Podcasts about joint surgery

This month we are joined by Dr. Raymond Liu from Case Western Reserve and Rainbow Babies in Cleveland to discuss his work on skeletal maturity grading systems, patient reported outcomes in limb deformity, and 3D anatomical studies. Hear about Mongolia pushing the limits in rigid nailing of pediatric femur fractures and stick around for highlights from the lightning round including ultrasound for fracture diagnosis, guided growth for patellar instability and 3D analysis after spinal fusion.   Your hosts are Julia Sanders from Children's Hospital Colorado, Carter Clement from Children's Hospital of New Orleans, Craig Louer from Vanderbilt, and Josh Holt from University of Iowa. Music by A. A. Aalto.   For more information on the JPO Journal Club organized by Dr Liu, please contact Caroline Eaton from Advancing Pediatric Orthopaedics at ceaton@faportho.org.   To download the "What's the Skeletal Maturity" app for free, visit your device app store (Android currently undergoing upgrades, but available soon!)   Citations for papers discussed:   Moon TJ, Canitia E, Amakoutou K, et al. Prospective Multicenter Preliminary Validation of Limb Deformity-modified Scoliosis Instruments in Pediatric Patients With Limb Deformity. J Pediatr Orthop. 2024;44(3):e260-e266.   Furdock RJ, Sun KJ, Ren B, et al. The Reliability of the Modified Fels Knee Skeletal Maturity System. J Pediatr Orthop. 2024;44(2):e192-e196.   Nedder VJ, Chen KJ, May CC, Abzug JM, Liu RW. Developmental Anatomy of the Radial Bow in Pediatric Patients using 3D Imaging. J Pediatr Orthop. Published online February 23, 2024.   Catanzano, A. , Upasani, V. , Bryan, T. , Yaszay, B. & Newton, P. (2024). Breaking the Rules in Three Dimensions: What to Expect After a Thoracic-only Fusion With Structural Thoracic and Thoracolumbar Curves. Journal of Pediatric Orthopaedics, 44 (3), e242-e248.    Combs, K. & Kocher, M. (2024). US for Initial Diagnosis of a Suspected Distal Radial Fracture in Children Was Noninferior to Radiography for Arm Function at 28 Days. The Journal of Bone and Joint Surgery, 106 (4), 354. doi: 10.2106/JBJS.23.01337.   Tomasevich, Kelly M.a; Kantor, Adam H.a; Metz, Allan K.a; Hanson, Indiana T.b; Froerer, Devin L.c; Rosenthal, Reece M.a; Aoki, Stephen K.a. Mid-term outcomes of temporary medial distal femoral hemiepiphysiodesis with and without medial patellofemoral ligament repair for recurrent patellar instability in skeletally immature patients with genu valgum. Journal of Pediatric Orthopaedics B 33(2):p 119-129, March 2024.

Would it surprise you to know that you don't need to lose weight to get out of pain? I frequently get messages that include something along the lines of “I know I need to lose weight but…” which breaks my heart because I believe that life without pain is possible for everyone - no matter what your body looks like or feels like right now. We've been sold this idea that the pain in our joints is directly related to body mass. But time and time again - the research does not find this to be true. You don't need to lose weight to get out of pain. And the idea that some amount of pain is something we have to just “live with” because of our age or body type is nonsense. You'll learn: Why you don't need to lose weight to get out of pain Why focusing on BMI is a waste of time (and missing the point) How there is no definitive scientific link between body mass, weight loss, and pain All the links: The association between chronic pain and obesity. J Pain Res. 2015;8:399-408. Published 2015 Jul 14 Evers Larsson, U. Influence of weight loss on pain, perceived disability and observed functional limitations in obese women. Int J Obes 28, 269–277 (2004). Effect of weight loss on musculoskeletal pain in the morbidly obese. The Journal of Bone and Joint Surgery. British volume 1990 72-B:2, 322-323 Unraveling the Directional Link between Adiposity and Inflammation: A Bidirectional Mendelian Randomization Approach, The Journal of Clinical Endocrinology & Metabolism, Volume 95, Issue 1, 1 January 2010 Join me for the next Movement Mavens Retreat! www.aewellness.com/retreat/ 30 days to more strength + flexibility with the Mobility Mastery Toolkit www.aewellness.com/podcast - Show notes, links and more. Come hang out with me on Instagram @hollaformala : https://instagram.com/hollaformala/ TikTok @ aewellness Bodywork Starter Guide - learn the 6 places you need to roll right now for quick relief, plus the reason why what you've tried so far has only given you a temporary fix. Download the guide for free now at www.aewellness.com/bodywork 818-396-6501 is the Body Nerd Hotline - how do you build consistency and/or where are you getting stuck? Drop me a line and let me know your body nerd hacks - you might just hear your voice on a future episode! Today's episode is brought to you by Mobility Mastery Toolkit. Forget icing and stretching - and get a simple program you can do on your own that actually works. The Toolkit includes 30-days of exercises so you know exactly what to do to improve the mobility of your hips, lower back, feet, neck and shoulders. With video demos and a full-body mobility workout calendar, you're just 15-mins a day from feeling stronger and more flexible. Get $20 off when you use the code MASTERY at www.mobilitytoolkit.co

Chuck and Chris welcome Ryan Nunley to the Podcast.  Ryan is a total joint surgeon who has an amazingly busy clinical practice.  We discuss practice efficiency, handling VIPs, and share updates on computer navigation and robotic surgery.  There is so much we can learn!Subscribe to our newsletter:  https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general information about nerve pathology. Please complete our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Dr. Kevin Kaplan, Orthopedic Surgeon for the Jacksonville Orthopadeic Institute, Sports Medicine & Advanced Arthroscopic Joint Surgery joins the podcast to discuss his background in sport medicine, trends shaping the field, the unique challenges in caring for professional athletes, the cutting-edge technologies at play, and more!

Dr. Kevin Kaplan, Orthopedic Surgeon for the Jacksonville Orthopadeic Institute, Sports Medicine & Advanced Arthroscopic Joint Surgery joins the podcast to discuss his background in sport medicine, trends shaping the field, the unique challenges in caring for professional athletes, the cutting-edge technologies at play, and more!

Dr. Noelle Larson from Mayo Clinic joins the show to discuss her recent research.  We discuss pearls and pitfalls of RCTs in orthopedics when discussing her famed Minimize Implants Maximize Outcomes study. We discuss new ways for eliciting patient and family surgery preferences with regards to VBT vs. PSF choices. We also touch on the evolving role of AI in pediatric orthopedics and enabling technologies such as navigation-assisted surgery. Highlights from the lightning round include long-term Dega osteotomy outcomes and some impressive results from Halo-Pelvic traction for severe spine deformities. Your hosts are Craig Louer from Vanderbilt, Carter Clement from Children's Hospital of New Orleans, and Josh Holt from University of Iowa. Music by A. A. Alto.   Nov 2023 Show Notes – Noelle Larson Main Event The Effect of Implant Density on Adolescent Idiopathic Scoliosis Fusion: Results of the Minimize Implants Maximize Outcomes Randomized Clinical Trial. The Journal of Bone and Joint Surgery ():10.2106/JBJS.23.00178, November 16, 2023. | Larson, A. Noelle MD1,a,*; Polly, David W. MD2,*; Sponseller, Paul D. MD3; Kelly, Michael P. MD, MSc4; Richards, B. Stephens MD5; Garg, Sumeet MD6; Parent, Stefan MD, PhD7; Shah, Suken A. MD8; Weinstein, Stuart L. MD9; Crawford, Charles H. MD10; Sanders, James O. MD11; Blakemore, Laurel C. MD12; Oetgen, Matthew E. MD13; Fletcher, Nicholas D. MD14; Kremers, Walter K. PhD15; Marks, Michelle C. PT, MA16; Brearley, Ann M. PhD17; Aubin, Carl-Eric PhD18; Sucato, Daniel J. MD, MS5; Labelle, Hubert MD7; Erickson, Mark A. MD6;  the Minimize Implants Maximize Outcomes Study Group†   Non-Fusion Versus Fusion Surgery in Pediatric Idiopathic Scoliosis: What Trade-Offs in Outcomes Are Acceptable for the Patient and Family? A Noelle Larson, Michelle Claire Marks, Juan Marcos Gonzalez Sepulveda, Peter O Newton, Vincent J Devlin, Raquel Peat, Michelle E Tarver, Olufemi Babalola, Allen L Chen, David Gebben, Patrick Cahill, Suken Shah, Amer Samdani, Keith Bachmann, Baron Lonner Journal of Bone and Joint Surgery. American Volume 2023 November 10   Radiation exposure in navigated techniques for AIS: is there a difference between pre-operative CT and intraoperative CT? Mikaela H Sullivan, Lifeng Yu, Beth A Schueler, Ahmad Nassr, Julie Guerin, Todd A Milbrandt, A Noelle Larson Spine Deformity 2023 October 24   Settings on the intraoperative scanner typically were 80 kV, 20 mA, and 20 mAs, but occasionally 70 kV, 16 mA, and 64 mAs for patients < 60 kgs.   Automated Measurements of Interscrew Angles in Vertebral Body Tethering Patients with Deep Learning. Kellen L Mulford, Christina Regan, Charles P Nolte, Zachariah W Pinter, Todd A Milbrandt, A Noelle Larson Spine Journal : Official Journal of the North American Spine Society 2023 September 28   Lightning Round   Twelve to Twenty-year Follow-up of Dega Acetabuloplasty in Patients With Developmental Dysplasia of the Hip: Is it as Effective as Expected? Murat Danişman, Gökay Dursun, İsmail Aykut Koçyiğit, Caglar Yilgor, Mehmet Cemalettin Aksoy Journal of Pediatric Orthopedics 2023 November 2   Evaluation of Pulmonary Function After Halo-Pelvic Traction for Severe and Rigid Kyphoscoliosis Utilizing CT with 3D Reconstruction. Lijin Zhou, Hanwen Zhang, Honghao Yang, Zhangfu Li, Chaofan Han, Yiqi Zhang, Yong Hai Journal of Bone and Joint Surgery. American Volume 2023 September 22

Welcome to 60 Questions. In this series, we will be interviewing different medical specialists to give our audience a better idea of what it is like to specialize in a certain field within the workers' compensation industry. In this episode of 60 Questions, we are joined by Dr. Deeptee Jain. Dr. Jain is a Board Certified and Fellowship Trained Orthopedic Spine Surgeon at The Center for Bone and Joint Surgery of the Palm Beaches. Prior to joining the Center for Bone and Joint Surgery, Dr. Jain was an Assistant Professor of Orthopedic Surgery at Washington University in St. Louis. Her practice focuses on the evaluation and treatment of degenerative spine conditions, including lumbar and cervical disc herniations, degenerative disc disease, spondylolisthesis, and spinal stenosis. Dr. Jain also specializes in minimally invasive (MIS) spinal procedures and uses traditional approaches when necessary. Dr. Jain attended Duke University School of Medicine and then completed an orthopedic surgery residency at the University of California, San Francisco, where she was awarded Chief Orthopedic Surgery Resident. She went on to receive subspecialized fellowship training in orthopedic spine surgery at New York University Hospital for Joint Disease, where she focused on minimally invasive techniques. Learn more about Dr. Jain by visiting: https://www.boneandjoint.org/meet-our-doctors/deeptee-jain-md/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/justbloomcollective/message

