A Guide to Arthritis: How To Manage Pain by Body Part
Anyone who struggles to button a shirt or get up from a chair because of arthritis knows how painful and limiting the condition can be. Symptoms worsen with age, but if you’re young and think you are still years away from experiencing them, you may be surprised to learn that although the onset of arthritis is typically after age 40, even people in their 20s can develop it.Source: Yale Medicine
Kathy Umlauf Wins 2022 Rosemarie L. Fisher, MD, Excellence in Graduate Medical Education Award
Kathy Umlauf, residency and fellowship coordinator for the Department of Orthopaedics & Rehabilitation, has won the 2022 Rosemarie L. Fisher, MD, Excellence in Graduate Medical Education (GME) Award. Umlauf, who is in her 40th year at Yale, has served as the program coordinator for the Orthopaedic Surgery Residency program since 2001.
Patient Demographic and Socioeconomic Factors Associated with Physical Therapy Utilization after Uncomplicated Meniscectomy
Meniscal tears are common orthopaedic injuries that may be caused by trauma or degenerative changes in the knee joint. The extent to which physical therapy (PT) is used after meniscectomy is unknown. The objective of this study was to estimate the extent to which PT is implemented after meniscectomy and to identify factors associated with its utilization.
Predictors of Physical Abuse in Elder Patients with Fracture
Elder abuse is a public health issue requiring attention. Unlike abuse in the pediatric population, predictors of elder abuse in patients with fracture have not been well defined. Elderly patients with physical abuse and fracture were abstracted using the 2007 to 2017 National Emergency Department Sample database. Univariate comparisons, multivariate regression, and adjusted odds ratios were used to determine independent predictors of elder abuse compared with nonabuse fracture controls.
How Do I Know If I Need a Cortisone Shot?
If you’re an athlete prone to overuse injuries or if you have a chronic condition like arthritis, chances are you’ve had a cortisone injection—or at least discussed the treatment with your medical provider. Cortisone injections are most commonly delivered to joints, including those in the hip, knee, shoulder, spine, or wrist, to tamp down inflammation and pain—with the goal of getting people back to their everyday activities.Source: Yale Medicine
ACL injuries are more common for female athletes such as UConn’s Paige Bueckers. Experts explain why
Female athletes are two to eight times more likely to sustain an ACL injury compared to male athletes. While ACL injuries are most common in sports that involve pivoting and sudden movements, such as basketball and soccer, women are more likely to suffer an ACL injury no matter the level of competition. Two Yale Orthopaedic surgeons explain.Source: Connecticut Post
Advancing patient-centered care through transformative clinical innovations
The YNHHS Center for Health Care Innovation (CHI) is pleased to announce the winners of the Yale New Haven Health (YNHHS) Innovation Awards and to celebrate early-stage innovations emerging from our academic medical center and health system. Established in 2019 as a joint initiative between YNHHS and Yale University, CHI champions innovation and leads the implementation of novel solutions to improve healthcare delivery. The YNHHS Innovation Awards seek to provide needed resources to YNHHS employees and Yale University faculty working on promising ideas with potential for impact.Source: Yale New Haven Health
Standing Tall: Straight Talk About Pediatric Scoliosis
A Connecticut boy is back to playing basketball, now that his spine is straighter. Liz Reynoso had taken her son, Justin, to see many doctors over the years to find out what could be done to stop the worsening curve in his spine. At age 3, Justin was diagnosed with early-onset idiopathic scoliosis, a type of scoliosis with an unknown cause.Source: Yale New Haven Health
Yale offers free medical screening for local student-athletes
The Yale School of Medicine is inviting local student-athletes to register for a free medical screening in August – the registration deadline is July 22. The screenings are for student athletes 13 to 19 years old in New Haven, West Haven and Hamden. Yale will provide general medicine, orthopedic, neurologic and cardiac screenings, including EKGs, at no cost.Source: NPR
Art in Science: The Boxer at Rest
Physicians first meet their patients with little more knowledge beyond a chief complaint and the visual image of the person in front of them. Boxer at Rest reminds us that there is much to be gleaned from careful observation. It is the combination of our curiosity and our ability to observe that inspire us to understand injury and disease and to provide the opportunity for its meaningful care.Source: Clinical Orthopaedics and Related Research
Assessment of complications associated with casting of acute distal radius fractures in adults
Controversy exists regarding the closed treatment of distal radius fractures. Circumferential casting of acute distal radius fractures has been shown to be safe in children, however, little research has demonstrated its safety in adults. The purpose of this study was to assess the risk of complications associated with casting acute distal radius fractures in adult patients.
