| Publisher: Journal of Bone and Joint Surgery
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JBJS Reviews
Journal Prestige (SJR): 0.604  Citation Impact (citeScore): 1 Number of Followers: 11  Subscription journalISSN (Online) 2329-9185 Published by Journal of Bone and Joint Surgery  [3 journals]
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- Lateral Epicondylitis: Critical Analysis Review of Current Nonoperative
Treatments-
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Authors: Marigi; Erick M.; Dancy, Malik; Alexander, Andrew; Marigi, Ian M.; Clark, Julian; Krych, Aaron J.; Camp, Christopher L.; Okoroha, Kelechi R.
Abstract:
»Lateral epicondylitis (LE) or tennis elbow is a common cause of elbow pain in the general population, especially women in the fourth and fifth decades of life who participate in repetitive forceful movements involving the wrist and forearm.»The pathogenesis of this overuse injury is believed to start from an overload event leading to a microtear in or near the origin of the extensor carpi radialis brevis that is subsequently prone to additional injury and structural weakness over time.»Treatment of LE often begins with a wide variety of nonoperative modalities including rest, nonsteroidal anti-inflammatory drugs, bracing, and physical therapy. For recalcitrant symptoms, additional nonoperative therapies are implemented; however, there remains a lack of comparative efficacy between these adjunct treatments.»In this article, we examine the available literature regarding nonoperative management of LE and provide supplementary insight into the effectiveness of current modalities.
PubDate: Fri, 17 Feb 2023 00:00:00 GMT-
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- Developmental Foot Deformities in Patients with Connective Tissue
Disorders-
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Authors: Mir; Basit; Gaber, Karim; Ghali, Daniel; Merabia, Bouchra Ghania; Lin, Celina; Kishta, Waleed
Abstract:
»Foot deformities make up a large percentage of all orthopaedic complaints in patients with Down syndrome, Marfan syndrome, Ehlers-Danlos syndrome, Larsen syndrome, and osteogenesis imperfecta.»Some common causes of foot deformities in these conditions include increased ligament laxity, hypotonia, and hypermobility of the joints.»Treatment options for syndromic foot deformities include the use of foot orthoses, physical therapy, bracing, and various surgical procedures.»There is limited evidence supporting the use of surgical intervention to correct foot deformities associated with Down syndrome, Marfan syndrome, Ehlers-Danlos syndrome, Larsen syndrome, and osteogenesis imperfecta. Therefore, further research is needed to determine the short-term and long-term outcomes of these procedures.
PubDate: Fri, 17 Feb 2023 00:00:00 GMT-
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- Interventions to Reduce Pediatric Anxiety During Orthopaedic Cast Room
Procedures: A Systematic and Critical Analysis Review-
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Authors: Burkhart; Robert J.; Hecht, Christian J. II; McNassor, Ryan; Mistovich, R. Justin
Abstract:
Background: Cast room procedures can be a source of considerable distress for pediatric patients. High levels of anxiety can make it difficult to perform procedures effectively and may negatively affect the doctor-patient relationship. We sought to evaluate available interventions to reduce anxiety in pediatric patients undergoing orthopaedic cast room procedures.Methods: Following the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines, we performed a systematic review to answer our study question (PROSPERO registration of the study protocol: CRD42022333001, May 28, 2022). PubMed, EBSCO host, MEDLINE, Cochrane, and Google Scholar electronic databases were used to identify all studies evaluating interventions to reduce pediatric anxiety during orthopaedic cast room procedures between January 1, 1975, and June 1, 2022. The quality of included studies was assessed using the Jadad scale.Results: Our initial search yielded 1,490 publications, which were then screened for appropriate studies that aligned with the purpose of our review. Fourteen studies comprising 8 prospective cohort and 6 randomized controlled trials were included. The total sample size of included studies consisted of 1,158 patients with participant age ranging from 1 to 21 years. The interventions investigated included noise reduction headphones, musical therapy, inclusion of a certified child life specialist, casting shears, virtual reality, Bedside Entertainment and Relaxation Theater (BERT), children's and instructional videos, and video games. Most of the included interventions were effective at reducing anxiety during cast room procedures. However, there was variation in anxiety reduction across cast room procedure and treatment modality.Conclusion: The use of physical or technology-based distraction tools can play an important interventional role in improving patient satisfaction during cast room procedures. The majority were inexpensive, readily applicable to the clinical setting, and of negligible risk to the patient.Level of Evidence: Level II. See Instructions for
Authors for a complete description of levels of evidence.
