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In the literature of the past year, we continued to see the preoccupation of the orthopedic world with total joint arthroplasty and, in particular, with the problem of particulate debris and eventual loosening of prostheses. Maloney et al<sup>1</sup>studied 14 patients with severe pelvic osteolysis after having had an acetabular replacement without cement. The osteolysis appeared from 53 to 84 months after the index operation and, although all patients initially had good function, by the time the article was written, nine patients required re-operation. Particulate debris, primarily polyethylene, was present in all hips. The treatment of primary bone tumors seems to be becoming the province of a small number of specially trained orthopedic surgeons, a practice that seems logical because other orthopedic surgeons may not keep abreast of the remarkable advances being made in the treatment of primary bone tumors and of the newest diagnostic tests. During the past
Previous studies at several family practice residency programs in the U.S. have shown that many family practice graduates feel inadequately prepared to offer fracture care or casting. In order to determine if this was a problem in West Virginia, a survey was sent to all family physicians in the state which asked about their type of practice and residency training, if they provided fracture care or casting services, if they offered sports medicine coverage for teams in their communities, attitudes about their own competency in caring for fractures, as well as other personal and demographic data. Our survey confirmed that only 118 family physicians provide fracture care (42%), and that only 91 provide casting services (32%). The surveys also revealed that rural physicians feel obligated to offer this service, despite the fact that they do not perceive themselves to be very competent in this aspect of patient care, and only 43 rural physicians offer sports medicine coverage (44%). As a result of these findings, we propose that a more adequate orthopedic experience be a part of family practice training, and that there should also be increased emphasis on insuring family practice residents have a basic competency in sports medicine.
BACKGROUND: Pediatric orthopaedic surgery has become increasingly subspecialized over the past decade. The purpose of this study was to analyze the volume of pediatric sports medicine cases performed by surgeons applying for the American Board of Orthopaedic Surgeons (ABOS) Part II certification exam over the past decade, comparing caseloads according to the type(s) of fellowship completed. METHODS: The ABOS database was reviewed for all surgeons applying for the ABOS Part II certification exam from 2004 to 2014. Fellowship training of the candidates was recorded as Pediatrics, Sports, and Dual-Fellowship (fellowship in both Pediatrics and Sports). All other candidates were categorized as "Other". A total of 102,424 pediatric cases (patients below 18 years) were reviewed to identify sports medicine cases performed by CPT code. Multiple linear regression and Mann-Whitney U tests were used to determine trends in case volume overall and according to fellowship training for all patients, patients ≥13 and patients <13. One-way ANOVA testing was used to compare multiple means followed by multiple post hoc comparisons using a Tukey all pairwise approach using SPSS. RESULTS: A total of 14,636 pediatric sports medicine cases were performed. There was an increase in the number of sports medicine cases performed in patients <13 (117.5±31.8 from 2004-2009 to 212.4±70.1 from 2010-2014, P=0.035; r=0.743, P=0.0007). The number of Pediatrics (r=0.601, P=0.005), Sports (r=0.741, P=0.0007) and Dual-Fellowship candidates increased (r=0.600, P=0.005) from 2004-2014. Dual-Fellowship surgeons performed 21.4% of pediatric sports medicine cases in 2014 when compared to 2.1% in 2004 (919% increase). As a group, the number of pediatric sports cases performed by Dual-Fellowship (r=0.630, P=0.004) and Sports (r=0.567, P=0.007) candidates has increased, while the number performed by "Other" candidates has decreased (r=0.758, P=0.0005). Per surgeon, Dual-Fellowship candidates performed a greater number of pediatric sports cases per collection period (36.5±9.18) than Pediatrics (6.71±0.94), Sports (5.99±0.46), and "Other" (1.21±0.15, P<0.0001 for each) candidates from 2004 to 2014. CONCLUSIONS: Over the past decade operative sports injuries have increased in children with a similar increase in the number of orthopedic surgeons specializing in pediatric sports medicine. On a per surgeon basis, these dual fellowship-trained candidates have performed on average five times the number of pediatric sports medicine cases compared to all other ABOS Part II candidates. These trends may point towards the development of a new subspecialty of pediatric sports medicine among orthopedic surgeons. LEVEL OF EVIDENCE: Level IV-Retrospective Database Review.
