Apply for Volunteer Opportunities

Consider applying for the following positions:

  • Committee on Evidence-based Quality and Value Resident and Member positions—applications are accepted until Aug 22
  • Committee on Professionalism Member positions—applications are accepted until June 30
  • Hip, Knee & Adult Reconstruction Evaluation Committee Member positions—applications are accepted until Aug 8
  • Pediatrics Instructional Course Committee Member positions—applications are accepted until Aug 22
  • Spine Program Committee Member position—applications are accepted until Aug 22, 202
  • Tumor Instructional Course Committee Member positions—applications are accepted until Aug 22

Learn more and submit applications… (member login required)

In Other News

Study: Significant Decrease in Opioid Prescription after Carpal Tunnel Release since 2010

A retrospective study published in the June 1 issue of the Journal of the AAOS ® found a significant decline in opioid prescription filling after carpal tunnel release (CTR) since 2010, independent of state-specific opioid legislation. The investigators used commercial insurance data to assess opioid filling at discharge, 30 days, 90 days, and one-year post-CTR from 2010 through 2018. Initial discharge and 90-day prescription volume decreased from 35 to 27 pills and 96 to 56 pills, respectively. Ten of 24 states (41.7 percent) with opioid-limiting legislation passed during this timeframe had significant reductions in prescription filling, and five of 13 states (38.5 percent) without opioid-limiting legislation had significant reductions.

Read the abstract…

Study Finds Sex Is Not Associated with Risk of Two-year Revision THA

Patient sex is not significantly associated with risk of two-year revision total hip arthroplasty (THA), according to a study published online in JAMA Network Open. Using New York and California statewide databases, the investigators assessed sex differences in rates of revision THA occurring between 2015 and 2018 among 132,826 patients aged ≥18 years treated for osteoarthritis. The two-year revision rate was 2.5 percent among females and 2.1 percent among males. After adjusting for factors such as demographics, comorbidities, and treatment facility, a minimal clinically meaningful difference was found in rates of revision. Women had higher risk of all-cause revision compared to men, particularly women aged <55 years.

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Study Identifies Predictors of Nerve Palsy after Humeral Shaft Fractures

Concomitant injury and injury site and type are independent predictors of nerve palsy after humeral shaft fracture, according to a retrospective study published online in the Journal of Shoulder and Elbow Surgery. In total, 376 patients were assessed, including 96 (25.5 percent) who presented with nerve palsy at time of injury. The most frequent injured nerves were radial (93.6 percent), ulnar (5.1 percent), and axillary (1.2 percent). Predictors of nerve palsy included concomitant vascular injury, distal 1/3 and middle 1/3 versus proximal fractures, open fracture, and high-energy trauma. Spontaneous recovery of nerve injuries occurred in 87 patients (91 percent), 72 percent of whom achieved a full recovery.

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Study: Favorable Long-term Outcomes with Journey-Deuce Bicompartmental Knee Arthroplasty

Bicompartmental knee arthroplasty using the Journey-Deuce prosthesis significantly improved patient outcomes 10 years postoperatively compared to other surgical arthroplasty options, according to a study published online in Knee Surgery, Sports Traumatology, and Arthroscopy. Forty-one patients treated with 51 arthroplasties between 2006 and 2009 were evaluated, including 30 patients with a mean follow-up of 11.4 years. There were no cases of revision, and functional scores and range of motion showed significant improvement from preoperative levels at one year, with no further significant changes in scores between one and 10 years.

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Study Investigates Predictors of Hallux Valgus Surgery Outcomes

Patient demographics were not significant predictors of outcomes of hallux valgus surgery, according to a study published online in Foot & Ankle International. Ninety-two patients were enrolled and followed for one year postoperatively. Factors such as socioeconomic status, preoperative functional impairment, and Manchester Oxford Foot Questionnaire (MOXFQ) and Scottish Index of Multiple Deprivation scales were assessed for relationships to outcomes, but none were found to have significant associations with surgery outcomes. However, the authors noted that preoperative MOXFQ scores were significantly worse for patients residing in socioeconomically deprived areas, and lower socioeconomic status was associated with reduced improvement in scores. Lower preoperative MOXFQ scores correlated with reduced postoperative improvement.

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A Reflection on Black Women in Medicine

In this article, Joshua Cummings, MD/MBA candidate at Dell Medical School, spotlights the history of Black women in medicine, including Rebecca Lee Crumpler, MD, the first Black woman to receive a medical license; Claudia L. Thomas, MD, the first female graduate of an orthopaedic residency at Yale University; and Myra Logan, MD, the first Black woman elected to the American College of Surgeons and a developer of chlortetracycline. Mr. Cummings writes, “The importance of these three great doctors is not just that they were the first to achieve certain things, but that they used their platforms to advance the field for all people—especially those who looked like them.”

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