Podcasts about orthopaedic research

Dr. Christopher Ahmad is a man of many talents who serves many roles in his profession. First, he is a Professor of Clinical Orthopaedic Surgery at the Columbia University College of Physicians and Surgeons and an Attending Orthopaedic Surgeon at the New York-Presbyterian/Columbia University Medical Center and also currently serves as the Chief of Sports Medicine and as the Director of Biomechanics Research at the Center for Orthopaedic Research. Dr. Ahmad is also the Head Team Physician for the New York Yankees and the Rockland Boulders and a member of the Major League Baseball Team Physicians Association. He is president elect for the Major League Baseball Team Physicians Association and a member of MLB's Pitchsmart Program. He is also co-founder of Baseball Health Network, which promotes the health of young throwing athletes. Dr. Ahmad received his undergraduate degree in Mechanical Engineering while playing 4 years of Division 1 soccer at nationally ranked Columbia University. He currently serves as the Head Team Physician for the New York City Football Club. He is also the Head Team Physician for local high schools and serves as consultant to local metropolitan soccer clubs, gymnastics, and swim teams. Dr. Ahmad's recently published book SKILL: 40 Principles that Surgeons, Athletes, and other Elite Performers use to Achieve Mastery has received widespread praise from readers in a variety of professions.   Links: https://www.drahmadsportsmedicine.com Facebook: https://www.facebook.com/DrChrisAhmad/ Instagram: https://www.instagram.com/drchrisahmad/ Twitter/X: https://twitter.com/drchrisahmad YouTube: https://www.youtube.com/channel/UC7w8otwPjLscp4gxuXxKu5Q LinkedIn: https://www.linkedin.com/in/christopher-ahmad-29082726/

Toufic Jildeh is an assistant professor at Michigan State University, as well as a team physician for Michigan State University athletics and the US Olympic Ski and Snowboard team. He currently serves as a Head Team Physician for Michigan State Football and Basketball. He specializes in sports medicine, joint preservation, cartilage restoration, and joint reconstruction of the shoulder, knee, hip, and elbow. In addition, he also serves as the Chair of Orthopaedic Research in the Department of Orthopaedic Surgery at Michigan State University. Academically, Dr. Jildeh has published more than 110 peer-reviewed manuscripts, book chapters, and abstracts. He has presented over 100 papers at conferences nationally and internationally. He has been the recipient of accolades such as the O'Donoghue Sports Injury Award from the American Orthopaedic Society for Sports Medicine, Best Clinical Research Award and Best Resident/Fellow publication from the Arthroscopy Association of North America, as well as top research accolades from the American Academy of Orthopaedic Surgeons, American Orthopaedic Society, and American Orthopaedic Society for Sports Medicine. Dr. Jildeh is committed to providing the most up-to-date, world-class care to patients. He is sensitive to the uniqueness and circumstances of each patient he meets, and he prides himself on individualized treatment for his patients. He aims to return patients back to optimal activity levels and will work with patients to meet their own goals. Resources Mentioned in the Show Drug Overdose Stats Follow Dr. Jildeh https://www.jildeh.com/ Instagram Twitter

Dr. Scott Rodeo is a professor of Orthopaedic Surgery Weill Cornell Medical School and an attending surgeon at the Hospital for Special Surgery.  He is the head team physician for the NY Giants, Co-Chief Emeritus of the Sports Medicine & Shoulder Service and Vice Chair of Orthopaedic Research. Dr. Rodeo is also the Director of the Center for Regenerative Medicine and is a renowned expert in the field of orthobiologics - so we're excited to hear more from him about this rapidly growing field.In this episode, we discuss:What are genetically modified bone marrow derived stem cells? What have studies shown as it pertains to augmenting cuff repair?Why use fully differentiated endothelial cells rather than pluripotent stem cells derived from bone marrow? What is so special about this cell population?What were the main findings of the study investigating the use of genetically modified Human Umbilical Vein Endothelial Cells (HUVEC) to augment repair of full thickness rotator cuff tears?Method of delivering stems cells to the area of pathology (and keeping them there!) is important. What are some tips/ tricks to ensure the cells stay put at the cuff repair?Stem cells were injected around the tendon but also into the muscle itself - why? Is there any change in the rehab protocol after stem cell use? Any period of activity shut down when used in the non-op setting?What other orthopaedic conditions would benefit from application of this genetically modified cell-based therapy?

Welcome to The Sports Docs Podcast! On each episode we chat about the most recent developments in sports medicine and dissect through all the noise so you know which literature should actually impact your practice. On today's episode we're focusing on patellofemoral cartilage defects with Dr. Cassandra Lee, an orthopaedic sports medicine surgeon, team physician for the UC Davis Aggies and Sacramento Republic FC, and chief of the sports medicine service at UC Davis. Dr. Lee has published on and spoken a lot about cartilage – both at the basic science level as well as clinical application – so we're excited to have her join the discussion today.  We have some great articles for you that contribute well to our conversation on the surgical treatment of patellofemoral cartilage disease. As always, links to all of the papers that we discuss on this show can be found on our podcast website. The first article is a systematic review published just this month in OJSM titled “Cartilage Restoration for Isolated Patellar Chondral Defects.” Ronak Patel and his colleagues at the Illinois Center for Orthopaedic Research and Education summarized the results and complication rates of various patellar cartilage restoration techniques. They concluded that osteochondral autograft transplantation and autologous chondrocyte implantation were the most studied procedures for isolated patellar chondral defects. The article also touches upon newer techniques such as augmented microfracture, but the authors state that there is wide variability in indications and techniques that must be clarified in future higher-level studies.  Then, from the upcoming June issue of Arthroscopy this year, we review a retrospective cohort study titled “Utilization of Autologous Chondrocyte Implantation in the Knee Is Increasing While Reoperation Rates Are Decreasing Despite Increasing Preoperative Comorbidities.” Drew Lansdown and his team at UCSF observed a significant increase in the use of ACI since 2017 with a significant decrease in the rate of 90-day and 2-year reoperations for ACIs performed after 2017. Older age and tobacco use were predictors of increased risk of conversion to arthroplasty. Male sex was associated with decreased risk of reoperation. We are joined today by Dr. Cassandra Lee, a board-certified fellowship-trained orthopedic sports medicine surgeon and Chief of the Sports Medicine service at UC Davis. Dr. Lee obtained her medical degree from Boston University. She completed her residency training at Wake Forest University and sports medicine fellowship at Washington University in St. Louis, serving as team physician for the Washington University Bears, St. Louis Rams, and St. Louis Blues. Dr. Lee was a 2017 Lars Petersen Travelling Fellow for the International Cartilage Regeneration and Joint Preservation Society and a 2022 American Orthopaedic Society for Sports Medicine / Asian-Pacific Knee, Arthroscopy and Sports Medicine Society Traveling Fellow.  She currently serves as team physician for collegiate and professional teams including the UC Davis Aggies and the Sacramento Republic FC. Her research interests are in modulation of post-traumatic osteoarthritis, currently funded by an NIH R01 and Department of Defense grants. 

In this episode, Marc and Mo are joined by Special Guests Daniel Berry, Hilal Maradit Kremers, and David Lewallen (all from the Mayo Clinic) in a discussion on a 2021 workshop and upcoming JBJS supplement focusing on the power and potential of large databases; the weaknesses and risks of analyses using these databases; the methods, specific attributes, and best uses of the most commonly used databases; and the optimum use of administrative datasets and registries in orthopaedic research. Links: Large Database and Registry Research in Joint Arthroplasty and Orthopaedics (upcoming JBJS Supplement) Subspecialties: Hip Knee Orthopaedic Essentials

In this episode, Antonia and Andrew discuss a selection of articles from the September 7, 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 What’s New in Osteoporosis and Fragility Fractures, by Hanson et al. Current Concepts Review: Machine Learning for the Orthopaedic Surgeon. Uses and Limitations, by Alsoof et al. What’s Important: On Becoming the “Historical Perspective” in the Room, by Zuckerman Coaching, Separate from Mentoring, May Provide Skill Acquisition, Improved Well-Being, and Career Advancement in Orthopaedic Surgery. AOA Critical Issues, by Samora et al. Headlines Validation of A Predictive Tool for Discharge to Rehabilitation or a Skilled Nursing Facility After TJA, by Ortiz et al. Synovial Fluid and Serum Neutrophil-to-Lymphocyte Ratio. Novel Biomarkers for the Diagnosis and Prognosis of Native Septic Arthritis in Adults, by Varady et al. Your Case is On Hold Is the Revision Rate for Femoral Neck Fracture Lower for Total Hip Arthroplasty Than for Hemiarthroplasty? A Comparison of Registry Data for Contemporary Surgical Options, by Hoskins et al. Toss Up Revision Risk for Total Knee Arthroplasty Polyethylene Designs in Patients 65 Years of Age or Older. An Analysis from the American Joint Replacement Registry, by Kendall et al. Honorable Mention Understanding Noise Exposure During Cast Removal. The Effect o

Listen to Andrew Duckworth, Fares Haddad and Jonathan Vigdorchik discuss the editorial 'Deep learning in orthopaedic research: weighing idealism against realism' published in the August 2022 issue of The Bone & Joint Journal. Click here to read the paper.Find out as soon as the next episode is live by following us on Twitter, Instagram, LinkedIn or Facebook!