The inaugural episode of our exciting new podcast, "Beyond the Pages," is now available for your listening pleasure, and we've got a fantastic surprise in store that you won't want to miss! To participate and have a chance to win, be sure to tune in. And don't worry, it's a short episode, so you can easily fit it into your day! To join BLOOM community: https://www.justbloomcollective.com/share/jtxR3bNwyBJIzEqW?utm_source=manual Follow us on social media!  IG: https://www.instagram.com/justbloomcollective/ FB: https://www.facebook.com/justbloomcollective LinkedIn: linkedin.com/company/justbloomcollective  Read & Subscribe to BLOOM Magazine! https://www.justbloomco.com Thank you to our Community Partners!  OM, Claims Investigation Agency, Orthopaedic Center of South Florida, Alleviate Pain, Ermi, Maxicare Select, Trust RX, MedTeam Care Management, PAM Health, The Center for Bone & Joint Surgery, Field Case Managers, Miami Institute for Joint Reconstruction, The Orthopedic Clinic, Vero Orthopaedics, Quinlan Medical Management, HealthCare Comp, CompEquip, Baron Home Group --- Send in a voice message: https://podcasters.spotify.com/pod/show/justbloomcollective/message

In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Dr. Scott Levin, esteemed Chair of the Department of Orthopaedics at the University of Pennsylvania, shares both his pioneering journey into orthoplastic surgery and his impactful affiliations with global surgical societies. In this riveting discussion, he highlights his cherished ties to the British Society for Surgery of the Hand and the significance of such collaborations in his illustrious career. A true innovator and mentor, he offers invaluable insights and experiences from his journey. An episode not to be missed, listen in now! Read a recent PRS Global Open article by Dr. Levin and co-author Dominik Kaiser, “Fasciocutaneous Free Tissue Transfer in Limb Salvage: Prior Flap as a Split-thickness Skin Graft Donor Site”:  https://bit.ly/PRSGlobalOpenDC_Levin   Dr. L. Scott Levin holds the title of Paul B. Magnuson Professor of Bone and Joint Surgery at the University of Pennsylvania School of Medicine (Penn). He is also the Chair of the Department of Orthopaedic Surgery, Medical Director of the Penn Musculoskeletal and Rheumatology Service Line, and Director of the Hand Transplant Program at the Children's Hospital of Philadelphia (CHOP). At Duke University, Dr. Levin was instrumental in establishing the Human Fresh Tissue Laboratory and the Anatomic Gifts Program. He replicated this initiative at Penn, where the laboratory has become central to research and education. Certified in Orthopaedic Surgery, Plastic Surgery, and Hand Surgery, Dr. Levin's specialties include hand and upper extremity surgery and advanced microsurgical techniques. His groundbreaking work includes leading the world's first bilateral hand transplant in a child in 2015. A respected educator, Dr. Levin has earned various accolades and currently serves as the Editor-in-Chief of Orthoplastic Surgery. His global contributions are reflected in his leadership roles across numerous professional societies, further complemented by a myriad of fellowships and awards. Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England.  Your producer & editor, Dr. George Adigbli, is an Academic Specialty Registrar in plastic surgery in Oxford, England.  #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery

Don't be blind to this simple truth about your body. If you remain clouded with ignorance, you'll be hurting, frustrated, and helpless. Once you understand this key idea, you'll be able to help relieve yourself of back pain, hip pain, knee pain, and shoulder pain. "Nothing ever goes away until it has taught us what we need to know." Pema Chödrön On YouTube: https://youtu.be/UdTT1OR9ix4 HELPFUL LINKSTop 5 Shoulder Impingement Exercises: https://www.youtube.com/watch?v=_-oHVOrZEWwHip Pain Sleeping on Side: https://www.youtube.com/watch?v=dLAm_Hbbvfw Placebo vs Joint Surgery: https://www.youtube.com/watch?v=plSC4C-u3wsDon't Get Caught in RIIPS: https://www.uprighthealth.com/blog/riips

We are joined by Dr. Wren McCallister to discuss How to Prevent Hand Injuries for Dentists and more!Wren V. McCallister, MD, MBA has been practicing Hand Surgery in Edmonds, Washington since 2006. Board-Certified in both Orthopedics and Hand Surgery, he has been recognized for excellence in patient care with numerous “Top Doctor” awards including Seattle Met Magazine and Castle Connolly. His award-winning work in clinical and basic science research has been published in the Journal of Hand Surgery, Hand Clinics of North America, Journal of the American Academy of Orthopedic Surgeons, Orthopedic Clinics of North America, Journal of Bone and Joint Surgery, Journal of Reconstructive Microsurgery, Neurosurgery Clinics of North America, and Clinical Orthopaedics and Related Research. Dr. McCallister is a Fellow of the American Academy of Orthopedic Surgery and is an Active Member of the American Society for Surgery of the Hand and American Association for Hand Surgery. Dr. McCallister's focus now is on simplifying the complex nature of medical and surgical care as it relates to conditions affecting the hand and upper extremity. The HandGuyMD® Patient Guide series and HandGuyMD.com provide the same clear, concise and understandable information his patients have come to appreciate during their clinic visits the past two decades. HandGuyMD is “Expert Help for Hand Problems”.Learn more:https://www.handguymd.com/ ***** SPONSOR: – Omni Premier Marketing: https://omnipremier.com/dental-marketing/ CONNECT: – Facebook: https://www.facebook.com/thedentalbrief/ – Instagram: https://www.instagram.com/thedentalbriefpodcast/ – LinkedIn: https://www.linkedin.com/in/dental-brief-podcast-564267217 – Patrick's LinkedIn: https://www.linkedin.com/in/pchavoustie/– Youtube: https://www.youtube.com/channel/UCd08JzybKfNH0v12Q9jf50w WEBSITE: – https://dentalbrief.com/

A conversation with Orthopedic Surgeon, Hospital CEO, former AAHKS President and  healthcare consultant Mark Froimson, MD, MBA! Mark I. Froimson, MD is the past President of the American Association of Hip and Knee Surgeons (AAHKS). Prior to that, he was the Executive Vice President and Chief Clinical Officer of Trinity Health, a major national non-profit Catholic healthcare system comprising 93 hospitals in 22 states. Before his executive leadership position at Trinity Health, Dr. Froimson was president and chief executive officer of Euclid Hospital, a Cleveland Clinic Hospital. Dr. Froimson served as a staff surgeon in the Department of Orthopedic Surgery at the Cleveland Clinic for over 16 years, during which time he held a variety of leadership positions including president of the professional staff, vice chair of the Orthopedic and Rheumatologic Institute, and member of the Board of Governors and Board of Trustees.Dr. Froimson received a B.S. in philosophy from Princeton University, an M.D. from Tulane University School of Medicine and an MBA from the Weatherhead School of Business at Case Western Reserve University.  The author of book chapters, abstracts and review articles, his work has been published in many scientific journals including the Journal of Arthroplasty, the Journal of Bone and Joint Surgery, the Cleveland Clinic Journal of Medicine and the American Journal of Orthopedics. He also serves in the editorial capacity for a number of scientific publications.Consulting Site:https://riversidehealthadvisors.comFollow on LinkedIn: https://www.linkedin.com/in/mark-froimson-md-mba-78840914/We explore the "I" in our "Pain" mnemonic as part of our Joy and Pain series...."INCOME!"  Is it possible to make more than last year in a climate of declining ASP?Support the show

Dr. Derek Kelly from Campbell Clinic Orthopedics in Memphis, TN joins the show to discuss his recent article about Ponseti casting performed by MDs and PTs. We will "stir the pot" by asking Dr. Kelly about his treatment preferences in controversial foot and hip cases. The lightning round focuses on recent publications from top peds orthopedic journals. Your hosts are Craig Louer from Vanderbilt, Josh Holt from University of Iowa, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Alto.   “Main Event” article: Chen, Stephanie N. MD*; Ragsdale, Tyler D. MD†; Rhodes, Leslie N. DNP, PPCNP-BC‡,§; Locke, Lindsey L. MSN, CPNP-PC§; Moisan, Alice BSN, RN∥; Kelly, Derek M. MD*. Prospective, Randomized Ponseti Treatment for Clubfoot: Orthopaedic Surgeons Versus Physical Therapists. Journal of Pediatric Orthopaedics 43(2):p e93-e99, February 2023. | DOI: 10.1097/BPO.0000000000002291   Lightning Round articles:   Yu, Sze-Hon1; Ng, Cheuk-Man1; Pui-Yin Cheung, Jason MD, MS, MMedSc, PDipMDPath, Med, FRCSEd1; Ka-Hon Shea, Graham MBBS, PhD, FRCSEd1,a. Post-Maturity Progression in Adolescent Idiopathic Scoliosis Curves of 40° to 50°. The Journal of Bone and Joint Surgery ():10.2106/JBJS.22.00939, January 23, 2023. | DOI: 10.2106/JBJS.22.00939   Stults, William P. MD*; Peljovich, Allan E. MD, MPH†. Surgical Excision of Postaxial Polydactyly Type B in the Office Setting. Journal of Pediatric Orthopaedics ():10.1097/BPO.0000000000002346, January 10, 2023. | DOI: 10.1097/BPO.0000000000002346   Pradhan, Pratik BS; Townsend, Tracy K. MD; Cook, Danielle MA; Feldman, Lanna MS; Canizares, Maria Fernanda MD, MPH; Watkins, Colyn MD; Shore, Benjamin J. MD, MPH. Do All Pediatric Femoral Shaft Fractures Need a Computed Tomography Scan of the Ipsilateral Femoral Neck? Calculating the Incidence of Concomitant Femoral Neck and Shaft Fractures. Journal of Pediatric Orthopaedics ():10.1097/BPO.0000000000002334, December 26, 2022. | DOI: 10.1097/BPO.0000000000002334   Shah, Hitesh MS Orth; Singh, Kumar Amerendra MS Orth; Joseph, Benjamin MS Orth, MCh Orth, FRCS Ed. Does Prolonged Weight Relief Increase the Chances of a Favourable Outcome After Containment for Perthes Disease?. Journal of Pediatric Orthopaedics 43(2):p e144-e150, February 2023. | DOI: 10.1097/BPO.0000000000002302   Sanders, Julia S. MD*; Ouillette, Ryan J. MD†; Howard, Roland MD†; Boutelle, Kelly BS‡; Carroll, Alyssa N. MPH‡; Bastrom, Tracey P. MA‡; Paik, Christina PA-C‡; Stearns, Philip CPNP‡; Pennock, Andrew T. MD†,‡; Upasani, Vidyadhar V. MD†,‡. Nonoperative Versus Operative Treatment of Type IIA Supracondylar Humerus Fractures: A Prospective Evaluation of 99 Patients. Journal of Pediatric Orthopaedics 43(1):p e9-e16, January 2023. | DOI: 10.1097/BPO.0000000000002282  

Mark D. Miller, MD, retired Colonel in the US Airforce, S. Ward Casscells Professor, former Division Head of Sports Medicine at University of Virginia, and AOSSM President, shares how he published 40 textbooks and started a review course, his role as Deputy Editor of Journal of Bone and Joint Surgery, his leadership role at AOSSM, and more. 

