® E/M Quick Reference App

CPT® E/M Quick Reference—now available for the Apple iPhone®, iPad® and iPod Touch®. Fast. Easy. Reliable. This on-the-go reference guide helps you easily determine the appropriate CPT Evaluation and Management (E/M) billing codes. Featuring both decision-tree logic and quick search options, this critical app allows you to digitally track the codes you select and then email them anywhere.  MedicalSmartphones.com

A meta-analysis of the Gamma nail and dynamic hip screw in treating peritrochanteric fractures

The review found there was a higher rate of postoperative femoral shaft fracture with Gamma nail compared with dynamic hip screw fixation in treating peritrochanteric fractures, but no differences for other outcomes; further research is needed. The authors' conclusions reflect the data presented, but should be interpreted considering the substantial methodological flaws in included trials and potential review process bias.

PubMedID

19401825

Original Paper URL

http://www.springerlink.com/content/23822747152j47l3/

Surgical Technique: A Minimally Invasive Approach to Scapula Neck and Body Fractures.

The approach of choice for open reduction internal fixation of displaced fractures involving the scapula neck or body is from posterior. We describe a new approach that minimizes the surgical insult to the soft tissues but preserves the ability to restore alignment and stability to the fracture.

Gauger EM, Cole PA. Clin Orthop Relat Res. 2011 Jul 15. [Epub ahead of print] PMID: 21761253

Augmented Reality for surgeons comes via mobile medical technology – Hallux Angles app

“Hallux Angles is a radiographic measurement aid to assist in the pre-op radiographic planning process. It is intended to supplement – not replace – conventional techniques. The target audience includes all those practicing forefoot surgery” iMedicalApps

Study Identifies Patients at Increased Risk of Morbidity and Mortality after Bilateral Knee Replacement Surgery

Study Identifies Patients at Increased Risk of Morbidity and Mortality after Bilateral Knee Replacement Surgery - A new study by researchers at Hospital for Special Surgery has identified patients who are at a higher risk of morbidity and mortality when undergoing knee replacement surgery in both legs at the same time. Newswise

Spanish surgeons claim first double leg transplant

Spanish surgeons Monday performed the world's first double-leg transplant on a man whose legs were amputated above the knee after an accident, officials said. PhysOrg.com

Journal of Orthopaedic Trauma [Epub ahead of print]

1. Managing Bone Defects. Nauth A, McKee MD, Einhorn TA, Watson JT, Li R, Schemitsch EH.

J Orthop Trauma. 2011 Jul 6. [Epub ahead of print] PMID: 21738065

2. Preclinical Animal Models in Trauma Research. Harvey EJ, Giannoudis PV, Martineau PA, Lansdowne JL, Dimitriou R, Moriarty TF, Richards RG. J Orthop Trauma. 2011 Jul 6. [Epub ahead of print] PMID: 21738062

Archives of Orthopaedic and Trauma Surgery [Epub ahead of print]

1. Relationship between human femorotibial joint configuration and the morphometry of the anterior cruciate ligament. Dargel J, Schmidt-Wiethoff R, Feiser J, Koebke J, Schlüter-Brust K, Eysel P, Michael JW. Arch Orthop Trauma Surg. 2011 Jul 8. [Epub ahead of print] PMID: 21739115

2. Hip abductor muscle strength after total hip arthroplasty with short stems. Kamada S, Naito M, Nakamura Y, Kiyama T. Arch Orthop Trauma Surg. 2011 Jul 8. [Epub ahead of print] PMID: 21739114

Clinical anatomy of the coccyx: A systematic review.

Note: Special Clinical Anatomy Issue on Cadaver Use in Trauma Research Click for Access

Abstract: The coccyx has been relatively neglected in anatomical research which is surprising given the population prevalence of coccydynia and our inadequate understanding of its etiology. This systematic review analyzes available information on the clinical anatomy of the coccyx. A literature search using five electronic databases and standard anatomy reference texts was conducted yielding 61 primary and 7 secondary English-language sources. This was supplemented by a manual search of selected historical foreign language articles. The coccygeal vertebrae, associated joints, ligaments and muscles, coccygeal movements, nerves, and blood supply were analyzed in detail. Although the musculoskeletal aspects of the coccyx are reasonably well described, the precise anatomy of the coccygeal plexus and its distribution, the function of the coccygeal body, and the anatomy of the sacrococcygeal zygapophyseal joints are poorly documented. Further research into the anatomy of the coccyx may clarify the etiopathogenesis of coccydynia which remains uncertain in one-third of affected patients.Woon JT, Stringer MD. Clin Anat. 2011 Jul 7. [Epub ahead of print] PMID: 21739475