Orthobullets

Here are intraoperative images showing the final allograft transplant of yesterday's case by Dr. Stephen Brockmeier from UVA Health and Richard Nauert from TSAOG Orthopaedics & Spine. SHOULDER PAIN IN 22M COLLEGE BASEBALL PITCHER This case will be debated at the Mid Atlantic Shoulder & Elbow Society Annual Meeting 2024 in Washington, DC, September 6, 2024. PROCEDURE: GLENOID OSTEOCHONDRAL ALLOGRAFT TRANSPLANT Here is the link to the clinical presentation and the pre-op imaging: https://lnkd.in/gfHvfxXz HPI: This is a 22-year-old college baseball pitcher who sustained a right shoulder "pop" while warming up. He now has right shoulder pain when throwing and a loss of velocity. PMH: None PE: On examination, he has full active range of motion of the right shoulder without significant pain. He has mild anterior shoulder apprehension. He has full strength in his deltoid, rotator cuff, biceps, and triceps. Patient is neurovascularly intact. How would you manage this patient? Share your opinion with the Orthobullets community about this case by joining the discussion and taking the poll on our site! Vote on this case and Earn FREE CME: https://lnkd.in/gDV79vXp

Can you answer our FREE Question of the Day? A 2-year-old male presents to the ED with fevers, irritability, and refusal to bear weight on the left leg for the past 24 hours. The patient’s mother states that he had a trip and fall while playing outside two days ago but only sustained minor abrasions. The patient is holding the left hip in a slightly flexed and externally rotated position and cries with any attempt to move the hip. Laboratory studies are ordered and pending. Figure A is a radiograph of the patient’s pelvis. Which of the following laboratory values would support the patient's diagnosis? 1. Serum white blood cell count of 10,000 cells/mm3 2. Erythrocyte sedimentation rate of 38 mm/hour 3. C-reactive protein of 22 mg/L 4. Temperature of 38.2º Celsius 5. Synovial white blood cell count of 40,000 cells/mm3 QID: 218656 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/3MjucDZ #Medical #Medicine #Doctor #MedicalStudent #MedicalEducation #MedSchool #Surgery #Orthopedics #OrthopedicSurgery #OrthoLife #Orthopedicsurgeon #SportsMedicine #TraumaSurgery #Rehabilitation #PainManagement #BoneHealth #Arthroscopy #FractureCare #SpineHealth #JointPain #SportsInjury

New expert video by Gregory Basil, MD of University of Miami Health System at the 2023 Selby Spine Conference. The Use of Objective Activity Data to Model Outcomes Speaker: Gregory Basil, MD How do you ensure the accuracy and reliability of the objective activity data collected from patients? Click here to watch this and related videos on Orthobullets: https://lnkd.in/gnMwQCu9 #orthopedic #orthopedics #orthopedicsurgery #orthopedicdoctor #orthopedicsurgeon #medicalstudent #medicaleducation #residency #residencylife Foundation for Orthopaedic Research and Education (FORE)

Here are additional MRI images & an exploratory arthroscopy video (performed on the same day as definitive treatment) showing the osteochondral defect of the glenoid of the case by Dr. Stephen Brockmeier from UVA Health and Richard Nauert from TSAOG Orthopaedics & Spine. SHOULDER PAIN IN 22M COLLEGE BASEBALL PITCHER This case will be debated at the Mid Atlantic Shoulder & Elbow Society Annual Meeting 2024 in Washington, DC, September 6, 2024. Here is the link to the clinical presentation and the preop x-rays: https://lnkd.in/gxCtCKrc HPI: This is a 22-year-old college baseball pitcher who sustained a right shoulder "pop" while warming up. He now has right shoulder pain when throwing and a loss of velocity. PMH: None PE: On examination, he has full active range of motion of the right shoulder without significant pain. He has mild anterior shoulder apprehension. He has full strength in his deltoid, rotator cuff, biceps, and triceps. Patient is neurovascularly intact. How would you manage this patient? Share your opinion with the Orthobullets community about this case by joining the discussion and taking the poll on our site! Vote on this case and Earn FREE CME: https://lnkd.in/gDV79vXp

Infantile Blount's disease is a progressive pathologic genu varum centered at the tibia in children 2 to 5 years of age. Diagnosis is suspected clinically with presence of a genu varum/flexion/internal rotation deformity and confirmed radiographically with an increased metaphyseal-diaphyseal angle. Treatment ranges from bracing to surgery depending on patient age, severity of deformity, and presence of a physeal bar. Learn more high-yield concepts about Infantile Blount's disease on our DAILY Orthobullets podcast. Listen wherever you listen to podcasts! https://bit.ly/3Z0wmjf

