June 2006   Volume XXXV No. 6
  2005 Annual Indexes
 
 
GUEST EDITORIAL

Is It Ulnar Collateral Ligament Injury or Ulnar Collateral Ligament Surgery That Is an Epidemic?

William A. Grana, MD, MPH

Dr. Grana asks why it is that collateral ligament injury in the elbow requires surgery while collateral ligament injury at the knee is treated nonoperatively, as are lateral ankle sprains.

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ORTHOPEDIC TECHNOLOGIES & TECHNIQUES

Two Techniques for Anterior Cruciate Ligament Tibial Fixation With a Bicortical Screw: An In Vitro Study of Neurovascular Risk

LCDR Todd A. Curran, DO, Jon K. Sekiya, MD, Aimee E. Gibbs, BS, and Kevin F. Bonner, MD

When using a bicortical screw and washer for tibial fixation in ACL repair, the surgeon must remain aware of the risk for neurovascular injury during drilling of the anteromedial tibial metaphysis. Does drilling toward the fibula—rather than drilling perpendicular to the medial tibial cortex of the proximal metaphysis—minimize the risk?

 


 


> Review Papers

Evaluation of the Medial Elbow in the Throwing Athlete

R. Alexander Creighton, MD, Bernard R. Bach, Jr., MD, and Charles A. Bush-Joseph, MD

Although baseball players, particularly pitchers, are most often affected, athletes participating in sports such as football, volleyball, water polo, tennis, and javelin throwing can also incur considerable stress on the medial elbow structures from valgus forces generated by the throwing motion.


> original studies

Assessment of Musculoskeletal Knowledge in Primary Care Residents

Brett L. Haywood, MD, Steven L. Porter, MD, and William A. Grana, MD, MPH

The authors note that while musculoskeletal symptoms are second only to upper respiratory illness for patients seeking medical attention in the primary care setting, many primary care residency programs do not provide adequate training in musculoskeletal medicine.




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  > case reports
 
Neuroma of the Calcaneal Branch of the Tibial Nerve: A Case Report

J. Bernard Bush, MD, and Robert J. Treuting, MD

The case presented demonstrates some of the difficulties that can be encountered in making the diagnosis of heel neuroma. Bush and Treuting discuss the relevant anatomic variations and differences in clinical manifestations.


Subscapularis Avulsion Fractures in 2 Pediatric Ice Hockey Players

Paul S. Echlin, MD, Stephen T. Plomaritis, DO, David M. Peck, MD, FACSM, and Elaine N. Skopelja, MALS

Echlin and colleagues advise that this injury may be more common than previously recognized and that it be considered when a shoulder injury has been sustained in an abducted and externally rotated position, both as an isolated entity and as part of a traumatic complex (eg, anterior dislocation).



  > aspects of TRAUMA
 
Damage-Control Orthopedics: Evolution and Practical Applications

Nicholas Renaldo, MD, and Kenneth Egol, MD

As Dr. Ostrum notes in his commentary on this paper, all orthopedic surgeons taking care of injured patients need to understand this important topic. Central to these protocols: recognizing the patient at risk.


Commentary

Robert F. Ostrum, MD




  SUPPLEMENT
 


Management of Persistent Shoulder Pain: ATreatment Algorithm

  



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