Danny Goel is an Orthopaedic Surgeon, Clinical Professor, and keynote speaker. He is the CEO and Co-Founder of Precision OS, a software company focused on immersive experiential virtual reality based medical education. Danny Goel Interview Topics1. Could you please start by telling us a little bit about your background? 2. Could you share with us about your earlier career path and your motivations or inspiration?3. How did Precision OS get started? Is there any specific reason that makes you establish this company?4. What is the mission and vision of Precision OS? And some user cases?5. Why do you think orthopaedic surgical education is perfect now for virtual reality? 6. In fact, there are many other VR surgery training startups now. What do you think are the differences or strengths of Precision OS compared to them?7. What do you think about the future of VR and AR in surgery? Will it be easier to approach even with developing countries where the economy and infrastructure are not advanced?8. And what are the possibilities with the Metaverse in the field?Danny Goel BiographyDanny is a Doctor of Medicine from the University of Manitoba, an Orthopaedic Surgeon from University of Calgary, and an MBA in Health and Life Sciences from the University of Toronto, Rotman School of Management. He also holds a Shoulder Fellowship from Western University and Harvard Medical School. Since 2012, he has been associated with The University of British Columbia as Clinical Associate Professor.Danny also contributes as Industry Advisor and Columnist at the Forbes Technology Council. He has co-authored more than 30 publications, and is widely sought as a presenter on surgical techniques. His ongoing research includes novel methods of surgical education and skill acquisition to deliver safe surgery towards improved patient outcomes.He was awarded as the Gold Winner at the Reimagine Education Awards 2020 organised by the Wharton-QS Reimagine Education Awards and Conference.Danny is a Fellow at the Royal College of Physicians and Surgeons of Canada, and Clinical Professor at UBC Department of Orthopaedics, Vancouver, British Columbia. He is also the Manuscript Reviewer at the Journal of Shoulder and Elbow Surgery, The Journal of Bone and Joint Surgery, Inc., and the American Journal of Sports Medicine. He was also associated with the Clinical Faculty Advisory Council and Residency Training Committee at The University of British Columbia. About Precision OSPrecision OS is a medical - grade learning platform to advance surgical readiness.Surgery residents are getting less hands-on experience than ever, and it's affecting their confidence and autonomy. A significant percentage don't feel ready to independently perform core procedures upon residency completion,1 and over 90% opt for an additional fellowship year. In an effort to address this, The American Board of Surgery (ABS) recommended “rather than increasing the quantity of cases, we should be increasing the quality of teaching both clinical and procedural skills.”The lack of access to high-quality surgical education is also affecting medical device companies. In an era of rapidly advancing technologies and procedures, training is often a rate-limiting factor. Current training approaches vary in effectiveness, and are not helping to address cost, and, most importantly, surgical mastery.About Dinis Guarda profile and Channelshttps://www.openbusinesscouncil.orghttps://www.intelligenthq.comhttps://www.hedgethink.com/https://www.citiesabc.com/More interviews and research videos on

Nesta edição do "Direção Segura" o tema em destaque é o comportamento do motorista e a atenção ao volante. Um estudo publicado pela revista científica canadense "Journal of Bone and Joint Surgery", uma das mais importantes da área de ortopedia, mostrou que 18% dos acidentes de carro no mundo têm como causa a distração ao volante. Além disso, a cada 25 segundos, uma pessoa morre e outras 58 ficam feridas por causa das distrações. Entre as distrações mais comuns citadas estão: o uso do celular, mexer no som do carro, conversar com passageiros e dar atenção a crianças que estão no banco de trás. Conforme levantamentos nacionais da Polícia Rodoviária Federal (PRF), a falta de atenção ao volante lidera a lista num ranking com as 20 principais causas de acidentes com, pelo menos, uma morte. Os dados levam em consideração acidentes ocorridos entre 2019 e fevereiro de 2022. Quem fala sobre o assunto é o Inspetor da PRF-ES, Izaque Rohr. Ouça a conversa completa!

Kevin W. Farmer, M.D., earned his medical degree at the Johns Hopkins University of Medicine in 2003 before going on to complete his residency in Orthopaedic Surgery at the Johns Hopkins Hospital and his fellowships in sports medicine and arthroscopy at the Uribe, Hechtman, Zvijac Sports Medicine Institute and shoulder and elbow reconstruction at the University of Florida.He returned to UF in 2009 to complete his second fellowship and immediately afterwards began working in the Department of Orthopaedics and currently works as a team physician for the University of Florida Athletic Association.He has published 12 book chapters and 30 peer-reviewed publications in journals such as Clinical Journal of Sports Medicine, the Journal of Bone and Joint Surgery and Clinical Orthopedics and Related Research.Farmer was elected to membership in the American Orthopaedic Society for Sports Medicine and American Academy for Orthopaedic Surgeons. He is also a member of several other professional organizations, including the Arthroscopy Association of North America and American College of Sports Medicine.  He is also a member of the Board of Directors for the Florida Orthopaedic Society.

In this episode, Marc and Mo discuss recent articles on 2 important topics of interest: (1) intimate partner violence in orthopaedic patients and (2) the outcomes of total knee replacement after high tibial osteotomy. They also touch on the recent JBJS supplement on the International Consensus Meeting on Venous Thromboembolism. OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Links: Madden K, Sprague S, Petrisor B, Schneider PS, Kleinlugtenbelt YV, Hackenberg EAM, Garcia-Sanchez Y, Hall JA, Bzovsky S, Thabane L, Bhandari M; PRAISE-2 Investigators. Intimate Partner Violence During Recovery from an Orthopaedic Injury: An Exploratory, Prospective, Multicenter, Observational Cohort Study. J Bone Joint Surg Am. 2022 Mar 16;104(6):512-522. doi: 10.2106/JBJS.21.00421. PMID: 35041623. https://jbjs.org/reader.php?rsuite_id=3175393&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/104/6/512/fulltext&topics=oe#info PRAISE Investigators, Sprague S, Bhandari M, Della Rocca GJ, Goslings JC, Poolman RW, Madden K, Simunovic N, Dosanjh S, Schemitsch EH. Prevalence of abuse and intimate partner violence surgical evaluation (PRAISE) in orthopaedic fracture clinics: a multinational prevalence study. Lancet. 2013 Sep 7;382(9895):866-76. doi: 10.1016/S0140-6736(13)61205-2. Epub 2013 Jun 12. PMID: 23768757. https://pubmed.ncbi.nlm.nih.gov/23768757/ Hevesi M, Wilbur RR, Keyt LK, Abdel MP, Levy BA, Saris DBF, Stuart MJ, Krych AJ. Total Knee Arthroplasty Function at 25 Years Following Proximal Tibial Osteotomy: Paired Outcomes of Bilateral TKAs Following Unilateral Osteotomy. J Bone Joint Surg Am. 2022 Mar 16;104(6):552-558. doi: 10.2106/JBJS.21.00761. PMID: 35293891 https://jbjs.org/reader.php?rsuite_id=3164395&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/104/6/552/fulltext&topics=kn#info International Consensus Meeting on Venous Thromboembolism: https://jbjs.org/collection.php?id=19

Colleen Ramirez, Chief Administration Officer of Bone & Joint Surgery Center of Novi, joined the podcast to talk about new procedures headed to the ASC and how the pandemic is changing the industry,

Season 3, Episode 18 | Podcast #54 Dr. Brett Shannon is an Orthopedic Surgeon at Nemours DuPont Pediatrics and Nemours Alfred I. DuPont Hospital for Children. Dr. Shannon attended Johns Hopkins University School of Medicine for his Medical Degree as well as for his residency. His fellowship in Pediatric Orthopedics was completed at Boston's Children's Hospital which is considered one of the top children's hospitals in the world. Dr. Brett Shannon specializes in general orthopedics, trauma, sports medicine injuries, pathologies of the spine, as well as infant, child, and adolescent hip disorders. Dr. Shannon has published research articles in The Journal of Bone and Joint Surgery as well as the Journal of Surgical Oncology. In this episode, we cover: 4:45 What about Dr. Brett Shannon's background, led him to the field of sports medicine and orthopedic surgery? 6:30 What exactly does an orthopedic surgeon do? 7:30 Example of the monitoring needed in pediatrics. 9:00 How Dr.Shannon's mentors and education molded the way he practices. 11:00 How a patient's intended path in life or in athletics may guide or alter intervention plans. 13:00 The most common injury Dr.Shannon sees in the clinic amongst the pediatric or adolescent populations. 15:45 How often Dr.Shannon sees ACL injuries and what we can do to mitigate risk. 20:00 What exactly is a growth plate and how does it apply to Dr.Shannon's work in orthopedics. 24:45 How we can mitigate the risks that are often found with overuse or hyper-specialization. 27:00 What is the most common pathology that Dr. Shannon performs surgery on. 31:34 The types of hip conditions Dr.Shannon treats in the pediatric population? 33:00 What hip dysplasia is, when surgery is indicated and how Dr.Shannon manages these conditions if surgery is not indicated. 37:45 Why it's really important to follow up with orthopedics if your pediatrician suggests it, even if your child isn't in pain at that time. 40:30 The types of procedures Dr.Shannon performs on the spine. The prevalence and treatment of scoliosis. 41:30 Most common spine injury or pain in young athletes. 46:30 Dr. Shannon's message to parents who are hesitant to schedule an appointment with an orthopedic surgeon. 5 Quick Q's - 47:45 What sport do you see the most injuries from? 48:00 What procedure, that you perform, do you see the best results from? 48:30 What new surgical technique or nuance are you most excited about? 49:20 What is one rule you would like to see changed in youth athletics? 51:00 The most common age to get a little league elbow injury. 53:50 What is one mistake you see done during the rehabilitation process? 54:45 Bonus: Would you let your son or daughter play football? Contact Info: Dr. Brett Shannon https://www.nemours.org/

