Podcasts about nonoperative treatment

Meniscus tears have historically been treated with arthroscopy. However, compelling data has shown that this surgery does not work for degenerative meniscus tears. Physical therapy, conversely, has been shown to be a more effective measure for the degenerative meniscus tear, and is a more reasonable first-line measure compared to arthroscopic menisectomy. Still, the public's perception, guided by decades of advice from Sports Medicine Specialists that arthroscopy is the answer for all meniscus tears regardless of the chondral condition in the knee, has not changed with current evidence. This can create uncomfortable conversations with patients who have a degenerative meniscus tear and expect arthroscopy. Coming to us from the University of Buffalo, Drs. Nomi Weiss-Laxer and Leslie Bisson discuss their study examining patient perceptions and expectations of nonoperative treatment for degenerative meniscus tears.

On today's episode we're focusing on medial meniscus root repairs with Dr. Aaron Krych, Chair of Orthopedic Surgery and Professor of Orthopedic Surgery at The Mayo Clinic in Rochester, Minnesota. We have some great articles for you that contribute well to our conversation on the optimal treatment of medial meniscus root tears, including recent advancements in surgical technique to optimize outcomes. We'll start off our discussion today with systematic review article from the February issue of Arthroscopy this year titled “Root Repair Has Superior Radiological and Clinical Outcomes Than Partial Meniscectomy and Nonoperative Treatment in the Management of Meniscus Root Tears.”  This review included 56 studies with over 3000 patients.  The authors concluded that root repair demonstrated the least amount of postoperative joint space narrowing and the greatest increase in patient reported outcome scores including IKDC, Lysholm, KOOS pain and activity scales.Then, from the February 2022 issue of OJSM we review the publication titled “Prospective Consecutive Clinical Outcomes After Transtibial Root Repair for Posterior Meniscal Root Tears.” This multicenter case-control study concluded that patients who underwent posterior meniscus root repair utilizing a transtibial pullout technique had significant improvement in clinical outcome scores at 2 years with an overall low complication rate. Increased age, increased BMI, cartilage status, and meniscal extrusion did not have a negative impact on short-term functional outcomes, but age greater than or equal to 50 years and extrusion negatively influenced patient activity level.We finish up our conversation today with the publication titled “Biomechanical Performance of TranstibialPull-Out Posterior Horn Medial MeniscusRoot Repair Is Improved With KnotlessAdjustable Suture Anchor–Based Fixation.” This controlled laboratory study, published in the March issue of OJSM this year, compared four different fixed transtibial pullout repair techniques to a knotless adjustable repair technique. If you are watching this on YouTube you will be able to see the different suture configurations that were compared.  Otherwise, check our social media for images! This study found that the knotless adjustable repair resulted in higher tissue compression and less tissue displacement compared to traditional fixed repair, which is great for healing. Additionally, the rip-stop Mason-Allen suture configuration provided higher resistance to suture cut-through, withstanding repair failure. We are joined today by Dr. Aaron Krych, Chair of Orthopedic Surgery and Professor of Orthopedic Surgery at the Mayo Clinic.  He is also the Chair of the Division of Sports Medicine at Mayo Clinic and team orthopedic surgeon for Minnesota Timberwolves. Dr. Krych received his medical degree and completed his orthopedic surgical residency training at the Mayo Clinic.  He then went on to complete a fellowship in sports medicine at the Hospital for Special Surgery. Dr. Krych has published extensively on the topic of meniscal pathology, and specifically meniscus root repair, so we are very excited to have him join our discussion today. 