Enjoy this episode on Balloon for Irreparable Rotator Cuff Tears  as Dr. Joseph Abboud gives us a great talk!  Link to post: www.naileditortho.com/balloon  Link to Youtuve Video: https://youtu.be/LV9f_82B8x0  Prior episodes to check out for baseline knowledge on rotator cuffs: #28 Rotator Cuff Tears w/ Dr. Choate #48 Superior Capsular Reconstruction w/ Dr. Mitchell Dr. Abboud is a board certified orthopaedic surgeon and specializes in the treatment of patients with shoulder and elbow disorders.  He is an internationally recognized authority on the treatment of shoulder and elbow disorders.  He is a Professor of Orthopaedic Surgery at the Sidney Kimmel Medical College of Thomas Jefferson University and has recently completed his four year term as the Senior Vice President of Clinical Affairs at Rothman Orthopaedic Institute.     Dr. Abboud graduated Summa Cum Laude from St. Joseph's University in 1994 with a B.S. in Biology.  He received his medical degree from Georgetown University School of Medicine where he was promoted with “Distinction.”  He earned membership in the Alpha Omega Alpha (AOA) Honor Society and graduated with honors in 1998.  He went on to complete his residency in orthopaedic surgery at the Hospital of the University of Pennsylvania where he served as the administrative chief resident.  He subsequently completed two (one-year) fellowships at the University of Pennsylvania in Shoulder and Elbow surgery and orthopaedic biomechanics. He has presented over 500 lectures nationally and internationally and is the author of over 200 scientific articles and several textbooks.  He has an active interest in basic science research focusing on the modulation of scar formation after injury and surgery, biologic markers for prediction of rotator cuff healing, as well as the role of cholesterol in tendon health.  This research has been funded by prestigious grants from the Orthopaedic Research and Education Foundation, the Department of Defense, and the American Orthopaedic Society for Sports Medicine.   In this episode we talk about: Massive rotator cuff tears Treatment options Superior capsular reconstruction Reverse shoulder arthroplasty Subacromial balloon insertion Video technique + more This episode is sponsored by the American Academy of Orthopaedic Surgeons: Filled with content that has been vetted by some of the top names in orthopaedics, the AAOS Resident Orthopaedic Core Knowledge (ROCK) program sets the standard for orthopaedic education. Whether ROCK is incorporated into your residency curriculum, or you use it independently as a study tool, the educational content on ROCK is always free to residents. You'll gain the insights and confidence needed to ensure a successful future as a board-certified surgeon who delivers the best patient care. Log on at https://rock.aaos.org/.  

In this episode, Marc and Mo are joined by special guest Kent Anderson (former CEO of JBJS, founder of The Geyser and The Scholarly Kitchen) in a timely and wide-ranging discussion designed to enlighten the audience on several topics related to scholarly publication, including open access, preprints, technology, social media, peer review, datasets, AI, the roles of editors and publishers, and the human component in knowledge creation. Links: The Geyser: https://www.the-geyser.com/ The Scholarly Kitchen: https://scholarlykitchen.sspnet.org/ Leopold SS, Haddad FS, Sandell LJ, Swiontkowski M. Clinical Orthopaedics and Related Research, The Bone & Joint Journal, the Journal of Orthopaedic Research, and The Journal of Bone and Joint Surgery Will Not Accept Clinical Research Manuscripts Previously Posted to Preprint Servers. J Bone Joint Surg Am. 2019 Jan 2;101(1):1-4. doi: 10.2106/JBJS.18.01215. PMID: 30601410; PMCID: PMC6319698. https://bit.ly/3yYKblq Subspecialties: Orthopaedic Essentials

Dr. Arun Aneja hosts a conversation with Dr. Akua Roach, Department of Defense Health Sciences Program Manager. They discuss the Congressionally-Directed Medical Research Program (CDMRP) funding to support peer reviewed orthopaedic trauma research. To learn about the CDMRP funding opportunities available, please visit: https://cdmrp.army.mil/ For additional educational resources visit https://ota.org/  Looking for CME?  OTA Podcast CME only on the ConveyMED Podcast App: Apple Store click here  Google Play click here  

This episode is sponsored by BTG Speciality Pharmaceuticals. BTG provides rescue medicines typically used in emergency rooms and intensive care units to treat patients for whom there are limited treatment options. They are dedicated to delivering quality medicines that make a real difference to patients and their families through the development, manufacture, and commercialization of pharmaceutical products. Their current portfolio of antidotes counteracts certain snake venoms and the toxicity associated with some heart and cancer medications. Dr. Michelle Ghert is a full Professor in the Department of Surgery, Division of Orthopaedic Surgery at McMaster University. She is Director of MacOrtho Research and co-Chair of the Sarcoma Disease Site at the Juravinski Cancer Center in Hamilton. Dr. Ghert completed her undergraduate and medical degrees at Stanford University and Vanderbilt University respectively. She trained in orthopaedic surgery at Duke University and completed a 2-year fellowship in orthopaedic oncology at the University of Toronto. She has been on Faculty at McMaster since 2005. Dr. Ghert has been selected to the Presidential Line of the Musculoskeletal Tumor Society and will be President-Elect in October of this year. Dr. Ghert's research initiatives have made national and international impact. She led the Prophylactic Antibiotic Regimens in Tumor Surgery (PARITY) randomized controlled trial (RCT), the first multi-centre RCT in orthopaedic oncology in which 604 patients were enrolled from 55 clinical sites in 12 countries. In terms of the number of countries collaborating, PARITY is the largest RCT in orthopaedic surgery to date. The study was published in the Journal of the American Medical Association (Oncology) on January 6, 2022. . Dr. Ghert is also leading the Surveillance After Extremity Tumor Surgery (SAFETY) RCT in which patients are randomized to more or less intense surveillance after treatment for a high-grade soft-tissue sarcoma. The primary outcome for the SAFETY trial is overall survival at 5 years. Similar to the PARITY trial, the SAFETY trial is an international multi-centre collaborative trial. Both the PARITY and SAFETY RCTs have been supported by research grants from the Canadian Institutes of Health Research (CIHR) and the Canadian Cancer Society Research Institute (CCSRI). For her work on the PARITY trial, Dr. Ghert was awarded the 2018 J. Éduoard Samson Award for Excellence in Orthopaedic Research by the Canadian Orthopaedic Foundation. Dr. Ghert's other research interests include the promotion of diversity and inclusion within the orthopaedic surgery workplace. She recently collaborated with the Canadian Orthopaedic Association (COA) on the study entitled ‘Prevalence of gender-based and sexual harassment in the field of orthopaedic surgery', was recently published in the Canadian Journal of Surgery. She is also working with the COA on a study to determine the barriers to men and women in their participation in orthopaedic travelling fellowships.