Special guests and hosts of "The Upper Hand" Podcast, Dr. Charles Goldfarb and Dr. Chris Dy from Washington University in St. Louis, join the podcast crew for a wide-ranging discussion on upper extremity conditions and the role of information technology in modern orthopedic care.  We review a recent article from the Wash U group about thematic analysis of online message boards for congenital upper extremity differences. Our guests contribute their insights on elbow stiffness and nerve injuries following pediatric trauma, as well as thoughts on bruise location in supracondylar humerus fractures, treatment of Monteggia injuries, cost-consciousness in parents, nerve transfers for brachial plexus birth palsy, and predicting radial head dislocations in MHE. Hosts of the episode are Craig Louer from Vanderbilt, Josh Holt from University of Iowa, Carter Clement from Children's Hospital of New Orleans, and Julia Sanders from Children's Hospital Colorado. Music by A.A. Alto. ____________________________________________ Feb 2022 Podcast Session Notes: Guests – Charles Goldfarb MD, Chris Dy MD MPH Hosts – Craig Louer MD, Carter Clement MD MBA, Joshua Holt MD, Julia Sanders MD   Links: pedsorthopodcast@gmail.com Twitter: @CraigLouer Twitter: @CarterClementMD   Upper Hand Podcast: https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx Dr. Goldfarb Blog: https://congenitalhand.wustl.edu/ Dr. Goldfarb Twitter: @CongenitalHand Dr. Dy Twitter: @ChrisDyMD   Primary article: Cogsil T, Kim DJ, Morris M, Goldfarb CA, Wall LB. Congenital Upper-Extremity Differences: A Thematic Analysis of On-Line Discussion Boards. J Hand Surg Am. 2021 Apr;46(4):337.e1-337.e10. doi: 10.1016/j.jhsa.2020.08.006. Epub 2020 Oct 3. PMID: 33023778.   Lightning Round: Schultz JD, Rees AB, Wollenman LC, Lempert N, Moore-Lotridge SN, Schoenecker JG. Bruise Location in Supracondylar Humerus Fractures Predicts Specific Neurovascular Injuries. J Pediatr Orthop. 2021 Dec 20. doi: 10.1097/BPO.0000000000002027. Epub ahead of print. PMID: 34923508.   Lawrence, J. Todd R. MD, PhD*,†; MacAlpine, Elle M. BA*,‡; Buczek, Matthew J. MSEd*; Horn, B. David MD*,†; Williams, Brendan A. MD*,†; Manning, Kassidy BSc*; Shah, Apurva S. MD, MBA*,† Impact of Cost Information on Parental Decision Making: A Randomized Clinical Trial Evaluating Cast Versus Splint Selection for Pediatric Distal Radius Buckle Fractures, Journal of Pediatric Orthopaedics: January 2022 - Volume 42 - Issue 1 - p e15-e20 doi: 10.1097/BPO.0000000000001980   Kluemper, Chase MD*; Aversano, Mike MD†; Kozin, Scott MD†; Zlotolow, Dan A. MD*,† Long Thoracic Nerve Transfer for Children With Brachial Plexus Injuries, Journal of Pediatric Orthopaedics: July 2021 - Volume 41 - Issue 6 - p 374-378 doi: 10.1097/BPO.0000000000001774   Hart, Christopher M. MD*; Alswang, Jared BS†; Bram, Joshua BS‡; Kim, Samuel T. BA§; Arkader, Alexandre MD‡; Silva, Mauricio MD*,† Operative Versus Nonoperative Management of Acute Pediatric Monteggia Injuries With Complete Ulna Fractures, Journal of Pediatric Orthopaedics: August 2021 - Volume 41 - Issue 7 - p 412-416 doi: 10.1097/BPO.0000000000001868   Feldman, D. , Rand, T. , Deszczynski, J. , Albrewczynski, T. , Paley, D. & Huser, A. (2021). Prediction of Radial Head Subluxation and Dislocation in Patients with Multiple Hereditary Exostoses. The Journal of Bone and Joint Surgery, 103 (23), 2207-2214. doi: 10.2106/JBJS.20.02205.  

In this episode, Marc and Mo are joined by special guest Zain Chagla, MD (Associate Professor of Medicine and Director of Infection Control at McMaster University and St. Joseph’s Hospital) in a timely discussion of the current landscape and evolving strategies related to the ongoing COVID-19 pandemic, with a focus on the Omicron variant as well as the interface between social media and science. OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Links: Vannabouathong C, Devji T, Ekhtiari S, Chang Y, Phillips SA, Zhu M, Chagla Z, Main C, Bhandari M. Novel Coronavirus COVID-19: Current Evidence and Evolving Strategies. J Bone Joint Surg Am. 2020 May 6;102(9):734-744. doi: 10.2106/JBJS.20.00396. https://jbjs.org/reader.php?id=206110&rsuite_id=2387011&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/102/9/734/fulltext&topics=if%2Boe#info López-Medina E, López P, Hurtado IC, Dávalos DM, Ramirez O, Martínez E, Díazgranados JA, Oñate JM, Chavarriaga H, Herrera S, Parra B, Libreros G, Jaramillo R, Avendaño AC, Toro DF, Torres M, Lesmes MC, Rios CA, Caicedo I. Effect of Ivermectin on Time to Resolution of Symptoms Among Adults With Mild COVID-19: A Randomized Clinical Trial. JAMA. 2021 Apr 13;325(14):1426-1435. doi: 10.1001/jama.2021.3071. https://pubmed.ncbi.nlm.nih.gov/33662102/

James Herndon, MD, MBA, FAOA shares insights from his newly published title, "Birth of a Specialty:  A History of Orthopaedics at Harvard and Its Teaching Hospitals." About Birth of a Specialty:  A History of Orthopaedics at Harvard and Its Teaching HospitalsBirth of a Specialty presents a comprehensive history of the specialty focused on US contributions and including the orthopaedic surgeons at Harvard Medical School (HMS) and its major teaching hospitals.Volume 1 addresses the early surgical landscape, the development of the specialization of orthopaedics, and the history of orthopaedics at HMS. The history of HMS discusses the creation of the orthopaedic department, curriculum, and residency program, the emergence of sports medicine, as well as the infamous murder of Dr. George Parkman at the school in 1849 and contributions by surgeons to the case.Volumes 2, 3 and 4, present the history of orthopaedics at each of Harvard's teaching hospitals; with volume 2 focused on Boston Children's Hospital, volume 3 on Massachusetts General Hospital, and volume 4 on Brigham and Women's Hospital, Beth Israel Deaconess Medical Center and Boston City Hospital.Each hospital section begins by discussing the origins of the institution; the evolution of orthopaedic department status at each hospital; the contributions of many great orthopaedic surgeons; and the transition from the twentieth to the twenty-first century, including recruitment of orthopaedic chairpersons at each of the hospitals. It ends with a discussion of the role of Harvard orthopaedic surgeons in the world wars.About James Herndon, MD, MBA, FAOAJames H. Herndon, MD, MBA, FAOA is the William H. & Johanna A. Harris Distinguished Professor of Orthopaedic Surgery at Harvard Medical School, Massachusetts General Hospital; and Chairman Emeritus of the Department of Orthopaedic Surgery in Partners Healthcare System (Mass General Brigham), Boston. He has long been a leader in orthopaedics, chairing departments of orthopaedic surgery at Brown University/Rhode Island Hospital and the University of Pittsburgh Medical School and Medical Center (UPMC). He also served as vice president of medical services at UPMC and as associate senior vice chancellor for the health sciences at the University of Pittsburgh.He has influenced the direction of orthopaedics through leadership positions with national organizations such as the American Academy of Orthopaedic Surgeons (AAOS), the American Orthopaedic Association, the Journal of Bone and Joint Surgery, and the Academic Orthopaedic Society.More information can be found here.**The AOA thanks Peter E. Randall Publisher for its generous support of this episode.**

You don't need to lose weight to get out of pain. And the idea that some amount of pain is something we have to just “live with” because of our age or body type is nonsense. A majority of the messages in my inbox include some version of “I have pain and I know I need to lose weight but...” which honestly breaks my heart because I believe that life without pain is possible for everyone. I truly do. Researchers really want to make a connection between obesity, BMI, and pain but haven't been able to - but that doesn't stop them from trying. In this episode, you'll learn: Why you don't need to lose weight to get out of pain How science really wants to make a connection but can't And why focusing on BMI is a waste of time (and missing the point) All the links: Okifuji A, Hare BD. The association between chronic pain and obesity. J Pain Res. 2015;8:399-408. Published 2015 Jul 14. doi:10.2147/JPR.S55598 Evers Larsson, U. Influence of weight loss on pain, perceived disability and observed functional limitations in obese women. Int J Obes 28, 269–277 (2004). https://doi.org/10.1038/sj.ijo.0802534 McGoey BV, Deitel M, Saplys RJ, and Kliman ME. Effect of weight loss on musculoskeletal pain in the morbidly obese. The Journal of Bone and Joint Surgery. British volume 1990 72-B:2, 322-323 Paul Welsh, Eliana Polisecki, Michele Robertson, Sabine Jahn, Brendan M. Buckley, Anton J. M. de Craen, Ian Ford, J. Wouter Jukema, Peter W. Macfarlane, Chris J. Packard, David J. Stott, Rudi G. J. Westendorp, James Shepherd, Aroon D. Hingorani, George Davey Smith, Ernst Schaefer, Naveed Sattar, Unraveling the Directional Link between Adiposity and Inflammation: A Bidirectional Mendelian Randomization Approach, The Journal of Clinical Endocrinology & Metabolism, Volume 95, Issue 1, 1 January 2010, Pages 93–99, https://doi.org/10.1210/jc.2009-1064 30 days to more strength + flexibility with the Mobility Mastery Toolkit Movement Mavens has the tools and strategy to support you on your path to enjoying life without pain - www.aewellness.com/mavens www.aewellness.com/podcast - Show notes, links and more. Join the free Body Nerds FB community: https://www.facebook.com/groups/aewbodynerds/ Come hang out with me on Instagram @hollaformala : https://instagram.com/hollaformala/ TikTok @ aewellness Bodywork Starter Guide - learn the 6 places you need to roll right now for quick-relief, plus the reason why what you've tried so far has only given you a temporary fix. Download the guide for free now at www.aewellness.com/bodywork 818-396-6501 is the Body Nerd Hotline - how do you build consistency and/or where are you getting stuck? Drop me a line and let me know your body nerd hacks - you might just hear your voice on a future episode! Today's episode was brought to you by The Amino Co. Their essential amino acid blends are 100% backed by science to help you perform at your best, heal from within, and live life to the fullest. Whether your goal is to reduce inflammation, maintain muscle mass or improve focus - the Amino Co has you covered! Save 30% off your entire order when you use the code BODYNERD at www.AEwellness.com/amino.

In this episode, Marc and Mo are joined by special guest Michael McKee (Chairman of Orthopaedic Surgery at the University of Arizona College of Medicine in Phoenix, past President of the Orthopaedic Trauma Association) in a deep dive into Dr. McKee’s impact on the field of orthopaedics, particularly his role as a leader in establishing multicenter trials focusing on clavicular fractures and his expectations for future research in this area. OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Links: Canadian Orthopaedic Trauma Society. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial. J Bone Joint Surg Am. 2007 Jan;89(1):1-10. doi: 10.2106/JBJS.F.00020. PMID: 17200303. https://jbjs.org/reader.php?id=198776&rsuite_id=1021775&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/89/1/1/abstract&topics=sh#info McKee RC, Whelan DB, Schemitsch EH, McKee MD. Operative versus nonoperative care of displaced midshaft clavicular fractures: a meta-analysis of randomized clinical trials. J Bone Joint Surg Am. 2012 Apr 18;94(8):675-84. doi: 10.2106/JBJS.J.01364. PMID: 22419410. https://jbjs.org/reader.php?id=201211&rsuite_id=1146706&native=1&source=The_Journal_of_Bone_and_Joint_Surgery%2F94%2F8%2F675%2Fabstract#info Swiontkowski M. Editor’s Choice: Are We Overtreating Clavicular Fractures? OrthoBuzz, July 9, 2014. https://orthobuzz.jbjs.org/2014/07/09/editors-choice-are-we-overtreating-clavicular-fractures/