In this episode of The Shoulder Physio podcast, I am joined by Dr John Kuhn, who is an orthopaedic surgeon and researcher from the United States. Doctor Kuhn and his colleagues, through the MOON shoulder group, have published several high impact studies investigating the management of individuals with rotator cuff tears and the results of these studies have caused some controversy (good controversy, that is). Rotator cuff tears are ubiquitous in musculoskeletal health care. They are both common and often burdensome, so it is important that shoulder surgeons and physiotherapists can agree on best practice management, for the betterment of the individual with the rotator cuff tear. So do John and I agree or not? Listen to find out. Don't miss this wonderful episode with Doctor John Kuhn. Key Papers: Kuhn et al; MOON Shoulder Group. Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study. J Shoulder Elbow Surg. 2013 Oct;22(10):1371-9. doi: 10.1016/j.jse.2013.01.026. Epub 2013 Mar 27. PMID: 23540577; PMCID: PMC3748251. Dunn WR et al; MOON Shoulder Group. 2013 Neer Award: predictors of failure of nonoperative treatment of chronic, symptomatic, full-thickness rotator cuff tears. J Shoulder Elbow Surg. 2016 Aug;25(8):1303-11. doi: 10.1016/j.jse.2016.04.030. PMID: 27422460. Kuhn JE et al. The Predictors of Surgery for Symptomatic, Atraumatic Full-Thickness Rotator Cuff Tears Change Over Time: Ten-Year Outcomes of the MOON Shoulder Prospective Cohort. J Bone Joint Surg Am. 2024 Sep 4;106(17):1563-1572. doi: 10.2106/JBJS.23.00978. Epub 2024 Jul 9. PMID: 38980920. Kuhn, 2023. Prevalence, Natural History, and Nonoperative Treatment of Rotator Cuff Disease Check out the Shoulder Physio Online Course here - 40% off for a limited time! Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 John's Research Gate profile See our Disclaimer here: The Shoulder Physio - Disclaimer

Five articles from the November 2024 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, “Surgical Predictors of Clinical Outcome 6 Years After Revision ACL Reconstruction,” “Nonoperative Treatment of Isolated Posterior Glenohumeral Instability in an Active Military Population: Effect of Glenoid and Acromial Morphology,” “Survivorship and Outcomes of Meniscal Ramp Lesions Repaired Through a Posteromedial Portal During Anterior Cruciate Ligament Reconstruction: Outcome Study With a Minimum 10-Year Follow-up,” “All-Inside Endoscopic Classic Bröstrom-Gould Technique: Medium-term Results,” and “Characteristics of Lumbar Pars Interarticularis and Pedicle Stress Injuries by Sport in 902 Pediatric and Adolescent Athletes: A Retrospective Study.” Click here to read the articles.

Host Dr. Arun Aneja interviews paper author Dr. Antti Launonen. This paper was presented at the 2023 OTA Annual Meeting.  This paper was presented at the 2023 OTA Annual Meeting, and the published article can be found at the link: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1004308 .  To see the abstract, download the free ConveyMED app: Apple Store or Google Play For additional educational resources visit https://ota.org/. 

Five articles from the March 2024 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, “Chronic Ankle Joint Instability Induces Ankle Sensorimotor Dysfunction: A Controlled Laboratory Study,” “5-Year Radiographic and Functional Outcomes of Nonoperative Treatment of Completely Displaced Midshaft Clavicular Fractures in Teenagers,” “A New Arthroscopic Classification for Chondrolabral Disease in Patients Undergoing Surgery for Developmental Dysplasia of the Hip,” “Single-Strand ‘Short Isometric Construct' Medial Collateral Ligament Reconstruction Restores Valgus and Rotational Stability While Isolated Deep MCL and Superficial MCL Reconstruction Do Not,” and “Outcomes and Proportions of Subsequent Contralateral Sports Hernia Repair Following Primary Unilateral Repair.” To read the articles, click here.

Host Dr. Gerard Slobogean interviews paper author Dr. Prism Schneider. This paper was presented at the 2023 OTA Annual Meeting. To see the abstract while listening, download the free ConveyMED App: Apple Store click here Google Play click here. For additional educational resources visit https://ota.org/

