Today’s Top Story

Study: Which Patients Are at Risk for Poor Hip Arthroscopy Outcomes?

A study published online in HIP International identified risk factors for total hip arthroplasty (THA), revision, and poor satisfaction in hip arthroscopy (HA). Ninety-one primary HAs were performed in 90 patients. Mean follow-up was 1.6 years. Four patients required revision arthroscopy and 10 underwent THA. Two-thirds of patients who responded to HA were satisfied with their surgery. Mean modified Harris Hip Score (mHHS) was 75.3, mean Western Ontario and McMaster Universities Osteoarthritis Index score was 81.0, and return to sports rate was 58.0 percent. Older age was associated with lower satisfaction. Longer symptom duration was associated with worse mHHS.

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In Other News

Study Evaluates Correlation Between Obesity Level and RCR Complications

A study published online in the Journal of Shoulder and Elbow Surgery identified a direct relationship between level of obesity and 30-day complications in patients with arthroscopic rotator cuff repair (RCR). Arthroscopic RCR patients identified from the American College of Surgeons National Surgical Quality Improvement database were stratified into three BMI groups: < 30 kg/m 2 (nonobese; n = 9,548), 30 to 40 kg/m 2 (obese; n = 7,438), and > 40 kg/m 2 (morbidly obese; n = 1,535). When comparing the three cohorts, obesity was associated with increasing rates of medical complications, pulmonary complications, renal complications, readmission, nonhome discharge, and overall complications.

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Study Measures Effect of Social Deprivation on Patients with Congenital Upper Extremity Differences

A study published online in The Journal of Hand Surgery evaluated the correlation between social deprivation and outcomes for pediatric patients with congenital upper extremity (UE) differences. The Patient-reported Outcomes Measurement Information System (PROMIS) scores for pain interference, peer relations, anxiety, depression, and UE function were collected for 375 patients (average age, 11 years). The 100-point Area Deprivation Index (ADI) was used to measure social deprivation. PROMIS scores for peer relations, pain, depression, and anxiety were within one standard deviation (SD) of normal, but UE function scores were more than one SD below the national average. Patients in the highest ADI quartile had higher pain interference, anxiety, and depression compared to those in the lowest ADI quartile.

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Study Identifies Predictors of Tibialis Anterior Pathology

A study published online in Foot & Ankle International analyzed features of patients with tibialis anterior (TA) tendinopathy or rupture, as well as circumstances surrounding rupture cases. Between 2011 and 2018, 94 patients presented to a single institution with TA tendinopathy (n = 79) and rupture (n = 15). The average age of the whole cohort was 56 years, and the female-to-male ratio was 74:20. Most ruptures (n = 13) were atraumatic; the two traumatic ruptures were directly related to athletic activity. The average age significantly differed between traumatic versus atraumatic rupture patients (39 years versus 73 years).

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Amy Coney Barrett Confirmed to Supreme Court

Amy Coney Barrett, President Donald J. Trump’s nominee for the Supreme Court, was confirmed in a partisan 52–48 vote on Monday. Justice Barrett’s confirmation has called into question the future of the Affordable Care Act (ACA). The Supreme Court is set to hear arguments about the ACA on Nov. 10.

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AAOS Now

October Bonus Issue of AAOS Now Is Now Available Online

AAOS Now is now releasing monthly digital bonus editions of the magazine, featuring education originally slated to be presented at the AAOS 2020 Annual Meeting in March. Despite the meeting’s cancelation due to COVID-19, members can still access virtual content from the Annual Meeting by visiting the Academy’s Annual Meeting Virtual Experience webpage. This month’s digital bonus issue features coverage of foot and ankle, shoulder, hand, and spine studies, including outcomes of deep peroneal neurectomy for midfoot arthritis, whether arthroscopic RCR can be considered in older patients, the cost-effectiveness of anterior cervical diskectomy and fusions at physician-owned versus nonphysician-owned hospitals, and more.

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Visit the Annual Meeting Virtual Experience webpage…

 
 
 
Your AAOS

Register Now to Watch Tonight’s Resident Rumble

Show your support for residency programs from across the country and sign up to watch the AAOS 2020 Virtual Resident Rumble, sponsored by DePuy Synthes. Tonight’s orthopaedic-based trivia competition is Halloween themed and will take place from 8 p.m. to 9 p.m. PDT. The competing teams include Mayo Clinic Arizona; Naval Medical Center San Diego; Rush University Medical Center in Chicago; and UC Davis in Sacramento, Calif. Zachary D. Post, MD, FAAOS, from Rothman Orthopaedic Institute, will be cohosting the event, while David D. Teuscher, MD, FAAOS, will be moderating the audience chat function and speaking for a few minutes before the game.

Learn more…

Register to watch the Resident Rumble…