Operative Fixation of an Anterior Inferior Iliac Spine Apophyseal Avulsion Fracture Nonunion in an Adolescent Soccer Player: A Case Report.

Case: A 14-year-old male competitive soccer player presented with a history of recurrent right hip pain for 18 months. He was diagnosed with an anterior inferior iliac spine (AIIS) apophyseal avulsion fracture nonunion with subspinal impingement, which was confirmed by radiographs, computed tomography, and magnetic resonance imaging. The patient underwent surgical fixation and subspinal decompression.

Hemoglobin A as a Predictor of Postoperative Infection Following Elective Forefoot Surgery.

Background: There remains little evidence to support a perioperative hemoglobin A (HbA) level that could serve as a threshold for a significantly increased risk of postoperative surgical site infection (SSI) following forefoot surgery.

Methods: A national database was queried for patients who underwent elective forefoot surgery with diabetes. Patients with a perioperative HbA level within 3 months of surgery were identified and stratified based on HbA level in 0.

A review of UHMWPE wear-induced osteolysis: the role for early detection of the immune response.

In a world where increasing joint arthroplasties are being performed on increasingly younger patients, osteolysis as the leading cause of failure after total joint arthroplasty (TJA) has gained considerable attention. Ultra-high molecular weight polyethylene wear-induced osteolysis is the process by which prosthetic debris mechanically released from the surface of prosthetic joints induces an immune response that favors bone catabolism, resulting in loosening of prostheses with eventual failure or fracture. The immune response initiated is innate in that it is nonspecific and self-propagating, with monocytic cells and osteoclasts being the main effectors.