Has the pendulum swung too far?  Is it time to put the drill down??  Or, drill, baby, drill!  While the number of rib plating cases has exploded the data supporting the practice is less-than-stellar.  On this episode of the BIG T Trauma series Drs. Patrick Georgoff, Teddy Puzio, and Jason Brill bring you up to speed on rib plating. If you haven't already, we recommend you listen to Behind the Knife episode 298, published in May 2020. (https://behindtheknife.org/podcast/big-t-trauma-series-ep-10-rib-fractures/)  This episode covers comprehensive management of rib fractures, including multimodal pain control, regional blocks, pulmonary toilet, BiPAP, etc.   REFERENCES: GUIDELINES EAST PMG Rib Plating (2017): https://www.east.org/education-resources/practice-management-guidelines/details/rib-fractures-open-reduction-and-internal-fixation-of-update-in-process EAST PMG Rib Fracture Non-Surgical Management (2022): https://www.east.org/education-resources/practice-management-guidelines/details/nonsurgical-management-and-analgesia-strategies-for-older-adults-with-multiple-rib-fractures-a-systematic-review-metaanalysis Chest Wall Injury Society Guidelines (2020): https://cwisociety.org/wp-content/uploads/2020/05/CWIS-SSRF-Guideline-01102020.pdf FLAIL/UNSTABLE CHEST Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries: A Randomized Clinical Trial, JAMA 2022: https://jamanetwork.com/journals/jamasurgery/fullarticle/2796556 Prospective randomized controlled trial of operative rib fixation in traumatic flail chest, JACS 2013: https://pubmed.ncbi.nlm.nih.gov/23415550/ Surgical versus conservative treatment of flail chest. Evaluation of the pulmonary status, Interact Cardiovasc Thoracic Surg 2005: https://pubmed.ncbi.nlm.nih.gov/17670487/ Surgical stabilization of internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients, J Trauma 2002: https://pubmed.ncbi.nlm.nih.gov/11956391/ Surgical Rib Fixation of Multiple Rib Fractures and Flail Chest: A Systematic Review and Meta-analysis, J Surg Research 2022: https://pubmed.ncbi.nlm.nih.gov/35390577/ Surgical versus nonsurgical interventions for flail chest, Cochrane Review 2015: https://pubmed.ncbi.nlm.nih.gov/26222250/ NON-FLAIL CHEST Randomized Controlled Trial of Surgical Rib Fixation to Nonoperative Management in Severe Chest Wall Injury, Ann Surgery 2023: https://pubmed.ncbi.nlm.nih.gov/37317861/ Rib fixation in non-ventilator-dependent chest wall injuries: A prospective randomized trial, J Trauma 2022: https://pubmed.ncbi.nlm.nih.gov/35081599/ A multicenter, prospective, controlled clinical trial of surgical stabilization of rib fractures in patients with severe, nonflail fracture patterns (NONFLAIL), J Trauma 2020: https://pubmed.ncbi.nlm.nih.gov/31804414/ Operative versus nonoperative treatment of multiple simple rib fractures: A systematic review and meta-analysis, Injury 2020: https://pubmed.ncbi.nlm.nih.gov/32650981/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out the rest of the BIG T Trauma episodes here: https://behindtheknife.org/podcast-series/big-t-trauma/

Course FacultyChairpersonCaroline Tougas, MD, MedCo-ChairpersonJason Strelzow, MD, FRCSCModeratorMary Kate Erdman, MD, BSModeratorAugustine M. Saiz Jr., MD, BSFaculty AuthorPrism Schneider, MD, PhD, FRCSCFaculty AuthorBenton Heyworth, MDFaculty AuthorJamie Nicholson, PhD, FRCSEd FEATURED ARTICLES:Prism Schneider, MD, PhD, FRCSC – Biomechanical Evaluation of Different Plate Configurations for Midshaft Clavicle Fracture FixationBenton Heyworth, MD – Two-Year Functional Outcomes of Operative vs Nonoperative Treatment of Completely Displaced Midshaft Clavicle Fractures in Adolescents: Results From the Prospective Multicenter FACTS Study GroupJamie Nicholson, PhD, FRCSEd – Plate fixation of midshaft clavicle fractures for delayed union and non-union is a cost-effective intervention but functional deficits persist at long-term follow-upWant to continue the conversation after the event? Join the AO Trauma Journal Club discussion group: www.bit.ly/3JVUIn1 Download the myAO app on your device at https://onelink.to/myao or go to www.myao.app on your browser.

In this episode, Dr. Mohit Bhandari sits down with Dr. Niloofar Dehghan to discuss the newly published JAMA paper titled "Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries." 