BACKGROUND: Academic journals are fundamental to scientific communication, facilitating the dissemination of research findings that spur innovation across clinical and scientific fields. Journal rankings provide valuable insights into the influence and credibility of scholarly outlets. OBJECTIVE: This study analyzes the evolution of journal rankings in orthopedics and sports medicine (OSM) from 2000 to 2024, using SCImago Journal Rank (SJR) data to uncover trends in journal prestige and regional representation. MATERIAL AND METHODS: A comprehensive bibliometric analysis was performed using SCImago data, comparing journal rankings over 25 years. Key metrics included SJR values and citation counts across orthopedic and sports medicine journals. Statistical significance was assessed using an Independent samples Kruskal-Wallis test. RESULTS: The analysis revealed a significant average increase of 36.6% in the SJR of leading OSM journals over the study period. Notably, only 12% of the top ranking journals originated from non-western regions, indicating a geographic bias. Sports medicine-focused journals showed a higher average SJR of 1.75, compared to 1.40 for orthopedic journals (p < 0.05). A global median of 28.7% of female authors was found, reflecting ongoing gender disparities in authorship within OSM. CONCLUSION: The findings highlight marked shifts in journal prestige in the OSM field over 25 years, alongside persistent regional biases that may disadvantage high-quality research from non-western regions. The study underlines the importance of awareness regarding these dynamics for stakeholders in making decisions related to publication strategies and funding. Future research should further explore the impact of emerging subfields and the role of open-access publishing in shaping journal rankings in OSM.
OBJECTIVES: This study aims to compare the annual impact factors (IFs) for the period 1999-2017 and the tri-annual IFs in 2011, 2014 and 2017 of the subscription access (SA) and open access (OA) journals published in the field of orthopedics, traumatology and sports medicine according to the SCImago Journal Rank (SJR). MATERIAL AND METHODS: All data for this study were obtained from the SCImago Journal & Country Rank database. We compared the change in the mean annual IFs of 197 SA journals with 52 OA journals in the field of orthopedics and sports medicine for the period between 1999 and 2017. In addition, we determined and compared the changes in the mean tri-annual IFs of these journals in 2011, 2014 and 2017. The mean publication fee values of the OA journals as well as the correlation between the three-year IFs of the year 2017 and the publication fee values were evaluated. RESULTS: From 1999 to 2017, the mean IF of SA journals increased 0.47-fold to 0.69, while the mean IF of the OA journals increased 0.85-fold to 0.63. Significant positive correlation was observed between the tri-annual IF and publication fee of OA journals in 2017 (r=0.458, p=0.001). CONCLUSION: We can predict that the mean IFs of OA journals in the field of orthopedics and sports medicine will reach the mean IFs of SA journals after several years. Choosing OA journals becomes advantageous when the desire for a higher number of citations is the most important factor.
BACKGROUND: This study evaluates the potential of ChatGPT and Google Bard as educational tools for patients in orthopedics, focusing on sports medicine and pediatric orthopedics. The aim is to compare the quality of responses provided by these natural language processing (NLP) models, addressing concerns about the potential dissemination of incorrect medical information. METHODS: Ten ACL- and flat foot-related questions from a Google search were presented to ChatGPT-3.5 and Google Bard. Expert orthopedic surgeons rated the responses using the Global Quality Score (GQS). The study minimized bias by clearing chat history before each question, maintaining respondent anonymity and employing statistical analysis to compare response quality. RESULTS: = 0.3092). Despite ChatGPT's responses being considered more readable, both platforms showed promise for AI-driven patient education, with no reported misinformation. CONCLUSIONS: ChatGPT and Google Bard demonstrate significant potential as supplementary patient education resources in orthopedics. However, improvements are needed for increased reliability. The study underscores the evolving role of AI in orthopedics and calls for continued research to ensure a conscientious integration of AI in healthcare education.