Younger Kids Next In Line For COVID-19 Vaccines This week, an FDA advisory panel voted unanimously to recommend that the COVID-19 vaccine made by Pfizer vaccine be approved for children as young as 5. If the FDA concurs and the CDC agrees, lower-dose Pfizer vaccinations could soon be available for children ages 5 to 11, via local pediatricians. Just who will be immediately eligible for the doses, and how vaccinating young children might affect school mask policies and other restrictions, remains to be seen. Umair Irfan, staff writer at Vox, joins Sophie Bushwick to talk about the news and other stories from the week in science, including potential COVID-related criminal charges against Brazil's Jair Bolsonaro, an experimental bionic vision implant, and the possible discovery of an exoplanet in the galaxy Messier 51.   Could Ordinary Household Objects Be Used To Spy On You? In the movies, if a room is bugged, the microphone might be hidden in a potted plant. But in recent years, researchers have come up with ways to use the trembling leaves of a potted plant, light glancing off a potato chip bag, and even tiny jiggles in the head of a spinning hard drive caused by a nearby conversation to be able to listen to what's happening in a room, or to gain information about what's going on nearby. On a larger scale, other researchers have been able to use the vibrations of an entire building to paint a picture of movements within it—and even the health status of the people inside. The approach is known as a side-channel attack: Rather than observing something directly, you're extracting information from something else that has a relationship with the target. Many of the approaches are not straightforward—they require an understanding of the physics involved, and sometimes heavy data-processing or machine learning to interpret the hazy information yielded by these techniques. Jon Callas of the Electronic Frontier Foundation, Hae Young Noh of Stanford, and Kevin Fu of the University of Michigan join host Sophie Bushwick to talk about the risks and opportunities afforded by these sneaky methods of surveillance, and how concerned you should be.   A Maggot Revolution In Modern Medicine In a bloody battle during World War I, two wounded soldiers were stranded on the battlefield in France, hidden and overlooked under some brush. Suffering femur fractures and flesh wounds around their scrotum and abdomen, they lay abandoned without water, food, or shelter for a whole week. At the time, outcomes for these kinds of wounds were poor: Patients with compound femur fractures had a 75 to 80% mortality rate. By the time the soldiers were rescued and brought to a hospital base, orthopedic surgeon William Baer expected their wounds to be festering, and their conditions fatal. But much to his surprise, neither showed any signs of fever, septicaemia, or blood poisoning. When his team removed the soldiers' clothing, they discovered that their flesh wounds were filled with thousands of maggots, or baby flies—little larvae with a massive appetite for decaying matter. Baer was repulsed by the sight, and the team quickly washed off the wriggling maggots. Underneath, instead of the expected pus and bacteria-infected flesh, Baer marveled over “the most remarkable picture.” “These wounds were filled with the most beautiful pink granulation tissue that one could imagine,” Baer later wrote in a 1931 report in the Journal of Bone and Joint Surgery. Maggots have long been associated with death, but in this case, they were helping the soldiers stay alive. As these insects were simply tucking in for their typical meal of dead, decaying flesh, they were inadvertently aiding the soldiers by cleaning their wounds, keeping infection at bay. The soldiers recovered—saved by their tiny, wriggling “friends which had been doing such noble work,” Baer wrote. Baer's paper is one of the first reports of maggots used in medicine, but these insects have been found healing wounds for thousands of years, with references in the Old Testament and in ancient cultures of New South Wales and Northern Myanmar. Read the rest on sciencefriday.com.

Abner Doubleday is said to have invented the game of baseball in 1839 in Cooperstown, New York. 172 years later another season of the fall classic has begun. Orthopedic Surgeon, Dr. Grant Garcia joins me to talk about key injuries on playoff teams. We discuss a litany of things… from hip inflammations and intercostal strains to Spider Tack and the universal DH. A mash-up of Orthopedic information and pure sports fandom. Finally, we put the doctor on the hot seat as he makes his baseball predictions from each round, and eventually his 2021 World Series winner. Dr. Grant Garcia has authored over 70 publications in prominent peer-review journals including the American Journal of Sports Medicine, Journal of Shoulder and Elbow Surgery, and Journal of Bone and Joint Surgery. He has presented more than 60 academic sports papers worldwide, in addition to authoring book chapters on advanced techniques in Sports Medicine. He currently serves as an Assistant Editor for Current Reviews in Musculoskeletal Medicine and is a reviewer for Journal of Shoulder and Elbow Surgery and American Journal of Sports Medicine Music: Bensound

In this episode, Marc and Mo are joined by special guest and world-renowned sports-medicine expert Asheesh Bedi (Director of the Michigan Center for Human Athletic Medicine and Performance, Harold W. and Helen L. Gehring Professor of Orthopaedic Surgery, Chief of Sports Medicine and Shoulder Surgery at the University of Michigan, head orthopaedic surgeon for University of Michigan athletics, and consultant for numerous NBA, NFL, and NHL teams) in a continuation of their previous discussion of orthobiologics, one of the most rapidly evolving areas of orthopaedics. What are the “major players” in this field, and are we there yet? Do PRP and stem cells play a role in the management of patients in 2021? What progress has been made, and what challenges and opportunities remain? OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Links: Reider B. Proceed With Caution. The American Journal of Sports Medicine. 2009;37(11):2099-2101. doi:10.1177/0363546509352786. https://journals.sagepub.com/doi/full/10.1177/0363546509352786 Bauer, Thomas W. MD, PhD Stem Cell Therapy for Knee Pain—What Exactly Are We Injecting, and Why?, The Journal of Bone and Joint Surgery: September 21, 2016 - Volume 98 - Issue 18 - p 1509-1510 doi: 10.2106/JBJS.16.00872. https://jbjs.org/reader.php?id=203068&rsuite_id=1261189&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/98/18/1509/fulltext&topics=bs#info

Dr. Matt Varacallo, Director of Orthopedic Robotic Surgery at Penn Highlands, explains how the new Mako robotic tech can help patients recover more quickly. We also discuss how sports medicine is not just for athletes!

In this thought-provoking episode, Marc and Mo highlight a recent single-center study on the use of machine-learning algorithms in orthopaedics and use it as a springboard into a larger discussion of the inherent opportunities and challenges that have always been associated the ongoing process of scientific exploration into new domains, with a focus on the intriguing question: “Is there a day in the future when clinical decision-making will be reduced to these machine-learning algorithms?” OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Links: Kunze KN, Polce EM, Clapp I, Nwachukwu BU, Chahla J, Nho SJ. Machine Learning Algorithms Predict Functional Improvement After Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Athletes. J Bone Joint Surg Am. 2021 Jun 16;103(12):1055-1062. doi: 10.2106/JBJS.20.01640. PMID: 33877058. https://jbjs.org/reader.php?id=209282&rsuite_id=2845874&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/103/12/1055/fulltext&topics=sm#info OrthoBuzz Blog Entry: https://orthobuzz.jbjs.org/2021/06/21/use-of-machine-learning-to-predict-improvement-after-hip-arthroscopy/ Author Insights video: https://www.youtube.com/watch?v=KRT98A2HDn8

Todd Milbrandt of Mayo discusses his recent research on vertebral body tethering and bending films from Spine Deformity. We also highlight papers from the newest editions of JBJS, JPO, JPO-B, and JPOSNA. Your hosts are Carter Clement from Children's Hospital of New Orleans, Craig Louer from Vanderbilt, Josh Holt from Iowa, and Julia Sanders from Children's Hospital Colorado. Music by A. A. Alto.   Primary articles: 1. Defining the learning curve in CT-guided navigated thoracoscopic vertebral body tethering. Smitha Mathew, A Noelle Larson, D Dean Potter, Todd A Milbrandt. Spine Deformity May 2021. 2. Comparison of slot-scanning standing, supine, and fulcrum radiographs for assessment of curve flexibility in adolescent idiopathic scoliosis: a pilot study. Lauren M Swany, A Noelle Larson, A Fettah Buyuk, Todd A Milbrandt. Spine Deformity May 2021.   Lightning Round: 1. Prolonged non-weightbearing treatment decreases femoral head deformity compared to symptomatic treatment in the initial stage of Legg-Calvé-Perthes disease. Jeffrey B Peck, Dustin A Greenhill, William Z Morris, Dang-Huy Do, Molly F McGuire, Harry K W Kim.  Journal of Pediatric Orthopedics. Part B 2021 May 20.   2. Human Position Brace Versus Pavlik Harness for Infants Under 6 Months of Age With Developmental Dislocation of the Hip: A Comparison of Therapeutic Efficacy. Pan Gou, Yuan Zhang, Jun Wu, Jun Li, Xiang Li, Ming Li, Xing Liu. Journal of Pediatric Orthopedics 2021 May 13.   3. Novel device for nonsurgical correction of rigid forefoot adduction in children. Daniel Freedman, Pavel Kotlarsky, Mark Eidelman. Journal of Pediatric Orthopedics. Part B 2021 May 14.   4. Improved Bowel Function With Oral Methylnaltrexone Following Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis. Adrian J Lin, Andrew J Costandi, Eugene Kim, David L Skaggs, Lindsay M Andras, Neha Patel, Carl Lo, Kenneth D Illingworth.  Journal of Pediatric Orthopedics 2021 May 18.   5. Surgical Treatment of Solitary Periarticular Osteochondromas About the Knee in Pediatric and Adolescent Patients: Complications and Functional Outcomes. Mark Wu, Evan T Zheng, Megan E Anderson, Patricia E Miller, Samantha A Spencer, Benton E Heyworth. Journal of Bone and Joint Surgery. American Volume 2021 May 24.   6. Hogue, G. (2021). Early Onset Scoliosis Series Announcement. JPOSNA, 3(2). Retrieved from https://www.jposna.org/ojs/index.php/jposna/article/view/286   7. Murphy, R., & Mooney, J. (2021). The First Generation of Early Onset Scoliosis Care. JPOSNA, 3(2). Retrieved from https://www.jposna.org/ojs/index.php/jposna/article/view/281   8. Welborn, M., Sanders, J., & D'Astous, J. (2021). The Evolution of EDF Casting. JPOSNA, 3(2). Retrieved from https://www.jposna.org/ojs/index.php/jposna/article/view/282  

Is joint pain something  you or your loved ones live with every day? Listen to today's episode about when to seek help for your care.  When is the right time to see an orthopedic surgeon? Is surgery the best option? Are there alternatives to joint replacement surgery? Joining us today is Dr. Stephen Derringinton,  As a doctor of osteopathic medicine, he understands the connection between structure and function and devises holistic treatment plans to help the body heal itself. Tune in now to learn how you may be able to prevent joint surgery with Dr. Derrington's techniques. Dr. Stephen DerringtonDr. Stephen Derrington is the owner and CEO of Derrington Orthopedics- Interventional Sports and Spine. Dr. Derrington uses Interventional Orthobiologics to treat spine and peripheral joint conditions throughout the body. As a doctor of osteopathic medicine, he understands the connection between structure and function and devises holistic treatment plans to help the body heal itself.Dr. Derrington continued his regenerative medical training with Regenexx and the Interventional Orthobiologic Foundation and continues to educate fellow physicians as an expert instructor for the Interventional Orthobiologic Foundation.Dr. Derrington has published papers and textbook chapters on interventional orthobiologic treatments, spine procedures, tendon disorders, and ultrasound-guided injection techniques.Contact or Follow on Social Media Derrington Orthopedics:IG @socalstemcelldocFacebook @socalstemcelldocwww.DerringtonOrtho.comOffice Phone Number: (760) 721-4000

