Sports Medicine Performance Analysis
Eric Berkson, MD
Sports Medicine Service, Department of Orthopaedic Surgery
Massachusetts General Hospital
Boston, MA
Grand Rounds presented on Sept 23, 2010 at the O’Keefe Auditorium, Massachusetts General Hospital, Boston, MA
Filed under: Grand Rounds, Orthopaedic, Physician Education, Sports Medicine, Videos | Tagged: Baseball, Golf Swing, Grand Rounds, Performance Analysis, Pitching Analysis, Sports Medicine | Leave a Comment »
Cemented Endoprostheses in Limb Salvage Surgery: UCLA Experience 1980 – 2010
Jeffrey Eckhardt, MD
School of Medicine at University of California Los Angeles,
Los Angeles, CA
Grand Rounds presented on April 29, 2010 at the O’Keefe Auditorium, Massachusetts General Hospital, Boston, MA
Filed under: Grand Rounds, Hip, Joint Replacement, Knee, Medical Education, Orthopaedic, Physician Education, Tumors, Videos | Tagged: Grand Rounds, Joint Replacement, Knee, Limb Salvage, Video | Leave a Comment »
Bundled-Payments Reimbursement Model
Richard White, Jr, MD
University of New Mexico School of Medicine,
Albuquerque, NM
Grand Rounds presented on May 19th, 2010 at the Shipley Auditorium, Newton-Wellesley Hospital, Newton, MA.
Filed under: Grand Rounds, Health, Hip, Joint Replacement, Orthopaedic, Physician Education, Videos | Tagged: Grand Rounds, Healthcare Reform, Joint Replacement, total hip replacement | Leave a Comment »
Orthopaedic & Disaster Surgery in Haiti, 2010
R Malcolm Smith, MD, FRCS
Chief, Trauma Service, Department of Orthopaedic Surgery
Massachusetts General Hospital, Boston, MA
George Dyer, MD
Brigham & Women’s Hospital, Boston, MA
Grand Rounds presented on April 22, 2010 at the O’Keefe Auditorium, Massachusetts General Hospital, Boston, MA
Filed under: Grand Rounds, Orthopaedic, Trauma, Videos | Tagged: Earthquake, Grand Rounds, Haiti, Mass General, MGH | 1 Comment »
Mitch Harris, MD, is Chief of the Orthopedic Trauma Service, at Brigham and Women’s Hospital, and Associate Professor of Orthopaedic Surgery at Harvard Medical School.
Here, Dr Harris shares a very useful algorithm for evaluating patients with trauma to the cervical spine.
Imagine getting called to the Emergency Department to evaluate a painful and swollen knee after a skiing accident. The plain x-rays are read as normal, with no evidence of acute fracture and demonstrate evidence of degenerative arthritis of the knee. If the patient is experiencing too much pain to allow for an adequate exam, a knee brace will be provided and the patient re-evaluated in the office in 7-10 days. If there is significant ligamentous injury, the brace will suffice for temporary stability and a follow-up MRI might be required to fully define the extent of the injury.
Now consider another presentation. This time the mechanism of injury is a fall from standing in an elderly woman and the area of concern is her cervical spine. The patient has a black eye, no history of loss of consciousness and complains of neck pain while in the collar. There are no other associated injuries. Plain x-rays of her cervical spine are read as normal, with no evidence of acute fracture and demonstrate evidence of degenerative arthritis of the neck. The questions now are: what should the next tests be, and can the patient be safely discharged in a collar for a follow-up appointment in 1-2 weeks?
Normal appearing Left and Right facets of the cervical spine from MD Computerized Tomography (MDCT) scan.
(more…)
Filed under: Orthopaedic, Spine, Trauma, Trauma Rounds | Tagged: cervical spine, CT, Emergency, fractures, Orthopaedic, orthopedic, Trauma | Leave a Comment »
Ten Years at the Journal of Bone & Joint Surgery:
Lessons Learned
James Heckman, MD
Consulting Editor,
Journal of Bone & Joint Surgery
Needham, MA
Grand Rounds presented on April 15th, 2010 at the O’Keefe Auditorium, Massachusetts General Hospital, Boston, MA.