A conversation with  President -Elect of the Society of American Shoulder and Elbow Surgeons, the CEO of COR, the Liege of Lateralization, Dr. Mark Frankle!  We talk about his pioneering work as an implant design surgeon, an amazing story you don't want to miss.Dr. Frankle has been with Florida Orthopaedic Institute since 1991 and received his fellowship training at Mayo Clinic in Rochester, Minnesota.  He  has authored more than two hundred articles in professional journals, maintains ongoing research projects and has presented his findings at various professional conferences. He also has been serving as a reviewer of the Journal of Orthopaedic Research.He is the director of the Biomechanical Shoulder and Elbow Research Lab at the University of South Florida College of Engineering. He is also the director of the Shoulder and Elbow fellowship program, a collaborative effort between Florida Orthopaedic Institute and the Foundation for Orthopaedic Research and Education. He received the prestigious Charles S. Neer award for Basic Science from the American Academy of Orthopaedic Surgeons.Visit Dr. Frankle: Marc.Olarsch@djoglobal.comClinic Site: https://www.floridaortho.com/physicians/mark-a-frankle-m-d/A bank owned by Orthopaedic Surgeons, FOR Orthopaedic Surgeons?Physicians First Bank: https://www.physiciansfirstbank.com/Social Media...what to do these days?  Device Nation offers a simple strategy to help build YOUR brand,Support the show (https://www.venmo.com/DeviceNation)

GiveWell is matching donations from first-time donors dollar for dollar up to $250. Click on https://bit.ly/3rHPv9a to donate and be sure to use the fundraiser code MINUTEEARTH at checkout to make sure your donation gets matched A broken bone might seem worse than a sprain, but you'll get over it much more quickly. LEARN MORE ************** To learn more about this topic, start your googling with these keywords: Aqueous humour: The clear fluid filling the space in the front of the eyeball between the lens and the cornea. Bone remodeling: The continuous process of synthesis and destruction that gives bone its mature structure and maintains normal calcium levels in the body. Ligament: A short band of tough, flexible fibrous connective tissue which connects two bones or cartilages or holds together a joint. Sprain: A stretching or tearing of ligaments. SUPPORT MINUTEEARTH ************************** If you like what we do, you can help us!: - Become our patron: https://patreon.com/MinuteEarth - Share this video with your friends and family - Leave us a comment (we read them!) CREDITS ********* Cameron Duke (@dukeofcam) | Script Writer Kate Yoshida | Script Editor, Narrator and Director Arcadi Garcia i Rius (@garirius) | Illustration, Video Editing and Animation Aldo de Vos, Know Art | Music MinuteEarth is produced by Neptune Studios LLC https://neptunestudios.info OUR STAFF ************ Sarah Berman • Arcadi Garcia i Rius David Goldenberg • Julián Gustavo Gómez Melissa Hayes • Alex Reich • Henry Reich • Peter Reich Ever Salazar • Leonardo Souza • Kate Yoshida OUR LINKS ************ Youtube | https://youtube.com/MinuteEarth TikTok | https://tiktok.com/@minuteearth Twitter | https://twitter.com/MinuteEarth Instagram | https://instagram.com/minute_earth Facebook | https://facebook.com/Minuteearth Website | https://minuteearth.com Apple Podcasts| https://podcasts.apple.com/us/podcast/minuteearth/id649211176 REFERENCES ************** Landzhov, B. (2015). The Epiligament-The Main Donor of Cells and Vessels during Healing Of the Collateral Ligaments of the Knee. Anatomy & Physiology, s4. https://doi.org/10.4172/2161-0940.s4-006 Leong, N. L., Kator, J. L., Clemens, T. L., James, A., Enamoto‐Iwamoto, M., & Jiang, J. (2019). Tendon and Ligament Healing and Current Approaches to Tendon and Ligament Regeneration. Journal of Orthopaedic Research, 38(1), 7–12. https://doi.org/10.1002/jor.24475 Marsell, R., & Einhorn, T. A. (2011). The biology of fracture healing. Injury, 42(6), 551–555. https://doi.org/10.1016/j.injury.2011.03.031 Martini, F., Nath, J. L., & Bartholomew, E. F. (2018). Fundamentals of anatomy & physiology (11th ed.). Pearson Education Limited. Smith, P., & Bollier, M. (2014). Anterior Cruciate Ligament and Medial Collateral Ligament Injuries. Journal of Knee Surgery, 27(05), 359–368. https://doi.org/10.1055/s-0034-1381961

We have passed 10.5k downloads!!! Thank you for all your support! And we were nominated for the BOTA Web Awards 2021 for 'Best Podcast'! In This episode, #ThePaedipodsCast host Mr Pranai Buddhdev, Consultant Paediatric Orthopaedic Surgeon sits with Professor James Wright from Toronto; Professor of Orthopaedic Surgery & Chief of Health Policy, Economics & Research at the Ontario Medical Association. We talk about his career from University of Toronto to Yale, Residency and his role as Surgeon Chief at the Hospital for Sick Kids and as Chair of the Clinical Trials Committee & Chair of the Research Council of POSNA. Professor Wright is the godfather of Evidence-based orthopaedic research and has contributed a huge amount to setting up trials and inspiring others to conduct informative collaborative studies that continue to shape the practice of paediatric orthopaedics today. Please follow us on social media @paedipods @thekidsbonedoc @Pranai_B - share with colleagues/friends and we look forward to next months episode! Book: Healing Children by Kurt Newman: https://www.amazon.co.uk/s?k=healing+children&adgrpid=3804469841&hvadid=79920783853122&hvadid=79920783853122&hvbmt=bp&hvbmt=bp&hvdev=c&hvdev=c&hvlocphy=131916&hvnetw=o&hvqmt=p&hvqmt=p&hvtargid=kwd-79920818227602%3Aloc-188&tag=mh0a9-21&tag=mh0a9-21&ref=pd_sl_8nk2gekq4z_p

Orthopaedic patients are increasingly using cannabinoids for pain relief, but there is a lack of evidence-based data on this topic. In this episode, Marc and Mo are joined by special guest Jason Busse (Associate Professor in the Department of Anesthesia at McMaster University, Director of the National Pain Centre, and Associate Director of the Michael G. DeGroote Centre for Medicinal Cannabis Research) in an illuminating discussion on the issues, opportunities, and challenges related to orthopaedic research into the use of cannabinoids. Some of the questions covered during the discussion include: What are the most popular claims among cannabis proponents? What evidence is there to support these claims? Is there a causal relationship between cannabinoid use and decreased use of opioids and other prescription medications (i.e., a “substitution effect”)? Much of the current evidence on cannabinoids is observational and anecdotal. What can we learn from this evidence, and how can such information inform future research? What are the possible sources of funding for such research? What legal and regulatory hurdles must be overcome in order to allow us to perform properly designed RCTs into this topic? What challenges are faced by physicians when asked by patients about cannabinoids? What research is being done from the patient perspective? What is the roadmap for the future? How we will obtain quality evidence that will help clinicians and their patients to make decisions that are consistent with their values and preferences? OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Links: Yun C, Haleem MS, Jeong S, Oyer MA, Driscoll AJ, Chang KY, Yun J, Paul J, Lubbe RJ, Stock SR, Hsu WK, Hsu EL. Effect of Postoperative Analgesic Exposure to the Cannabinoid Receptor Agonist WIN55 on Osteogenic Differentiation and Spinal Fusion in Rats. J Bone Joint Surg Am. 2021 Jun 2;103(11):984-991. doi: 10.2106/JBJS.20.00573. PMID: 33759484. Link. Devinsky O, Patel AD, Cross JH, Villanueva V, Wirrell EC, Privitera M, Greenwood SM, Roberts C, Checketts D, VanLandingham KE, Zuberi SM; GWPCARE3 Study Group. Effect of Cannabidiol on Drop Seizures in the Lennox-Gastaut Syndrome. N Engl J Med. 2018 May 17;378(20):1888-1897. doi: 10.1056/NEJMoa1714631. PMID: 29768152. Link. Devinsky O, Cross JH, Laux L, Marsh E, Miller I, Nabbout R,

Dr. Nancy Yen Shipley is a board-certified orthopaedic surgeon, with additional fellowship training in sports medicine and arthroscopy. Her professional interests include sports medicine, arthroscopic surgery, injuries and conditions of the shoulder and knee, fracture care and general orthopaedic surgery. Dr. Yen Shipley received her B.A. degree in Psychology at the University of California, Los Angeles. She spent time after her undergraduate training working in the snowboarding industry and event planning, before finding her true passion, medicine. She attended Drexel University College of Medicine, in Philadelphia, where she discovered her love for Orthopaedics. Dr. Yen Shipley completed internship and residency in orthopaedic surgery at Virginia Commonwealth University in Richmond, Virginia, then completed additional fellowship training in arthroscopy and sports medicine at Orthopaedic Research of Virginia. Dr. Yen Shipley is a partner at Multnomah Orthopedic Clinic. In addition to her her clinical practice, Dr. Yen Shipley enjoys caring for athletes of all levels, as a team physician for  U.S. Ski and Snowboard Team, Multnomah University and Portland Interscholastic League. She has also been involved as a part of the medical team for track and field's IAAF World Indoor Championships, the University of Richmond and the Virginia Special Olympics. Dr. Yen Shipley is passionate about sharing her path to medicine with others, in particular our next generation of future physicians. She is a mentor and champion for women and diversity in surgical specialties, and brings awareness to this through speaking engagements and an active online presence. She has been a featured contributor on KevinMD.com, called “a must-read blog” by Rebecca Ruiz of Forbes, among multiple other online sources of medical news. In her free time, Dr. Yen Shipley enjoys spending time with her family, snowboarding, stand up paddleboarding, playing (i.e. learning) tennis, and enjoying the great outdoors and the great food in her adopted hometown of Portland.  www.NancyMD.com www.instagram.com/_nancymd https://www.youtube.com/c/NancyMD www.twitter.com/_nancymd --- Support this podcast: https://anchor.fm/wishwell/support

In this episode, we're joined by Dr. Michael Greiwe, who is Director of Orthopaedic Research at OrthoCincy and Founder and CEO of OrthoLive and SpringHealthLive. Dr. Greiwe is here to discuss the flexibility of using telemedicine, telemedicine implementation in the Covid-19 era, and how to engage with patients using new technology. You can learn more about telehealth at MGMA’s upcoming virtual event, The Medical Practice Excellence Conference, which will be held October 19th-21st. You can register for the event at bit.ly/3ahdelB. Thanks to MGMA Consulting for sponsoring this week’s show. To learn more about how consulting can transform your practice go to https://bit.ly/3hDdaj7. ​If you like the show, please rate and review it wherever you get your podcasts. If you have topics you'd like us to cover or experts you'd like us to interview, email us at podcasts@mgma.com, or reach out to MGMA Sr. Editor and MGMA Insights podcast host Daniel Williams on Twitter at twitter.com/MGMADaniel. MGMA Insights is presented by Decklan McGee, Rob Ketcham and Daniel Williams.

