Orthobullets’ Post

Here are intraop & postop images of yesterday's case by Dr. Ryland Kagan and Oregon Health & Science University. PROGRESSIVE HIP PAIN IN 15M WITH SICKLE CELL DISEASE This case will be debated at the International Orthopedic Education Network (IOEN) Vail Arthroplasty Course in Vail, Colorado, Jan 17-19, 2025. PROCEDURE: LEFT TOTAL HIP ARTHROPLASTY Here is the link to the clinical presentation and the pre-op imaging: https://lnkd.in/gHU-4Z9E HPI: This is a 15-year-old male who presents with six months of progressively worsening left hip pain. He used to enjoy being active, playing soccer and wrestling. He now has severe left hip pain and limitations of daily living, including walking and self-care. PMH: Sickle Cell Disease (HbSS) is associated with chronic pain and narcotic dependence. Takes daily Oxycodone. Frequent (1-2 month) hospitalizations and frequent blood transfusions. Takes hydroxyurea and folic acid. Functional asplenia with increased infection risk. PE: Gait: Severe analgia, crutches dependent. Hip Exam: Pelvis: Clinically left leg is short about 1 cm, patient feels equal with 1 cm Coleman block under the left leg.  ROM: Severe pain with any formal attempts at ROM testing, formal evaluation deferred due to pain. Motor: Patient with 4-/5 hip abduction and flexion limited by pain. Sensation: SILT throughout left and right lower extremity. 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/dpHE3ezX

Here is a clip from our latest episode of CoinFlips & Controversies, “Progressive Shoulder Pain in 76F” featuring expert faculty from the New York Shoulder Arthroplasty 2024 Course (taking place Dec. 13-14, 2024 at the InterContinental New York Barclay in New York.) Watch Drs. John Sperling & Zuckerman, discuss “Reading Between the Lines: Using Plain Films to Your Advantage”. Click here to learn more about NYSAC and watch their full webinar on Orthobullets: https://lnkd.in/gTprFb9S #orthopedics #orthopedicsurgery #orthopedicdoctor #orthopedicsurgeon #medicaleducation #residency Hospital for Special Surgery

Welcome to Season 2 of the Orthobullets Podcast Today's Foundations episode will focus on the topic of Pediatric Radial Head and Neck Fractures. Humeral shaft fractures are common diaphyseal fractures that may involve radial nerve injury. Diagnosis is confirmed with orthogonal radiographs. Treatment varies, with nonoperative or operative approaches depending on fracture location, morphology, and other associated ipsilateral injuries. Learn more high-yield concepts about Humeral shaft fractures on our DAILY Orthobullets podcast. Listen wherever you listen to podcasts or by clicking the link below! https://bit.ly/3U8aFup #Orthopedics #OrthoPodcast #MedPodcast #OrthoSurgery #SportsMedicine #SpineSurgery #JointReplacement #TraumaSurgery #BoneHealth #OrthopedicCare #OrthoCommunity #OrthoEducation #MedicalPodcast

Can you answer our FREE Question of the Day? A 29-year-old male presents to the emergency department with hand pain after a bar fight. He is diagnosed with a fracture and is scheduled for operative fixation. When considering the various fixation strategies, which radiograph in figures A-E is the least amenable to intramedullary headless screw fixation? 1. Figure A 2. Figure B 3. Figure C 4. Figure D 5. Figure E QID: 218101 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/3NksaE0 #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor #physician

New expert video by H. John Cooper, MD of Columbia University at the 2024 Anterior Hip Foundation (AHF). Standard Table Incision/ Initial Exposure Speaker: John Cooper, MD What factors influence your choice of incision site when performing surgery on a standard table? Click here to watch this and related videos on Orthobullets: https://lnkd.in/gQEzVyei #orthopedic #orthopedics #orthopedicsurgery #orthopedicdoctor #orthopedicsurgeon #medicalstudent #medicaleducation #residency #residencylife

