OBJECTIVES Orthopaedists often speculate how weather and school schedule may influence pediatric orthopedic trauma volume, but few studies have examined this. This study aims to determine: how do weather patterns, day, month, season and public school schedule influence the daily frequency of pediatric orthopedic trauma consults and admissions? METHODS With IRB approval, orthopedic trauma data...

INTRODUCTION Anterior knee pain following total knee arthroplasty is estimated to occur in 4-49% of patients. Some orthopedic surgeons use circumpatellar electrocautery (diathermy) to reduce the prevalence of postsurgical anterior knee pain; however, the extent of its use is unknown. MATERIALS AND METHODOLOGY In April 2009, a postal questionnaire was sent to all 98 departments of orthopedic s...

EDUCATIONAL OBJECTIVES As a result of reading this article, physicians should be able to: (1) Identify preoperative factors that may contribute to a patient's ability to return to driving after orthopedic surgery. (2) Understand the role of upper-extremity immobilization and how it may impair a patient's ability to operate a motor vehicle. (3) Recognize how various forms of lower-extremity immo...

As physician involvement in health policy grows, there will be an increasing need for future leaders in orthopedics. Interested orthopedic residents may be unaware of opportunities for leadership involvement in professional and subspecialty organizations. This article investigates whether national and subspecialty organizations offer membership to residents, allow residents to participate in co...

INTRODUCTION Trampolining on an outdoor oval or circular trampoline is a popular activity for children but is associated with a number of orthopedic injuries, especially in children between the ages of 5 and 15 years. In this paper we review the orthopedic injuries in children associated with backyard trampoline use, through our experience with a series of children admitted to the Winnipeg Chil...

Purpose: To identify optimal orthopedic surgical intervention by comparing cases of bone metastasis in cancer of known and unknown primary origin at initial presentation. Methods: Twenty-two patients with bone metastasis who were referred to us between 2011 and 2014 were retrospectively assigned to two groups based on their initial presentation: the known primary origin (known) group and the un...

OBJECTIVE To assess the applicability of pain assessment instruments in three hospital settings. METHODOLOGY This study comprised 60 patients with musculoskeletal pain cared for at the Conjunto Hospitalar de Sorocaba: orthopedic ward, Rheumatology outpatient clinic, and orthopedic emergency unit. QUESTIONNAIRES Brief Pain Inventory (BPI); McGill Pain Questionnaire (MPQ); Visual Analogue Sca...

Intra-articular hip injections have proven clinical value for both diagnostic and therapeutic purposes. Historically, these injections have been performed by radiologists using fluoroscopic guidance. This necessitates a radiology referral, delays the injection, and represents lost productivity for the orthopedist. Ultrasound-guided intra-articular hip injections have been described in the radio...

BACKGROUND Highly successful orthopedic surgeons are a small group of individuals who exert a large influence on the orthopedic field. However, the characteristics of these leaders have not been well-described or studied. METHODS Orthopedic surgeons who are departmental chairs, journal editors, editorial board members of the Journal of Bone and Joint Surgery (British edition), or current or p...

BACKGROUND A clavicular fracture accounts for 2.6%-5% of adult fractures. Fractures in the middle-third (OTA 15-B) represent 69%-82% of all clavicular fractures. There is no consensus among orthopedic surgeons regarding treatment for these fractures: many support conservative treatment even for displaced middle-third clavicular fractures, while others choose operative treatment. OBJECTIVES To...