Our work

BACKGROUND: Wrist fractures are prevalent, and the diagnostic performance of artificial intelligence for their detection requires clarification. This study aims to determine the diagnostic accuracy of machine learning in detection of scaphoid fractures, distal radius fractures, and other types of wrist fractures on skeletally mature wrist radiographs through a meta-analysis while accounting for heterogeneity of studies using a…

Lumbar hernias are rare, comprising less than 1.5% of all hernias, with traumatic lumbar hernias (TLH) representing an even rarer subset. Due to their rarity, there is limited consensus on optimal surgical repair techniques. Traditional TLH repairs typically involve primary closure or mesh reinforcement using open, laparoscopic, or hybrid intra-abdominal approaches. We present three cases of TLH managed with a novel bone tunne…

Research summary (not the publisher abstract): Purpose: Determine whether an anterior superior iliac spine osteotomy improves visualization through the lateral window of the ilioinguinal approach. Methods: Investigators examined eight sacroiliac joints in four fresh-frozen cadavers. They measured visible bone surface in calibrated images before and after a digastric osteotomy and medial reflection, then compared paired measure…

Calcaneus fractures remain challenging fractures that are prone to complications. Surgery was previously restricted only to those with soft-tissue envelopes amenable to the extensile lateral approach. However, with the development of the sinus tarsi approach and other percutaneous techniques, more prompt surgical interventions with lower complication rates have become possible. Restoration of hindfoot morphology and facet cong…

Meniscus tears can be difficult to diagnose on magnetic resonance imaging (MRI) due to the various types of tears. As artificial intelligence (AI) continues to advance, it could serve as a valuable tool that assists physicians with diagnostic accuracy and efficiency. The purpose of this study was to analyze the performance of AI in diagnosing meniscus tears on MRI using an array of studies and to compare the performance of AI…

BACKGROUND: Venous thromboembolism (VTE) is a considerable source of morbidity, mortality, and economic burden within orthopaedic surgery. Our study aimed to analyze the characteristics and reasons for lawsuits pertaining to VTE levied against orthopaedic surgeons. METHODS: The Westlaw database was queried for cases filed between 1980 and 2023 against orthopaedic surgeons involving VTE, using the search terms "orthopaedic", "b…

This review describes a modified technique for the surgical management of a displaced medial femoral condyle fracture in a 22-year-old man after a motorcycle accident. This case involved an open reduction and the use of a medial buttress plate to restore joint congruity and reduce the risk of varus failure. The modified transfascial approach through the VMO muscle belly was used to facilitate ample exposure while safely protec…

Percutaneous medial plating of distal femur fractures, particularly comminuted fractures, offers improved biomechanical stability without the soft tissue insult of an open approach. The addition of a medial plate neutralizes the cantilever bending force that arises from the offset between the single lateral locking plate and the femur's anatomical axis. This cantilever bending force has been theorized to be a contributor to th…

Background Many rock climbing techniques place tremendous stress on the finger flexor pulley system of the hand and may cause a pulley rupture. A pulley injury can be assessed with ultrasound by measuring an elevated tendon liftoff from the bone during flexion, referred to as the tendon-to-bone distance (TBD). The purpose of this study was to assess gender-specific and experience-related differences in TBD, tendon dimensions,…

BACKGROUND: The bending or fracture of a tibial intramedullary nail is a rare complication with a paucity of literature regarding available methods of extraction. This systematic review discusses the currently described surgical techniques for extracting deformed tibial intramedullary nails as well any potential associated challenges. METHODS: A review of the PubMed, EMBASE, and Scopus databases was conducted for articles desc…

INTRODUCTION: The rise of artificial intelligence (AI), including generative chatbots like ChatGPT (OpenAI, San Francisco, CA, USA), has revolutionized many fields, including healthcare. Patients have gained the ability to prompt chatbots to generate purportedly accurate and individualized healthcare content. This study analyzed the readability and quality of answers to Achilles tendon rupture questions from six generative AI…

Rib pathology is uniquely difficult and time-consuming for radiologists to diagnose. AI can reduce radiologist workload and serve as a tool to improve accurate diagnosis. To date, no reviews have been performed synthesizing identification of rib fracture data on AI and its diagnostic performance on X-ray and CT scans of rib fractures and its comparison to physicians. The objectives of this study are to analyze the performance…

Introduction Generative artificial intelligence (AI) chatbots, like ChatGPT, have become more competent and prevalent, making their role in patient education more salient. This study aimed to compare the educational utility of six AI chatbots by quantifying the readability and quality of their answers to common patient questions about clavicle fracture management. Methods ChatGPT 4, ChatGPT 4o, Gemini 1.0, Gemini 1.5 Pro, Micr…

