skip to Main Content

Putti Sign

The Putti Sign is observed when the medial edge of the scapula protrudes above the shoulder joint with shoulder adduction and forced external rotation.. It is often seen in the setting of obstetric brachial plexus palsy. It is due to compensatory scapulothoracic motion to adduct the arm, resulting in elevation of the superomedial border of the scapula into the trapezius,…

Read More

Orthopaedic Mnemonics for Antibiotics

At the "club front door(cell wall) See(C) the VIP" Cephalosporins, Vancomycin, Imipenim, Penicillin. "The pros (protein) buy AT 30, CELL at 50". 30 subunit: (aminoglycoside, tetracycline) 50 subunit: chloraphenicol, Erythromycin, Linezolid, cLindamycin Rifampin: R for RNA DNA transcription: ciprofLOXacin, levofLOXacin. LOX = Level Of tranXription (DNA)

Read More
Pectoralis Major Tears

Pectoralis Major Tears

Bruising most often associated with tendinous avulsion, less commonly with musculotendinous junction or intramuscular tear Pec tears are not always associated with ecchymosis They are often missed in the ER The clavicular head doesn’t tear as often as the sternal head; the defect from the sternal head will be hidden by the clavicular head when the arm is down by…

Read More
How To Classify Pelvic Fractures, Part 2: Tile Classification

How to Classify Pelvic Fractures, Part 2: Tile Classification

Classification of Pelvic Fractures The two most common classifications of pelvic fractures are the Tile Classification and the Young-Burgess Classification. Tile Classification of Pelvic Fractures The Tile classification is based on stability. There are 3 major classifications: A (stable), B (rotationally unstable, vertically stable), and C (rotationally and vertically unstable). Tile A: Stable A1: fracture not involving the ring (avulsion…

Read More
How To Classify Pelvic Fractures, Part 1: Young & Burgess

How to Classify Pelvic Fractures, Part 1: Young & Burgess

Classification of Pelvic Fractures The two most common classifications of pelvic fractures are the Tile Classification and the Young-Burgess Classification. Young and Burgess Classification of Pelvic Fractures The Young and Burgess classification is based on the direction of forces causing the fracture, severity of the injury and the resultant instability. It is based mostly on the initial A-P radiograph. There…

Read More
How To Classify Acetabular Fractures

How to Classify Acetabular Fractures

Judet and Letournel Classification of Acetabular Fractures The Judet and Letournel classification is the most common and consistently used method to classify acetabular fractures. The acetabulum is made up of anterior and posterior columns of bone, which join together just above the acetabulum (supra-acetabular region). If you are looking at the face of the acetabulum, the columns resemble the Greek…

Read More

Shoulder Arthritis

Signs of advanced shoulder arthritis decreased external rotation  crepitus Normal bony anatomy neck shaft angle 130 degrees retroversion 30 degrees from transepiocndylar distance Etiology primary OA capsulorrphay arthropathy post-traumatic osteonecrosis inflammatory arthritis History pain, stiffness, crepitation, worse at night and with activity Subjective Shoulder Value (SSV) patient’s subjective assessment of shoulder function (0-100%) patients with OA often report this value…

Read More

Return to High Level Sports After Meniscal Transplant (Arthroscopy 2013)

arthroscopy-150x150 Return to High Level Sports After Meniscal Transplant (Arthroscopy 2013) Journal Club Meniscus | JC Sports Medicine | JC
Chalmers PN, Karas V, Sherman SL, Cole BJ. Return to high-level sport after meniscal allograft transplantation. Arthroscopy. 2013 Mar;29(3):539-44. doi: 10.1016/j.arthro.2012.10.027. Epub 2013 Jan 29. PubMed PMID: 23375179.


In this retrospective review from Arthroscopy, Brian Cole’s group studied 13 patients undergoing meniscal transplant, with a minimum 2 year follow-up. Mean age was 19.8 years, mean follow-up 3.3 years.

arthroscopy-150x150 Return to High Level Sports After Meniscal Transplant (Arthroscopy 2013) Journal Club Meniscus | JC Sports Medicine | JC   Screenshot-2017-05-16-21.26.22 Return to High Level Sports After Meniscal Transplant (Arthroscopy 2013) Journal Club Meniscus | JC Sports Medicine | JC

The 13 athletes were a combination of high school, professional, and college athletes who underwent meniscal transplant. Cole’s group followed them longitudinally and collected patient reported outcomes (PROs) to objectively assess their improvement. 77% of the patients returned to their desired activity level, and 70% of those retired to their desired level of play. Patient reported outcomes improved from the preoperative to the postoperative state. 23% of the patients required a revision operation (revision meniscus transplant, menisectomy, or meniscus repair).

The study was limited by a small sample size, relatively short follow-up time, retrospective nature with no control group, Level IV evidence, and lack of second look arthroscopy or routine postoperative advanced imaging.

 

Read More

Ankle Spanning External Fixation (Delta Frame)

Ankle-spanning external fixation, aka "Delta Frame" The ankle-spanning external fixator is a versatile external fixation construct that is useful for fractures of the tibial plafond (pilon), unstable ankle fractures, and talus fractures. It can be adapted for other injuries including midfoot fractures. CPT Code 20692 - Application of multiplanar external fixator. Tibial Schanz Pins Mark out the tibial tubercle. The most…

Read More

MEDICAL STUDENTS

Are you a medical student interested in orthopaedic surgery, or are you starting your orthopaedic rotation soon? Here is a list of books that will put you ahead of the game and guarantee success on your rotation and in the match.

Read More
Back To Top