Workforce analysis in orthopaedic surgery: how can we improve the accuracy of our predictions?

Since the 1970s, workforce analysis for orthopaedic surgery has predicted a surplus of physicians into the 21st century. In 1998, the RAND study predicted a surplus of 4,100 orthopaedists in 2010. As we approach 2010, we find no surplus.

The clinical significance of anterior horn meniscal tears diagnosed on magnetic resonance images.

We assessed the accuracy of magnetic resonance imaging in detecting clinically significant lesions of the anterior horn of the meniscus by reviewing 947 consecutive knee magnetic resonance imaging reports. Of these, 76 (8%) indicated a tear of the anterior horn of the medial or lateral meniscus. Thirty-one of these 76 patients underwent a subsequent arthroscopic examination, and their operative reports were reviewed.

The effect of anterior cruciate ligament graft rotation on knee laxity and graft tension: An in vitro biomechanical analysis.

Purpose: The purpose of this study was to determine the effects of rotating a bone-patellar tendon- bone allograft during anterior cruciate ligament reconstruction on anteroposterior (AP) knee laxity and forces developed within the graft.

Type Of Study: In vitro biomechanical study using human cadaveric knees.

Methods: Thirteen fresh-frozen knee specimens received bone-patella tendon-bone allografts that were pretensioned at 30 degrees of flexion to restore AP laxity to that of the intact knee.

Anterior Cruciate Ligament Avulsion in Active Adults.

In brief Anterior cruciate ligament (ACL) avulsion at the intercondylar eminence, though well recognized in the pediatric population, is uncommon in skeletally mature people. Unlike in children, this injury in adults is often associated with soft-tissue trauma such as tears of the meniscus and of other ligaments. X-rays are often diagnostic for avulsion, but MRI is often required to identify concomitant injuries.

Elbow Fractures.

In brief Elbow fractures are common injuries in active patients. When the fracture is nondisplaced, nonoperative treatment is frequently successful. Because stiffness is a common complication, early mobilization is an important aim of treatment; this may necessitate surgical fixation.