Today’s Top Story

Study Assesses Accuracy of 3D MRI in Knee Injuries

In a meta-analysis published online in the Journal of Magnetic Resonance Imaging, researchers evaluated the diagnostic accuracy of three-dimensional (3D) MRI in cruciate ligament injuries. A review of four databases yielded 22 reports (1,298 3D MRI examinations) for analysis; 3D sequences had pooled sensitivity and specificity estimates of 91.4 percent and 96.1 percent, respectively. In the 14 studies that reported two-dimensional MRI data, pooled sensitivity and specificity estimates were 90.6 percent and 97.1 percent, respectively. The diagnostic odds ratio was significantly higher when 3D MRI sequences were performed with 3T scanners compared to 1.5T or lower scanners.

Read the abstract…

Other News

Study: Association Between Thigh Circumference and Direct Anterior THA Approach

A retrospective study published in the May issue of The Bone & Joint Journal found a correlation between increased inclination and anteversion and increasing thigh circumference in patients who underwent total hip arthroplasty (THA) under the direct anterior approach. A total of 155 consecutive THAs (148 patients) were performed at an academic center by a single surgeon; thigh circumference was measured prior to surgery at 10 cm, 20 cm, and 30 cm distal to the anterior superior iliac spine, in quartiles. Compared to the smallest quartile group, those in the largest 20 cm thigh circumference quartile presented inclination angles a mean 5.96 degrees larger and anteversion angles a mean 2.92 degrees larger.

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Study Compares Predictors of Complications in Spinal Deformity Surgery

The Global Alignment and Proportion (GAP) score may be a more accurate predictor of complications following surgery for spinal deformity compared to the Scoliosis Research Society-Schwab classification, according to a retrospective study published in the May issue of The Spine Journal. Patients underwent pre- and postoperative full-spine radiographs to evaluate mechanical complications. The GAP score and Schwab classification both predicted radiographic evidence of mechanical complications, but the GAP score outperformed the Schwab classification. The researchers believe the difference could be attributed to the fact that GAP score considers the patient’s individual pelvic incidence.

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Study: Which Partial-thickness Rotator Cuff Tear Patients Are Most Likely to Require Surgery?

A retrospective study published in the May issue of the Journal of Shoulder and Elbow Surgery identified risk factors for surgery in patients aged > 50 years with symptomatic chronic partial-thickness rotator cuff tear. Patients were stratified into two groups: no-surgery group (n = 202; mean age, 62 years) and surgery group (n = 70; mean age, 57 years). The no-surgery group had significantly higher functional comorbidity index values than the surgery group, as well as higher rates of bursal-sided years. Upon regression analysis, the strongest predictors of allocation to surgery were tear side and functional comorbidity index.

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AMA Opioid Task Force Issues Recommendations

The American Medical Association (AMA) Opioid Task Force issued its recommendations for combating the opioid epidemic, tasking policymakers with making treatment more accessible. Strategies to achieve this include prior authorization, step therapy, reducing administrative burdens, and addressing poorly enforced state and federal laws requiring insurance parity for mental health and substance use disorders. AAOS is an original member of the AMA Opioid Task Force and supports the recommendations.

Read the AMA press release…


Take Charge of Your Professional Online Reputation

The tools doctors use in practice are changing with the times, as are the ways patients choose their clinicians. During a career development session at the AAOS 2019 Annual Meeting, Christian Veillette, MD, MSc, FRCSC, discussed how orthopaedic surgeons can manage their online reputations. “Far too often, people are passive,” said Dr. Veillette. However, your internet reputation is in your control, and awareness is becoming more widespread than in previous years, according to Dr. Veillette.

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Cast your Ballot! AAOS 2020 Nominating Committee, 2019 Resolutions and Bylaws Amendments

Active, emeritus, and inactive Fellows: Electronic balloting is now open to elect five members for the 2020 AAOS Nominating Committee and to determine action on two AAOS resolutions and three AAOS bylaws amendments. Balloting is quick, secure, and confidential. For the resolutions and bylaws amendments, at least 5 percent of the total Fellowship must cast ballots for the voting to be valid. Ballots must be cast by June 12. An AAOS member ID is required to vote.

Learn more and cast your ballot…(member login required)


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