Dr. Nancy Yen Shipley is a board-certified orthopaedic surgeon, with additional fellowship training in sports medicine and arthroscopy. Her professional interests include sports medicine, arthroscopic surgery, injuries and conditions of the shoulder and knee, fracture care and general orthopaedic surgery.Dr. Yen Shipley received her B.A. degree in Psychology at the University of California, Los Angeles. She spent time after her undergraduate training working in the snowboarding industry and event planning, before finding her true passion, medicine. She attended Drexel University College of Medicine, in Philadelphia, where she discovered her love for Orthopaedics. Dr. Yen Shipley completed internship and residency in orthopaedic surgery at Virginia Commonwealth University inRichmond, Virginia, then completed additional fellowship training in arthroscopy and sports medicine at Orthopaedic Research of Virginia.Dr. Yen Shipley is a partner at Multnomah Orthopedic Clinic. In addition to her her clinical practice, Dr. Yen Shipley enjoys caring for athletes of all levels, as a team physician for U.S. Ski and Snowboard Team, Multnomah University and Portland Interscholastic League. She has also been involved as a part of the medical team for track and field’s IAAF World Indoor Championships, the University of Richmond and the Virginia Special Olympics.Dr. Yen Shipley is passionate about sharing her path to medicine with others, in particular our next generation of future physicians. She is a mentor and champion for women and diversity in surgical specialties, and brings awareness to this through speaking engagements and an active online presence. She has been a featured contributor on KevinMD.com, called “a must-read blog” by Rebecca Ruiz of Forbes, among multiple other online sources of medical news.www.NancyMD.comwww.instagram.com/_nancymdhttps://www.youtube.com/c/NancyMDwww.twitter.com/_nancymdClick Here for more information about my Self-Coaching Course.

On this episode of the JAAOS Unplugged podcast series, host Cory D. Smith, MD, summarizes three research articles from the April 1st and 15th issue of JAAOS: Update on Antibiotic Prophylaxis in Open Fractures, Patella Baja after Total Knee Arthroplasty, and Medical Cannabis Use in Orthopaedic Surgery. Following the article summaries, Dr. Smith interviews Benjamin Domb, MD to discuss his review article titled "All About the Ligamentum Teres: From Biomechanical Role to Surgical Reconstruction" Follow this link to download these and other articles from JAAOS April 1 issue link is this: https://journals.lww.com/jaaos/toc/2020/04010 April 15 perma link is this: https://journals.lww.com/jaaos/toc/2020/04150 The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

On this 15th episode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes three research articles from the March 15, 2020 issue of JAAOS: Perioperative Clindamycin Use in Penicillin Allergic Patients Is Associated with a Higher Risk of Infection After Shoulder Arthroplasty, Preoperative Warming Reduces Intraoperative Hypothermia in Total Joint Arthroplasty Patients, and Tranexamic Acid in Patients with Cancer Undergoing Endoprosthetic Reconstruction: A Retrospective Review. Following the article summaries, Dr. Jensen interviews Louis Catalano, MD to discuss his review article titled "Surgical Management of Scaphotrapeziotrapezoid (STT) Arthritis" Follow this link to download these and other articles from the March 15th, 2020 issue of JAAOS: https://journals.lww.com/jaaos/toc/2020/03150 The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.  

On this 14th episode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes three research articles from the February 15, 2020 issue of JAAOS: Access to Elective Orthopaedic Surgery After the Affordable Care Act Medicaid Expansion: The New York State Experience, Validity of a Novel Free-Hand Pedicle Screw Placement Training Tool, and Total Joint Arthroplasty in Patients with Cerebral Palsy. Following the article summaries, Dr. Jensen interviews William N. Levine, MD, Editor-in-Chief of JAAOS and Chair of the Department of Orthopedic Surgery at Columbia University's College of Physicians and Surgeons, to discuss his views on leadership in orthopaedics and the importance of the mentor/mentee relationship. Follow this link to download these and other articles from the February 15th, 2020 issue of JAAOS: https://journals.lww.com/jaaos/toc/2020/02150 The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

On this 13thepisode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes three research articles from the January 15, 2020 issue of JAAOS: Best Practice Guidelines for Hip Arthroscopy in Femoroacetabular Impingement: Results of a Delphi Process; Direct Lateral Approach for Triple Pelvic Osteotomy; and Evaluating the Online Presence of Orthopaedic Surgeons.     Following the article summaries, Dr. Jensen interviews Christopher Lee, MD to discuss his Surgical Techniques article titled “Pearls and Pitfalls with Intramedullary Nailing of Proximal Tibia Fractures.”   Follow this link to download these and other articles from the January 15th, 2020 issue of JAAOS: https://journals.lww.com/jaaos/toc/2020/01150   The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

On this 12th episode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes three research articles from the December 15, 2019 issue of JAAOS: Minimum Five-year Outcomes and Clinical Survivorship for Arthroscopic Transosseous-equivalent Double-row Rotator Cuff Repair, What Are the Contemporary Etiologies for Revision Surgery and Revision After Primary Noncemented Total Hip Arthroplasty, and Can Views of the Proximal Femur Be Reliably Used After Femoral Nail Insertion? A Cadaver Validation Study.     Following the article summaries, Dr. Jensen interviews Nathan Skelley, MD to discuss his review article titled “Three-dimensional Printing Technology in Orthopaedics”   Follow this link to download these and other articles from the December 15th, 2019 issue of JAAOS: https://journals.lww.com/jaaos/toc/2019/12150   The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

Erin Mannen is an Assistant Professor at the University of Anrkansas for Medical Sciences, and a Director of Orthopaedic Research. We chat about her research into baby carriers, the effects of different positions on joint health and developement, future research and yoga. Listen in, and if you have any questions, please let me know - message me on Instagram @helpforhipdysplasia.

On this 11th episode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes three research articles from the November 15, 2019 issue of JAAOS: The Impact of Patient-Reported Penicillin Allergy on Risk for Surgical Site Infection in Total Joint Arthroplasty, A Comparison of Patient-Centered Outcome Measures to Evaluate Dysphagia and Dysphonia After Anterior Cervical Discectomy and Fusion, and LigaSure Use Decreases Intraoperative Blood Loss Volume and Blood Transfusion Volume in Sarcoma Surgery.   Following the article summaries, Dr. Jensen interviews John G. Horneff III, MD to discuss his review article titled “Surgical Exposures for Total Elbow Arthroplasty”   Follow this link to download these and other articles from the November 15th, 2019 issue of JAAOS: https://journals.lww.com/jaaos/toc/2019/11150   The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

On this 10thepisode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes three research articles from the October 15, 2019 issue of JAAOS: Blood Transfusion Trends in Primary and Revision Total Joint Arthroplasty: Recent Declines Are Not Shared Equally, Utilization of Drains and Association with Outcomes: A Population-Based Study Using National Data on Knee Arthroplasties, and Stem Cells and Platelet-rich Plasma for Knee Osteoarthritis: Prevalence and Cost in South Florida.     Following the article summaries, Dr. Jensen interviews Michael Flierl, MD to discuss his review article titled “Evaluation of the Painful Total Knee Arthroplasty”   Follow this link to download these and other articles from the October 15th, 2019 issue of JAAOS: https://journals.lww.com/jaaos/toc/2019/10150   The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

