Beyond guesswork: how accurate are surgeons at determining the degree of glenoid bone loss in instability surgery?

Background: Accurate measurement of glenoid bone loss (GBL) is critical to preoperative planning in cases of recurrent shoulder instability. The concept of critical bone loss has been established with a value of GBL >13.5% being associated with higher failure rate following arthroscopic Bankart Repair.

Progressive Ulnar Neuropathy due to anomalous Distal Forearm Muscle: Distal Forearm Decompression.

This case study examines a 45-year-old man who presented with advanced ulnar innervated intrinsic muscle atrophy in the hand, and clawing of the ring and little fingers. This case is unique due to discovery of an anomalous distal forearm muscle with the spontaneous onset and rapid nature of progressive neuropathic symptoms. Further, this patient demonstrated primarily intrinsic motor deficits and denied any sensory deficits on presentation.

Medical care of the Atlanta Hawks.

NBA players are among the best athletes in the world. Providing medical care for this elite group is a rewarding privilege. It requires a multidisciplinary approach emphasizing a carefully planned prevention program.

Grow your own: case study of a capital alternative.

The physician-administrator team can take all that is good from the physician practice management company (PPMC) model and apply a variation of self-financing called a "tithe" in order to facilitate their group's growth. Essentially, a group can create its own PPMC for local consolidation purposes, contracting with payers, spreading risk contracts over a larger base of providers, getting access to ancillary services, centralized business office services, bulk purchasing and many other of the advantages extolled by PPMCs. Organization has value, especially in times of specific industry consolidation.

Marketing medical services to the affluent. Part II of "An emerging niche market opportunity".

Society is split between a desire for access to quality health care and a reluctance, by some, to pay for it. Looking at this cost/access dichotomy historically enables one to recognize an emerging niche market--designer care delivered in a boutique setting.

An emerging niche market opportunity. Part I.

Society is split between a desire for access to quality health care and a reluctance, by some, to pay for it. Looking at this cost/access dichotomy historically enables one to recognize an emerging niche market--discriminating, affluent consumers willing to pay for better health care.

Is ultrasonography a reliable way to confirm the diagnosis of Morton's neuroma?

The diagnosis of Morton's neuroma is based on patient history and clinical findings. Occasionally, however, the diagnosis still remains in doubt despite careful examination. While magnetic resonance imaging (MRI) has been used to evaluate such cases, its specificity remains unproven and its availability is not universal.