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JBJS Journal of Orthopaedics for Physician Assistants
Number of Followers: 0  Hybrid journal (It can contain Open Access articles)ISSN (Print) 2470-1122 Published by LWW Wolters Kluwer  [297 journals]
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- The “Top 10” Psychosocial Factors Affecting Orthopaedic
Outcomes-
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Authors: Curtis; William; Fine, River; Moya, Addi; Blackstone, Robert; Wardell, Richard; Treme, Gehron; Richter, Dustin
Abstract:
Introduction: Many patients within the orthopaedic population experience 1 or more psychosocial issues that may profoundly affect their postoperative outcomes after orthopaedic surgery. Despite the common nature of these factors, there is a paucity of literature describing their effect on orthopaedic outcomes. The purpose of this review was to describe the anecdotal 10 most-encountered psychosocial factors in our patient population, their described influence on orthopaedic outcomes, and how they may be addressed. These factors include expectations, fear of reinjury, socioeconomic status, social support, allergies, addiction, depression and anxiety, resilience, self-efficacy, and other mental health disorders.Methods: A thorough review of the PubMed-indexed literature was conducted using each one of our psychosocial factors described here combined with the key words “orthopaedic outcome.”Study Design: This was a clinical review paper.Level of Evidence: Not applicable.Results: These 10 psychosocial influences have dramatic effects on the recovery and outcomes after orthopaedic procedures. Patients benefit from early recognition and management of these issues before and after surgery.Conclusions: Each of the psychosocial factors reviewed in this paper has a significant influence on outcomes after orthopaedic surgery. A strong understanding of these factors and how to address them will aid orthopaedic surgeons in maximizing postoperative outcomes for their patients. Further research is necessary to improve our treatment strategies for this complex patient population.
PubDate: Fri, 01 Apr 2022 00:00:00 GMT-
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- Hospital-Based Rapid Recovery Protocol in Knee Arthroplasty
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Authors: Spadaccini; Carmine J.
Abstract: This review aims to determine the elements a hospital-based knee arthroplasty program should consider when developing a rapid recovery protocol. It will examine the perioperative pathway and how a program can break down each phase for success. Secondary objectives of this review include how and why the culture surrounding knee arthroplasty has changed and why it is in a hospital's best interest to adopt a rapid recovery pathway in light of this new landscape. An extensive search was performed through databases which included Still OneSearch, EBSCOhost, and PubMed. Sources aligned with the review's objectives. Inclusion criteria involved primary sources, secondary sources, and peer-reviewed articles less than 5 years old. On finding primary and secondary sources, reference sections provided additional materials to ensure high-quality research.
PubDate: Fri, 01 Apr 2022 00:00:00 GMT-
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- Axial Spondyloarthritis: Treatment Overview and Update
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Authors: Davis; Christina M.; Beck, David C.
Abstract:
Ankylosing spondylitis (AS) is an inflammatory condition that can result in avoidable pain and debilitation, if impactful treatment is not started early. Although it can be challenging to diagnose, once the diagnosis is made, it is imperative to promptly start on treatment. There are treatment options available which can improve symptoms and lead to the slowing of the progression of this condition. In a previous review article, we presented background information about AS, as well as diagnostic tools and other guidance to aid in its early detection and appropriate classification to facilitate treatment. In this review article, we will provide a guide for physician assistants and other healthcare providers on AS treatment options with a focus on a recent update.
PubDate: Fri, 01 Apr 2022 00:00:00 GMT-
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- Knee Deep in Pain: Applying the Biopsychosocial Model to Managing Patients
with Osteoarthritis of the Knee-
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Authors: Wong; Annie Y.
Abstract: Osteoarthritis is a degenerative joint disease that affects millions of adults in the United States and is a significant healthcare burden for medical costs and loss of productivity. Although osteoarthritis may inhibit different joints in the body, the knee joint is most commonly affected, leading to knee pain, swelling, and stiffness. This issue is encountered by healthcare providers in orthopaedics, emergency medicine, and primary care daily, and the biomedical model taught in medical education often emphasizes a one-size-fits-all treatment approach. This literature review examines whether the biopsychosocial model could be used to manage chronic knee osteoarthritis instead. This report introduces the biopsychosocial model as a holistic approach that considers a patient's psychological and social factors in addition to the biology of disease. This report concludes that although the effectiveness of the biopsychosocial model and management of cancer-related pain have been studied, additional research is needed to examine the utilization of the biopsychosocial model with chronic knee osteoarthritis.
PubDate: Fri, 01 Apr 2022 00:00:00 GMT-
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- Spine Roundtable: Sacroiliac Joint Pain
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Authors: Sinkov; Vladimir; Klare, Christian; McAuliffe, Kame
Abstract:
The purpose of the JOPA Roundtable discussion is to give orthopaedic physician assistants insight into how each participating provider treats certain clinical scenarios in their current practice. For this Spine Roundtable, providers with expertise in spine will discuss sacroiliac joint pain. Participants will share their knowledge and experience on the topic.
PubDate: Fri, 01 Apr 2022 00:00:00 GMT-
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- Awake Lumbar Fusion: A Case Report on the Use of Spinal Anesthesia During
Lumbar Fusions-
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Authors: Adler; Jamie Goldstone
Abstract:
Lumbar fusions can be performed under general anesthesia or as an awake procedure under spinal anesthesia. There is no consensus on the benefits of awake lumbar fusion. Improved patient satisfaction, less blood loss, stable hemodynamics, less postoperative pain, less postoperative nausea and vomiting, and less postoperative delirium are all possible benefits of awake lumbar fusion. Early, limited research confirms these benefits.
PubDate: Fri, 01 Apr 2022 00:00:00 GMT-
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- Distal Clavicle Physeal Fracture in a 15-Year-Old Adolescent Boy: Case
Study and Review-
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Authors: Radi; Joshua K.; Min, Kyong S.
Abstract:
The following article addresses a case study regarding a 15-year-old adolescent boy who presented with right shoulder pain after a hockey injury and was diagnosed and treated for a distal clavicle physeal fracture. Topics include anatomy, mechanism of injury, prevalence, workup and diagnosis, treatment (operative vs. nonoperative), and return-to-sports guidance. This is a rare injury in the pediatric population, but with proper diagnosis and management, the prognosis is a full recovery after 3 months.
PubDate: Fri, 01 Apr 2022 00:00:00 GMT-
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- Case Report: Anterior Shoulder Pain After Skiing Fall
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Authors: Katz; Joshua; Sakryd, Gary
Abstract:
No abstract available
PubDate: Fri, 01 Apr 2022 00:00:00 GMT-
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- Image Findings of Juxtacortical Lesions: A Review of Surface Bone Lesions
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Authors: Foremny; Gregory B.; Quintero, Daniel; Emerson, Christopher P.; Baker, Lauren; Subhawong, Ty; Pretell-Mazzini, Juan; Jose, Jean
Abstract:
Juxtacortical lesions appear as neoplastic formations on the outer cortical surface of bone. They can arise from nonneoplastic and neoplastic origin, the latter of which might be malignant. Juxtacortical lesions of neoplastic origin can be categorized into bone-forming lesions, cartilaginous lesions, fibrous lesions, lesions of local vascular or neurogenic origin, or metastatic lesions. Forming a differential diagnosis can be challenging for any physician assistant. We selected a series of cases from our tertiary care clinic that have been subject to discussion for their similarity but vastly different prognosis. Our aim is to provide a rubric to compare juxtacortical lesions with guide orthopaedic and sport medicine providers in determining the immediacy of referral and follow-up.
PubDate: Fri, 01 Apr 2022 00:00:00 GMT-
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