On this 9th episode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes three research articles from the September 15, 2019 issue of JAAOS: Autogenous Iliac Crest Bone Grafting for the Treatment of Fracture Nonunion is Equally Effective in Elderly and Nonelderly Patients, Increased Pulmonary Complications Associated with Intramedullary Fixation of Intertrochanteric Fractures: An Analysis of 13,276 Hips, and Low Velocity Gunshot Injuries to the Femur: What is the Utility of Stabilizing Incomplete Fractures?   Following the article summaries, Dr. Jensen interviews Robert Wojahn, MD to discuss his review article titled “Fixation of Anterior Pelvic Ring Injuries”   Follow this link to download these and other articles from the September 15th, 2019 issue of JAAOS: https://journals.lww.com/jaaos/toc/2019/09150   The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

On this 8thepisode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes three research articles from the August 15, 2019 issue of JAAOS: All-epiphyseal Anterior Cruciate Ligament Reconstruction Does Not Increase the Risk of Complications Compared With Pediatric Transphyseal Reconstruction, Effect of Preoperative Opioid Usage on Pain After Total Shoulder Arthroplasty, and Osseointegrated Percutaneous Prosthetic System for the Treatment of Patients with Transfemoral Amputation.   Following the article summaries, Dr. Jensen interviews Jacques Hacquebord, MD to discuss his review article An Overview of Skin Antiseptics Used in Orthopaedic Surgery Procedures.   Follow this link to download these and other articles from the August 15th, 2019 issue of JAAOS: https://journals.lww.com/jaaos/toc/2019/08150   The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

On this 7th episode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes two research articles from the July 15, 2019 issue of JAAOS: The Perception of Pregnancy and Parenthood Among Female Orthopaedic Surgery Residents, and Inappropriate Questions Asked of Female Orthopaedic Surgery Applicants From 1971 to 2015: A Cross-sectional Study.   Following the article summaries, Dr. Jensen interviews AAOS President Kristy Weber, MD and Alana Munger, MD of Yale University to discuss the current state of the gender gap in orthopaedic surgery, including findings from Dr. Munger’s research article “Revisiting the Gender Gap in Orthopaedic Surgery: Investigating the Relationship Between Orthopaedic Surgery Female Faculty and Female Residency Applicants” from the April 15th, 2019 issue of JAAOS.   Follow this link to download these and other articles from the July 15th, 2019 issue of JAAOS: https://journals.lww.com/jaaos/toc/2019/07150   The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

On this 6thepisode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes three research articles from the June 15, 2019 issue of JAAOS: Reducing Lateral Femoral Cutaneous Nerve Palsy in Obese Patients in the Beach Chair Position, Synthetic Graft Compared with Allograft Reconstruction for Extensor Mechanism Disruption in Total Knee Arthroplasty, and External Fixation in the Emergency Department for Pilon and Unstable Ankle Fractures.   Following the article summaries, Dr. Jensen interviews Jun Kim, MD to discuss his review article Cervical Spine Deformity: Indications, Considerations, and Surgical Outcomes.   Follow this link to download these and other articles from the June 15th, 2019 issue of JAAOS: https://journals.lww.com/jaaos/toc/2019/06150   The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.  

On this 5th episode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes three research articles from the May 15, 2019 issue of JAAOS: The Role of Athletic Event Coverage in Orthopaedic Residency Training, Total Knee Arthroplasty in the Osteoporotic Tibia, and Understanding and Perception of Overlapping Surgery in an Orthopaedic Trauma Population.     Following the article summaries, Dr. Jensen interviews Christopher N. Johnson, DO to discuss his review article Contemporary Management of Appendicular Skeletal Metastasis by Primary Tumor Type.   Follow this link to download these and other articles from the May 15th, 2019 issue of JAAOS: https://journals.lww.com/jaaos/toc/2019/05150   The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.  

On this 4th episode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes three research articles from the April 15, 2019 issue of JAAOS: Clinical Practice Guidelines in Action: Differences in Femoral Neck Fracture Management by Trauma and Arthroplasty Training, C5 Motor Palsy After Single- and Multi-level Anterior Cervical Diskectomy and Fusion: A Retrospective Review, and A Comparison of Limb Salvage Versus Amputation for Nonmetastatic Sarcomas Using Patient-reported Outcomes Measurement Information System Outcomes.   Following the article summaries, Dr. Jensen interviews Min Lu, MD to discuss his review article Total Hip Arthroplasty for Posttraumatic Conditions.   Lastly, for the first segment of Resident’s Corner, Dr. Jensen interviews Dr. Dayna Phillips, coauthor of this month’s featured review article and PGY4 at Temple University.  They discuss how residents can prepare for the OR and maximize the educational value of each surgical case.   Follow this link to download these and other articles from the April 15th, 2019 issue of JAAOS: https://journals.lww.com/jaaos/toc/2019/04150   The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

