Today’s Top Story

Study Measures Five-year Hip Fracture Risk in Osteoporotic Women

A cohort study published online in JAMA Internal Medicine found that women aged ≥ 80 years with osteoporosis may have a higher five-year probability of hip fracture. A total of 1,528 women were stratified into two groups: those with osteoporosis (n = 761) and those without osteoporosis but at high risk for fracture (n = 767). Just under 20 percent of women (18.8 percent, n = 287) died before experiencing a hip fracture, and 125 women sustained a hip fracture Five-year mortality probability was higher in the osteoporosis group (24.9 percent) compared to the nonosteoporosis group (19.4 percent). Five-year hip fracture probabilities were 13 percent and 4 percent in women with and without osteoporosis, respectively. Increasing presence of comorbidities was associated with higher hip fracture probability.

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In Other News

Study Compares Pilon and Unstable Ankle Fracture Treatment in ED Versus OR

A retrospective study published in the June 15 issue of the Journal of the AAOS found no significant differences between pion and unstable ankle fractures treated with an external fixator (ex-fix) in the emergency department (ED) compared to the operating room (OR). Of 96 patients, 33 received the ex-fix in the OR and 63 in the ED. Postoperative complications presented in six of the ED patients and eight of the OR patients; two of the OR patients and five of the ED patients experienced deep infections. Four of the OR patients and 10 of the ED patients required revision ex-fix for loss of reduction. Mean lengths of stay did not largely differ between the OR and ED (14 versus 13 days).

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Study Examines Trends in Pediatric Elbow Dislocations

The incidence and treatment of elbow dislocations in children did not significantly change over an 18-year period, according to a population-based study published online in BMC Musculoskeletal Disorders. The study included 104 patients aged < 16 years (mean age, 11.3 years) who presented with an elbow dislocation between 1996 and 2014 in the Oulu University Hospital District, Finland The mean annual incidence of dislocation was 6.4 per 100,000 children; the trend did not change over the study period. The primary reason for dislocations was trampoline jumping (n = 15, 14.4 percent). Most patients (n = 73, 70.2 percent) were treated with reduction and casting, and the prevalence of surgical treatment did not change over the study period.

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Study: Prevalence of and Risk Factors for Cubital Tunnel Syndrome in the Military

A study published in the June issue of The Journal of Hand Surgery evaluated the incidence of cubital tunnel syndrome (CuTS)—and associated demographics—among military service members. The U.S. Defense Medical Epidemiology Database was queried for information on military members with first-time CuTS occurrence, which was determined using International Classification of Diseases, Ninth Revision code 354.2 for ulnar nerve lesions. Over a 10-year period, 31,568 incident cases of CuTS were documented. The unadjusted incidence rate ratio (IRR) was 2.3 per 1,000 person-years. In adjusted analysis, the highest CuTS IRR was observed in patients aged 35 to 39 years. Females, Caucasians, and junior enlisted service members also had significantly higher IRRs.

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CMS Shares ACA Permanent Risk-adjustment Program Data

The Centers for Medicare & Medicaid Services (CMS) released 2018 data on its Affordable Care Act (ACA) risk-adjustment program. The program aims to limit incentives for insurance plans to select healthy patients over sick ones. CMS stated that the program is operating as intended and had 572 participants during 2018; according to CMS, there were a total of $10.4 billion in transfers between the companies.

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AAOS Now

Leverage Proven Best Practices to Find Your Next Practice Administrator

Hiring an executive to oversee your business is a formidable undertaking. After spending years building a successful practice, how do you hire someone who will care for the practice as much as you do? In this article, learn how to define your goals, attract qualified talent, review resumes, and more.

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Your AAOS

Personalize Your OVT Member Profile

Take five minutes to update your member profile on the newly expanded Orthopaedic Video Theater (OVT). Click on the person icon in the top right corner of the OVT landing page, select “My Profile,” and choose the specialty topics of most interest to you. You can also update your contact information and add an image and brief biography. By keeping your profile current, you get a much more personalized learning experience that addresses your needs, interests, and preferences.

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