Deep Dive Ortho — Orthopaedic Surgery, AI & Digital Health Podcast.

Deep Dive Ortho — Orthopaedic Surgery, AI & Digital Health Podcast.

by Professor Mo Imam

How To Medicine

Shoulder Tumors and Related Disorders

Shoulder Tumors and Related Disorders

Triple Anatomical AC Joint Reconstruction Technique

Triple Anatomical AC Joint Reconstruction Technique. Technique: https://www.researchgate.net/publication/392423052_The_Triple_Anatomical_Technique_for_Acromioclavicular_Joint_Reconstruction_A_True_Anatomical_Reconstruction_Technique_Using_Synthetic_Ligaments_With_Acromioclavicular_Ligament_Reconstruction

Salvage Reverse Shoulder replacement for Humeral Fractures in Younger Patients

This podcast discusses a scholarly article by M Imam from the Journal of Shoulder and Elbow Surgery, published in October 2019. It presents long-term results of a study on salvage reverse total shoulder arthroplasty (RTSA). The research investigates whether RTSA is a justifiable treatment for patients younger than 60 who experienced failed prior operations for proximal humeral fractures, specifically open reduction–internal fixation (ORIF) or hemiarthroplasty. The study hypothesizes that functional improvement and pain relief from RTSA would be durable over time, despite potential complications, and its findings include clinical outcomes, complication rates, and implant survivorship. Link: https://www.researchgate.net/publication/336285557_Salvage_reverse_total_shoulder_arthroplasty_for_failed_operative_treatment_of_proximal_humeral_fractures_in_patients_younger_than_60_years_long-term_results

Distal radius fracture (Broken wrist) and volar plating

Distal radius fracture (Broken wrist) and volar plating

Fracture Biomechanics, Healing, and Implant Considerations

We will comprehensively discuss bone biomechanics, detailing how bone responds to various forces like tension, compression, bending, shear, and torsion, and how its geometry influences strength. They thoroughly explain the intricate process of fracture healing, from initial hematoma formation through inflammatory and reparative phases, culminating in remodeling according to Wolff's Law. Furthermore, the texts examine factors influencing bone healing, including systemic and local conditions, and describe implant materials, designs, and mechanisms of failure such as corrosion, fatigue, and wear. Finally, the sources explore bone grafting techniques, cartilage substitutes, and electro-stimulation osteogenesis as methods to enhance healing and address non-unions.

Carpal Tunnel Syndrome: Diagnosis, Treatment, and Outcomes

Carpal Tunnel Syndrome: Diagnosis, Treatment, and Outcomes. A Comprehensive overview of Carpal Tunnel Syndrome (CTS), a common condition resulting from median nerve compression in the wrist. They explain the etiology, epidemiology, and pathophysiology of CTS, detailing the anatomy of the carpal tunnel and the various factors contributing to nerve pressure. The texts describe typical symptoms like numbness, tingling, and pain, especially at night, and outline diagnostic methods, including physical examinations (such as Phalen's and Tinel's tests) and electrodiagnostic studies (EMG/NCS). Both non-operative treatments (splinting, NSAIDs, steroid injections) and surgical interventions (open, endoscopic, and ultrasound-guided release) are discussed, along with potential complications and prognosis for recovery.

The Elbow Joint

The Elbow: Trauma, Surgery, and Rehabilitation

The Closed Treatment of Common Fractures

The provided text comprises excerpts from a medical monograph, "The Closed Treatment of Common Fractures," originally published in 1950 and reprinted in 1999, along with information about The John Charnley Trust, established in the author's name. The monograph, written by Sir John Charnley, a highly practical orthopaedic surgeon, focuses on conservative methods for treating fractures, advocating for closed reductions and plaster fixation over operative interventions in many cases. It offers detailed mechanical and biological explanations of fracture healing, the importance of soft tissues in reduction, and the dynamics of various splinting techniques for different bone breaks, including considerations for delayed union and potential complications. The accompanying text about The John Charnley Trust highlights its purpose to perpetuate his legacy through funding research, fellowships, lectures, and seminars, particularly in the field of Low Friction Arthroplasty of the hip, a key area of Charnley's pioneering work.

Medial Epicondylitis: Golfer's Elbow Evaluation and Management

Medial Epicondylitis: Golfer's Elbow Evaluation and Management

Scapular Dyskinesis

Scapular Dyskinesis: Diagnosis, Treatment, and Rehabilitation

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