On this episode of the Healthy Wealthy and Smart Podcast, I welcome Dr. Peter Fabricant on the show to discuss pediatric ACL injuries. Dr. Peter Fabricant is an orthopedic surgeon specializing in pediatric and adolescent orthopedic surgery. His clinical expertise is in sports medicine and trauma surgery of the knee, hip, shoulder, elbow, and ankle. In this episode, we discuss: -How to determine if a patient should have non-surgical treatment or surgical treatment following ACL injury -Rehabilitation considerations following Physeal-Sparing ACL Reconstruction Surgery -Setting realistic expectations for return to sport with the pediatric population -And so much more!   Resources: HSS Peter Fabricant   For more information on Dr. Fabricant: Dr. Peter Fabricant is an orthopedic surgeon specializing in pediatric and adolescent orthopedic surgery. His clinical expertise is in sports medicine and trauma surgery of the knee, hip, shoulder, elbow, and ankle. Dr. Fabricant completed his undergraduate studies at the University of Rochester, graduating with honors. He then attended Yale University School of Medicine. During his orthopedic surgery residency training at Hospital for Special Surgery, Dr. Fabricant earned a Master of Public Health Degree from Columbia University, and won several awards for excellence in patient care and innovation in patient safety. Following residency, Dr. Fabricant completed two fellowships: first in pediatric orthopedic surgery at The Children's Hospital of Philadelphia and the second in sports medicine at Boston Children's Hospital. This afforded him the unique opportunity to study with renowned mentors at both institutions, including Dr. Lyle Micheli, Dr. Mininder Kocher, and Dr. Theodore Ganley, in order to compile additional subspecialty training uniquely focused on the care of children and adolescents with sports-related injuries. He has cared for athletes and performers at all levels, including the Boston Ballet, Babson College, the International Skating Union World Figure Skating Championships, and the Boston Marathon. Dr. Fabricant is an accomplished researcher, with over 100 peer-reviewed publications and 15 book chapters in circulation. He has received multiple institutional, national, and international awards for clinical research, including the Herodicus Award (AOSSM), the Excellence in Research Award (AOSSM), and the Promising Career Award (PRiSM Society), among others. Dr. Fabricant currently serves on several research and education committees in two international professional societies (POSNA and PRiSM). He is a member of several pediatric orthopedic and sports medicine research consortiums, through which he participates in cutting-edge multicenter clinical research studies with many of the most prolific researchers in pediatric and adolescent sports medicine. He also serves on the editorial boards of Clinical Orthopaedics and Related Research (CORR) and the Journal of ISAKOS, on the Peer Review Committee for the Orthopaedic Research and education Foundation (OREF), and as a reviewer for several academic orthopaedic journals including the Journal of Bone and Joint Surgery (JBJS), the American Journal of Sports Medicine (AJSM), and the Bone & Joint Journal (BJJ). Dr. Fabricant understands the physical and emotional complexities of injuries in youth and adolescent athletes. Sports and recreational activities provide social, emotional, and physical development, leadership skills, and encouragement for children to work as a part of a team with their peers. Dr. Fabricant has dedicated himself to addressing sports injuries in the context of all of these important issues and strives to return his patients back to their sports and activities as quickly and as safely possible, while minimizing the risk of future injury and prioritizing their long-term health and well-being.   Read the full transcript below: Karen Litzy:                   00:00                Hi Dr. Fabricant Welcome to the Healthy Wealthy and Smart Podcast. I am so excited to have you on today to talk about pediatric ACL injuries. Karen Litzy:                   00:13                So we're just going to kind of jump right into it because I know our time is limited here so the reason that I wanted to do this is because I have a patient now with an ACL tear who had surgery and there seemed to be a lot of questions in the rehab world around this population. So after a confirmed ACL tear in a pediatric patient can you take us through your decision making process as to whether or not that patient will have non-surgical treatment which would mean high quality rehab or ACL reconstruction plus rehab. Dr. Fabricant:                00:53                Yeah that's a really great question. So historically kids who still had you know growth remaining who had open growth plates would kind of be held off until they were fully grown and then have an ACL reconstruction then. But we know that that's not the ideal thing to do just because they have an unstable knee they can develop cartilage and meniscus injuries that might not be repairable once they reach the maturity but there are a subset of patients who tend to do pretty well without surgery and with high quality rehab alone. And so typically when I'm evaluating a patient the ones that tend to do well with high quality rehab alone would be typically younger patients. So kids who are like under 14 years old and kids who have non full thickness ACL tear. So like a partial ACL tear like a 50 percent tear. Dr. Fabricant:                01:49                And so kids who are young and who have you know a 50 percent partial tear their ACL who have rotational stability of their knee so their knee doesn't kind of rotate during things like a pivot shift examination. Those are kids who tend to do pretty well without surgery with a period of protected weight bearing bracing and high quality rehab. When I'm seeing kids who are either older and or have a full thickness ACL tear with a really unstable knee those tend to be the kids who we recommend surgery for especially if they're involved in cutting or pivoting sports jumping or landing sports things like that. So that's basically how I approach it in general. Karen Litzy:                   02:34                And so let's talk about the surgical procedures because there are several surgical procedures one can do on a pediatric ACL patient taking into account the growth plate damage. How do you decide which surgical procedure to do with this population? Dr. Fabricant:                02:57                I think that's a great question too. So I kind of think about these kids in three groups. Dr. Fabricant:                03:04                Let's go from kind of oldest to youngest so the oldest type of kid is the kid who either has growth plates that are closed or near closed or they have very little growth remaining let's say like less than six months of growth remaining. Those are kids that I kind of think about a little more like adults. But then within that within kind of specific to your question the kids who have open growth plates. The question I ask myself are kind of are these kind of the youngest kids like prepubescent kids. So those are kids with greater than 2 years of growth remaining.  In girls, those who haven't had started having their periods yet. In boys and girls kids who really haven't had a growth spurt or who are kind of prepubescent. Dr. Fabricant:                03:53                There's kind of that group and then there's the pubescent kids who are between let's say two years of growth remaining and six months of growth remaining you know in girls let's say they've had their periods for a year, in boys they may have already showed some signs of puberty or of their growth spurt. So those are kind of the pubescent kids even though they have growth remaining and so in thinking about a reconstruction technique I try to figure out are they in the prepubescent group or the pubescent group. And then there are a couple of different described surgical procedures in each but in broad generalities the prepubescent group you need to really avoid the growth plate completely and so that can be done either with techniques where you do drill tunnels in the bone but you confine it to the epiphysis of the bone or the area that's kind of away from the growth plate or you can do a procedure where you're not drilling any tunnels which would be like the IT Band ACL procedure and that those both can protect the growth plate and they're both been well described and then in the kids who are pubescent who have growth remaining but maybe not so much growth remaining those kids you typically can drill tunnels in the bone but you just need to use a graft that's made of soft tissue because if you take let's say a bone plug from a graft and fix it across the growth plate that can inhibit their growth and cause a limb length deformity limb length discrepancy or like an angular deformity of the limb. Dr. Fabricant:                05:31                So that's kind of how I think about the two groups that still have growth remaining and taking surgical procedures. Karen Litzy:                                           And does the activity of the child come into play when deciding on which procedure to do or is it really just their kind of bony anatomy and age. Dr. Fabricant:                                        Yeah it's mostly their age and skeletal maturity and their developmental maturity. The sports sometimes come into play when you're deciding whether or not to do a reconstruction but once you kind of made the decision to do a reconstruction you know which technique you choose is typically chosen based on their skeletal maturity. Karen Litzy:                   06:11                Got it got it. And then you sort of alluded to this a little bit earlier talking about the meniscus but why is the health of the meniscus so important in the pediatric ACL patients. Karen Litzy:                   06:22                So from what I've read it seems like if there is a bucket handle tear or other repairable meniscus injury surgery is really warranted. Why is that?   Dr. Fabricant:                06:42                So if there's the meniscus is pretty precious tissue and it's really the shock absorber of the knee but it also provides secondary stability to the knee, nourishment of the joint. It provides congruence between the femur and the tibia and so it's really important to try to save as much meniscal tissue as possible and then these kids obviously have quite a long life ahead of them and many have a long athletic career ahead of them. So you definitely want to save as much meniscus as possible so if there is a large unstable meniscus tear and the knee remains unstable it's likely to continue to degenerate whereas if you go and stabilize the knee and fix the meniscus you have the best chance at preserving that tissue and getting it to heal. Karen Litzy:                   07:20                Yeah that makes sense. And now for a lot of my listeners who are physical therapists this is sort of the money question right. Karen Litzy:                   07:27                What are the most important considerations for rehab after these physeal-sparing ACL reconstruction surgeries? Dr. Fabricant:                07:36                So it's interesting there's not like a really strong evidence base about like specific things with rehab but I would tell you that kind of the way that I approach it and kind in in broad generalities typically the first six weeks are where there's the biggest difference depending on how the procedure goes. So if if it's let's say a procedure where you're drilling tunnels and fixing it with implants you know those kids can tend to weightbear relatively soon the implants tend to confer a lot of stability to the graft and allow the body to heal the graft. If there's a meniscus repair at the time of surgery, I tend to protect the weight bearing for a total of six weeks just to let the meniscus heal and in the kids who end up getting the IT Band ACL because there are no tunnels drilled in the bone and therefore there's no like screws holding the graft in place and the graft tends to be fixed to the periosteum of the bone or the skin around the bone with heavy duty suture. Dr. Fabricant:                08:39                Those kids I tend to protect for six weeks regardless of if they've had a meniscus tear repaired just because I want to make sure they've started to have some biologic healing of the graft before I let them really bear full weight. So for me the first six weeks are kind of the most critical portion where if I've done a IT Band ACL and I'm kind of relying on suture for fixation I tend to protect their weight bearing a little longer but once they hit about six weeks for me at least the rehab tends to progress the same whereas essentially all kids are kind of started to wean off crutches by six weeks starting to work on strengthening and then for me I tend to let kids start to jog around 12 weeks and from there on it's pretty similar rehab to the adult rehab. Karen Litzy:                   09:24                So why with the ACL reconstruction using the IT band, why is no lunging a precaution with this population. Dr. Fabricant:                09:37                When I was in training I had some of my mentors would say that they found that kids who load the knee from a flexed position after any ACL reconstruction tend to kind of flare the knee up especially in the early phase and so I tend to tell kids to avoid you know deep lunges and squats early on. So that's just something that I do I don't know that there's a lot of great evidence for that but it seems to have worked for some of my mentors and so I've kind of adopted it into my practice as well. Karen Litzy:                   10:13                Got it. Got it yeah. Because I read that out of Boston right. And OK so that makes a lot of sense because I often wondered. Karen Litzy:                   10:24                Well they can jog and run but they can't squat or they can't lunge. And is that obviously to protect the knee and is that also to maybe protect secondary problems like patellar tendinopathy or something like that. Dr. Fabricant:                10:38                You know right after surgery there is a bit of inflammation going on in the knee and so certainly doing like deep squats and lunges can increase the risk of further inflammation. Dr. Fabricant:                10:50                But I really do like squats like leg presses that go down to about 90 degrees of knee flexion. I really find it helps strengthen the knee without inflaming it too much. But you know the physical therapist that we work with tend to do that and the patients do pretty well and they end up building it pretty quickly. Karen Litzy:                   11:12                That makes sense. And now let's talk to a lot of these kids want to return to sport. I mean you're working with kids all the time as you know their attention spans are a little short and they're all really excited to get back to sport A.S.A.P. but according to the IOC consensus on pediatric ACL they recommend waiting twelve months to return to sport. So what is your thought on that? Dr. Fabricant:                11:43                Yeah I would say the short answer is I agree with that completely. I typically mentally prepare kids for a year to return to play. Dr. Fabricant:                11:53                I think that you know there's really three things you need in order to successfully return back to sports safely. So one is the anatomy which is really the job of the surgeon and reconstructing the anatomy. The other is you know strength and balance and coordination which is a team effort between the physical therapist and the patient and the surgeon as well. And then the third thing is just time. So it just takes about a year for the graft to incorporate and mature and remodel and kind of be biologically ready. And I think that's the hardest part about this surgery is really kind of keeping the kids engaged for a full year. I think kids sometimes hear about some professional athletes who get back to sports sooner than a year and so they feel like they want to get back sooner than a year. Dr. Fabricant:                12:39                But I typically tell families you know a couple of things. First off the average time to return to sport, even in professional athletes like in the NFL is about eleven months. So even in pro athletes who have no job other than to rehab their knee you know they don't have chores and schoolwork and things like that that it's still about a year and that's an average. So while they might hear you know on the news about people who get back after six or eight months there's also people who don't get back for 14 or 16 or 18 months. And so even professional athletes it takes about a year and then the other thing is that kids are really even higher risk than professional athletes because typically you know if there's something about the child's anatomy or their physiology or how they're moving Dr. Fabricant:                13:24                That puts them at such high risk that they're gonna tear their ACL when they're 11, 12, 13, 15 years old. They're at higher risk patient than the guy or gal who goes through you know high school and college and professional sports before tearing their ACL. They've made it through let's say 30 years of life before tearing their ACL. So I tend to try to kind of work with kids and families and say you know look you're a higher risk than a professional athlete for one and two you know all they do all day is rehab and it still takes them a year to get back to sports. So I tend to agree with the one year recommendation. I tend to let kids just because they're itching to get back. I tend to let them do some light practice with their team at the beginning of the following season. So for instance if a kid injures themselves midway through a soccer football season in the fall you know usually it's around nine or 10 months till the next beginning of the next season I say that they can do some kind of non contact practice with their team just so they can stay involved. But I do agree with the one year before they're really kind of on the field or the court competing with other kids. Karen Litzy:                   14:33                Yeah and I'm so glad that you brought up what they see on TV and what they hear or see on social media because that's something that's so pervasive amongst a lot of these kids and they think someone else did it. They should be able to do it too. So I thank you for that. And I think that advice to tell the parents and to keep reiterating that to the patient to the pediatric patient is so important because boy they just want to every day. Well when can I do this. Well when can I do that and being able to keep them like you said motivated but realistic expectations and being honest is a challenge. Dr. Fabricant:                15:14                Yeah you're totally right. I think that even setting expectations before surgery you know they kind of forget you know when their knee starts feeling pretty good around three or six months but you know I think the other important thing is that you know what they hear on TV and in social media tends to be the exceptions to the rule rather than the average. Dr. Fabricant:                15:31                So they hear about the person who gets back to sports at six or seven months but they don't necessarily hear about the people who take a year and a half to get back to sports in the pros or who don't make it back to sports in the pros. So I think you know also telling them they're probably getting a bit of a biased view when a lot of these kind of news outlets kind of sensationalize people who are getting that quickly they think it's the norm when actually it's the exception. Karen Litzy:                   15:54                Absolutely. I just had this conversation the other day about what a bell curve is and how some people are on one side some people are on the other but most people are in the middle. Karen Litzy:                   16:04                And to really keep that in mind when you see these big extremes so now is there anything else that you would like to add as far as let's say speaking to physical therapists or people who are going to be working with your patients. Anything else you would like to add as far as the pediatric ACL patient is concerned. Dr. Fabricant:                16:27                Not not really. I think we really kind of touched upon all the important topics. I think it's just important to understand a lot of people are really beginning to realize that you know kids aren't just small adults and they have their own unique considerations both with the surgery and in the rehab and in the kind of mental preparedness for sports. And so I always really enjoy working with therapists who enjoy working with kids and engaging kids because it's not just that the surgery and even the exercises are different it's the whole kind of mindset and the approach. And so when the whole team is on the same page it's always really rewarding. Karen Litzy:                   17:09                Awesome well thank you so much for taking the time out. And where can people find more about you if they would like to know more about you and what you do and have any questions. Dr. Fabricant:                17:18                Yes so I practice at the Hospital for Special Surgery so they can go to the hospital for special surgeries Web site which is a Hss.edu they can look me up on that Web site or they can Google search my name at HSS and we're here and happy to take care of our youth athletes who get injured. Karen Litzy:                   17:39                Awesome. Well thank you so much and everyone else. Thank you so much for listening. Have a great couple of days and stay healthy wealthy and smart.     Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram  and facebook to stay updated on all of the latest!  Show your support for the show by leaving a rating and review on iTunes!  

