Orthopedic ReviewsPub Date : 2024-10-11eCollection Date: 2024-01-01DOI: 10.52965/001c.124339
Jamal Hasoon, Christopher L Robinson, Syed Mahmood, Cyrus Yazdi
{"title":"Post Dural Puncture Headache After Spinal Cord Stimulator Lead Insertion Successfully Treated with Occipital Nerve Blocks.","authors":"Jamal Hasoon, Christopher L Robinson, Syed Mahmood, Cyrus Yazdi","doi":"10.52965/001c.124339","DOIUrl":"https://doi.org/10.52965/001c.124339","url":null,"abstract":"<p><p>Post-dural puncture headache (PDPH) is a common and debilitating complication that can arise after spinal or epidural anesthesia, or following the placement of spinal cord stimulation leads due to inadvertent dural puncture. We report the case of a 54-year-old female who developed severe PDPH following a spinal cord stimulator trial, complicated by a failed EBP performed by an outside physician. The patient presented to the emergency department with debilitating bilateral occipital headaches exacerbated by an upright position. Given the failure of the EBP, she was treated with bilateral occipital nerve blocks, which resulted in near-complete and rapid resolution of her symptoms. This case highlights the effectiveness of occipital nerve blocks as a therapeutic option for PDPH, especially in challenging cases where other treatments have proven inadequate. Given the positive outcome observed, occipital nerve blocks should be considered a viable treatment option in the management of PDPH, warranting further study to better understand its role in clinical practice.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"124339"},"PeriodicalIF":1.4,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopedic ReviewsPub Date : 2024-10-11eCollection Date: 2024-01-01DOI: 10.52965/001c.124486
Xuankang Pan, Sean C Clark, Karissa N Simon, Jacob F Oeding, Cory G Couch, Michael J Taunton, Mario Hevesi
{"title":"How do Rates of Return to Sports Following Direct Anterior Approach Total Hip Arthroplasty Compare to Other Approaches? A Systematic Review and Meta-analysis.","authors":"Xuankang Pan, Sean C Clark, Karissa N Simon, Jacob F Oeding, Cory G Couch, Michael J Taunton, Mario Hevesi","doi":"10.52965/001c.124486","DOIUrl":"10.52965/001c.124486","url":null,"abstract":"<p><strong>Background: </strong>There is a paucity of literature analyzing data for return to sport (RTS) and return to work (RTW) in the setting of direct anterior approach (DAA) total hip arthroplasty (THA).</p><p><strong>Objective: </strong>The aims of this systematic review are to identify existing literature and to aggregate rates of RTS/RTW following DAA THA in a meta-analysis.</p><p><strong>Methods: </strong>A query of major databases yielded 1819 initial studies. A random-effects model approach was implemented for meta-analysis. Moderator effects were assessed with respect to patient demographics and functional outcomes.</p><p><strong>Results: </strong>Five studies reporting RTS after DAA THA were identified, representing a total of 204 patients with a mean age of 60.2±7.5 years and mean follow up of 31.8±9.5 months. Pooled rate of RTS was 76%(95% confidence interval [CI], 63%-86%;range 58%-100%). Pooled rate of return to the same sport was 77%(95%CI, 64%-86%;range of 62%-100%). Pooled rate of RTS to the same intensity was 58%(95%CI, 48%-68%;range of 41%-68%). Meta-regression demonstrated no significant correlations between independent variables and RTS characteristics. Three studies reported RTW rates. Rates of RTW within 3-months were 30%, 45%, and 60%. One study reported rate of RTW of 79% at 6-months and 87% at 12-months. One study demonstrated a mean time to RTW of 38±24.8 days.</p><p><strong>Conclusion: </strong>Pooled rate of RTS is satisfactory following DAA THA and are comparable to rates of RTS aggregated without delineating surgical approach. Data supporting RTW rates following DAA THA limited, and thus more primary studies are needed to establish if this approach confers an advantage of faster RTS/RTW.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"124486"},"PeriodicalIF":1.4,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopedic ReviewsPub Date : 2024-10-11eCollection Date: 2024-01-01DOI: 10.52965/001c.124423
Manh Khanh Nguyen, Ngoc Liem Dinh, Danh Huy Luu, Ngoc Dinh Pham, Moc Son Nguyen, Vu Anh Do
