Second Look— Clinical News and Views

If you missed these Headline News Now items the first time around, AAOS Now gives you a second chance to review them. Headline News Now—the AAOS thrice-weekly, online update of news of interest to orthopaedic surgeons—brings you the latest on clinical, socioeconomic, and political issues, as well as important announcements from AAOS.

FieldTurf may be safer than grass
A study published in the American Journal of Sports Medicine (AJSM) (April) finds that FieldTurf—an artificial surface designed to replicate certain characteristics of natural grass—may, in some cases, be a safer surface for athletes than natural grass. In a cohort study of 24 universities over three competitive seasons (564 collegiate football games), 230 games were played on FieldTurf and 235 games were played on natural grass. Of 2,253 documented injuries, 1,050 occurred on FieldTurf, and 1,203 on natural grass. A multivariate analysis found significantly lower incidence rates of minor injuries, substantial injuries, and severe injuries on FieldTurf versus natural grass. The findings may only be generally applicable to a collegiate level of competition, however, and the investigation is ongoing.

Detecting pelvic fractures with CT scans
According to a study presented at the annual meeting of the American Roentgen Ray Society, computed tomography (CT) scans may detect pelvic fractures more accurately than standard radiography. A retrospective evaluation of 132 pelvic fracture patients at a single center using CT and radiography found that 48 percent of pelvic injuries were not detected using radiographs. The authors recommend against ordering additional radiographs once a CT scan has confirmed diagnosis of a pelvic fracture.

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