Filed under: Grand Rounds, Orthopaedic, Physician Education, Videos | Tagged: Grand Rounds, JBJS, Medical Publishing, Orthopaedic | Leave a Comment »
The Resilient Orthopaedic Surgeon
Wayne Sotile, PhD
Real Talk, Inc; Winston-Salem, NC 27103
Grand Rounds presented on February 18th, 2010 at the O’Keefe Auditorium, Massachusetts General Hospital, Boston, MA.
Please leave a comment to let us know what you think.
Filed under: Grand Rounds, Orthopaedic, Videos | Tagged: Grand Rounds, Work-Life Balance | Leave a Comment »
BWH: Our Haiti Experience to Date
Grand Rounds presented on March 3rd, 2010 at the Bornstein Family Amphitheater, Brigham & Women’s Hospital, Boston, MA.
Please leave a comment to share your thoughts.
Filed under: Grand Rounds, Orthopaedic, Trauma, Videos | Tagged: Brigham & Women's Hospital, Grand Rounds, Haiti, Trauma | 6 Comments »
Joint replacements are usually very successful and patients can return to an active lifestyle soon after the procedure. Still, patients should be cautious about the potential for an infection. Infection of any joint replacement (hip, knee, shoulder, or another joint) is a serious concern and may even require removal of the joint replacement components.
Bacteria from your mouth can spread to your blood and from there to your joint replacement, particularly in patients with ongoing dental problems. Thus, good oral hygiene can prevent infection of a joint replacement. Even prior to having a total joint replacement, patients should aspire to achieve good dental health and resolve their dental issues. Importantly, patients with joint replacements should be diligent in maintaining daily oral hygiene.
Filed under: Hip, Joint Replacement, Knee, Orthopaedic, Patient Education | Tagged: antibiotics, dental, Infection, Joint Replacement, Patient Education, total hip replacement | 3 Comments »
Dr Malcolm Smith, (Orthopaedic Surgeon at the Massachusetts General Hospital, Boston, MA has been providing valuable clinical service in Haiti. Read one of his email dispatches from Haiti.
You can read more dispatches from Dr Malcolm Smith here.
From Malcolm Smith, MD:
Sent: Jan. 20, 2:50 pm
Summary diary for today: Had a small disturbance this AM when limited visitors at gate to reduce numbers of people in the hospital. As you may expect a lot of care is given by families. Settled when interpreter and I explained to crowd. Was really only shouting pushing and a few fists and was improving when I got there. Completely calm since, have asked DC for UN security to maintain safety but feel OK.
Argentinian UN military stopped for short visit then left promising to come back, did not. No more trouble. Lots of people but calm. Have been offered help from Congressman Capuano ‘s office in DC. Sounds wonderful, hopefully can get supplies in to local soccer field by air. Expecting Akshay, our second anesthetist tonight and James, our own Hatian orthopedic resident, with more MGH nurses to fly tomorrow …
Working very well as a team ourselves, so impressed with these people. Have raided local warehouse for stores, found lots of unopened aid boxes, some gloves, drapes, etc. but will need surgical supplies soon. Discovered the only blood tests we can do is a crit and cross match. No facilities to do electrolytes. Problem with rhabdo patients so watching urine color and volume pushing fluid and diagnosing acidosis clinically …
Had to operate for a short time with head lights when power cut this evening … Finally about to do our first laparotomy as have Selwyn with us but being delayed by C section that just happened — our anesthetist helped baby looks fine. Life really just goes on.
Filed under: News, Orthopaedic, Trauma, Trauma Rounds | Tagged: Earthquake, Haiti, Orthopaedic, port-au-prince, Trauma | Leave a Comment »