CONTEXT AND OBJECTIVE: The methodology and relevance of articles are among the keystones for promoting their citation and increasing journals' impact factors. Study designs appropriate for answering the questions and adequate sample sizes have the aim of reducing the risk of bias. This study evaluated the articles published in two Brazilian journals of orthopedics and sports medicine that were recently indexed in the ISI Web of Science, regarding study design, sample size calculation, randomization and blinding. DESIGN AND SETTING: Descriptive study at Brazilian Cochrane Center. METHODS: Through a manual search, all original manuscripts published in 2007 in Acta Ortopédica Brasileira and Revista Brasileira de Medicina do Esporte were selected and evaluated. RESULTS: All the 60 articles published in Acta Ortopédica Brasileira and the 87 articles in Revista Brasileira de Medicina do Esporte were included and evaluated. The commonest design in Acta Ortopédica Brasileira was experimental studies (n = 19) and in Revista Brasileira de Medicina do Esporte, update or review articles (n =14). Sample calculations were seen in a minority of the articles. None of the eight clinical trials published presented sample calculations or adequate randomization processes. Three were described as blinded, but none described the measures taken to prevent disclosure of the allocation concealment. CONCLUSIONS: Publication of studies of good methodological quality other than review and experimental studies should be strongly encouraged among Brazilian journals, with the aim of increasing their citation and therefore their impact factor.
This research paper investigates the application of deep learning techniques for enhancing the control of lower limb exoskeletons through the classification of electromyography (EMG) signals. Utilizing convolutional neural networks (CNNs) and recurrent neural networks (RNNs), this study aims to improve the precision and adaptability of exoskeletons used in rehabilitation, particularly in orthopedics and sports medicine. The methodology involves collecting EMG data from various leg movements, which are then processed using advanced signal preprocessing techniques to enhance classification accuracy. The deep learning models are trained and validated with this data, demonstrating significant improvements in movement detection and device responsiveness. Results from the study indicate that the integration of deep learning models not only offers enhanced control over exoskeletons but also ensures more natural and efficient user interactions. This research highlights the potential of integrating sophisticated computational models into rehabilitative devices, paving the way for future advancements that could significantly improve therapeutic outcomes and quality of life for individuals with mobility impairments. The findings underscore the importance of continued innovation in the field of assistive technology, suggesting pathways for further research in multi-sensor integration and adaptive control systems. Keywords: deep Learning, electromyography (EMG), sports rehabilitation, lower limb exoskeletons, movement classification, neural networks, assistive robotics.
AIM: Herein, we report a case of a 55-year-old male who presented with intermittent acute-on-chronic angle-closure glaucoma triggered by sexual excitation. BACKGROUND: Sexual excitation is an uncommon cause of pupillary block and angle closure attack. CASE DESCRIPTION: A 55-year-old male with a history of myopic laser in situ keratomileusis (LASIK) presented with a volatile intraocular pressure (IOP) and blurred vision over the last seven years. He was particularly symptomatic following sexual excitation. Examination revealed an IOP of 36 mm Hg and best-corrected vision of 20/80 OD, with bilateral closed angles and a double hump sign on gonioscopy. There were advanced glaucomatous changes OD and mild-to-moderate changes OS on optical coherence tomography. Following an exploration of potential options, it was chosen to proceed with OD lens-based surgery, goniosynechialysis and endocyclophotoplasty. During OD recovery, the patient reported an episode of visual blurring OS secondary to sexual excitation, which was consistent with pupillary block and angle closure attack on examination. Initially managed with acetazolamide and laser peripheral iridotomy, he eventually underwent the same surgical procedure OS as for OD. Over 1-year of follow-up, he has achieved a stable IOP and excellent visual acuity bilaterally. CONCLUSION AND CLINICAL SIGNIFICANCE: This case highlights the importance of a thorough history, with the understanding that sexual excitation can precipitate angle-closure glaucoma. Gonioscopy must be performed even in the setting of myopia and a deep anterior chamber, and the double hump sign must be assessed. Appropriate education surrounding the risks of sexual activity in angle closure suspects is advised. HOW TO CITE THIS ARTICLE: Popovic M, Schlenker MB. Angle-closure Glaucoma in a Myopic Patient Precipitated by Sexual Excitation: A Case Report. J Curr Glaucoma Pract 2018;12(3):142-144.