On this 3rd episode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes research articles from the March 15, 2019 issue of JAAOS including: Predictive Modeling for Geriatric Hip Fracture Patients: Early Surgery and Delirium Have the Largest Influence on Length of Stay, Quality Measures in Total Hip and Total Knee Arthroplasty, and Revision Metacarpophalangeal Arthroplasty: A Longitudinal Study of 128 Cases.     Following the article summaries, Dr. Jensen interviews Josef Eichinger, MD to discuss his review article Scapular Notching in Reverse Total Shoulder Arthroplasty.   Follow this link to download these and other articles from the March 15th, 2019 issue of JAAOS: https://journals.lww.com/jaaos/toc/2019/03150   The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.  

On this 2nd episode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes research articles from the February 15, 2019 issue of JAAOS, including: Opioid Prescribing Practices of Orthopaedic Surgeons: Results of a National Survey, Incidence of Posteromedial Meniscocapsular Separation and the Biomechanical Implications on the Anterior Cruciate Ligament, Patient Outcomes After Revision of Anatomic Total Shoulder Arthroplasty to Reverse Shoulder Arthroplasty for Rotator Cuff Failure or Component Loosening: A Matched Cohort Study, and Hemolysis Is a Diagnostic Adjuvant for Propionibacterium acnes Orthopaedic Shoulder Infections.     Following the article summaries, Dr. Jensen interviews Michael George, MD to discuss his review article Latissimus Dorsi Tendon Rupture.   Follow this link to download these and other articles from the February 15th, 2019 issue of JAAOS: https://journals.lww.com/jaaos/toc/2019/02150   The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

We discuss what every physician should know about the management of acute orthopaedic injuries that any of us may encounter in our lives and when to worry and when to reassure.  And how to reduce a dislocated shoulder.  We also discuss what sports she wouldn't let her son play and the answer certainly surprised me.   Dr. Nancy Yen Shipley is a board-certified orthopaedic surgeon, with additional fellowship training in sports medicine and arthroscopy. Her professional interests include sports medicine, arthroscopic surgery, injuries and conditions of the shoulder and knee, fracture care and general orthopaedic surgery. Dr. Yen Shipley received her B.A. degree in Psychology at the University of California, Los Angeles. She spent time after her undergraduate training working in the snowboarding industry and event planning, before finding her true passion, medicine. She attended Drexel University College of Medicine, in Philadelphia, where she discovered her love for Orthopaedics. Dr. Yen Shipley completed internship and residency in orthopaedic surgery at Virginia Commonwealth University in Richmond, Virginia, then completed additional fellowship training in arthroscopy and sports medicine at Orthopaedic Research of Virginia. Dr. Yen Shipley is a partner at Multnomah Orthopedic Clinic. In addition to her her clinical practice, Dr. Yen Shipley enjoys caring for athletes of all levels, as a team physician for  U.S. Ski and Snowboard Team, Multnomah University and Portland Interscholastic League. She has also been involved as a part of the medical team for track and field’s IAAF World Indoor Championships, the University of Richmond and the Virginia Special Olympics. Dr. Yen Shipley is passionate about sharing her path to medicine with others, in particular our next generation of future physicians. She is a mentor and champion for women and diversity in surgical specialties, and brings awareness to this through speaking engagements and an active online presence. She has been a featured contributor on KevinMD.com, called “a must-read blog” by Rebecca Ruiz of Forbes, among multiple other online sources of medical news. In her free time, Dr. Yen Shipley enjoys spending time with her family, snowboarding, stand up paddleboarding, playing (i.e. learning) tennis, and enjoying the great outdoors and the great food in her adopted hometown of Portland.  She can be found at  www.NancyMD.com www.instagram.com/_nancymd https://www.youtube.com/channel/UCRHOG_6gCyGJd0bQerfFPOw  www.facebook.com/nancymdpdx  www.linkedin.com/in/nancyyenshipleymd 

On this 1st episode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes research articles from the January 15, 2019 issue of JAAOS, including: Outpatient Total Hip Arthroplasty in the United States: A Population-based Comparative Analysis of Complication Rates, Patient and Practice Trends in Total Ankle Replacement and Tibiotalar Arthrodesis in the United States from 2007 to 2013, Recurrent Fragility Fractures: A Cross-sectional Analysis, and Do I have what I need? – A Compatibility Guide for the Orthopaedic Surgeon Planning to Remove Implanted Hardware.   Following the article summaries, Dr. Jensen interviews Amiethab Aiyer, MD, and Jonathan Kaplan, MD, to discuss their review article Management of Isolated Lateral Malleolus Fractures.   The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.