Welcome to Episode 4 of the BSCOS Paediatric Orthopaedic Digest (POD)cast with guest Ms Claire Murnaghan (@cfmurn) from Royal Children's Hospital Glasgow. We scoured 35 journals & highlighted the most impactful studies that we feel can change practice or improve outcomes in Paediatric Orthopaedics. Follow Updates on @BSCOS_UK REFERENCES: 1. Cast revision is effective for critical three-point index values in paediatric forearm fractures: a prospective study. Subasi et al. J Pediatr Orthop B. Sept 2022. PMID 35132001 2. Concordance of SARS-CoV-2 Results in Self-collected Nasal Swabs vs Swabs Collected by Health Care Workers in Children and Adolescents. Waggoner et al. JAMA. PMID 36018570 3. Effectiveness of an intervention for reducing sitting time and improving health in office workers: three arm cluster randomised controlled trial. Edwarson et al. BMJ. Aug 2022. PMID 35977732 4. High recall bias in retrospective assessment of the pediatric International Knee Documentation Committee Questionnaire (Pedi-IKDC) in children with knee pathologies. Macchiarola et al., KSSTA. Oct 2022. PMID 35218375 5. Two-Year Functional Outcomes of Operative vs Nonoperative Treatment of Completely Displaced Midshaft Clavicle Fractures in Adolescents: Results From the Prospective Multicenter FACTS Study Group. Am J Sports Med. Sept 2022. PMID 35984091 6. Efficacy and Safety of "Sleeper Plate" in Temporary Hemiepiphysiodesis and the Observation of "Tethering". Gerges et al. J Pediatr Orthop. Aug 2022. PMID 35605208 7. Walking activity after multilevel orthopedic surgery in children with cerebral palsy. Church et al. Dev Med Child Neurol. Oct 2022. PMID 35338776 8. Closed reduction and percutaneous pinning versus open reduction and internal fixation for Jakob type 3 lateral condyle fractures in children. Liu et al. Int Orthop. Oct 2022. PMID 35723700 9. 8 out of 10 patients do well after surgery for tarsal coalitions: A systematic review on 1284 coalitions. Hollander et al. Foot Ankle Surg. Oct 2022. PMID 35397990 10. Trends in weight loss attempts among children in England. Ahmad et al. Arch Dis Child. July 2022. PMID 35851294 11. Clinically Detected Leg Length Discrepancy in Patients With Idiopathic Clubfoot Deformity: Prevalence and Outcomes. Addar & Bouchard. J Pediatr Orthop. Aug 2022. PMID 35543605 12. Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK. Perry et al. Lancet. July 2022. PMID 35780790 Follow Hosts: @AnishPSangh @AlpsKothari @Pranai_B

In this episode, Antonia and Andrew discuss a selection of articles from the October 5, 2022 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold! Top of the Pile Parasport: Effects on Musculoskeletal Function and Injury Patterns, by Sacks et al. What’s Important (Arts and Humanities): Unnerving, by Quatman Development of a Robotic Spine Surgery Program. Rationale, Strategy, Challenges, and Monitoring of Outcomes After Implementation, by Kuris et al. Providing Orthopaedic Care to Vulnerably Underserved Patients, by Handcox et al. Headlines Local Infiltration Analgesia Versus Interscalene Block for Pain Management Following Shoulder Arthroplasty. A Prospective Randomized Clinical Trial, by Ewing et al. Costs of Nonoperative Procedures for Knee Osteoarthritis in the Year Prior to Primary Total Knee Arthroplasty, by Nin et al. Your Case is On Hold No Difference in Conversion Rate to Hip Arthroplasty After Intramedullary Nail or Sliding Hip Screw for Extracapsular Hip Fractures. An Observational Cohort Study of 19,604 Individuals, by Pyrhönen et al. Honorable Mention Clinical Outcomes and Complications of Simultaneous or Sequential Bilateral Total Ankle Arthroplasty, by Fletcher et al. Concomitant Achilles Tendon Lengthening with Transmetatarsal Amputation for the Prevention of Late Forefoot Ulceration, by Bullock et al.

Interview with Niloofar Dehghan, MD, and Michael McKee, MD, authors of Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries: A Randomized Clinical Trial. Hosted by Amalia Cochran, MD.

Interview with Niloofar Dehghan, MD, and Michael McKee, MD, authors of Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries: A Randomized Clinical Trial. Hosted by Amalia Cochran, MD.

