August 12, 2019
Today’s Top Story

Study Assesses Use of Trunk Stabilization in FAI Patients

A randomized, controlled trial published in the July issue of the Clinical Journal of Sport Medicine observed that adding trunk stabilization exercise to a hip rehabilitation protocol may be beneficial for women with femoroacetabular impingement (FAI). Symptomatic FAI patients were stratified into two groups: trunk stabilization exercise (10 hips) and control (10 hips). Range of motion (ROM), isometric muscle strength, modified Harris Hip Score (mHHS), Vail Hip Score, and International Hip Outcome Tool 12 (iHOT12) were assessed before intervention and at four and eight weeks after intervention. Within four weeks, ROM significantly improved in the trunk stabilization group compared to the control group. The trunk stabilization group also had significantly improved hip abductor strength at four weeks, but the control group had no improvement. At eight weeks, the trunk stabilization group had significant increases in Vail Hip Score and iHOT12 compared to the control group. There were no significant between-group differences in mHHS at either timepoint.

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In Other News

Study Compares Diversity Among Orthopaedic Surgery Residents to Other Specialties

According to a study published in the Aug. 15 issue of the Journal of the AAOS, sex, racial, and ethnic diversity may be progressing at a slower rate among orthopaedic residents compared to other specialties. Data on residents in surgical specialty programs were gathered from the American Association of Medical Colleges spanning 2006 to 2015. Although female representation increased in orthopaedic programs from 10.9 percent to 14.4 percent, the progression was significantly slower compared to other specialties, except urology. There was an increase in representation of Hispanic and white residents, a decrease in Native Hawaiian/Pacific Islander residents, and no changes in African American or Asian American representation. Overall diversity decreased among orthopaedic residents.

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Study Measures Value of Elbow Arthroscopy in Diagnosing Radial Head Fractures

A retrospective study published online in BMC Musculoskeletal Disorders compared elbow arthroscopy to standard imaging in the diagnosis of radial head fracture. The study included 20 radial head fracture patients who underwent elbow arthroscopy at one of two centers. Researchers compared preoperative radiological and arthroscopic findings. Compared to conventional radiographs (CR), arthroscopic findings resulted in an updated classified fracture type in 70 percent of cases, and compared to CT or MRI, in 9 percent. Loose bodies diagnosis was missed in 60 percent and 18 percent of CR and CT/MRI scans, respectively. In nearly all (94 percent) of the CR and 27 percent of the CT/MRI scans, osteochondral lesions were not identified. Percutaneous screw fixation and partial radial head resection were performed in 65 percent and 10 percent of cases, respectively. Elbow instability was revealed by arthroscopy in 35 percent of cases.

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Study: Do Foot and Ankle Surgeries Meet Patients’ Expectations?

A study published online in Foot & Ankle International compared preoperative expectations to postoperative outcomes in foot and ankle surgery patients. Patients completed a 23-question preoperative expectations survey that included topics such as pain, ambulation, daily function, exercise, and shoe wear domains. Two years after surgery, patients rated their improvement for each item. Patients’ fulfillment proportion (FP) was measured as the amount of improvement received versus what was expected. FP scores were measured numerically, with zero defined as no expectations filled, between zero and one as expectations partially filled, and greater than one as expectations surpassed. A total of 271 patients (mean age, 55.4 years; 65 percent were female) filled out the survey; 34 percent had an FP greater than one, 4 percent had expectations met, 58 percent had an FP between zero and one, and 5 percent had no expectations met. The overall mean FP was 0.84. FP was most significantly correlated with satisfaction and improvement.

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Physician Salaries on the Rise

According to Modern Healthcare’s 26th annual Physician Compensation Survey, physician salaries grew by about 2 percent in 2018. The mean salary overall was $400,686, based on data from 10 healthcare consulting firms. Orthopaedic surgeons had a mean salary of $594,928 in 2018—the highest compared to more than two dozen other medical specialties. Orthopaedic surgeons’ salaries ranged from $524,288 to $649,401.

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Applying the Four Basic Principles of Medical Ethics to Artificial Intelligence

To understand the ethics of using artificial intelligence (AI) in medical decision making, we must consider the four pillars of medical ethics: autonomy, justice, beneficence, and nonmaleficence. We equally need to understand something about data collected on actionable medical decisions, including “Should this patient have an X-ray, CT scan, MRI, mammogram, PET scan, or bone scan?” or “Is this X-ray, mammogram, or study cancer-free?” This article is part one of a two-part series on ethics in AI.

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Act Now to Nominate AAOS Leadership

The 2020 Nominating Committee is actively soliciting nominees for individuals to serve on the Board of Directors in the following positions:

  • Second Vice President
  • Board Member-at-Large (over age 45 on March 30, 2020)
  • Board Member-at-Large (younger than age 45 on March 30, 2020)

Nominations close on Aug. 30. Members can review the position descriptions—including information about responsibilities, desired experience, and time commitments—as well as submit nomination(s) online.

Learn more and submit your nomination…(member login required)


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