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Platelet Rich Plasma (PRP) Biotechnology: Concepts and Therapeutic Applications in Orthopedics and Sports Medicine
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"Better recognition of orthopedics, traumatology and sports medicine in the system of journal ranking." Acta Orthopaedica Scandinavica, 69(3), pp. 222–223
The Journal of Bone and Joint Surgery. British volumeVol. 86-B, No. 3 Aspects of Current ManagementFree AccessPosterior dislocation of the shoulderN. CicakN. CicakOrthopaedic SurgeonSearch for more papers by this authorPublished Online:1 Apr 2004https://doi.org/10.1302/0301-620X.86B3.14985AboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited bySurgical management of bilateral concomitant posterior fracture-dislocation of the shoulderTrauma Case Reports, Vol. 41Posterior shoulder dislocation with associated reverse Hill–Sachs lesion: clinical outcome 10 years after joint-preserving surgery3 June 2022 | Archives of Orthopaedic and Trauma Surgery, Vol. 39Posterior Shoulder InstabilityTreatment of chronic locked posterior dislocation of the shoulder with the modified McLaughlin procedureJournal of Shoulder and Elbow Surgery, Vol. 31, No. 1Principles of Radiological Examination28 September 2022Posterior Instability4 October 2022Mid-Term outcomes following fresh-frozen humeral head osteochondral allograft reconstruction for reverse Hill Sachs lesion: a case series8 September 2021 | BMC Musculoskeletal Disorders, Vol. 22, No. 1Management of Locked Posterior Shoulder Dislocation with Reverse Hill–Sachs Lesions via Anatomical Reconstructions11 October 2021 | Orthopaedic Surgery, Vol. 232Traumi della spalla e del braccioEMC - Urgenze, Vol. 25, No. 3Arthroscopic Knotless Subscapularis Bridge Technique for Reverse Hill-Sachs Lesion With Posterior Shoulder InstabilityArthroscopy Techniques, Vol. 10, No. 1A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder DislocationCase Reports in Orthopedics, Vol. 2020Shoulder Dislocations in the Emergency Department: A Comprehensive Review of Reduction TechniquesThe Journal of Emergency Medicine, Vol. 58, No. 4Missed posterior shoulder fracture dislocations: a new protocol from a London major trauma centre18 March 2020 | BMJ Open Quality, Vol. 9, No. 1New Reduction Technique for Traumatic Posterior Glenohumeral Joint Dislocations24 January 2020 | Clinical Practice and Cases in Emergency Medicine, Vol. 4, No. 1Glenohumeral Joint16 April 2020Conservative Treatment in Posterior Dislocation16 June 2020Surgical Treatment of Humeral Head Defect in Shoulder Posterior Instability16 June 2020Shoulder and proximal humerusIndications for Reverse Shoulder ArthroplastyAll-Arthroscopic McLaughlin's Procedure in Patients with Reverse Hill–Sachs Lesion Caused by Locked Posterior Shoulder Dislocation31 December 2019 | Joints, Vol. 07, No. 03The dual subscapularis procedure: a modified Hawkins’ technique for neglected posterior fracture/dislocation of the shoulder19 March 2019 | European Journal of Orthopaedic Surgery & Traumatology, Vol. 29, No. 5Remplissage With Bankart Repair in Anterior Shoulder Instability: A Systematic Review of the Clinical and Cadaveric LiteratureArthroscopy: The Journal of Arthroscopic & Related Surgery, Vol. 35, No. 4McLaughlin artroscópico modificado no tratamento de luxação glenoumeral posterior – nota técnica10 May 2019 | Revista Brasileira de Ortopedia, Vol. 54, No. 02Posterior Shoulder Dislocation During Morning PT: A Case Report13 June 2018 | Military Medicine, Vol. 184, No. 3-4The aetiology of posterior glenohumeral dislocations and occurrence of associated injuriesa systematic reviewM. 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A Case Series of Nine PatientsOpen Journal of Orthopedics, Vol. 05, No. 02Konservative Therapie der akuten verhakten posterioren Schultergelenkluxation20 September 2013 | Der Unfallchirurg, Vol. 117, No. 12Operative Versorgung der posterioren Schulterluxation9 March 2014 | Der Unfallchirurg, Vol. 117, No. 12Bilateral Posterior Fracture Dislocation of the Shoulder Following an Epileptic Seizure17 October 2014 | MOJ Orthopedics & Rheumatology, Vol. 1, No. 2Posterior Shoulder Instability with a Reverse Hill-Sachs Defect: Repair with Use of Combined Arthroscopic Labral Repair and Fracture DisimpactionJBJS Case Connector, Vol. 4, No. 3Tratamiento artroscópico de lesión tipo Hill-Sachs inversa sin uso de material de osteosíntesis para su fijación: Reporte de casoRevista Colombiana de Ortopedia y Traumatología, Vol. 