Nesse episódio eu, Heric Lopes, conto com a presença do professor e educador físico Sergio Cunha, do professor e fisioterapeuta Ricardo Guerra e do doutorando e fisioterapeuta Ricky Watari para discutir as causas da dor patelofemural. Confira! Esse podcast é parte do canal Fisio na Pauta. Nesse canal, assuntos relevantes serão discutidos usando a ciência e o ceticismo como pedras fundamentais. Nossa intenção é oferecer informação sobre saúde, ciência, reabilitação e claro... Fisioterapia! Esse podcast é uma produção independente elaborado por voluntários dispostos a disseminar conhecimento em prol da evolução da ciência da Fisioterapia. O conteúdo do programa é meramente informativo e nada de ser utilizado como conselho médico, uma vez que o conteúdo científico está constantemente evoluindo. Em caso de sintomas e/ou dúvidas, recomendo procurar um profissional da área da saúde. As informações e opiniões expressas nesse programa são de inteira responsabilidade de seus autores, não correspondendo necessariamente ao ponto de vista dos outros integrantes da equipe. Você pode acompanhar o Fisio na Pauta Podcast das seguintes maneiras: website: www.fisionapauta.com.br email: contato@fisionapauta.com.br Twitter: @fisionapauta Facebook: @canalfisionapauta Instagram: fisionapauta Deixe seu comentário no iTunes! Quer colaborar e apoiar o canal Fisio na Pauta? Acesse:   http://www.fisionapauta.com.br/apoie/ Ouça, divulgue, compartilhe! Músicas: DJ Cam Quartet - Rebirth of Coll - https://www.youtube.com/watch?v=oU0ZmbBY9QI Dope Lemon - Home Soon - https://www.youtube.com/watch?v=wyU7324m10M Filipe Sambado - Joelhos - Ups…Fiz isto outra vez (EP) Referência bibliográficas: Willy, R. W., & Meira, E. P. (2016). CURRENT CONCEPTS IN BIOMECHANICAL INTERVENTIONS FOR PATELLOFEMORAL PAIN. International journal of sports physical therapy, 11(6), 877. Crossley, K. M., Callaghan, M. J., & van Linschoten, R. (2015). Patellofemoral pain. bmj, 351, h3939. Dye, S. F. (2005). The pathophysiology of patellofemoral pain: a tissue homeostasis perspective. Clinical orthopaedics and related research, 436, 100-110. Dye, S. F. (1996). The knee as a biologic transmission with an envelope of function: a theory. Clinical orthopaedics and related research, 325, 10-18. Blond, L., & Hansen, L. (1998). Patellofemoral pain syndrome in athletes: a 5.7-year retrospective follow-up study of 250 athletes. Acta Orthop Belg, 64(4), 393-400. van Linschoten, R. (2012). Patellofemoral pain syndrome in athletes. Aspetar Sports Medicine Journal, 1(3), 204-207. Post, W. R., & Dye, S. F. (2017). Patellofemoral Pain: An Enigma Explained by Homeostasis and Common Sense. American journal of orthopedics (Belle Mead, NJ), 46(2), 92-100. Rathleff, M. S., Thomsen, J. L., & Barton, C. J. (2017). Patient education in patellofemoral pain: potentially potent and essential, but under-researched. bjsports-2017. Esculier, J. F., Bouyer, L. J., Dubois, B., Fremont, P., Moore, L., McFadyen, B., & Roy, J. S. (2017). Is combining gait retraining or an exercise programme with education better than education alone in treating runners with patellofemoral pain? A randomised clinical trial. Br J Sports Med, bjsports-2016. Noehren, B., Pohl, M. B., Sanchez, Z., Cunningham, T., & Lattermann, C. (2012). Proximal and distal kinematics in female runners with patellofemoral pain. Clinical biomechanics, 27(4), 366-371. Draper, C. E., Fredericson, M., Gold, G. E., Besier, T. F., Delp, S. L., Beaupre, G. S., & Quon, A. (2012). Patients with patellofemoral pain exhibit elevated bone metabolic activity at the patellofemoral joint. Journal of Orthopaedic Research, 30(2), 209-213. Noehren, B., Hamill, J., & Davis, I. (2013). Prospective evidence for a hip etiology in patellofemoral pain. Medicine and science in sports and exercise, 45(6), 1120-1124. Powers, C. M. (2003). The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. Journal of Orthopaedic & Sports Physical Therapy, 33(11), 639-646.

Nesse episódio eu, Heric Lopes, conto com a presença do professor e educador físico Sergio Cunha, do professor e fisioterapeuta Ricardo Guerra e do doutorando e fisioterapeuta Ricky Watari para discutir as causas da dor patelofemural. Confira! Esse podcast é parte do canal Fisio na Pauta. Nesse canal, assuntos relevantes serão discutidos usando a ciência e o ceticismo como pedras fundamentais. Nossa intenção é oferecer informação sobre saúde, ciência, reabilitação e claro... Fisioterapia! Esse podcast é uma produção independente elaborado por voluntários dispostos a disseminar conhecimento em prol da evolução da ciência da Fisioterapia. O conteúdo do programa é meramente informativo e nada de ser utilizado como conselho médico, uma vez que o conteúdo científico está constantemente evoluindo. Em caso de sintomas e/ou dúvidas, recomendo procurar um profissional da área da saúde. As informações e opiniões expressas nesse programa são de inteira responsabilidade de seus autores, não correspondendo necessariamente ao ponto de vista dos outros integrantes da equipe. Você pode acompanhar o Fisio na Pauta Podcast das seguintes maneiras: website: www.fisionapauta.com.br email: contato@fisionapauta.com.br Twitter: @fisionapauta Facebook: @canalfisionapauta Instagram: fisionapauta Deixe seu comentário no iTunes! Quer colaborar e apoiar o canal Fisio na Pauta? Acesse:   http://www.fisionapauta.com.br/apoie/ Ouça, divulgue, compartilhe! Músicas: DJ Cam Quartet - Rebirth of Coll - https://www.youtube.com/watch?v=oU0ZmbBY9QI Dope Lemon - Home Soon - https://www.youtube.com/watch?v=wyU7324m10M Filipe Sambado - Joelhos - Ups…Fiz isto outra vez (EP) Referência bibliográficas: Willy, R. W., & Meira, E. P. (2016). CURRENT CONCEPTS IN BIOMECHANICAL INTERVENTIONS FOR PATELLOFEMORAL PAIN. International journal of sports physical therapy, 11(6), 877. Crossley, K. M., Callaghan, M. J., & van Linschoten, R. (2015). Patellofemoral pain. bmj, 351, h3939. Dye, S. F. (2005). The pathophysiology of patellofemoral pain: a tissue homeostasis perspective. Clinical orthopaedics and related research, 436, 100-110. Dye, S. F. (1996). The knee as a biologic transmission with an envelope of function: a theory. Clinical orthopaedics and related research, 325, 10-18. Blond, L., & Hansen, L. (1998). Patellofemoral pain syndrome in athletes: a 5.7-year retrospective follow-up study of 250 athletes. Acta Orthop Belg, 64(4), 393-400. van Linschoten, R. (2012). Patellofemoral pain syndrome in athletes. Aspetar Sports Medicine Journal, 1(3), 204-207. Post, W. R., & Dye, S. F. (2017). Patellofemoral Pain: An Enigma Explained by Homeostasis and Common Sense. American journal of orthopedics (Belle Mead, NJ), 46(2), 92-100. Rathleff, M. S., Thomsen, J. L., & Barton, C. J. (2017). Patient education in patellofemoral pain: potentially potent and essential, but under-researched. bjsports-2017. Esculier, J. F., Bouyer, L. J., Dubois, B., Fremont, P., Moore, L., McFadyen, B., & Roy, J. S. (2017). Is combining gait retraining or an exercise programme with education better than education alone in treating runners with patellofemoral pain? A randomised clinical trial. Br J Sports Med, bjsports-2016. Noehren, B., Pohl, M. B., Sanchez, Z., Cunningham, T., & Lattermann, C. (2012). Proximal and distal kinematics in female runners with patellofemoral pain. Clinical biomechanics, 27(4), 366-371. Draper, C. E., Fredericson, M., Gold, G. E., Besier, T. F., Delp, S. L., Beaupre, G. S., & Quon, A. (2012). Patients with patellofemoral pain exhibit elevated bone metabolic activity at the patellofemoral joint. Journal of Orthopaedic Research, 30(2), 209-213. Noehren, B., Hamill, J., & Davis, I. (2013). Prospective evidence for a hip etiology in patellofemoral pain. Medicine and science in sports and exercise, 45(6), 1120-1124. Powers, C. M. (2003). The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. Journal of Orthopaedic & Sports Physical Therapy, 33(11), 639-646.