Episode 108: Dr. Grant Garcia discusses common tennis injuries and how to recognize them early on. For more info: grantgarciamd.com & orthopedicspecialistofseattle.com The Roland-Garros (French Open) is one of the major Grand Slam titles that every tennis player covets. This year Novak Djokovic has added his 2nd French Open title, and 19th Grand Slam title overall, putting him one win away from tying Roger Federer and Rafael Nadal. We felt that this was a perfect time to discuss common tennis injuries that players at all levels incur. Tennis is a high-level sport that puts a tremendous demand on our bodies and sometimes that demand can have lasting effects. Playing tennis requires explosive bursts of energy, using different types of playing surfaces, and constant perpetual motion. Our bodies are affected from head to toe: shoulder, elbow, back, knee, ankle, foot, wrist. We discuss these injuries, what they feel like, and when we should go see someone. The differences from soreness and needing a day off, or whether it's time to talk to someone before an injury can get worse. We've seen the toll these injuries have had on our favorite players. We want to make sure that athletes at ALL levels are aware of these types of injuries, how to recognize them and when you should go see your doctor. Dr. Garcia was an assistant team physician for the Chicago Bulls and Chicago White Sox. During residency, he also cared for players on the New York Giants, New York Mets, US Tennis Team, New York Rangers, New York Knicks, and Brooklyn Nets, as well as many collegiate athletes, has authored over 70 publications in prominent peer-review journals including the American Journal of Sports Medicine, the Journal of Shoulder and Elbow Surgery, and the Journal of Bone and Joint Surgery. He has presented more than 60 academic sports papers worldwide, in addition to authoring book chapters on advanced techniques in Sports Medicine. He currently serves as an Assistant Editor for Current Reviews in Musculoskeletal Medicine and is a reviewer for the Journal of Shoulder and Elbow Surgery and the American Journal of Sports Medicine. Audio Courtesy of NBC Sports Music: Bensound

In this episode, Marc and Mo are joined by special guest Bruce Sangeorzan—Professor of Orthopaedics at the University of Washington and world-renowned foot and ankle researcher—in a lively discussion on the past, present, and future of ankle replacement. Approximately 700,000 knee replacements are performed each year, compared with just 10,000-20,000 ankle replacements, leading to a number of questions: How does this factor affect the number of clinicians who are as skillful and comfortable in performing ankle replacement as compared with shoulder, knee, and hip replacement? How do better-designed alignment devices, improved implants, and better training affect the numbers of ankle replacements being performed each year? How soon can we reach 40,000 ankle replacements each year? What are the challenges in performing RCTs of ankle arthroplasty? Is an RCT even the right study design for this topic? What design elements seem to be most successful, especially given the space limitations in the ankle region? How do factors such as degenerative disease, BMI, activity level, and adjacent osteotomy affect the results of ankle replacement and arthrodesis? OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Resources/Links: Veljkovic AN, Daniels TR, Glazebrook MA, Dryden PJ, Penner MJ, Wing KJ, Younger ASE. Outcomes of Total Ankle Replacement, Arthroscopic Ankle Arthrodesis, and Open Ankle Arthrodesis for Isolated Non-Deformed End-Stage Ankle Arthritis. J Bone Joint Surg Am. 2019 Sep 4;101(17):1523-1529. doi: 10.2106/JBJS.18.01012. PMID: 31483394. https://jbjs.org/reader.php?id=205473&rsuite_id=2159103&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/101/17/1523/fulltext&topics=fa#info Muller P, Skene SS, Chowdhury K, Cro S, Goldberg AJ, Doré CJ; TARVA Study Group. A randomised, multi-centre trial of total ankle replacement versus ankle arthrodesis in the treatment of patients with end stage ankle osteoarthritis (TARVA): statistical analysis plan. Trials. 2020 Feb 18;21(1):197. doi: 10.1186/s13063-019-3973-4. PMID: 32070409; PMCID: PMC7029552. https://pubmed.ncbi.nlm.nih.gov/32070409/ The Canadian Foot and Ankle Society (COFAS): https://coa-aco.org/foot-ankle-cofas/ Brought to you by Mohit Bhandari and Marc Swiontkowski of OrthoJOE.

How do diversity, equity, and inclusion contribute to excellence, creativity, competitive advantage, and relevance in both orthopaedic surgery and scientific publishing? How can we achieve greater diversity among authors, editors, and reviewers at top journals? What specific steps can individuals and organizations take to create a more diverse, inclusive, and equitable environment that provides greater opportunities for under-represented groups? We have a mailbag! If you have any feedback or comments about the latest episode or other relevant topics, feel free to send us a line at the OrthoJOE Mailbag: orthojoe@jbjs.org. Talking Points: Equity and inequality in surgery “Getting to excellence” and “being diverse and inclusive” are key targets How can we be more inclusive in the publishing industry and within our fields of expertise? The orthopaedic gender gap What more should we be doing? Rallying the voices of others Being aware of what’s happening in your office Thinking broadly about change Resources/Links: Scholl E, Badwall HK, Bhandari M. Equity in Surgery: Being Diverse and Inclusive, Isn’t Enough. OE Insights. Sept. 5, 2020. https://myorthoevidence.com/Download/5ac93c79-38a3-4e9e-b5bc-ce225882ac75. Okike K, Liu B, Lin YB, Torpey JL, Kocher MS, Mehlman CT, Bhandari M, Biermann JS. The orthopedic gender gap: trends in authorship and editorial board representation over the past 4 decades. Am J Orthop (Belle Mead NJ). 2012 Jul;41(7):304-10. https://pubmed.ncbi.nlm.nih.gov/22893880/ Hiller KP, Boulos A, Tran MM, Cruz AI Jr. What Are the Rates and Trends of Women Authors in Three High-impact Orthopaedic Journals from 2006-2017? Clin Orthop Relat Res. 2020 Jul;478(7):1553-1560. doi: 10.1097/CORR.0000000000001043. https://pubmed.ncbi.nlm.nih.gov/31688211/ Ray GS, Lechtig A, Rozental TD, Bernstein DN, Merchan N, Johnson AH. Gender Disparities in Financial Relationships Between Industry and Orthopaedic Surgeons. J Bone Joint Surg Am. 2020 Feb 19;102(4):e12. doi: 10.2106/JBJS.19.00669. https://jbjs.org/reader.php?id=205772&rsuite_id=2266005&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/102/4/e12/abstract&topics=oe#info

In this episode of the Advancing Surgical Care Podcast, ASCA Chief Executive Officer Bill Prentice talks about the evolution of outpatient joint surgery with Dr. Anthony Romeo, a leading orthopedic surgeon who specializes in outpatient shoulder and elbow procedures.  Today, thanks to advances in anesthesia, arthroscopic surgical techniques and postoperative pain management, joint surgery is more commonly performed on an outpatient basis, allowing patients to recover more quickly and more comfortably in their own homes. During this discussion, Bill Prentice invites Dr. Romeo to draw on his knowledge and experience of caring for thousands of patients to answer some of the most common questions about outpatient joint surgery.

Dr. Grant H. Garcia takes his Orthopedic “seeding” and has them go head-to-head in the spirit of the March Madness tournament teams that are about to embark on their journey this month. The Orthopedic “teams” in Dr. GArcia's tournament are… ACL/MCL, Achilles Rupture, UCL (Tommy John), and SLAP (Superior Labrum Anterior and Posterior) tear. How do we play? Semifinal match-ups: The description of the injury sustained. The Common causes to obtain such injury. What are their symptoms, and how to recognize the severity of your injury? Can certain injuries heal on their own, or is surgery necessary? Typical recovery timeline for injuries sustained. winners advance. Championship round: Last two “teams” go head to head, and Dr. Garcia discusses their post-surgery/rehab treatment procedures. Last but not least, the percentage rate of a successful recovery if treated correctly. Dr. Garcia picks his winner or loser depending on your view in this special edition of March Madness. It's a fun and informative show as we get ready for bracket madness, orthopedic style. Get your brackets in. If not follow ours. Dr. Garcia was an assistant team physician for the Chicago Bulls and Chicago White Sox. During residency, he also cared for players on the New York Giants, New York Mets, US Tennis Team, New York Rangers, New York Knicks, and Brooklyn Nets as well as many collegiate athletes. He has authored over 70 publications in prominent peer-review journals including the American Journal of Sports Medicine, the Journal of Shoulder and Elbow Surgery, and Journal of Bone and Joint Surgery. He has presented more than 60 academic sports papers worldwide, in addition to authoring book chapters on advanced techniques in Sports Medicine. He currently serves as an Assistant Editor for Current Reviews in Musculoskeletal Medicine and is a reviewer for the Journal of Shoulder and Elbow Surgery and the American Journal of Sports Medicine. Dr. Garcia grew up on Mercer Island, WA, and during high school became an All-American swimmer and captain of the men's swim team. His undergraduate degree is from Brown University, where he was captain of the varsity swim team. He received his Medical Degree from the University of Pennsylvania School of Medicine. For the Orthopedic Surgery residency, he attended the Hospital for Special Surgery in New York City, considered the top orthopedic residency in the U.S. During his residency he also did a mini-shoulder fellowship in France with internationally renowned French shoulder surgeons. Finally, he completed his sports medicine and shoulder fellowship at Rush University in Chicago, recognized as a premier facility for these specialties Music: Bensound

In this episode we chat with Associate Professor in the Division of Physical Therapy and the Department of Orthopedic Surgery at University of Kentucky Brian Noehren, PT, PhD, FACSM and Associate Professor Chris Fry, PhD of University of Kentucky in the Department of Athletic Training and Clinical Nutrition. Brian and Chris have a registered (ref. no. NCT03364647), ongoing ACLR trial utilizing BFR where they will be taking serial biopsies to exam what effect the intervention is having upon the quality of the muscle; something they've identified to be problematic in previous studies. Here's a link to their study protocol: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6665950/ The articles we discussed in this episode: Noehren, B., Andersen, A., Hardy, P., Johnson, D. L., Ireland, M. L., Thompson, K. L., & Damon, B. (2016). Cellular and Morphological Alterations in the Vastus Lateralis Muscle as the Result of ACL Injury and Reconstruction. The Journal of Bone and Joint Surgery. American Volume, 98(18), 1541–1547. Peck, B. D., Brightwell, C. R., Johnson, D. L., Ireland, M. L., Noehren, B., & Fry, C. S. (2019). Anterior Cruciate Ligament Tear Promotes Skeletal Muscle Myostatin Expression, Fibrogenic Cell Expansion, and a Decline in Muscle Quality. The American Journal of Sports Medicine, 363546519832864. Noehren, B., & Snyder-Mackler, L. (2020). Who's Afraid of the Big Bad Wolf? Open-Chain Exercises After Anterior Cruciate Ligament Reconstruction. The Journal of Orthopaedic and Sports Physical Therapy, 50(9), 473–475. Moro, T., Brightwell, C. R., Phalen, D. E., McKenna, C. F., Lane, S. J., Porter, C., Volpi, E., Rasmussen, B. B., & Fry, C. S. (2019). Low skeletal muscle capillarization limits muscle adaptation to resistance exercise training in older adults. Experimental Gerontology, 127, 110723. Nielsen, J. L., Aagaard, P., Bech, R. D., Nygaard, T., Hvid, L. G., Wernbom, M., Suetta, C., & Frandsen, U. (2012). Proliferation of myogenic stem cells in human skeletal muscle in response to low-load resistance training with blood flow restriction. The Journal of Physiology, 590(17), 4351–4361. If you'd be interested in pursuing a PhD with these gentlemen feel free to reach out at: b.noehren@uky.edu christopher.fry@uky.edu Or, find Brian and Chris on Twitter: @bnoehren @ChrisFryPhD