PubDate: Wed, 15 Feb 2023 00:00:00 GMT-
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- Orthopaedic Operating Room Fire Risks: FDA Database and Literature Review
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Authors: Carmack; David Jr; Hegeman, Erik; Vizurraga, David
Abstract:
»Inadvertent activation of electrosurgical device was more likely to result in patient burns and harm.»There are significant knowledge gaps in the orthopaedic surgery community relating to fire prevention, fire safety, and fire management.»Arthroplasty was the most common procedure with reported fire events.»It is the responsibility of the orthopaedic surgeon to understand the risks of surgical fire in the operating room and implement actions to reduce those risks.
PubDate: Wed, 15 Feb 2023 00:00:00 GMT-
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- Team Approach: Management of Mental Health in Orthopaedic Patients
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Authors: McConaghy; Kara; Rullan, Pedro; Murray, Trevor; Molloy, Robert; Heinberg, Leslie J.; Piuzzi, Nicolas S.
Abstract:
»Mental health evaluation should be considered an essential part of the routine preoperative assessment and should be managed by a multidisciplinary team composed of the primary care physician, orthopaedic provider, and behavioral health specialist.»The scientific literature indicates that patients without comorbid psychiatric symptoms and adaptive coping strategies, resilience, and well-managed expectations have improved functional outcomes and satisfaction after orthopaedic procedures.»Psychological issues are multifaceted and require treatment tailored to each individual patient. Therefore, close communication between all members of the care team is required to create and execute the perioperative plan.
PubDate: Fri, 10 Feb 2023 00:00:00 GMT-
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- Soft Anchors for Rotator Cuff Repair: A Review
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Authors: Pak; Theresa; Menendez, Mariano E.; Hwang, Simon; Ardebol, Javier; Ghayyad, Kassem; Denard, Patrick J.
Abstract:
»All-suture anchors or so-called “soft” anchors, initially adapted for labral repairs, have increased in popularity for use in rotator cuff repair because of their smaller size, decreased occupation of the footprint, improved points of fixation, ease of use, and ease of revision.»In limited series, soft anchors have demonstrated equivalent biomechanical and clinical performance compared with hard body anchors for rotator cuff repair.»Perianchor cyst formation can occur with both hard body and soft anchors.»Biomechanical and clinical data support aiming for vertical angles of insertion for soft anchors.
PubDate: Fri, 10 Feb 2023 00:00:00 GMT-
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- Erratum: Team Approach: Metal Hypersensitivity in Total Joint Arthroplasty
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Abstract: No abstract available
PubDate: Fri, 10 Feb 2023 00:00:00 GMT-
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- Scapular Dyskinesis in the Athletic Patient: A Sport-Specific Review
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Authors: Sonnier; John Hayden; Ciccotti, Michael C.; Darius, Danielle; Hall, Anya T.; Freedman, Kevin B.; Tjoumakaris, Fotios
Abstract:
»Scapular dyskinesis is an alteration of normal scapular kinematics. It is essential that each patient be evaluated holistically and that sport-related factors be taken into account.»The presentation of scapular dyskinesis may be highly variable depending on the underlying etiology or associated pathology, but the onset of symptoms is often gradual.»Sport-specific literature on scapular dyskinesis is most commonly reported in the context of baseball, swimming, and tennis. Treatment is most often conservative and involves physical therapy directed at the scapular stabilizers.
PubDate: Mon, 06 Feb 2023 00:00:00 GMT-
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