Can you answer our FREE Question of the Day? A 27-year-old professional violinist falls down a rocky crag while hiking in Yosemite National Park and presents with the injury shown in Figure A. Which of the following would provide the best indication for the use of open reduction and internal fixation with a plate and screw construct in lieu of either cast immobilization or closed reduction and percutaneous pinning with Kirschner wires? 1. Extra-articular nature of the fracture 2. Lack of comminution 3. Lack of rotational deformity or scissoring on exam 4. Less than 10 degrees of angulation and 2mm of shortening 5. Need for initiation of early range of motion QID: 218073 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/4f0gLoA #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor #physician

Here is a new case by Dr. Ryland Kagan and Oregon Health & Science University. PROGRESSIVE HIP PAIN IN 15M WITH SICKLE CELL DISEASE This case will be debated at the International Orthopedic Education Network (IOEN) Vail Arthroplasty Course in Vail, Colorado, Jan 17-19, 2025. HPI: This is a 15-year-old male who presents with six months of progressively worsening left hip pain. He used to enjoy being active, playing soccer and wrestling. He now has severe left hip pain and limitations of daily living, including walking and self-care. PMH: Sickle Cell Disease (HbSS) is associated with chronic pain and narcotic dependence. Takes daily Oxycodone. Frequent (1-2 month) hospitalizations and frequent blood transfusions. Takes hydroxyurea and folic acid. Functional asplenia with increased infection risk. PE: Gait: Severe analgia, crutches dependent. Hip Exam: Pelvis: Clinically left leg is short about 1 cm, patient feels equal with 1 cm Coleman block under the left leg ROM: Severe pain with any formal attempts at ROM testing, formal evaluation deferred due to pain Motor: Patient with 4-/5 hip abduction and flexion limited by pain Sensation: SILT throughout left and right lower extremity 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/dpHE3ezX

Welcome to Season 2 of the Orthobullets Podcast Today's Total Recall episode will focus on the topic of Radius and Ulnar Shaft Fractures. Radius and ulnar shaft fractures, or adult both bone forearm fractures, are often due to direct or indirect trauma like falls. Diagnosed via physical exam and X-rays, these fractures typically require surgical treatment with open reduction and internal fixation using compression plates for both bones. Learn more high-yield concepts about Radius and Ulnar Shaft Fractures on our DAILY Orthobullets podcast. Listen wherever you listen to podcasts or by clicking the link below! https://bit.ly/482fGKX #OrthoPodcast #MedPodcast #OrthoSurgery #SportsMedicine #SpineSurgery #JointReplacement #TraumaSurgery #BoneHealth #OrthopedicCare #OrthoCommunity #OrthoEducation #MedicalPodcast

New expert video by Ranjan Gupta, MD of UC Irvine Public Health Informatics & Technology (PHIT) Program at the 2024 Tampa Shoulder Course. My Best Tips to Avoid Axillary Nerve Injury Speaker: Ranjan Gupta, MD How do you modify your surgical technique when working in close proximity to the axillary nerve? Click here to watch this and related videos on Orthobullets: https://lnkd.in/gZiRBJ2y #orthopedic #orthopedics #orthopedicsurgery #orthopedicdoctor #orthopedicsurgeon #medicalstudent #medicaleducation #residency #residencylife Foundation for Orthopaedic Research and Education (FORE)

Can you answer our FREE Question of the Day? A 12-year-old baseball player is seen in your clinic. He has recently completed the season with his summer travel team, and individual workouts are set to begin for his fall showcase league. The patient is right-hand dominant and throws right-handed. He complains of right shoulder pain, which has progressively worsened over the past month. Physical examination of his right shoulder demonstrates 20° less internal rotation than his left shoulder, with a 25° smaller total arc of rotational motion. Radiographs of his right and left shoulders are available for review in Figures A and B, respectively. Which of the following is true regarding the patient's expected clinical course? 1. His physical examination findings have no association with the expected likelihood of recurrence. 2. The presence of pain following two months of physical therapy is not correlated with the likelihood of recurrence. 3. His physical examination findings are associated with an increased likelihood of recurrence. 4. The patient is unlikely to complain of concomitant ipsilateral elbow pain. 5. The patient is likely to be a pitcher who throws primarily non-breaking/curving pitches QID: 218674 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/4gRSUtf #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthobullets #orthoresidents #orthoresident #orthoresidency #medicalschool #medicalstudent #medstudent #doctor #physician