AAOS Now, August 2013
Athletes Risk Second ACL Injury After ACL Reconstruction
The incidence of a second injury to the anterior cruciate ligament (ACL) within the first 12 months after ACL reconstruction and return to sport in a young, active population has been reported to be 15 times greater than a previously uninjured cohort. Mark V. Paterno, PhD, PT, SCS, ATC, and colleagues wanted to know whether that higher risk continued beyond the first year.
Shoulder Surgery May Make Sense for Young Patients
Several studies have shown excellent results for acute arthroscopic stabilization of first-time, traumatic, anterior shoulder dislocations in young patients (15 to 35 years old). But the current emphasis on cost-effectiveness has raised questions about using surgery as first-line management of these injuries. Research presented at the 2013 annual meeting of the American Orthopaedic Society for Sports Medicine should help answer those questions. According to Ryan P.
AUC Update: Rotator Cuff Management
The 16 members of the Management of Full-Thickness Rotator Cuff Tears Appropriate Use Criteria (AUC) voting panel met in Rosemont on June 1, 2013, to discuss their first round of appropriateness ratings. Panel members include physical therapists, rheumatologists, and orthopaedic surgeons. (See the online version of this article, available at www.aaosnow.org, for a complete list of participants.
Complication Rates after Hip Arthroscopy
Although arthroscopic procedures in the hip are not performed as frequently as those in the knee or shoulder, the incidence is increasing. But according to Christopher M. Larson, MD, little has been published in the orthopaedic literature on complication rates after hip arthroscopy with current techniques and indications. Dr.
Arthroscopic PCL Reconstruction Leads in Complications
“Knee arthroscopy is often thought of as a benign procedure, but patients should be aware of the risk of complications,” presenter Matthew J. Salzler, MD, told members of the American Orthopaedic Society for Sports Medicine (AOSSM) during their 2013 annual meeting last month. Based on the results of a study conducted by Dr.
Academy Completes Online Pilot CME Course
John M. Flynn, MD Imagine earning 17 continuing medical education (CME) credits without ever leaving home or missing a day of practice. That’s what participants in a totally new type of online and home study course developed by the AAOS were able to do earlier this year. “Complications in Total Hip Arthroplasty,” held Jan. 8–Feb. 22, 2013, incorporated both online tools and home study assignments. A grant from the AAOS Education Enhancement Fund offset the registration fee.
Value Measures and Discrimination
The decision by the American Medical Association to recognize obesity as a disease that requires a range of medical interventions to advance treatment and prevention is a step in the right direction, according to some advocates. But much more needs to be done, especially with regard to access-to-care issues, according to presenters during the AAOS Now–sponsored forum on “Obesity, Orthopaedics, and Outcomes.”