February 2006   Volume XXXV No. 2
  2005 Annual Indexes
 
 
EDITORIAL

Customer Satisfaction: Are Hospitals "Hospitable"?

Peter D. McCann, MD

Many hospital surveys measure excellence in clinical outcomes but fail to reflect “hospitality.”

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5 POINTS

Musculoskeletal Tumor. Biopsy: I. Choosing the Appropriate Method

Albert J. Aboulafia, MD, FACS, and Joshua G. Schkrohowsky, BS

There are several principles to keep in mind when choosing the biopsy technique and in preparing for it—a poorly planned biopsy can compromise subsequent management and long-term outcomes.

 


 


> ORTHOPEDIC TECHNOLOGIES & TECHNIQUES

A Safe Technique for Sternoclavicular Stabilization

Mihir M. Thacker, MS, (Orth), DNB, FCPS, D’Ortho, Joy V. Patankar, MS (Orth), and Arvind B. Goregaonkar, MS (Orth)

When reduction proved unstable in a young patient, and the dislocation recurred in spite of a figure-of-8 bandage, with severe displacement threatening to cause skin breakdown, the sternoclavicular joint was stabilized operatively using sutures.


> Review papers

Orthopedic Surgical Management of Hip and Knee Involvement in Patients With Juvenile Rheumatoid Arthritis

Kazuho Iesaka, MD, Erik N. Kubiak, MD, Matthew R. Bong, MD, Edward T. Su, MD, and Paul E. DiCesare, MD

The considerations in deciding on and performing synovectomy, soft-tissue release, leg length and/or angle correction, arthrodesis, and joint replacement in these patients are discussed.


> original studies


Predictive Value of Preoperative Arterial Blood Gas Evaluation for Geriatric Patients With Hip Fractures

Anand Susarla, MD, Erik N. Kubiak, MD, Kenneth A. Egol, MD, Adam Karp, MD, Joseph D. Zuckerman, MD, and Kenneth J. Koval, MD

Should acquisition of arterial blood gas levels be a routine part of the preoperative evaluation?


Effects of a Cyclooxygenase-2 Inhibitor (Rofecoxib) on Bone Healing

Susan M. Leonelli, MD, Benjamin A. Goldberg, MD, John Safanda, MD, Mahesh R. Bagwe, MD, Shrividya Sethuratnam, MD, and Susan J. King, MD

The effects of rofecoxib on closed, nondisplaced femoral fractures in rats were compared with those of ibuprofen and of placebo. Leonelli and colleagues discuss their findings and the recent controversy in the literature on Cox-2 inhibitor effects on bone healing.




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  > CASE REPORTS
 
Radial Nerve Entrapment Secondary to a Solitary Nodular Fasciitis Mass in the Forearm

Doron I. Ilan, MD, Michael Medvecky, MD, Keith B. Raskin, MD, and Sushma Boppana, MD

Ilan and colleagues note that the clinical, radiographic, and histological features of nodular fasciitis are not always clear, with many cases of mistaken diagnoses reported.


Thumb Metacarpal Closing Wedge Osteotomy for Diminished First Web Space Following Weilby Arthroplasty

Marco Rizzo, MD, and Allen T. Bishop, MD

Progressive adduction deformity developed after basilar thumb suspension arthroplasty. A closing wedge osteotomy of the metacarpal base restored the patient’s ability to abduct.



  > aspects of trauma
 
The Underestimation of a Glass Injury to the Hand

LCDR Matthew T. Provencher, MC, USNR, LT Lee R. Allen, MC, USNR, LCDR Merrill J. Gladden, MC, USNR, and Alexander Y. Shin, MD

As glass penetrates any layer below the dermis, it has the capacity to lacerate structures in multiple directions simultaneously. This study sought to determine the accuracy of a physical examination by a specialty-trained orthopedic hand surgeon compared with the findings in the OR after a shattered-glass injury to the hand.



  SUPPLEMENT
 


Management of Persistent ShoulderPain: ATreatment Algorithm

  



This supplement is jointly sponsored by Penn State College of Medicine and IMED Communications.