Today’s Top Story

Study Evaluates Impact of Suprainguinal Fascia Iliaca Blocks in Pediatric Hip Surgery Patients

A study published online in Pediatric Anesthesia found that suprainguinal fascia iliaca blocks may be clinically effective in pediatric patients undergoing arthroscopic hip surgery. Of 716 patients, 275 received a suprainguinal fascia iliaca block and 441 did not. Patients who received the block consumed significantly less opioids than the no-block group (0.28 mg/kg versus 0.35 mg/kg). There were no significant between-group differences for pain scores. Emesis incidence in the post-anesthesia care unit (PACU) was lower in the block group than the no-block group (0.7 percent versus 4.3 percent), and PACU times were shorter for block patients (93 minutes versus 108 minutes).

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Other News

Study: Neuropathic Pain in Foot and Ankle Pathology Patients

A study published in the June issue of Foot & Ankle International evaluated the prevalence of and factors associated with neuropathic pain (NP) in patients with foot and ankle pathologies. The painDETECT questionnaire was used to gather data on 533 foot and ankle surgery patients, of whom 66 (12.4 percent) had a component of NP symptoms. NP prevalence varied significantly between current smokers and nonsmokers (23.2 percent versus 11.1 percent). Ankle-level pathology patients (with the exception of tarsal tunnel syndrome) were more likely to present NP symptoms (15.4 percent) than patients with forefoot pathologies (7.5 percent). Obese patients (body mass index ≥ 30 kg/m 2) were significantly more likely to have NP symptoms than nonobese patients (15.6 percent versus 10 percent).

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Study Compares Bone Density in Femoral Fracture Patients Versus Healthy Controls

Patients with spontaneous femoral fractures may have lower bone density compared to nonfracture patients, according to a study published in the September–October issue of Clinical Imaging. CT images were compared for 24 spontaneous fracture patients and 25 healthy controls. Bone density differed between the fracture and contralateral nonfracture sites at and distal to the fracture. Case fracture and control nonfracture sites presented differences in proximal and distal bone density.

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A Conversation About Physicians’ Privacy

Although many legal protections are in place to cover patient privacy, little attention is often given to the privacy of physicians. In a commentary published in Medscape, neurologist Andrew N. Wilner, MD, and psychiatrist/medical ethicist Ronald W. Pies, MD, discuss this subject.

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Report Suggests Recommendations for Digital NHS

A report from Nuffield Trust highlighted several improvements that could be made to optimize the use of a digital National Health Service (NHS). Areas that could be strengthened include configuring a digital workforce, working with digital suppliers, data sharing, and more.

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A Review of Iliopsoas Impingement in THA Patients

Despite increased awareness of iliopsoas impingement, it remains commonly missed among total hip arthroplasty (THA) patients. During the AAOS 2019 Annual Meeting, Robert T. Trousdale, MD, discussed diagnosis, management, treatment, and prevention of iliopsoas impingement after THA.

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Submissions are Open for Kappa Delta and OREF Awards

AAOS is soliciting manuscripts for the 2020 Kappa Delta Orthopaedic Research Awards and the Orthopaedic Research and Education Foundation (OREF) Clinical Research Award. Up to two $20,000 Kappa Delta awards (Elizabeth Winston Lanier Award and Ann Doner Vaughan Award), one $20,000 Kappa Delta Young Investigator award, and one $20,000 OREF award will be bestowed, provided manuscripts of requisite quality are submitted. Manuscripts should represent a large body of cohesive scientific work generally reflecting years of investigation. Manuscripts must be submitted by members (or candidate members) of the AAOS, Orthopaedic Research Society, Canadian Orthopaedic Association, or Canadian Orthopaedic Research Society. Submissions are due no later than 11:59 p.m. C.D.T. on July 1.

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