March 2006   Volume XXXV No. 3
  2005 Annual Indexes
 
 
EDITORIAL

Are Surgeons Accepting Bribes?

Peter D. McCann, MD

The issue of surgeons’ interconnections with medical device makers raises important and complex concerns.

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LEGAL UPDATE

Are You Being Bribed? Health Care Ethics and Compliance in the AdvaMed Code Era. Part I

Austin B. Byrd, Esq., and Melissa B. Tearney, Esq.

In today’s climate, orthopedic surgeons in particular need to know of recent legal developments, such as enforcement trends, that can pose substantial additional risk, note the authors, both lawyers. They discuss relevant legal, regulatory, and ethical considerations.


5 POINTS

Musculoskeletal Tumor Biopsy: II. Choosing the Appropriate Technique

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

“Consider the biopsy of a musculoskeletal tumor as the first stage of a potential limb-sparing operation.” Aboulafia and Schkrohowsky review 5 general principles that they note apply to all biopsies, regardless of which biopsy method is chosen, to help avoid unnecessary complications yet achieve the primary goal of removing adequate tissue to establish a diagnosis.

 


 


> ORTHOPEDIC TECHNOLOGIES & TECHNIQUES

The Role of Osteotomy in Advanced Osteonecrosis of the Femoral Head in Sickle-Cell Disease

Dipak V. Patel, MD, MSc, Orth, FCPS Ortho, and Sanjeev Sabharwal, MD, FRCSC

Can stage III osteonecrosis of the femoral head in a young patient with sickle-cell disease be successfully treated with valgus-flexion osteotomy of the proximal femur?


> Review papers

Posterior Sternoclavicular Dislocations: A Review of Diagnosis and Treatment

Nicholas Gove, MD, Nabil A. Ebraheim, MD, and Ericka Glass, MD

The complications associated with operative techniques previously used to treat this injury are noted to be staggering in this review. Dr. Gove and colleagues discuss recent techniques and offer their experience in avoiding potentially fatal complications of the injury itself.


> ORIGINAL STUDIES

Waterproof Versus Cotton Cast Liners: A Randomized, Prospective Comparison

MAJ Chad A. Haley, MD, E. Schuyler DeJong, MD, John A. Ward, PhD, and COL John F. Kragh, Jr., MD

A waterproof cast liner was found to improve hygiene and comfort in this study, with fewer unplanned cast changes.



  SEARCH
 
  

 



  > ASPECTS OF SPORTS MEDICINE
 
An Unusual Rupture of the Flexor Carpi Radialis Tendon: A Case Report

Daniel B. Polatsch, MD, Lawrence G. Foster, MD, and Martin A. Posner, MD

Complete FCR rupture occurred after strenuous sports-related activity of the affected limb. Considerations in treatment are discussed.


  > TIPS OF THE TRADE
 
Use of Fluoroscopy to Evaluate Iliac Screw Position

MAJ Joseph R. Orchowski, MD, David W. Polly, Jr., MD, COL Timothy R. Kuklo, MD, JD, William R. Klemme, MD, and Teresa M. Schroeder, MBA

Is fluoroscopy an effective method of determining optimal iliac screw placement? The authors tested various intraoperative fluoroscopic views, such as inlet, lateral, and iliac oblique, to see which were useful for anatomic placement and for avoiding violations of the sciatic notch, hip joint, medial and lateral walls.



  SUPPLEMENT
 


Management of Persistent ShoulderPain: ATreatment Algorithm

  



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