{"title":"A case report: Surgical Release for De Quervain Syndrome after conservative treatment of distal radius fracture.","authors":"Manh Khanh Nguyen, Ngoc Liem Dinh, Danh Huy Luu, Ngoc Dinh Pham, Moc Son Nguyen, Vu Anh Do","doi":"10.52965/001c.124423","DOIUrl":"10.52965/001c.124423","url":null,"abstract":"<p><strong>Objective: </strong>Describe the clinical and paraclinical characteristics of De Quervain Syndrome and the result of the surgery for De Quervain Syndrome after conservative treatment of distal radius fracture.</p><p><strong>Subjects and methods: </strong>A case report.</p><p><strong>Results: </strong>De Quervain Syndrome is a condition that involves tendon entrapment affecting the first dorsal compartment of the wrist. It has been reported that De Quervain Syndrome can also develops after distal radius fracture. We report a case that the patient was diagnosed with De Quervain Syndrome after conservative treatment of distal radius fracture. During surgery we noticed that the patient had separated tendon sheaths for abductor pollicis longus (APL) and extensor pollicis brevis (EPB). EPB tendon sheath was released and reconstructed to prevent tendon subluxation. After 6 months, patient was feeling no pain and very satisfied.</p><p><strong>Conclusions: </strong>De Quervain Syndrome development after distal radius fracture is rare. The successful surgery got the patient came back to work normally.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"124423"},"PeriodicalIF":1.4,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11820197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopedic ReviewsPub Date : 2024-10-08eCollection Date: 2024-01-01DOI: 10.52965/001c.118449
Azeez O Tella, Mansour M Aldhilan
{"title":"The outcome of titanium elastic nail fixation of pediatric long bone fractures - a retrospective analysis.","authors":"Azeez O Tella, Mansour M Aldhilan","doi":"10.52965/001c.118449","DOIUrl":"10.52965/001c.118449","url":null,"abstract":"<p><strong>Background and objectives: </strong>Titanium Elastic Nails (TENs) in the surgical management of pediatric long bone fractures (LBF) have emerged as a pivotal technique. This study aimed to report experience with this technique for managing pediatric LBF at the Orthopaedic Department of Samtah General Hospital.</p><p><strong>Material and methods: </strong>A retrospective analysis was conducted using the pediatric LBF patients treated with TENs at the hospital from January 2021 to December 2023. Data regarding demographics, mechanism of injury, fracture patterns, time to achieve union, and functional outcome was extracted from their medical charts. Functional outcome was evaluated using the Flynn et al. criteria.</p><p><strong>Results: </strong>A total of 26 patients, four females and 22 males, were included in the study, and the mean age was 9.6 years (6-16 years). Fractures analyzed were radius and ulna (n=12), femur (n=8), tibia (n=5), and isolated ulna (n=1). The most frequent cause was self-fall (n=17). The average time to achieve fracture consolidation (grade 3 callus) was 11.5±2.9 (6-16 weeks) for all fractures. The outcomes were excellent in 19 patients (73.1%) and satisfactory in 7 (26.9%). There were no poor results; only minor complications, such as skin irritation, were recorded in the study.</p><p><strong>Conclusion: </strong>TENs fixation for Pediatrics LBF is an efficient and safe method with satisfactory outcomes.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"118449"},"PeriodicalIF":1.4,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11820199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopedic ReviewsPub Date : 2024-10-08eCollection Date: 2024-01-01DOI: 10.52965/001c.122542
Vedha Dande, Jasra Elahi, Latha Ganti
{"title":"Track and field-related lower-extremity musculoskeletal injuries: A retrospective study discussing injury analysis, stressors, and comprehensive management.","authors":"Vedha Dande, Jasra Elahi, Latha Ganti","doi":"10.52965/001c.122542","DOIUrl":"10.52965/001c.122542","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to provide beneficial information, from a clinical perspective, on how healthcare providers and sports educators can navigate treatment and safety for TAF athletes. This was done by identifying trends seen in lower-extremity TAF injuries and providing potential treatments to counter specific injuries, closing gaps in current literature.</p><p><strong>Methods: </strong>The National Electronic Injury Surveillance System (NEISS) database was queried during a ten-year time span (2014-2023) to analyze lower-extremity track and field-related musculoskeletal injuries.