Stenting Doesn't Have A Clear Benefit Over Nonoperative Treatment For Many Patients - Ian Harris, MD - Interview Ian Harris, M.D. • https://med.unsw.edu.au/our-people/ian-harris• Book - Surgery, The Ultimate Placebo: A Surgeon Cuts through the Evidence Professor Ian Harris is an orthopedic surgeon who works at Liverpool, St George, St George Private and Sutherland Hospitals in Sydney. His academic affiliation is with UNSW, South Western Sydney Clinical School at Liverpool Hospital, in Sydney. #IanHarris #TheRealTruthAboutHealth  #MedicalError #HealthCare #MalPractice #LeadingCauseOfDeath  CLICK HERE - To Checkout Our MEMBERSHIP CLUB: http://www.realtruthtalks.com  • Social Media ChannelsFacebook: https://www.facebook.com/TRTAHConferenceInstagram : https://www.instagram.com/therealtruthabouthealth/Twitter: https://twitter.com/RTAHealth Linkedin: https://www.linkedin.com/company/the-real-truth-about-health-conference/ Youtube: https://www.youtube.com/c/TheRealTruthAboutHealth    • Check out our Podcasts  Visit us on Apple Podcast and Itunes search:  The Real Truth About Health Free 17 Day Live Online Conference Podcast Amazon: https://music.amazon.com/podcasts/23a037be-99dd-4099-b9e0-1cad50774b5a/real-truth-about-health-live-online-conference-podcastSpotify: https://open.spotify.com/show/0RZbS2BafJIEzHYyThm83J Google:https://www.google.com/podcasts?feed=aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS8yM0ZqRWNTMg%3D%3DStitcher: https://www.stitcher.com/podcast/real-truth-about-health-live-online-conference-podcastAudacy: https://go.audacy.com/partner-podcast-listen-real-truth-about-health-live-online-conference-podcastiHeartRadio: https://www.iheart.com/podcast/269-real-truth-about-health-li-85932821/ Deezer: https://www.deezer.com/us/show/2867272 Reason: https://reason.fm/podcast/real-truth-about-health-live-online-conference-podcast • Other Video ChannelsYoutube:https://www.youtube.com/c/TheRealTruthAboutHealthVimeo:https://vimeo.com/channels/1733189Rumble:   https://rumble.com/c/c-1111513Facebook:https://www.facebook.com/TRTAHConference/videos/?ref=page_internal DailyMotion: https://www.dailymotion.com/TheRealTruthAboutHealth BitChute:https://www.bitchute.com/channel/JQryXTPDOMih/ Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

Dr. Ebell and Dr. Wilkes discuss the POEM titled ' Surgery is no better than nonoperative treatment for Achilles tendon rupture in adults '

The Failure Of Nonoperative Treatment Doesn't Suddenly Mean That Surgery Is Going To Be Effective - Ian Harris, MD - Interview Ian Harris, M.D. • https://med.unsw.edu.au/our-people/ian-harris• Book - Surgery, The Ultimate Placebo: A Surgeon Cuts through the Evidence Professor Ian Harris is an orthopedic surgeon who works at Liverpool, St George, St George Private and Sutherland Hospitals in Sydney. His academic affiliation is with UNSW, South Western Sydney Clinical School at Liverpool Hospital, in Sydney. #IanHarris #TheRealTruthAboutHealth  #MedicalError #HealthCare #MalPractice #LeadingCauseOfDeath CLICK HERE - To Checkout Our MEMBERSHIP CLUB: http://www.realtruthtalks.com  • Social Media ChannelsFacebook: https://www.facebook.com/TRTAHConferenceInstagram : https://www.instagram.com/therealtruthabouthealth/ Twitter: https://twitter.com/RTAHealth Linkedin: https://www.linkedin.com/company/the-real-truth-about-health-conference/ Youtube: https://www.youtube.com/c/TheRealTruthAboutHealth    • Check out our Podcasts  Visit us on Apple Podcast and Itunes search:  The Real Truth About Health Free 17 Day Live Online Conference Podcast Amazon: https://music.amazon.com/podcasts/23a037be-99dd-4099-b9e0-1cad50774b5a/real-truth-about-health-live-online-conference-podcastSpotify: https://open.spotify.com/show/0RZbS2BafJIEzHYyThm83J Google:https://www.google.com/podcasts?feed=aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS8yM0ZqRWNTMg%3D%3DStitcher: https://www.stitcher.com/podcast/real-truth-about-health-live-online-conference-podcastAudacy: https://go.audacy.com/partner-podcast-listen-real-truth-about-health-live-online-conference-podcastiHeartRadio: https://www.iheart.com/podcast/269-real-truth-about-health-li-85932821/ Deezer: https://www.deezer.com/us/show/2867272 Reason: https://reason.fm/podcast/real-truth-about-health-live-online-conference-podcast • Other Video ChannelsYoutube:https://www.youtube.com/c/TheRealTruthAboutHealthVimeo:https://vimeo.com/channels/1733189Rumble:  https://rumble.com/c/c-1111513 Facebook:https://www.facebook.com/TRTAHConference/videos/?ref=page_internal DailyMotion: https://www.dailymotion.com/TheRealTruthAboutHealth BitChute:https://www.bitchute.com/channel/JQryXTPDOMih/ Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