Can you answer our FREE Question of the Day? A 22-month-old ambulatory child comes to ER complaining of left elbow pain following a fall off a chair. He is holding his elbow in a flexed position against his body and refuses to use the arm. The patient had no pain prior to the fall. Physical exam reveals obvious swelling around the elbow but no open wounds, and the patient is neurovascularly intact. Figure A is a radiograph of the child’s elbow. In a normal, healthy child of this age, which of the following is true? 1. Anterior humeral line intersects the middle and posterior 1/3 of the capitellum in roughly equal proportions 2. Anterior humeral line intersecting the posterior 1/3 is always indicative of a displaced fracture 3. Anterior humeral line intersects the anterior 1/3 of the capitellum more often than the posterior 1/3 4. Anterior humeral line intersects the anterior 1/3 of the capitellum more often than the middle 1/3 5. Capitellum is not yet ossified QID: 218654 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/4e1zMXt #Medical #Medicine #Doctor #MedicalStudent #MedicalEducation #MedSchool #Surgery #Orthopedics #OrthopedicSurgery #OrthoLife #Orthopedicsurgeon #SportsMedicine #TraumaSurgery #Rehabilitation #PainManagement #BoneHealth #Arthroscopy #FractureCare #SpineHealth #JointPain #SportsInjury

Here is a new case by Dr. Stephen Brockmeier from UVA Health and Richard Nauert from Mayo Clinic. SHOULDER PAIN IN 22M COLLEGE BASEBALL PITCHER This case will be debated at the Mid Atlantic Shoulder & Elbow Society Annual Meeting 2024 in Washington, DC, September 6, 2024. HPI: This is a 22-year-old college baseball pitcher who sustained a right shoulder "pop" while warming up. He now has right shoulder pain when throwing and a loss of velocity. PMH: None PE: On examination, he has full active range of motion of the right shoulder without significant pain. He has mild anterior shoulder apprehension. He has full strength in his deltoid, rotator cuff, biceps, and triceps. Patient is neurovascularly intact. How would you manage this patient? Share your opinion with the Orthobullets community about this case by joining the discussion and taking the poll on our site! Vote on this case and Earn FREE CME: https://lnkd.in/gDV79vXp

Can you answer our FREE Question of the Day? A 76-year-old female presents with worsening back pain and bilateral lower extremity neurogenic claudication that has progressively worsened over the last 2 years. Additionally, she feels as if she is having increasing difficulty standing fully erect which makes it difficult for her to walk meaningful distances. Her back pain, posture issues, and neurogenic claudication are all equally bothersome. She has tried alleviating her symptoms with physical therapy, epidural steroid injections, and a monitored opioid regimen with pain management but has not achieved lasting relief. She has a history of osteoporosis that is currently treated with alendronate for the last 4 years. Her most recent DEXA was significant for a T-score of -3.2 in the left femoral neck. The patient is now considering surgical treatment for her symptoms. Which of the following is the most appropriate next step in treatment? 1. Continue alendronate and proceed with T11-pelvis posterior instrumented fusion and decompression 2. Stop alendronate and proceed with T11-pelvis posterior instrumented fusion and decompression 3. Switch from alendronate to vitamin D/calcium supplementation and proceed with T11-pelvis posterior instrumented fusion and decompression 4. Referral to bone health clinic to initiate teriparatide treatment 5. Switch to denosumab and proceed with T11-pelvis posterior instrumented fusion and decompression QID: 218230 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. https://bit.ly/3YWOOcI #Medical #Medicine #Doctor #MedicalStudent #MedicalEducation #MedSchool #Surgery #Orthopedics #OrthopedicSurgery #OrthoLife #Orthopedicsurgeon #SportsMedicine #TraumaSurgery #Rehabilitation #PainManagement #BoneHealth #Arthroscopy #FractureCare #SpineHealth #JointPain #SportsInjury

Here is a clip from our latest episode of CoinFlips & Controversies, “Acute on Chronic Massive Rotator Cuff Tear in 62M” featuring expert faculty from the 2024 Critical Concepts in Shoulder & Elbow Surgery Course (taking place Nov. 14-16, 2024 at the FIVE Labs in Las Vegas, Nevada) Watch Drs. Robert Gillespie and Brian Waterman, MD, discuss “MRI Pearls”. Click here to learn more about CCSE and watch their full webinar on Orthobullets: https://lnkd.in/dZizfVWf #orthopedic #orthopedics #orthopedicsurgery #orthopedicdoctor #orthopedicsurgeon #medicalstudent #medicaleducation #residency #residencylife Foundation for Orthopaedic Research and Education (FORE)

Achondroplasia is a common congenital skeletal dysplasia caused by a sporadic or autosomal dominant gain-of-function mutation in FGFR3 gene. Patients present with rhizomelic dwarfism, lumbar and foramen magnum stenosis, frontal bossing, and normal intelligence. Diagnosis is usually made based on typical clinical and radiographic features on skeletal survey. Treatment involves observation and physical therapy for majority of anomalies. Surgery is indicated in patients with foramen magnum stenosis with sleep apnea or cord compression and progressive spinal stenosis that fails nonoperative treatment Learn more high-yield concepts about Achondroplasia on our DAILY Orthobullets podcast. Listen wherever you listen to podcasts! https://bit.ly/4fUFKuV