</p><p><strong>Results: </strong>There were 128,761 cases reported in the Emergency Department from 2014-2023. Fifty eight percent occurred in females compared to only 42% in males, making females 1.4 times more likely to experience injury. Most injuries took place in 2017. Most cases in adolescents were aged 15 and 14 years old. The 10-19 age group had disproportionately more cases. 1,067 reported cases of strain/sprains were associated with female patients with 733 cases present in males. Strain/sprains ranked the highest, followed by fractures, excluding other/not stated cases. The ankle was the body part with the most cases, followed by injury to the knee.</p><p><strong>Conclusions: </strong>As a widely popular sport, future studies should look at providing a more comprehensive characterization into how a patient's specific demographics may play into injury detection and prevention.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"122542"},"PeriodicalIF":1.4,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11820239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopedic ReviewsPub Date : 2024-10-08eCollection Date: 2024-01-01DOI: 10.52965/001c.124336
Ashley Hernandez, Yahir Davila, Jason Nikirk, Cesar Ramirez, Krysta Caudle, Porter Young
{"title":"Pre-Operative Management of the Penicillin Allergic Patient: A Narrative Review.","authors":"Ashley Hernandez, Yahir Davila, Jason Nikirk, Cesar Ramirez, Krysta Caudle, Porter Young","doi":"10.52965/001c.124336","DOIUrl":"10.52965/001c.124336","url":null,"abstract":"<p><p>Penicillin is a frequently reported medication allergy. The beta-lactam ring shared between cephalosporins and penicillin often leads to the use of alternative antibiotics for surgical prophylaxis due to concern for cross-reactivity, despite a true IgE-mediated hypersensitivity being very rare. This misconception leads to the use of less effective second line antibiotics, such as clindamycin or vancomycin, for penicillin-allergic patients which has been shown to increase odds of postoperative infection in elective knee arthroplasty, shoulder arthroplasty and spine surgery. Preoperative penicillin allergy testing has been demonstrated to be a cost-effective measure in the prevention of prosthetic joint infection and is suggested for all penicillin-allergic patients in the peri-operative setting. This review highlights and summaries the outcomes of orthopaedic procedures in patients with reported penicillin allergies and discusses potential solutions to the perioperative challenges of patients with reported penicillin allergies.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"124336"},"PeriodicalIF":1.4,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopedic ReviewsPub Date : 2024-10-03eCollection Date: 2024-01-01DOI: 10.52965/001c.122534
Todd Lansford, Peter Campbell, Hamid Hassanzadeh, Marc Weinstein, Joshua Wind, Andrew Beaumont, Amir Vokshoor, Kristen Radcliff, Ilyas Aleem, Domagoj Coric
{"title":"Pulsed Electromagnetic Fields for Cervical Spine Fusion in Patients with Risk Factors for Pseudarthrosis.","authors":"Todd Lansford, Peter Campbell, Hamid Hassanzadeh, Marc Weinstein, Joshua Wind, Andrew Beaumont, Amir Vokshoor, Kristen Radcliff, Ilyas Aleem, Domagoj Coric","doi":"10.52965/001c.122534","DOIUrl":"10.52965/001c.122534","url":null,"abstract":"<p><strong>Background: </strong>Certain demographics and/or risk factors contribute to complications following cervical spinal surgery including pseudarthrosis, prolonged pain, and reduced quality of life (QoL). Pulsed electromagnetic field (PEMF) stimulation is a non-invasive therapy that may enhance fusion success in at-risk patients.</p><p><strong>Objective: </strong>To evaluate the safety and efficacy of post-operative adjunctive PEMF therapy following cervical spinal surgery in subjects at risk for pseudarthrosis.</p><p><strong>Methods: </strong>This prospective, multicenter study investigated PEMF as an adjunctive therapy to cervical spinal fusion procedures in subjects at risk for pseudarthrosis based on having at least one of the following: prior failed fusion, multi-level fusion, nicotine use, osteoporosis, or diabetes. Radiographic fusion status and patient-reported outcomes (SF-36, EQ5D, NDI, and VAS-arm pain and VAS-neck pain) were assessed.</p><p><strong>Results: </strong>A total of 160 subjects were assessed for fusion 12-months postoperative, and 144 subjects were successfully fused (90.0%). Fusion success for subjects with 1, 2+, or 3+ risk factors was 91.7%, 89.0%%, and 90.9%, respectively. Significant improvements in NDI, VAS-arm and VAS-neck were observed compared to baseline scores (p < 0.001) along with improvements in SF-36 and EQ5D (p < 0.001).</p><p><strong>Conclusions: </strong>Adjunctive treatment with PEMF provides a high rate of successful fusion and significant improvements in pain, function, and quality of life despite having risk factors for pseudarthrosis.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"122534"},"PeriodicalIF":1.4,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopedic ReviewsPub Date : 2024-10-03eCollection Date: 2024-01-01DOI: 10.52965/001c.120047
