Trauma Rounds « Aches & Joints

Pediatric Supracondylar Fractures

Posted on December 29, 2011 by Arun Shanbhag

Samantha Spencer, MD is a pediatric orthopaedist at Children’s Hospital, Boston, specializing in trauma, lower extremity, vascular anomalies, osteogenesis imperfecta and skeletal dysplasias. Pediatric supracondylar fractures are the most common elbow fractures in children. Approximately 7-10% of supracondylar fractures and up to 50% of severely displaced Type III supracondylar fractures present with a neurologic injury: [...]

Filed under: Elbow, Pediatric, Physician Education, Trauma, Trauma Rounds | Tagged: Elbow, fixation, fractures, pediatric | 2 Comments »

Fractures of the Distal Humerus

Posted on August 30, 2011 by Arun Shanbhag

Jesse Jupiter, MD is a Hand & Upper Extremity Orthopaedic Surgeon, at the Massachusetts General Hospital. Fractures of the distal end of the humerus, while relatively uncommon, continue to stimulate discussion as to the optimal method of treatment. Unfortunately, there are relatively few Level I or even Level II studies to guide the fracture surgeon.1 [...]

Filed under: Elbow, Joint Replacement, Physician Education, Trauma, Trauma Rounds | Tagged: Elbow, fractures | 1 Comment »

THA for Femoral Neck Fractures

Posted on July 4, 2011 by Arun Shanbhag

Michael Weaver, MD is an Orthopaedic Trauma Surgeon, at Brigham & Women’s Hospital. The reduction and fixation of displaced femoral neck fractures has an unacceptably high rate of failure, particularly in the geriatric population. Reconstruction with either hemiarthroplasty or total hip arthroplasty (THA) is the accepted treatment for these fractures. In active patients reconstruction with [...]

Filed under: Hip, Joint Replacement, Physician Education, Trauma, Trauma Rounds | Tagged: fractures, hip replacement, Physician Education, total hip replacement, Trauma | 2 Comments »

Intra-articular Distal Radius Fractures

Posted on March 30, 2011 by Arun Shanbhag

Brandon Earp, MD, is an Hand & Upper Extremity Surgeon, at Brigham & Women’s Hospital and Instructor of Orthopaedic Surgery at Harvard Medical School. Your patient comes in after a mechanical fall onto an outstretched hand. A significant deformity of the wrist and edema are noted clinically and the patient’s discomfort is obvious. Radiographs demonstrate [...]

Filed under: Elbow, Hand, Physician Education, Trauma, Trauma Rounds, Wrist | Tagged: fractures, Hand, orthopedic, Physician Education, Trauma, Wrist | 2 Comments »

Femur Fractures Around Hip Implants

Posted on December 7, 2010 by Arun Shanbhag

David Lhowe, MD, is an Orthopedic Trauma Surgeon, at Massachusetts General Hospital and Assistant Clinical Professor of Orthopaedic Surgery at Harvard Medical School. Approximately 200,000 total hip replacements and an equal number of hemiarthroplasties are performed annually in the United States. With the marked success of this procedure, patients are able to maintain active lifestyles [...]

Filed under: Hip, Joint Replacement, Medical Education, Orthopaedic, Physician Education, Trauma, Trauma Rounds | Tagged: allograft, fractures, hip replacement, Hip surgery, Joint Replacement, Medical Education, total hip replacement, Trauma, Treatment | 1 Comment »

Mission to Haiti, January 2010

Posted on September 2, 2010 by Arun Shanbhag

R Malcolm Smith, MD, FRCS Chief of the Orthopedic Trauma Service, Massachusetts General Hospital, Associate Professor of Orthopaedic Surgery Harvard Medical School, Boston, MA. George Dyer, MD Orthopaedic Surgeon Brigham and Women’s Hospital Instructor of Orthopaedic Surgery Harvard Medical School, Boston, MA People often ask, “How was Haiti?” For a while, we found it the [...]

Filed under: Trauma, Trauma Rounds | Tagged: Earthquake, Haiti, Trauma | Leave a Comment »

Evaluating the Cervical Spine

Posted on May 20, 2010 by Arun Shanbhag

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 [...]

Filed under: Orthopaedic, Spine, Trauma, Trauma Rounds | Tagged: cervical spine, CT, Emergency, fractures, Orthopaedic, orthopedic, Trauma | Leave a Comment »

Malcolm Smith: Update from Haiti

Posted on February 12, 2010 by Arun Shanbhag

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 [...]

Filed under: News, Orthopaedic, Trauma, Trauma Rounds | Tagged: Earthquake, Haiti, Orthopaedic, port-au-prince, Trauma | Leave a Comment »

George Dyer: Update from Haiti

Posted on February 8, 2010 by Arun Shanbhag

Several of our colleagues have been providing invaluable service in Haiti in the aftermath of the earthquake. Below, we are excerpting a note from Dr George Dyer, (Orthopaedic Surgeon at the Brigham and Women’s Hospital), which will give you an idea of what has been happening in Haiti and the excellent service provided by our [...]

Filed under: News, Orthopaedic, Trauma, Trauma Rounds | Tagged: Earthquake, Haiti, Orthopaedic, port-au-prince, Trauma | Leave a Comment »

Delivering Allograft Bone Chips

Posted on January 27, 2010 by Arun Shanbhag

George Dyer, MD, is an Orthopaedic Surgeon at Brigham and Women’s Hospital, and Instructor of Orthopaedic Surgery at Harvard Medical School. Here, Dr Dyer shares a useful trick for simplifying the delivery of allograft bone chips to a small graft site. The conventional method of delivering bone chips into an area to be grafted typically [...]

Filed under: Elbow, Orthopaedic, Trauma, Trauma Rounds | Tagged: allograft, bone chips, Elbow, fractures, humerus, Orthopaedic, orthopedic, Trauma | Leave a Comment »

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