SLAP tears are common, and hopefully surgery is used as a last resort. Here's how to manage these nonoperatively. The post Nonoperative Treatment for SLAP Tears appeared first on Mike Reinold.

Join host Dr. Michael Blankstein as he interviews paper author Dr. Prism Schneider as they discuss the Notable Paper on humeral diaphyseal fracture treatment. This paper was presented at the OTA 2021 Annual Meeting. For additional educational resources visit https://ota.org/ Looking for CME? OTA Podcast CME only on the ConveyMD app: Apple Store click here  Google Play click here  

The thoracic and lumbar (“thoracolumbar”) spine are the most commonly injured region of the spine in blunt trauma. Trauma of the thoracolumbar spine is frequently associated with spinal cord injury and other visceral and bony injuries. Prolonged pain and disability after thoracolumbar trauma present a significant burden on patients and society. Ultimately, this clinical guideline was created to improve patient care by outlining the appropriate information gathering and decision-making processes involved in the evaluation and treatment of patients with thoracolumbar spine trauma. The surgical management of these patients often takes place under a variety of circumstances and by various clinicians. This guideline was created as an educational tool to guide qualified physicians through a series of diagnostic and treatment decisions in an effort to improve the quality and efficiency of care. J. Bradley Elder, MD Daniel J. Hoh, MD John E. O'Toole, MD, MS Mayur Sharma, MD

Our first podcast in this edition is with the President of the Orthopaedic Trauma Association (OTA) Prof Heather Vallier.Papers discussed: Enhancing trauma patient experience and engagement: development of a mobile applicationImproved Reduction of the Tibiofibular Syndesmosis With TightRope Compared With Screw Fixation: Results of a Randomized Controlled StudyBetter outcome for suture button compared with single syndesmotic screw for syndesmosis injury: five-year results of a randomized controlled trialCast immobilization is non-inferior to volar locking plates in relation to QuickDASH after one year in patients aged 65 years and older: a randomized controlled trial of displaced distal radius fracturesImplementation of a mobile app for trauma education: results from a multicenter studyOperative vs Nonoperative Treatment of Distal Radius Fractures in Adults: A Systematic Review and Meta-analysisEarly Weightbearing and Range of Motion Versus Non-Weightbearing and Immobilization After Open Reduction and Internal Fixation of Unstable Ankle Fractures: A Randomized Controlled TrialSurgical and Nonoperative Management of Olecranon Fractures in the Elderly: A Systematic Review and Meta-AnalysisProspective randomised trial of non-operative versus operative management of olecranon fractures in the elderlyCemented or uncemented hemiarthroplasty for displaced intracapsular fractures of the hip: a randomized trial of 400 patientsEffectiveness and safety of cemented and uncemented hemiarthroplasty in the treatment of intracapsular hip fractures