28, No. 2Acute Traumatic Posterior Shoulder DislocationJournal of the American Academy of Orthopaedic Surgeons, Vol. 22, No. 3Acute Posterior Dislocations and Posterior 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dislocation of the shoulder: One-stage reconstruction of both humeral heads with cancellous autograft and cartilage preservationChirurgie de la Main, Vol. 31, No. 1Recurrent, Locked Posterior Glenohumeral Dislocation Requiring Hemiarthroplasty and Posterior Bone Block With Humeral Head AutograftOrthopedics, Vol. 35, No. 2Acute Posterior Dislocations22 June 2011Failed Arthroscopic Repair of a Large Reverse Hill-Sachs Lesion Using Bone Allograft and Cannulated Screws: A Case ReportArthroscopy: The Journal of Arthroscopic & Related Surgery, Vol. 28, No. 1Posterior Shoulder Dislocation: Systematic Review and Treatment AlgorithmArthroscopy: The Journal of Arthroscopic & Related Surgery, Vol. 27, No. 11Lateral Clavicular Autograft for Repair of Reverse Hill-Sachs DefectThe Open Orthopaedics Journal, Vol. 5, No. 1Bilateral posterior shoulder dislocation with defect secondary to hypoglycemic comaJournal of Orthopaedic Science, Vol. 16, No. 1Shoulder and humerusGlenohumeral instabilityClosed Reduction of Bilateral Posterior Shoulder Dislocation with Medium Impression Defect of the Humeral Head: A Case Report and Review of Its TreatmentCase Reports in Medicine, Vol. 2011Die dorsal verhakte Schulterluxation6 November 2010 | Obere Extremität, Vol. 5, No. 4Articular cartilage and labral lesions of the glenohumeral joint: diagnostic performance of 3D water-excitation true FISP MR arthrography17 December 2009 | Skeletal Radiology, Vol. 39, No. 5Chronic locked posterior shoulder dislocation with severe head involvement20 March 2009 | International Orthopaedics, Vol. 34, No. 1ShoulderSHOULDERLes luxations invétérées de l’épauleRéférencesBilateral Traumatic Locked Posterior Dislocation of the Shoulder - A Case Report -The Journal of the Korean Shoulder and Elbow Society, Vol. 12, No. 2Reconstruction of Humeral Head Defect for Locked Posterior Shoulder DislocationOrthopedics, Vol. 32, No. 9Rehabilitation and Functional Outcomes in Collegiate Wrestlers Following a Posterior Shoulder Stabilization ProcedureJournal of Orthopaedic & Sports Physical Therapy, Vol. 39, No. 7Modified MacLaughlin procedure in the treatment of neglected posterior dislocation of the shoulder16 March 2009 | MUSCULOSKELETAL SURGERY, Vol. 93, No. S1Tratamiento quirúrgico de la inestabilidad posterior del hombroEMC - Técnicas Quirúrgicas - Ortopedia y Traumatología, Vol. 1, No. 1Reconstruction of a missed posterior locked shoulder fracture-dislocation with bone graft and lesser tuberosity transfer: a case report5 August 2008 | Journal of Medical Case Reports, Vol. 2, No. 1Acute Traumatic Posterior Shoulder Dislocation: MR FindingsRadiology, Vol. 248, No. 1Arthroscopy-assisted reduction of impression fracture of the humeral head: A case reportJournal of Shoulder and Elbow Surgery, Vol. 17, No. 3Diagnostik und Behandlungsregime der traumatischen dorsalen Schulterluxation2 June 2007 | Der Unfallchirurg, Vol. 110, No. 12Posterior shoulder subluxation most likely caused by retching in the lateral 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Ivkovic, I. Boric, N. Cicak1 June 2007 | The Journal of Bone and Joint Surgery. British volume, Vol. 89-B, No. 6Closed Reduction for Traumatic Posterior Dislocation of the Shoulder Using the ‘Lever Principle’: Two Case Reports and a Review of the Literature4 December 2016 | Journal of Orthopaedic Surgery, Vol. 14, No. 3The success of closed reduction in acute locked posterior fracture-dislocations of the shoulderJournal of Shoulder and Elbow Surgery, Vol. 15, No. 6Humeral head impression fracture in acute posterior shoulder dislocation: new surgical technique5 January 2006 | Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 14, No. 7Traitement chirurgical de la luxation post-traumatique gléno-humérale postérieureJournal de Traumatologie du Sport, Vol. 23, No. 2Traitement chirurgical de l'instabilité postérieure de l'épauleEMC - Techniques chirurgicales - Orthopédie - Traumatologie, Vol. 1, No. 1POSTERIOR SHOULDER DISLOCATIONS AND FRACTURE-DISLOCATIONSThe Journal of Bone and Joint Surgery-American Volume, Vol. 87, No. 3 Vol. 86-B, No. 3 Metrics History Published online 1 April 2004 Published in print 1 April 2004 InformationCopyright © 2004, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download