Accuracy of guide wire placement for femoral neck stabilization using 3D printed drill guides
The goal of stabilization of the femoral neck is to limit morbidity and mortality from fracture. Of three potential methods of fixation, (three percutaneous screws, the Synthes Femoral Neck System, and a dynamic hip screw), each requires guide wire positioning of the implant(s) in the femoral neck and head. Consistent and accurate positioning of these systems is paramount to reduce surgical times, stabilize fractures effectively, and reduce complications. To help expedite surgery and achieve ideal implant positioning in the geriatric population, we have developed and validated a surgical planning methodology using 3D modelling and printing technology.
Single-level posterior lumbar fusions in patients with Ehlers Danlos Syndrome not found to be associated with increased postoperative adverse events or five-year reoperations
Ehlers Danlos Syndrome (EDS) is a rare connective tissue disorder that results from mutations in collagen genes. Potentially related to laxity and resultant degenerative changes, adult EDS patients may require posterior lumbar fusion (PLF). However, with low numbers, adequately powered outcome studies have been limited. The purpose of this study was to investigate risk of complications, readmissions and reoperations in adult patients with EDS following single-level PLF.
Yale Orthopaedics Hosts Prestigious American-British-Canadian Traveling Fellowship
The Yale Department of Orthopaedics & Rehabilitation hosted seven international American-British-Canadian (ABC) Traveling Fellows in June of 2022 for a series of research presentations as well as shared New Haven area and Yale cultural, educational, and professional enrichment opportunities.
Orthopaedics & Rehabilitation Welcomes Most Gender Diverse Resident Class in Program History
Orthopaedics is widely known to be the least gender and ethnically diverse surgical specialty. Despite national statistics, work has been well underway at Yale to create equitable opportunities for those striving to pursue surgical training in one of the most competitive specialties in medicine. As a result, Yale Orthopaedics & Rehabilitation will be welcoming the most gender diverse resident class in its program’s history.
Total Joint Arthroplasty Direct-to-Consumer Advertising by Medical Device Companies Lacks Patient Diversity
Obese and African American populations suffer from higher incidence of hip and knee osteoarthritis, yet African Americans are less likely to undergo total hip and knee arthroplasty (TJA). Patient interest in TJA is a necessary first step for surgery. Medical device company direct-to-consumer advertising for TJA represents 1 potential factor driving disparities in utilization. The authors analyze demographics of models represented in medical device company direct-to-consumer TJA advertisements to understand whether advertisement content correlates with the population in need.
Physicians Need to Move Beyond Checklists to Address Disparities in Arthroplasty Care
One of the many challenges that orthopaedic surgeons face today is evaluating a patient as a whole by looking beyond a checklist that determines eligibility for surgery. When orthopaedic surgeons decline to perform joint replacements on patients with comorbidities, are underrepresented populations being disproportionately impacted? The data show the answer is yes.
The Van Gorder Approach for Total Elbow Arthroplasty
Surgical management of the triceps during exposure for total elbow arthroplasty (TEA) is critical to a successful outcome. Previously described techniques include elevating the triceps insertion from one side or leaving the triceps insertion attached and dislocating the joint. Another approach to the elbow, first described in 1933 by Willis Campbell, MD, and subsequently modified by George Van Gorder, MD, involves turning down the triceps tendon without disrupting the triceps insertion. This approach offers complete visualization of the joint and provides excellent exposure for TEA. Only the original report of the technique and a small series of patients using this technique for TEA exist in the literature. The goal of this study was to evaluate outcomes of the Van Gorder approach in a large series of patients undergoing TEA.
COVID-Positive Ankle Fracture Patients are at Increased Odds of Perioperative Surgical Complications Following Open Reduction Internal Fixation Surgery
Ankle fractures have continued to occur through the COVID pandemic and, regardless of patient COVID status, often need operative intervention for optimizing long-term outcomes. For healthcare optimization, patient counseling, and care planning, understanding if COVID-positive patients undergoing ankle fracture surgery are at increased risk for perioperative adverse outcomes is of interest.