This week Dr. Grant Garcia discusses… We all know that Father Time is inevitable. As we get older, we slow down, we don't recover as fast as we used to, and as athletes our performance takes a hit. Apparently, Tom Brady hasn't gotten the memo. Dr. Grant Garcia discusses the ageless wonder, and his ability to continue to thrive and perform, as he gets older like very few athletes can. As amazing as it is that he continues to show excellence on the field, off the field he will get his repaired torn ACL from 2008 looked at this offseason what is considered “minor surgery or cleaned up.” As he gets ready for season number 22 next fall. Speaking of ACL injuries…It's been a winter wonderland here in the Pacific Northwest, and skiers are heading to the mountains so they can enjoy the #1 winter recreational sport in the world. Unfortunately, Dr. Garcia is seeing an uptick in injuries, especially ACL injuries. Dr. Garcia discusses a few things to help remind you what you need to do to get ready for the slopes, so you don't end up in the ER feeling like a dope. Feel free to comment here and share any future ideas that you would like us to discuss. Also, you can email at nyseasports@gmail.com For more information or consultation with Dr. Grant Garcia…grantgarciamd.com and orthopdedicsspecialistsofseattle.com Dr. Garcia was an assistant team physician for the Chicago Bulls and Chicago White Sox. During residency, he also cared for players on the New York Giants, New York Mets, US Tennis Team, New York Rangers, New York Knicks, and Brooklyn Nets, as well as many collegiate athletes, has authored over 70 publications in prominent peer-review journals including the American Journal of Sports Medicine, the Journal of Shoulder and Elbow Surgery, and the Journal of Bone and Joint Surgery. He has presented more than 60 academic sports papers worldwide, in addition to authoring book chapters on advanced techniques in Sports Medicine. He currently serves as an Assistant Editor for Current Reviews in Musculoskeletal Medicine and is a reviewer for the Journal of Shoulder and Elbow Surgery and the American Journal of Sports Medicine. Music Courtesy: Bensound

This is Stephen Schmidt from the Gazette digital news desk and I'm here with your update for Tuesday, February 9. It will be very cold again Tuesday, but at least there shouldn't be more snow. According to the National Weather Service, there will be a high near 5 degrees in the Cedar Rapids area Tuesday with mostly cloudy skies. Wind chills again will be in the 30 degree below zero range. This chilly weather should remain for at least the next week, before we hopefully grind our way to some slightly warmer temperatures. State officials say January in Iowa was marked by above-normal precipitation and above-average temperatures — an unusual feature for a month that usually is the driest of the year.  Technical staff from state and federal agencies that compile a monthly water summary report that temperatures in January averaged 4 degrees above normal for the month, with 1.27 inches of precipitation — a total that was 0.35 of an inch above normal.  However, abnormal dryness and drought conditions remained generally unchanged through January. Under the snow, the shallow soils are dry enough that there is the potential for drought issues later this spring, according to Tim Hall, coordinator of hydrology resources for the Iowa Department of Natural Resources.  Iowa Gov. Kim Reynolds did not directly consult her own public health department before https://www.thegazette.com/subject/news/health/hospitalizations-continue-to-decline-as-covid-19-restrictions-are-lifted-in-iowa-20210207 (lifting Iowa's remaining COVID-19 mitigation strategies)-- including a partial face mask mandate and social distancing guidelines -- just in time for Superbowl Sunday. During a weekly briefing on the state's pandemic response, Democratic lawmakers asked Iowa Department of Public Health Director Kelly Garcia whether Reynolds consulted the agency before the governor on Friday https://www.thegazette.com/subject/news/health/iowa-covid-restrictions-lifted-mask-mandate-gatherings-gov-kim-reynolds-20210205 (lifted the state's remaining pandemic mitigation strategies). Garcia told the legislators the department was not consulted on the decision — that the governor made that decision on her own. The Governor's Office replied that Gov. Reynolds merely followed past precedent in reducing restrictions as hospital rates have gone down. The governor's decision has led to alarmed feedback from Democratic lawmakers and from the mayors of Iowa's largest cities, including Cedar Rapids, who pledged to stick to their mask mandates. Several area restaurants told the Gazette Monday that they plan to keep their safety restrictions in place for the time being. The state has reached a $350,000 settlement agreement with a University of Iowa Hospitals and Clinics patient who sued two years ago after she said hip surgery left her with “femoral nerve palsy” — a sort of nerve dysfunction causing “weakness, numbness, and tingling pain.” The UI Physicians group will pay the full amount to Erin Jacobson, of Linn County, pending approval from the State Appeal Board. That board, so far this budget year, has agreed to pay from its general fund nearly $2.8 million for settlements or judgments associated with the state Board of Regents, including UI Hospitals and Clinics. Research published one year ago in the scientific “Journal of Bone and Joint Surgery” found femoral nerve palsy — which it describes as a “serious neurological complication” — can follow total hip arthroplasty, the same procedure Jacobson underwent, if retractors are wrongly positioned. This briefing is sponsored in part by Corridor Careers. Are you looking for a job? https://www.corridorcareers.com/ (CorridorCareers.com) is a resource to local job seekers where they can get job tips, sign up for local job alerts, build a resume and more. Check it out at https://www.corridorcareers.com/ (CorridorCareers.com). Be sure to subscribe to The Gazette Daily news podcast, or just tell your Amazon...

The NFL is in playoff mode and as we enjoy the sport that so many of us love, we are reminded about the dangers of head injuries as two of the biggest stars in the league suffer arguably the most difficult injuries to endure. This past weekend, former NFL MVP Lamar Jackson, and Super Bowl MVP Patrick Mahomes sustained concussions that saw them exit their games. A concussion is an injury that sometimes is not so clear to see, and at other times it is very obvious. Dr. Grant Garcia discusses the various levels of concussion injuries that can be sustained, and how all levels of head trauma are significant. Concussion injuries happen at the highest and lowest level of sport, not just football, and although significant advances are being made it can still sometimes be difficult to catch, especially to the untrained eye, or someone that didn't see the injury occur. We discuss the “signs” to look for. The importance of a player or parent coming forward when a player is exhibiting such signs is paramount and they should never be ignored. Dr. Garcia discusses these signs, the steps or “concussion protocol” that should be followed when returning to sport, and the importance of teams using data forms such as SCAT (Sports Concussion Assessment Tool.) This tool represents a standardized method of evaluating injured athletes for concussion and can be used in athletes aged from 10 years and older. Another informative show that we hope you will enjoy and share. For more information or consultation with Dr. Grant Garcia…grantgarciamd.com and orthopdedicsspecialistsofseattle.com Dr. Garcia was an assistant team physician for the Chicago Bulls and Chicago White Sox. During residency, he also cared for players on the New York Giants, New York Mets, US Tennis Team, New York Rangers, New York Knicks, and Brooklyn Nets as well as many collegiate athletes. He has authored over 70 publications in prominent peer-review journals including the American Journal of Sports Medicine, the Journal of Shoulder and Elbow Surgery, and the Journal of Bone and Joint Surgery. He has presented more than 60 academic sports papers worldwide, in addition to authoring book chapters on advanced techniques in Sports Medicine. He currently serves as an Assistant Editor for Current Reviews in Musculoskeletal Medicine and is a reviewer for the Journal of Shoulder and Elbow Surgery and the American Journal of Sports Medicine. Music Courtesy: Bensound

Today it's time to bust the myths of R.I.C.E. (rest, ice, compression, elevation) and get out of the ice age for good! Not only because the inventor himself says “Coaches have used my “RICE” guideline for decades, but now it appears that both Ice and complete Rest may delay healing, instead of helping.” …why moving the body part and in what way you should move it to get you out of injury and pain faster! In „Busting myths“ we take a look at old knowledge or common practices that are outdated. Backed with science, we will bust to the bottom of the myth and find out what is actually working and proven. --- If you liked this first ever Podcast publication in English, please let me know wherever you listen to the podcast. I want to know if you prefer German or English!---   Sources cited: M.van Bekerom What Is the Evidence for Rest, Ice, Compression, and Elevation Therapy in the Treatment of Ankle Sprains in Adults? (2012) Journal of Athletic Training 2012 Aug; 47(4): 435–443.doi: 10.4085/1062-6050-47.4.14 T.L. Mehlhoff, et. al.(1988).Simple dislocation of the elbow in the adult. Results after closed treatment. The Journal of Bone and Joint Surgery, American Volume: Feb 1988, Vol. 70, No. 2, pp. 244-249. M. Bayer, et. al. (2017). Early versus Delayed Rehabilitation after Acute Muscle Injury. The New England Journal of Medicine: 2017; 377:1300-1301  

A new year is upon us, and for many of us, a new year symbolizes new resolutions. Dr. Grant Garcia, orthopedic surgeon, and sports medicine specialist discusses the “Average Joe” resolutions and how we should safely, and smartly prepare ourselves for a healthy and fit 2021. New workouts can sometimes lead to new injuries. What are some things to consider when we're starting new routines? The importance of being mindful, listening to our bodies, and progressing at a pace that is beneficial for sustainability. As we say adieu to the 2020 NFL regular season, half of the league's offseason has officially begun. We discuss why this is the most difficult time for team doctors, and what their process and protocol are when handling players before they leave the team's facilities. Don't worry sports fans; we also had to get Dr. Garcia's Super Bowl picks, and it will surprise some football fans out there. Happy New Year! For more information or consultation with Dr. Grant Garcia… grantgarciamd.com and orthopdedicsspecialistsofseattle.com Dr. Garcia was an assistant team physician for the Chicago Bulls and Chicago White Sox. During residency, he also cared for players on the New York Giants, New York Mets, US Tennis Team, New York Rangers, New York Knicks, and Brooklyn Nets as well as many collegiate athletes. He has authored over 70 publications in prominent peer-review journals including the American Journal of Sports Medicine, the Journal of Shoulder and Elbow Surgery, and the Journal of Bone and Joint Surgery. He has presented more than 60 academic sports papers worldwide, in addition to authoring book chapters on advanced techniques in Sports Medicine. He currently serves as an Assistant Editor for Current Reviews in Musculoskeletal Medicine and is a reviewer for the Journal of Shoulder and Elbow Surgery and the American Journal of Sports Medicine. Music credit: Bensound

Welcome to the OrthoJOE podcast with Dr. Marc Swiontkowski and Dr. Mohit Bhandari. In this second episode of OrthoJOE, we’ll be talking about our background in orthopedics, the purpose and mission for our podcast, and topics we cover in both of our publications including the use of antibiotic cement in arthroplasty, registry data, randomized trials, and trial numbers. We also discuss how different trials covering the same subject matter can yield such different results. Dr. Marc Swiontkowski is an orthopedic trauma surgeon at the TRIA Orthopedic Center Bloomington. He is the editor-in-chief of the Journal of Bone and Joint Surgery. He’s also an active researcher sponsored by the National Institutes of Health. Dr. Mohit Bhandari is a professor and academic head of the division of Orthopedic Surgery at McMaster University in Ontario. He holds the Canadian Research Chair in evidence-based orthopedics. If you have any comments, questions, or topics you would like us to cover, please feel free to reach out so we can read your messages and possibly answer your questions during the next episode of OrthoJOE. Talking Points: The use of antibiotic cement in arthroplasty The biggest challenge in registry data Subject numbers and other necessities for trials Knee replacement and hip replacement trials

