Today’s Top Story

Presidential Update from Joseph A. Bosco III, MD, FAAOS

In his latest message, AAOS President Joseph A. Bosco III, MD, FAAOS, discussed two important accomplishments the Academy made last week: the virtual Fall Meeting of the Board of Councilors (BOC) and the Board of Specialty Societies (BOS) and the rollout of the new AAOS Leadership Institute (ALI). The Fall Meeting includes reviewing, editing, and approving proposed AAOS resolutions, advisory opinions, and bylaws amendments, as well as selecting new BOC and BOS leaders. The ALI was conceived as an upgrade to the Leadership Fellows Program and will expand the reach of AAOS leadership development by being available to any member who desires to learn more about how to serve the Academy.

Read Dr. Bosco’s message…

In Other News

Study Analyzes Relationship Between Spinal Pathology and Hip Arthroscopy Outcomes

According to a study published online in The American Journal of Sports Medicine, patients with lumbosacral transitional vertebrae (LSTV) may experience less benefit from hip arthroscopy. The Hip Arthroscopy Database was retrospectively reviewed to collect data on patients with LSTV who underwent hip arthroscopy; 62 patients were identified and matched to controls. Patient-reported outcome measures were collected preoperatively and at five to 11 months, 12 to 23 months, and 24 to 35 months postoperatively. At each postoperative time point, patients with LSTV reported significantly poorer outcomes per the modified Harris Hip Score, Hip Outcome Score–activities of daily living, Hip Outcome Score–sports, and the 33-item International Hip Outcome Tool.

Read the abstract…

Study Assesses Patient Satisfaction with Telemedicine in Foot and Ankle Practice

A study published online in Foot & Ankle International reported patient satisfaction with a telemedicine program at a foot and ankle practice. Patients who completed a telemedicine visit between April 13 and June 19 (n = 216) reported satisfaction over the phone with a modified five-point Likert scale. Although overall satisfaction was lower for telemedicine versus in-office visits (4.7 versus 4.9), 90.3 percent of patients said they would use telemedicine again. Telemedicine satisfaction was higher among fracture patients versus nonfracture patients (4.9 versus 4.6) and those who lived more than 50 miles from a clinic versus within 50 miles (5.0 versus 4.7).

Read the abstract…

Study Compares Treatments for Shoulder Impingement Syndrome

A randomized, controlled trial published online in the British Journal of Sports Medicine compared arthroscopic subacromial decompression to diagnostic arthroscopy (primary comparison) and exercise therapy (secondary comparison) for patients with shoulder impingement syndrome. Of 210 patients included in the trial, 175 had five years of follow-up. In the primary comparison, no between-group differences exceeded the minimally important difference for primary (visual analog scale [VAS] for pain at rest and on arm activity) or secondary outcomes or adverse events (AEs). In the secondary comparison, the mean differences in VAS pain were 1.0 at rest and –3.9 on arm activity. Secondary outcomes and AEs dd not largely differ.

Read the study…

COVID-19 Updates

HHS Expands Provider Relief Fund Eligibility

The Department of Health and Human Services (HHS) expanded eligibility for the most recent Provider Relief Fund (PRF) application period. Among those who may now apply for relief from the PRF are allopathic and osteopathic physicians, assisted living facilities, hospital units, residential treatment facilities, ambulatory healthcare facilities, laboratories, and more, regardless of whether they accept Medicaid or Medicare. The deadline to apply for phase 3 funding is Nov. 6. HHS also announced plans to update PRF reporting instructions to expand the use of provider relief funds.

Read the HHS press release…

Learn more about the PRF…


Behind the Mask: The Untold Stories of Black Orthopaedic Surgeons

Minority physicians make up less than 10 percent of all physicians but care for more than 50 percent of all minority patients and more than 70 percent of all non-English-speaking patients. However, almost all minority physicians have experienced some form of bias, microaggression, or discriminatory event during the course of their education or training. This article is part one in a series that conveys the experiences of Black orthopaedic surgeons.

Read more…


Upcoming Webinar Addresses What You Need to Know for 2021 E/M Changes

On Wednesday, Oct. 28 at 7:15 p.m. CDT, Dan Nagle, MD, and KarenZupko & Associates consultant Margi Maley BSN, MS, will lead the second session of a two-part webinar series offering an in-depth analysis of the changes occurring to the 2021 evaluation and management (E/M) services. Part two will address the top 10 questions orthopaedic surgeons have about these new 2021 guidelines for new and established outpatient visits. Examples include the difference between an independent historian and an interpreter when documenting medical decision making, using chart and lab review for choosing the level of E/M service, documenting prescription drug management, and more.

Register for the webinar…