The Journal of the American Academy of Orthopaedic Surgeons
-
J Am Acad Orthop Surg · Jan 2020
ReviewNecrotizing Infections of the Hand and Wrist: Diagnosis and Treatment Options.
Necrotizing infections of the hand and wrist are important clinical entities because of their rapidly progressive and potentially lethal nature. These infections encompass a spectrum of diseases with overlapping signs and symptoms, which can be subtle and nonspecific. If the brief prodromal period of these infections goes unrecognized, a local area of devitalized tissue can evolve into fulminant infection, multiorgan failure, and potentially death. Early recognition and treatment including administration of broad-spectrum antibiotics and surgical débridement are paramount to improving patient outcomes.
-
J Am Acad Orthop Surg · Jan 2020
Comparative StudyUtility of Follow-up Radiographs After Pin Removal in Supracondylar Humerus Fractures: A Retrospective Cohort Study.
Displaced supracondylar humerus fractures (SCFs) are common pediatric injuries, typically treated by closed reduction and percutaneous pinning (CRPP). Radiographs are obtained at pin removal and subsequently to evaluate fracture healing. We evaluated the utility of radiographs obtained after pin removal in pediatric SCF management. ⋯ Level III, retrospective comparative study.
-
J Am Acad Orthop Surg · Jan 2020
Observational StudyOrthopaedic Injury Profiles in Methamphetamine Users: A Retrospective Observational Study.
We sought to characterize the prevalence of methamphetamine (MA) abuse and associated orthopaedic injury patterns at our level 1 trauma center. ⋯ Level III.