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Log in Your account has been temporarily locked Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in 30 mins. For immediate assistance, contact Customer Service: 800-638-3030 (within USA), 301-223-2300 (international) [email protected] Invalid username or password. Try again or register an account. default message Login No user account? Register for free. Register for free. Lippincott Journals Subscribers, use your username or email along with your password to log in. Forgot Password? or Register Register for a free account Existing User Log In Existing User Log In Registered users can save articles, searches, and manage email alerts. All registration fields are required. What's your profession? Academic Medicine Acute Care Nursing Addiction Medicine Administration Advanced Practice Nursing Allergy & Immunology Allied Health Alternative & Complementary Medicine Anesthesiology Anesthesiology Nursing Audiology & Ear and Hearing Basic Science Cardiology Cardiothoracic Surgery Cardiovascular Nursing Cardiovascular Surgery Child Neurology Child Psychiatry Chiropractics Clinical Sciences Colorectal Surgery Community Health Critical Care Critical Care Nursing Dentistry Dermatology Emergency Medicine Emergency Nursing Endocrinology Endoncrinology Forensic Medicine Gastroenterology General Surgery Genetics Geriatrics Gynecologic Oncology Hand Surgery Head & Neck Surgery Hematology/Oncology Hospice & Palliative Care Hospital Medicine Infectious Disease Infusion Nursing Internal/General Medicine Internal/General Medicine Residency Library Sciences Maternal Child Nursing Medical Oncology Medical Research Neonatal/Perinatal Neonatal/Perinatal Nursing Nephrology Neurology Neurosurgery Nursing-administrative Nursing-all Specialties Nursing-education Nutrition & Dietetics Obstetrics & Gynecology Obstetrics & Gynecology Nursing Occupational & Environmental Medicine Oncology Nursing Oncology Surgery Ophthalmology/Optometry Oral & Maxillofacial Surgery Orthopedic Nursing Orthopedics/Spine/Sports Medicine Surgery Otolaryngology Pain Medicine Pathology Pediatric Surgery Pediatrics Pharmacology Pharmacy Physical Medicine & Rehabilitation Physical Therapy & Womens Health Physical Therapy Plastic Surgery Podiatary-general Podiatry-general Primary Care/Family Medicine/General Practice Psychiatric Nursing Psychiatry Psychology Public Health Pulmonology Radiation Oncology/Therapy Radiology Rheumatology Skills & Procedures Sleep Medicine Sport & Exercise/Training/Fitness Sports Medicine Surgical Nursing Transitional Care Transplant Surgery Trauma Nursing Trauma Surgery Urology Womens Health Wound Care Other What's your speciality? Addiction Medicine Allergy & Clinical Immunology Anesthesiology Audiology & Speech-Language Pathology Cardiology Cardiothoracic Surgery Critical Care Medicine Dentistry, Oral Surgery & Medicine Dermatology Dermatologic Surgery Emergency Medicine Endocrinology & Metabolism Family or General Practice Gastroenterology & Hepatology Genetic Medicine Geriatrics & Gerontology Hematology Hospitalist Immunology Infectious Diseases Internal Medicine Legal/Forensic Medicine Nephrology Neurology Neurosurgery Nursing Nutrition & Dietetics Obstetrics & Gynecology Oncology Ophthalmology Orthopedics Otorhinolaryngology Pain Management Pathology Pediatrics Plastic/ Reconstructive Sugery Pharmacology & Pharmacy Physiology Psychiatry Psychology Public, Environmental & Occupational Health Radiology, Nuclear Medicine & Medical Imaging Physical Medicine and Rehabilitation Respiratory/Pulmonary Medicine Rheumatology Sport Medicine/Science Surgery (General) Trauma Surgery Toxicology Transplantation Surgery Urology Vascular Surgery Virology I don't have a medical specialty What's your work setting? 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Platelet-Rich Plasma (PRP) has gained tremendous popularity in recent years as a treatment option for specialties including Orthopedics, Dentistry, Sports Medicine, Otorhinolaryngology, Neurosurgery, Ophthalmology, Urology, Vascular, Cardiothoracic and Maxillofacial Surgery, and Veterinarian Medicine. Nowadays, PRP and Stem Cell Science have added an exciting dimension to tissue repair. This book begins by giving the reader a broad overview of current progress as well as a discussion of the technical aspects of preparation and therapeutic use of autologous PRP. It is followed by a review of platelet structure, function and major growth factors in PRP (PDGF and TGFβ).The third chapter outlines the basic principles of