In this week's episode of the Spine & Nerve podcast Dr. Nicolas Karvelas and Dr. Brian Joves review lumbar radiculopathy. Lumbar radiculopathy is a common diagnosis in which there is irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas such as pain, weakness, numbness, and tingling.. Lumbar radiculopathy is typically due to a structural abnormality: specifically disc herniation and/or impingement due to spondylosis. Disc herniation (a rupture in the fibrous outer wall of a lumbar disc allowing the soft nucleus of the disc to bulge outward, which can press against a nerve root) is one of the most common causes of lumbar radiculopathy. Because of how common this pathology is, it is important to understand the usual natural history of radiculopathy due to disc herniation. Acute disc herniations typically improves significantly by 6-12 weeks with conservative treatment, making patient education a key component of helping them through this painful condition. That being said, the differential diagnosis for lumbar radiculopathy is very broad, and as always it is important to consider and rule out more concerning etiologies. Listen as the doctors discuss the definition of lumbar radiculopathy, the differential diagnosis, as well as a more detailed discussion of the natural history of radiculopathy and conclude with a look at the pathophysiology of lumbar radiculopathy. References: 1. Gupta A, Upadhyaya S, Yeung CM, et al. Does Size Matter? An Analysis of the Effect of Lumbar Disc Herniation Size on the Success of Nonoperative Treatment. Global Spine Journal. 2020;10(7):881-887. 2. Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical vs Nonoperative Treatment for Lumbar Disk Herniation: The Spine Patient Outcomes Research Trial (SPORT): A Randomized Trial. JAMA. 2006;296(20):2441–2450. 3. Gugliotta M, da Costa BR, Dabis E, et al. Surgical versus conservative treatment for lumbar disc herniation: a prospective cohort study. BMJ Open 2016;6:e012938. 4. Lin JH, Chiang YH, Chen CC. Lumbar radiculopathy and its neurobiological basis. World J Anesthesiol 2014; 3(2): 162-173.

A major study recently published in JAMA showed that many children who have appendicitis do not need surgery and, if they undergo surgery, may have more disability than if they were treated with antibiotics alone. JAMA Clinical Reviews spoke with a patient in the study whose mother happens to be JAMA Associate Editor Preeti Malani, MD, JAMA’s infectious diseases editor and chief health officer for the University of Michigan. This patient initially was treated with antibiotics, later required appendectomy, and discussed the difficulties he experienced following laparoscopic appendectomy. Related Article: Association of Nonoperative Management Using Antibiotic Therapy vs Laparoscopic Appendectomy With Treatment Success and Disability Days in Children With Uncomplicated Appendicitis

Five articles from the June 2020 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are, "Predictive Modeling to Determine Functional Outcomes After Arthroscopic Rotator Cuff Repair", "A Multicenter Study of Radiographic Measures Predicting Failure of Arthroscopy in Borderline Hip Dysplasia: Beware of the Tönnis Angle", "Comparison of Tendon Lengthening With Traditional Versus Accelerated Rehabilitation After Achilles Tendon Repair: A Prospective Randomized Controlled Trial", "Does Age Itself Have an Adverse Effect on Survivorship of Meniscal allograft transplantation?: A Cartilage Status and Time From Previous Meniscectomy-Matched Cohort Study", and "The Role of Patient Characteristics on the Success of Nonoperative Treatment of Anterior Cruciate Ligament Injuries".   Click here to read the articles.

This podcast covers the JBJS issue for June 2019. Featured are articles covering Nonoperative Treatment and Volar Locking Plate Fixation for Displaced Distal Radial Fractures; recorded commentary by Dr. Rozental; Total Knee Arthroplasty After High Tibial Osteotomy; Tibiofemoral Kinematics During Compressive Loading of the ACL-Intact and ACL-Sectioned Knee; recorded commentary by Dr. LaPrade; Tendon Repair Is Superior to Physiotherapy in Treatment of Small and Medium Rotator Cuff Tears.

This podcast covers the JBJS issue for June 2019. Featured are articles covering Nonoperative Treatment and Volar Locking Plate Fixation for Displaced Distal Radial Fractures; recorded commentary by Dr. Rozental; Total Knee Arthroplasty After High Tibial Osteotomy; Tibiofemoral Kinematics During Compressive Loading of the ACL-Intact and ACL-Sectioned Knee; recorded commentary by Dr. LaPrade; Tendon Repair Is Superior to Physiotherapy in Treatment of Small and Medium Rotator Cuff Tears.

