OrthoDigest

Today's trauma edition covers four diverse topics in orthopedic trauma care. We examine SPECT-CT assessment of bone perfusion following complex hip dysplasia reconstruction, review contemporary principles in trauma management, analyze outcomes of elastic nailing in pediatric forearm fractures, and investigate the radiographic feasibility of tibial nailing in patients with prior knee replacement. "...

Today's hand edition covers four studies examining contemporary issues in hand surgery: NSAID effects on scaphoid fracture healing, peripheral neuropathy patterns after non-upper extremity procedures, comparative effectiveness of carpal tunnel release techniques, and microscopic approaches to Dupuytren contracture treatment. All studies provide actionable insights for clinical practice and patient...

Today's foot and ankle edition covers biomechanical insights for optimizing fifth metatarsal fixation, comparative outcomes of fibular nails versus plates in geriatric ankle fractures, radiation safety considerations in percutaneous Haglund surgery, and the surprising absence of standardized return to sport criteria after Achilles tendon repair. "Clinical and Biomechanical Determinants of Fixation...

Today's shoulder and elbow edition examines four key clinical questions: the role of navigation technology in reverse total shoulder arthroplasty, comparative diagnostic performance of ultrasound versus MRI for rotator cuff injuries, outcome differences between fracture and arthropathy indications for reverse shoulders, and risk factors for rotator cuff tear progression during nonoperative managem...

Today's knee edition covers four diverse aspects of knee care: economic modeling of regenerative therapies, perioperative music therapy, standardized care protocols across hospital systems, and cross-cultural validation of pain assessment tools. Studies range from cost-effectiveness analysis to randomized controlled trials, providing insights into both emerging treatments and optimization of curre...

Today's hip edition covers four challenging case scenarios: single-stage bilateral hip reconstruction for Kabuki syndrome hip dysplasia, cemented total hip arthroplasty for neglected acetabular fractures in elderly patients, early intraprosthetic dislocation complications in dual-mobility implants, and delayed total hip arthroplasty for acetabular fractures adjacent to renal allografts. These case...

Today's sports medicine edition covers four key areas of current research. We examine domain-specific recommendations for patient-reported outcome measures following ACL reconstruction, highlighting the need for targeted instrument selection based on specific clinical questions. We review the significant methodological challenges in assessing graft-site morbidity that currently prevent meaningful...

Today's trauma edition covers pediatric fracture fixation outcomes and adult trauma complications. We examine union times for titanium elastic nails in pediatric tibial fractures, late reconstruction options for missed compartment syndrome, elastic nail outcomes in forearm fractures, and the prognostic significance of first rib fractures in polytrauma patients. "Clinical and Radiological Outcomes...

Today's hand edition covers four diverse topics in hand surgery. We examine a novel sonographic phenotyping framework for trigger finger that challenges traditional A1-centric treatment approaches, review evidence on early return to play protocols after metacarpal and scaphoid fractures in athletes, analyze a randomized trial comparing needle electrolysis to surgery for carpal tunnel syndrome, and...

Today's foot and ankle edition covers four diverse topics in lower extremity surgery and rehabilitation. We examine anatomical evidence supporting lateral supramalleolar flaps for dorsal forefoot reconstruction, evaluate bone marrow exposure techniques for diabetic foot gangrene, explore cerebellar stimulation as a novel intervention for chronic ankle instability, and compare surgical approaches f...

Today's shoulder and elbow edition explores key clinical decision-making topics from patient-reported outcomes to diagnostic challenges. We examine whether simplified follow-up protocols using patient-reported measures can replace comprehensive clinical assessments after reverse shoulder arthroplasty, review management strategies for patients with concurrent cervical spine and rotator cuff patholo...

Today's knee edition covers four important studies spanning the spectrum of knee surgery care. We examine neuropathic pain development and prediction after knee arthroplasty, challenge conventional wisdom about hamstring graft diameter in ACL reconstruction, evaluate comprehensive functional assessment tools during post-TKA rehabilitation, and provide contemporary mortality benchmarks for revision...

