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
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.
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.
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.
Comparing Outcomes in Cemented and Press-Fit Hemiarthroplasty
Arthroplasty has become the standard of care for displaced femoral neck fractures in the geriatric cohort. However, details regarding optimal implant design and fixation strategy continue to be debated. The researchers of this article sought to determine whether cemented or press-fit hemiarthroplasties were more advantageous in terms of revision surgery, contralateral hip fractures, hospital length of stay, mortality rates, and survival.
Greenwich teen’s right leg was too short. A Yale surgeon helped make it longer
Brady Lisjak is a 15-year-old from Greenwich who loves playing hockey and lacrosse, but he was hampered by a rare disorder called Ollier disease, which caused his right leg to be 2.5 inches shorter than his left. The disease causes non-cancerous growths, known as enchondromas, to form on the bone, leading to lack of growth. Thanks to a surgical procedure performed by Dr. David Frumberg of Yale New Haven Hospital, Brady is back playing sports.Source: Stamford Advocate
New Spine Robot to Serve as Backbone for Orthopaedic Innovations in Personalized Medicine
As personalized medicine continues to garner more importance in the field of health care, orthopaedic surgeons use advances in imaging technology coupled with the latest robotics capabilities to improve the likelihood of achieving successful outcomes for patients undergoing spinal surgery. The Mazor X Stealth Edition™, a new surgical robot from Medtronic, is coming to the Yale New Haven Hospital, Saint Raphael Campus, and the first surgeries using this technology will be performed in May of 2022.
Charges for Initial Visits for Uninsured Patients at Musculoskeletal Urgent Care Centers in the US
In recent years, specialized musculoskeletal urgent care centers (MUCCs) have opened across the US. Uninsured patients may increasingly turn to these orthopedic-specific urgent care centers as a lower-cost alternative to emergency department or general urgent care center visits. The researchers’ objective in this study was to assess out-of-pocket costs and factors associated with these costs at MUCCs for uninsured and underinsured patients in the US.
A Novel MRI Mapping Technique for Evaluating Bone Bruising Patterns Associated With Noncontact ACL Ruptures
Bone bruise patterns in the knee can aid in understanding the mechanism of injury in anterior cruciate ligament (ACL) ruptures. There is no universally accepted magnetic resonance imaging (MRI) mapping technique to describe the specific locations of bone bruises.
Analysis of the frequency, characteristics, and reasons for termination of shoulder- and elbow-related clinical trials
Clinical trials are key to the advancement of products and procedures related to conditions of the shoulder and elbow. Unfortunately, many trials are terminated prior to completion. The current study set out to quantify completed and terminated shoulder- and elbow-related clinical trials, assess reasons for termination, and determine independent predictors of termination by comparing characteristics of completed and terminated trials.
Emergency Department Visits Within 90 Days of Anterior Cruciate Ligament Reconstruction
Emergency department (ED) visits after orthopaedic surgery such as anterior cruciate ligament reconstruction (ACLR) affect patients and health care systems and should be better understood. Patients who had undergone ACLR between 2010 and 2020 were identified in a national database, and 90-day ED visits, readmissions, risk factors, and primary diagnoses for visits were determined. One-year postoperative data were used to establish baseline weekly ED visits for the cohort.
Examining the Bone Bruise Patterns in Multiligament Knee Injuries With Peroneal Nerve Injury
Tibiofemoral bone bruise patterns seen on magnetic resonance imaging (MRI) are associated with ligamentous injuries in the acutely injured knee. Bone bruise patterns in multiligament knee injuries (MLKIs) and particularly their association with common peroneal nerve (CPN) injuries are not well described.
Jump in Elective Total Hip and Knee Arthroplasty Numbers at Age 65 Years: Evidence for Moral Hazard?
Total knee arthroplasty (TKA) and total hip arthroplasty (THA) are outstanding options for many older patients at the discretion of the patient and the surgeon. As patients turn 65 years, greater than 98% of the US population becomes eligible for Medicare, and this represents a time of changing healthcare coverage for many.
Total Hip Arthroplasty in Patients With Classic Hemophilia: A Matched Comparison of 90-Day Outcomes and 5-Year Implant Survival
Patients with classic hemophilia can develop joint hemarthroses, degenerative changes, and eventually require total hip arthroplasty (THA). Little data exist concerning THA outcomes in this population, and evidence-based guidelines specifically addressing venous thromboembolism (VTE) prophylaxis in this population are lacking.
Better Functional Recovery After Single-Level Compared With Two-Level Posterolateral Lumbar Fusion
Multiple studies describe the outcomes of patients undergoing single-level and multilevel posterolateral lumbar fusion (PLF). However, a comparison of outcomes between single-level and two-level PLF is lacking. The aim of this prospective cohort study was to compare outcomes between single-level and two-level instrumented PLF.
Characterization of More Than a Third of a Million Toy-Related Fractures
The toy industry has grown substantially over time, with billions of dollars of toys sold each year in the United States alone. Even after safety considerations, injuries can result. This study examined toy-related fractures in the U.S. Emergency Departments.