Five articles from the September 2015 issue summarized in five minutes, with the addition of a brief editorial commentary. The 5-in-5 feature is designed to give readers an overview of articles that may pique their interest and encourage more detailed reading. It may also be used by busy readers who would prefer a brief audio summary in order to select the articles they want to read in full. The featured articles for this month are “Factors Associated With Failure of Nonoperative Treatment in Lateral Epicondylitis,” “Select Injury-Related Variables Are Affected by Stride Length and Foot Strike Style During Running,” “The Effect of Diabetes, Hyperlipidemia, and Statins on the Development of Rotator Cuff Disease: A Nationwide, 11-Year, Longitudinal, Population-Based Follow-up Study,” “Relationship Between Quadriceps Strength and Patellofemoral Joint Chondral Lesions After Anterior Cruciate Ligament Reconstruction,” and “Effects of Acetabular Rim Trimming on Hip Joint Contact Pressures: How Much Is Too Much?”

This podcast covers the JBJS issue for January 2015. Featured are articles covering Operative Compared with Nonoperative Treatment of a Thoracolumbar Burst Fracture without Neurological Deficit; Physician Provider Type Influences Utilization and Diagnostic Utility of Magnetic Resonance Imaging of the Knee; recorded commentary by Dr. Kenter; A Prospective Evaluation of Survivorship of Asymptomatic Degenerative Rotator Cuff Tears; Isolated Gastrocnemius Recession for Achilles Tendinopathy - Strength and Functional Outcomes; recorded commentary by Dr. Shawen.

This podcast covers the JBJS issue for January 2015. Featured are articles covering Operative Compared with Nonoperative Treatment of a Thoracolumbar Burst Fracture without Neurological Deficit; Physician Provider Type Influences Utilization and Diagnostic Utility of Magnetic Resonance Imaging of the Knee; recorded commentary by Dr. Kenter; A Prospective Evaluation of Survivorship of Asymptomatic Degenerative Rotator Cuff Tears; Isolated Gastrocnemius Recession for Achilles Tendinopathy - Strength and Functional Outcomes; recorded commentary by Dr. Shawen.

This podcast covers the JBJS issue for December 2010. Featured are articles covering: Operative versus Nonoperative Treatment of Acute Achilles Tendon Ruptures - A Multicenter Randomized Trial; recorded commentary by Dr. Aronow; A 3-D CT Analysis of Displacement in "Nondisplaced" Pediatric Medial Humeral Epicondyle Fractures; Choice of Hospital for Revision Total Hip Replacement; The Effect of Immobilization Devices and Left-Foot Adapter on Brake-Response Time; Clinical Impression versus Standardized Questionnaire - The Spinal Surgeon's Ability to Assess Psychological Distress; Comparison of Surgical Outcomes of Intra-Articular Calcaneal Fractures by Age.

This podcast covers the JBJS issue for December 2010. Featured are articles covering: Operative versus Nonoperative Treatment of Acute Achilles Tendon Ruptures - A Multicenter Randomized Trial; recorded commentary by Dr. Aronow; A 3-D CT Analysis of Displacement in "Nondisplaced" Pediatric Medial Humeral Epicondyle Fractures; Choice of Hospital for Revision Total Hip Replacement; The Effect of Immobilization Devices and Left-Foot Adapter on Brake-Response Time; Clinical Impression versus Standardized Questionnaire - The Spinal Surgeon's Ability to Assess Psychological Distress; Comparison of Surgical Outcomes of Intra-Articular Calcaneal Fractures by Age.

This podcast covers the JBJS issue for August 2010. Featured are articles covering Prevalence of Staphylococcus Aureus Colonization in Orthopaedic Surgeons and Their Patients - A Prospective Cohort Controlled Study; Institutional Prescreening for Detection and Eradication of Methicillin-Resistant Staphylococcus Aureus in Patients Undergoing Elective Orthopaedic Surgery; Distal Radial Fractures in the Elderly - Operative Compared with Nonoperative Treatment; recorded commentary by Dr. Cannada; Timing of Wound Closure in Open Fractures Based on Cultures Obtained After Debridement.

This podcast covers the JBJS issue for August 2010. Featured are articles covering Prevalence of Staphylococcus Aureus Colonization in Orthopaedic Surgeons and Their Patients - A Prospective Cohort Controlled Study; Institutional Prescreening for Detection and Eradication of Methicillin-Resistant Staphylococcus Aureus in Patients Undergoing Elective Orthopaedic Surgery; Distal Radial Fractures in the Elderly - Operative Compared with Nonoperative Treatment; recorded commentary by Dr. Cannada; Timing of Wound Closure in Open Fractures Based on Cultures Obtained After Debridement.