BACKGROUND: This study focused on using deep learning neural networks to classify the severity of osteoarthritis in the knee. A continuous regression score of osteoarthritis severity has yet to be explored using artificial intelligence machine learning, which could offer a more nuanced assessment of osteoarthritis. MATERIALS AND METHODS: This study used 8260 radiographic images from The Osteoarthritis Initiative to develop and…

INTRODUCTION: Hospital systems were strained during the COVID-19 pandemic, and although previous studies have shown that surgical outcomes in healthy hip fracture patients were unaffected in the initial months of the pandemic, subsequent data are limited. This study examined the evolution of hip fracture care throughout the COVID-19 pandemic. METHODS: A retrospective review (level III evidence) was done of surgically treated a…

Pelvic ring injuries occur in varying severity and in vastly different patient demographics. Knowledge regarding which of these injuries require surgical intervention and which can be managed nonsurgically continues to evolve. Previous studies have shown validated criteria for sacral fractures and the posterior ring, explored the role of examination under anesthesia, and other forms of dynamic imaging. Although there is substa…

Research summary (not the publisher abstract): Purpose: Test whether fluorescence angiography can measure changing soft-tissue perfusion during staged pilon-fracture treatment. Methods: A prospective cohort included 12 patients with 12 fractures. Investigators used indocyanine-green imaging and ImageJ analysis around initial external fixation and before definitive fixation, assessing anterior, medial, and lateral regions. Resu…

INTRODUCTION: Secondary chondrosarcoma is a rare entity arising from a pre-existing cartilaginous lesion. Transformation of an osteochondroma to a chondrosarcoma occurs in <1% of cases. Sciatica is a common problem that can cause significant pain, weakness, and numbness. CASE REPORT: A 36-year-old male presented to the Orthopedic Oncology Service after being treated for sciatica for 3 years. Magnetic resonance imaging of the l…

» Acute bacterial septic arthritis of the knee is an orthopaedic emergency and, if left untreated, can result in substantial joint degradation. » Important risk factors for development of septic arthritis include age of >60 years, recent bacteremia, diabetes, cancer, cirrhosis, renal disease, drug or alcohol abuse, a history of corticosteroid injection, a recent injury or surgical procedure, a prosthetic joint, and a history o…

INTRODUCTION: Atlantoaxial rotatory subluxation (AARS) is an uncommonly encountered diagnosis within the adult population. The rare nature of this dislocation within the adult population often results in delayed diagnosis and treatment. CASE REPORT: A 30-year-old male presented following a low-speed motor vehicle accident. The patient had been involved in a work-related accident 1-year prior and had experienced fixed leftward…

INTRODUCTION: Traumatic cervical instability, which includes bilateral facet dislocation, unilateral facet dislocation, and bilateral facet perch or subluxation, is generally treated expeditiously. Treatment is focused on providing stability of the cervical spine and mitigating sequelae such as spinal cord injury, nerve injury, cervical deformity, chronic pain, and even death. Surgical stabilization of traumatic bilateral cerv…

OBJECTIVE: Osteosarcoma (OS), an aggressive malignancy, is the most common primary bone tumor in children. Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used to reduce pain and inflammation. NSAIDs have shown to be toxic to certain malignancies such as colorectal, breast, and pancreatic cancers, but are not well-studied in OS. The purpose of this study is to assess whether ketorolac induces apoptosis in OS cells, co…

PURPOSE: Myxoid liposarcoma has a propensity to metastasize to bone. MRI is the preferred modality for detecting bone disease. We evaluated multiple MRI sequences to determine an optimal screening method. METHODS: Whole body MRI was performed on all patients. The number and locations of metastases found by imaging and round cell component of the sites sampled were evaluated. RESULTS: We found a total of 68 osseous lesions. Who…

Large diameter, metal-on-metal (MOM) bearings used in total hip arthroplasty (THA) have been abandoned due to adverse wear. Commonly cited risks included excessive wear in large diameter CoCr bearings, edge-loading in steeply-inclined cups, and corrosion under modular CoCr heads. An alternative failure mechanism was suggested to be due to hip-impingement whereby the cup rim habitually creates pitting and microgroove damage in…

Archdeacon M, Elsissy J, Johnson JP. Femoral Head Fractures and Fracture-Dislocations. In: OTA FractureBook: Current Practice of Trauma and Fracture Management. Chapter 60. Orthopaedic Trauma Association. Publication date not provided in the public contents listing. https://fracturebook.ota.org/

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