Merry Christmas and Happy Holidays! As we wrap up 2020 and look ahead to 2021, we have some holiday fun using the 12 days of Christmas theme with Orthopedic Surgeon Dr. Grant H. Garcia. The show is a combination of important information for patients and a way to get to know Dr. Garcia. We discuss topics such as getting a second opinion, essential rehabbing after post-op, what a patient should always ask their doctor, and how to prepare for those conversations. Dr. Garcia reminisces about memorable moments with clients and what he's most proud of. Dr. Garcia may be a great doctor, but interestingly his skill as a meticulous travel planner is also undeniable. We have some fun and informative conversations this week on our holiday edition of NYSEA. For more information or consultation with Dr. Grant Garcia… grantgarciamd.com and orthopdedicsspecialistsofseattle.com Dr. Grant Garcia has advanced accredited fellowship training in sports medicine and shoulder surgery and this is the primary focus of his practice. He is very interested in return to sports after shoulder, knee and elbow injuries and surgeries, consistent with his athletic background. He has published over a dozen papers on this topic and his work has been featured widely including ESPN.com, Orthopedics Today and AAOS Now. Dr. Garcia was an assistant team physician for the Chicago Bulls and Chicago White Sox. During residency, he also cared for players on the New York Giants, New York Mets, US Tennis Team, New York Rangers, New York Knicks and Brooklyn Nets as well as many collegiate athletes. He has authored over 70 publications in prominent peer review journals including American Journal of Sports Medicine, Journal of Shoulder and Elbow Surgery and Journal of Bone and Joint Surgery. He has presented more than 60 academic sports papers worldwide, in addition to authoring book chapters on advanced techniques in Sports Medicine. He currently serves as an Assistant Editor for Current Reviews in Musculoskeletal Medicine and is a reviewer for Journal of Shoulder and Elbow Surgery and American Journal of Sports Medicine. Dr. Garcia grew up on Mercer Island, WA, and during high school became an All-American swimmer and captain of the men's swim team. His undergraduate degree is from Brown University, where he was captain of the varsity swim team. He received his Medical Degree from the University of Pennsylvania School of Medicine. For Orthopedic Surgery residency, he attended the Hospital for Special Surgery in New York City, considered the top orthopedic residency in the U.S. During residency he also did a mini-shoulder fellowship in France with internationally renowned French shoulder surgeons. Finally, he completed his sports medicine and shoulder fellowship at Rush University in Chicago, recognized as a premier facility for these specialties.

Dr. Brittany Boisvert with Emerson Orthopedic Associates discusses the benefits of same day joint surgery and who appropriate candidates are for the surgery.

Biologic treatments. That's the discussion this week with Orthopedic Surgeon, Dr. Grant Garcia. We've heard of some of the top athletes in the world getting Platelet-rich plasma and Stem cell treatments for faster and more productive recovery when it comes to injuries and surgeries. These procedures are no longer being used just on these athletes, You and I can now get these treatments and that's exciting for many reasons. Dr. Garcia discusses PRP & stem cell treatments and how they differentiate from one another. Picking one treatment over another comes down to many reasons and unfortunately costs play into that decision also. I was surprised to learn that not every facility is the same, especially when it comes to using the proper equipment for getting your platelets ready. That alone can determine the success of using treatments such as PRP. We discuss these concerns and what to look for and ask when searching out proper treatment. It's a very informative show recommended for everyone to learn more about biological treatments and the continuous push in medicine not only today but in the future. For more information check out grantgarciamd.com Dr. Grant Garcia has advanced accredited fellowship training in sports medicine and shoulder surgery and this is the primary focus of his practice. He is very interested in a return to sports after shoulder, knee, and elbow injuries and surgeries, consistent with his athletic background. He has published over a dozen papers on this topic and his work has been featured widely including ESPN.com, Orthopedics Today, and AAOS Now. Dr. Garcia was an assistant team physician for the Chicago Bulls and Chicago White Sox. During residency, he also cared for players on the New York Giants, New York Mets, US Tennis Team, New York Rangers, New York Knicks, and Brooklyn Nets as well as many collegiate athletes. He has authored over 70 publications in prominent peer-review journals including the American Journal of Sports Medicine, the Journal of Shoulder and Elbow Surgery, and the Journal of Bone and Joint Surgery. He has presented more than 60 academic sports papers worldwide, in addition to authoring book chapters on advanced techniques in Sports Medicine. He currently serves as an Assistant Editor for Current Reviews in Musculoskeletal Medicine and is a reviewer for the Journal of Shoulder and Elbow Surgery and the American Journal of Sports Medicine. Music: https://www.bensound.com

I denne episoden snakker vi med ortoped Kaare Midtgaard. Kaare har nylig publisert en leder hvor han peker på at pasienter med traumatisk, fremre skulderluksasjon antageligvis bør opereres langt tidligere og langt hyppigere enn det man gjør i dag. Han viser til en systematisk gjennomgang fra 2020 som viser at pasienter som ikke blir opereret etter førstegangsluksasjon har 7 ganger høyere sjanse for å reluksere enn pasienter som stabiliseres kirurgisk allerede etter første traumet. I denne podcasten diskuterer vi de mange momentene rundt dette. Ser du pasienter med skulderinstabilitet i din kliniske praksis er dette en podcast vi virkelig kan anbefale. AKTUELLE REFERANSER: Antonio, G.E., et al.: First-time shoulder dislocation: High prevalence of labral injury and age-related differences revealed by MR arthrography. J Magn Reson Imaging, 2007. 26(4): p. 983-91.Brownson, P., et al.: BESS/BOA Patient Care Pathways: Traumatic anterior shoulder instability. Shoulder Elbow, 2015. 7(3): p. 214-26.Easwaran, R., et al.: Imaging in shoulder instability with focus on identifying and measuring bone loss: A narrative review. Journal of Arthroscopy and Joint Surgery, 2018. 5(2): p. 71-78.Enger, M., et al.: Shoulder injuries from birth to old age A 1-year prospective study of 3031 shoulder injuries in an urban population. Injury, 2018.Gooding, B.W.T., et al.: The Management of Acute Traumatic Primary Anterior Shoulder Dislocation in Young Adults. Shoulder & Elbow, 2017. 2(3): p. 141-146.Hasebroock, A.W., et al.: Management of primary anterior shoulder dislocations: a narrative review. Sports Med Open, 2019. 5(1): p. 31.Hurley, E.T., et al.: Arthroscopic Bankart Repair Versus Conservative Management for First-Time Traumatic Anterior Shoulder Instability: A Systematic Review and Meta-analysis. Arthroscopy, 2020. 36(9): p. 2526-2532.Kavaja, L., et al.: Treatment after traumatic shoulder dislocation: a systematic review with a network meta-analysis. Br J Sports Med, 2018. 52(23): p. 1498-1506.King, S.W., et al.: Management of first time shoulder dislocation. Journal of Arthroscopy and Joint Surgery, 2018. 5(2): p. 86-89.Liavaag, S., et al.: The epidemiology of shoulder dislocations in Oslo.Scand J Med Sci Sports, 2011. 21(6): p. e334-40.Nakagawa, S., et al.: The Development Process of Bipolar Bone Defects From Primary to Recurrent Instability in Shoulders With Traumatic Anterior Instability. Am J Sports Med, 2019. 47(3): p. 695-703.Olds, M.K., et al.: Who will redislocate his/her shoulder? Predicting recurrent instability following a first traumatic anterior shoulder dislocation.BMJ Open Sport & Exercise Medicine, 2019. 5(1).Ozbaydar, M., et al.: Results of arthroscopic capsulolabral repair: Bankart lesion versus anterior labroligamentous periosteal sleeve avulsion lesion.Arthroscopy, 2008. 24(11): p. 1277-83.Provencher, C.M.T., et al.: Editorial Commentary: Evidence to Support Surgical Intervention for First-Time Shoulder Instability: Stabilize Them Early! Arthroscopy, 2020. 36(9): p. 2533-2536.Robinson, C.M., et al.: Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients. J Bone Joint Surg Am, 2006. 88(11): p. 2326-36.Rugg, C.M., et al.: Surgical stabilization for first-time shoulder dislocators: a multicenter analysis. J Shoulder Elbow Surg, 2018. 27(4): p. 674-

In this week's episode of the Spine & Nerve podcast Dr. Nicolas Karvelas and Dr. Brian Joves return to their Bay Area roots and mourn with Dub Nation after a devastating injury to Klay Thompson (shooting guard for the Golden State Warriors).  Klay Thompson sustained a season ending right Achilles’ tendon tear. Thompson suffered the injury during a workout... after a year of rehabbing from an ACL injury to his left knee that occurred during the 2019 NBA Finals.  If anyone can fight their way back through 2 consecutive grueling rehab processes and return to the level of play we expect from a player of Klay Thompson’s magnitude, it is Klay, but even for him this will be an incredible physical and mental challenge.   Tendon injuries are very prevalent with epidemiologic studies finding it to be the 2nd most common musculoskeletal condition to result in pursuit of medical care (behind spine pain). The pathophysiology of acute and chronic tendon injury does differ, with acute tendon injuries have a stronger proportion of extrinsic factors, while chronic tendon injury is driven more by a variety of intrinsic factors as well.  Inherent characteristics of tendons, including but not limited to relatively low metabolic rate and poor vascularization serve to optimize the tendon’s ability to perform their valuable function in the body, but also contribute to the poor healing potential of tendons.     Listen as the doctors discuss the basics of tendon anatomy and function, the pathophysiology of tendon injury, as well as the evidence behind some of the treatment options (including platelet rich plasma).   Lastly, the doctors explain and emphasize their respect and love for Klay Thompson and how he approached the game of basketball.  Whether it is in basketball, medicine, or life, it is always special to witness someone give it their all for what they love, and Klay Thompson always left it all on the floor.  Rest up, and heal up Klay, and we will see you soon for another championship run with the Warriors.   This podcast is for information and educational purposes only, it is not meant to be medical or career advice. If anything discussed may pertain to you, please seek council with your healthcare provider. The views expressed are those of the individuals expressing them, the may not represent the views of Spine & Nerve.   References: 1. MacLean S, Khan WS, Malik AA, Snow M, Anand S. Tendon Regeneration and Repair with Stem Cells. Stem Cells International. 2012. Article ID 316281. 2. Sharma, P, Maffulli, N. Tendon Injury and Tendinopathy: Healing and Repair. The Journal of Bone and Joint Surgery. 2005; 87:187-202. 3. Keene David J, Alsousou Joseph, Harrison Paul, Hulley Philippa, Wagland Susan, Parsons Scott R et al. Platelet rich plasma injection for acute Achilles tendon rupture: PATH-2 randomised, placebo controlled, superiority trial BMJ 2019; 367 :l6132. 4. Fitzpatrick J, Bulsara M, Zheng MH. The Effectiveness of Platelet-Rich Plasma in the Treatment of Tendinopathy: A Meta-analysis of Randomized Controlled Clinical Trials. The American Journal of Sports Medicine. 2017;45(1):226-233.

Dr. Brian Dickson with Jonesboro Orthopaedics and Sports Medicine (JOSM) joins Health Wav to discuss how robotics are changing the landscape of knee replacement surgeries, including the ROSA® Knee System, which he currently uses.