biochemical cellular metabolism that increases the efficacy of PRP. Analogous to the preparation of soil for a garden, restoring cellular health should be the first consideration in Regenerative Medicine. Standardization of PRP preparation to clinical use still remains a challenging prospect. In this sense, a feasible strategy for studying PRP preparation is illustrated, which also allows to modulate and tailor the quality of PRP for further clinical applications. The science behind PRP and stem cells, on tissue regeneration, cell proliferation and mesenchyme stem-cells are emphasized and reviewed. Various specific uses of PRP are described with detailed illustrations of various personal experiences mainly in orthopedic injuries, ligament and tendon repair, degenerative diseases, sports medicine, chronic wound healing as well as rehabilitation aspects in tendinopathy. Expertly written by leading scientists in the field, this book provides for beginners and experienced readers scientific fundamentals, the state of art of PRP, specific uses and personal experiences with a practical approach and reference for current trends in use. Finally, this book paves the way for future developments.
PURPOSE: To facilitate decision-making in authorship positions, the International Committee of Medical Journal Editor (ICMJE) developed a guideline that stipulates criteria authors should meet in order to merit authorship. Authors who did not meet these criteria and still enlisted as authors, are called 'honorary' authors. In this study, the prevalence and characteristics of honorary authorship (HA) is assessed in the field of Orthopedics and Sports Medicine. METHODS: A survey was distributed among corresponding authors of articles published in 2019 in six Orthopedics-dedicated journals. RESULTS: 479 of the 1392 approached authors responded, leading to a response rate of 34.4%. 91.6% of the respondents were aware of the ICMJE guidelines, whereas 67.8% were aware of the issue of HA. Overall, the prevalence of guideline-based HA was 41.9%, while the prevalence of self-perceived HA was 14.7%. Having a senior member automatically enlisted as author on the departments, was associated with a higher rate of guideline-based HA (OR 5.03) and self-perceived HA (OR 3.31). CONCLUSIONS: The prevalence of HA in the field of Orthopedics and Sports Medicine is high, but comparable to other medical fields. Transparency in authorship decision-making is crucial to maintain liability in scientific articles.
Orthopedic surgeons have become increasingly subspecialized, and recent studies have shown that American Board of Orthopaedic Surgery (ABOS) Step II applicants are performing a higher percentage of their cases within their chosen subspecialties. However, these studies focused exclusively on surgeons who have completed a single fellowship; little data exist on those who pursue a second fellowship. All applicants to the ABOS Part II examination from 2004 to 2016 were classified by their self-reported fellowship training history using the ABOS Part II examination database. Trends in the number of applicants completing multiple fellowships and the types of fellowships combined were analyzed. In addition, cases performed by applicants who had performed multiple fellowships were analyzed to determine what percentage were within their chosen subspecialties. A total of 9776 applicants to ABOS Part II were included in the database from 2004 to 2016, including 444 (4.5%) applicants who completed more than one fellowship. There were 43 different combinations of fellowships; the most common additional fellowships were trauma (40.1%), sports medicine (38.7%), and joints (30.4%). The most common combinations were joints and sports medicine (10.6%) and foot and ankle and sports medicine (10.1%). A significant increase occurred in physicians training in both pediatric orthopedics and sports medicine (P=.02). The percentage of cases within the applicants' chosen specialties ranged from 91.4% in sports to 73.6% in tumor. Multiple fellowship applicants represent a small percentage of all applicants, and although subspecialization in orthopedics is increasing, no increasing trend toward multiple fellowships within this dataset was observed. However, the significant increase in applicants who combined pediatric orthopedic and sports medicine fellowships suggests an increasing interest in treating this increasing patient population in addition to social and economic factors. [Orthopedics. 2018; 41(1):e33-e37.].