Kyle L McCormick, Dev Patel, Bonnie Y Chien, Justin K Greisberg, Ettore Vulcano
{"title":"Surgical Management of Foot Drop.","authors":"Kyle L McCormick, Dev Patel, Bonnie Y Chien, Justin K Greisberg, Ettore Vulcano","doi":"10.52965/001c.120047","DOIUrl":"10.52965/001c.120047","url":null,"abstract":"<p><p>Foot drop due to peroneal nerve palsy is a complex condition stemming from multiple etiologies. It can result from central or peripheral injuries, leading to a variable spectrum of deformities and weakness in the ankle and a \"foot drop,\" which can be either flexible or fixed. As a result, there is no universal approach with which to treat patients. This article presents and reviews the most common surgical procedures used to address foot drop, with emphasis on peripheral etiology.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"120047"},"PeriodicalIF":1.4,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11820167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopedic ReviewsPub Date : 2024-10-03eCollection Date: 2024-01-01DOI: 10.52965/001c.121402
Kathleen Huynh, Yanchen Shi, Karina Gritsenko, Kathryn Briendenbach, Steven Diaz, Felix Sterling, Ahmed Treki, Naum Shaparin, Sarang Koushik, Jagun Raghavan, Kay Lee
{"title":"Airway management in acute hematoma formation following anterior cervical spine surgery.","authors":"Kathleen Huynh, Yanchen Shi, Karina Gritsenko, Kathryn Briendenbach, Steven Diaz, Felix Sterling, Ahmed Treki, Naum Shaparin, Sarang Koushik, Jagun Raghavan, Kay Lee","doi":"10.52965/001c.121402","DOIUrl":"10.52965/001c.121402","url":null,"abstract":"<p><p>Anterior cervical spine surgery (ACSS) is a frequently performed procedure that enhances life quality by reducing pain and improving functionality. A rare but serious complication after ACCS is cervical hematoma, which can lead to acute airway obstruction and subsequent rapid deterioration. Effective management of cervical hematomas requires an astute awareness of the developing signs and proficiency in the techniques involved when issues arise. Here, we present the challenges and considerations encountered in managing the airway of a patient with an enlarging hematoma in the retropharyngeal space after ACSS.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"121402"},"PeriodicalIF":1.4,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11820126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopedic ReviewsPub Date : 2024-10-01eCollection Date: 2024-01-01DOI: 10.52965/001c.123667
Daniel Go, Sofia Malik, Latha Ganti
{"title":"Upper Extremity Injuries in Swimming.","authors":"Daniel Go, Sofia Malik, Latha Ganti","doi":"10.52965/001c.123667","DOIUrl":"10.52965/001c.123667","url":null,"abstract":"<p><p>Given the rise of swimming as a casual, competitive, artistic, and health-related activity in the past few years, it has become increasingly important to look at injuries that can be caused by swimming. Through studying swimming-related injuries to the upper extremities, swimmers can understand how to prevent major, long-lasting injuries and how to treat these injuries if they occur. The National Electronic Injury Surveillance System (NEISS) Database was used to analyze data on swimming-related injuries to the upper extremities in the last five years. In these past five years, 82,834 injuries to the upper extremities of swimmers have been reported to the Emergency Department (ED). The study highlights the most common upper-extremity-related injury in swimming and how to prevent it, as well as how to treat it. In addition, it is vital to note that future research could delve into possible equipment that would help prevent the injury altogether.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"16 ","pages":"123667"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11820158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}