Today's hip edition covers four important studies spanning epidemiology, fall prevention, postoperative recovery, and surgical technique. We examine the growing disease burden of hip fractures across Asian countries, explore paradoxes in fall risk assessment for patients who have already fractured, investigate how toilet posture adaptation affects quality of life after hip arthroplasty, and compar...

Today's sports medicine edition covers four diverse topics in athletic injury management. We examine a systematic review showing excellent return-to-sport outcomes following distal triceps tendon repair, a pilot study of conservative ACL management using intra-articular biologics, validation of a new hybrid neurocognitive-functional concussion assessment tool, and a progressive rehabilitation appr...

Today's trauma edition covers four studies examining surgical outcomes across different anatomical regions. We discuss a prospective comparison of fixation methods for patellar fractures, examine the technical challenges of hip arthroplasty following acetabular fracture sequelae, review fusion outcomes with different interbody cage materials in spine surgery, and analyze complication patterns in p...

Today's hand surgery edition covers four diverse topics: a comprehensive review of self-inflicted wrist injuries in flexor tendon zone V revealing the complexity of "spaghetti wrist" injuries and their management challenges; a pilot study using shear wave elastography to monitor carpal tunnel syndrome treatment showing promise for objective assessment tools; a large database analysis of nearly hal...

Today's foot and ankle edition covers four diverse studies examining both pediatric and adult pathologies. We explore the effectiveness of the Ponseti method in challenging clubfoot cases, compare fixation techniques in minimally invasive bunion surgery, evaluate functional outcomes between intramedullary nailing and plating for distal tibia fractures, and review an innovative bone transport techn...

Today's shoulder and elbow edition examines four key clinical questions: whether corticosteroid injection timing affects rotator cuff repair outcomes, complications in wheelchair-dependent patients undergoing reverse total shoulder arthroplasty, the role of psychological screening in shoulder arthritis patients, and long-term functional durability of reverse shoulder arthroplasty assessed with 3D...

Today's knee edition explores four diverse aspects of total knee arthroplasty care. We examine how fear of movement and joint function influence each other over the recovery timeline, review the emerging role of weight-bearing CT in knee diagnostics, analyze how anesthesia choice impacts hospital length of stay using machine learning, and investigate whether GLP-1 receptor agonists affect arthropl...

Today's hip edition covers four compelling studies examining total hip arthroplasty outcomes, fracture recovery predictors, healthcare system performance, and mortality biomarkers. We explore dual-mobility versus conventional implants in ankylosing spondylitis patients, the role of inflammatory markers in predicting functional recovery after hip fracture, Greece's first national hip fracture regis...

Today's sports medicine edition covers four important studies spanning rotator cuff repair techniques, ACL reconstruction complications and outcomes, and injury pattern recognition. We examine muscle advancement technique effectiveness regardless of subscapularis involvement, factors contributing to post-ACL reconstruction joint effusion, patterns of associated injuries in acute ACL tears, and ret...

Today's trauma edition covers four key areas: polytrauma rehabilitation integration, complex tibial plateau fixation, scaphoid malunion management, and intramedullary nailing technique refinement. From systematic approaches to early rehabilitation through technical surgical considerations, these studies offer practical insights for trauma practitioners. "Integrating Acute Polytrauma Rehabilitation...

Today's hand edition covers four important studies spanning rehabilitation, biomechanics, global surgery, and medical comorbidities. We examine the role of exercise-based rehabilitation in optimizing functional recovery after carpal tunnel release, investigate whether transverse carpal ligament sectioning affects thumb CMC joint biomechanics, explore fluoroscopy-free techniques for distal radius f...

Today's foot and ankle edition covers four open-access studies examining treatment innovations across the spectrum of foot and ankle pathology. We explore a head-to-head comparison of minimally invasive Achilles tendinopathy treatments, technical nuances in bunionette correction surgery, emerging biologic therapies for chronic heel pain, and outcomes from complex ankle reconstruction procedures. "...

Today's shoulder and elbow edition covers four key clinical topics: coracoid fragment characteristics that predict nonunion after Bankart-Bristow procedures, functional advantages of reverse total shoulder arthroplasty over hemiarthroplasty for massive cuff tears without arthritis, the association between prescription testosterone and increased shoulder arthroplasty complications, and comparative...