William Mazzocco – Orthopedic Challenges: Expert Strategies to Avoid Harm & Enhance Healing

Outline

Trauma – Head to Toe

• Internal and external fixation devices, including the Ilizarov techniques
• Shoulder girdle injuries: Clavicle fractures, AC joint injuries and shoulder dislocations
• Shoulder dislocations anterior and posterior
• Humeral fractures
• Rotator cuff injuries
• Elbow injuries
• Wrist and forearm fractures
• Hands and fingers
• Pelvis and hip injures
• Femoral fractures
• Quadriceps tears
• Knee injuries: Chondral, ligament and meniscal injuries
• Lower leg: The tibia and fibula
• Ankle and foot injuries: Fractures, sprains, List-Franc injuries and Achilles tendon ruptures
• Spine
• Compartment syndrome – Pain not responsive to analgesia and loss of pulses (late finding)

Pediatrics

• The pediatric epiphysis description
• The approach to the pediatric patient
• High index of suspicion – Protecting the patient
• Salter-Harris classifications and their significance
• Slipped capital femoral epiphysis

Degenerative/Reconstructive Orthopedics

• Baby boomers, longevity, and joints
• John Charnley, M.D.
• Total joint replacements: Hips, knees, shoulders and ankles
• Prosthesis types
• Methods of fixation, cemented, pressfit, and bone ingrowth
• Risks and benefits associated with total joint arthroplasty
• Arthroscopy
• Spine and disc surgery: Anatomy and terminology
• HNP and spinal stenosis
• Complications including infections, dislocations and chromium serum levels
• Post-operative weight bearing: ROM whys and why nots

Sports Medicine: The Weekend Warriors

• The rotator cuff SITS
• Epicondylitis medial and lateral
• Carpal tunnel syndrome
• The knee and the Terrible Triad
• Ankle sprains and injuries

The Orthopedic Work Up

• Orthopedic physical exam: Based on anatomy
• “Where does it hurt?”
• Listening and touching
• X-rays
• CT scans
• MRIs
• Laboratory analysis
• Describing a fracture over the phone: Open or closed, along with location
• The how and why of asking intelligent questions

New in Orthopedics

• Stem cell research: Mesenchymal stem cells in bone marrow stromal cells and vascular bone grafts
• Total joints: Robotic assisted surgery, stand-alone surgery centers
• Arthroscopies: Hip arthroscopies for labrum tears and impingement
• Fracture stabilization: Optimal within 24 hours especially in geriatric patients