The Orthobullets Podcast

Dive into the world of ankle arthroscopy with a breakdown of various surgical portals. Discover key indications for procedures, including loose body removal and os trigonum issues. Learn about the risks linked to specific portals and how to avoid complications like nerve injuries and synovial fistulas. The discussions also cover the implications of nerve variability and suggest best practices to ensure patient safety. Engaging insights make this a must-listen for those interested in foot and ankle surgery.

Dive into the complexities of tarsal coalition, from its definitions to its epidemiology. Explore clinical presentations, including recurrent sprains and flatfoot. Discover key physical exam findings like hindfoot valgus and limited motion. Uncover imaging techniques and the significance of signs like the anteater. Learn about nonoperative management approaches, including shoe inserts and immobilization, alongside surgical options and considerations. Get insights from a clinical vignette on diagnosis and the rationale for conservative care.

Dive into the world of sacroiliitis, exploring its epidemiology and connections to ankylosing spondylitis. Discover the various causes, from trauma to chronic inflammation, and learn how this condition presents itself clinically. Imaging insights reveal the superiority of MRI for diagnosis. Find out about effective treatments tailored to each cause, including the management of pregnancy-related cases and septic sacroiliitis. Tune in for a detailed case study highlighting antibiotic choices in challenging situations!

Explore the fascinating world of clubfoot, a common congenital condition. Discover the essential components of the CAVE deformity and learn key anatomical insights. Dive into clinical presentations and imaging techniques that reveal foot structure. Uncover the gold standard Ponseti method for treatment and contrast it with the French approach. Hear about surgical options for severe cases and clarify misconceptions about the Ponseti technique. This engaging discussion offers vital knowledge for healthcare providers dealing with pediatric musculoskeletal issues.

Dive into the fascinating world of foot and ankle complexities! Discover basic and intricate deformities like equinus and cavovarus, along with their muscular implications. Learn about managing equinovarus after a stroke and the surgical options available. The podcast also tackles foot drop, unraveling its causes and treatment strategies. Plus, explore innovative techniques like the Coleman block test and tendon transfers for effective reconstructions. A comprehensive journey through the anatomy and rehabilitation of the foot awaits!

In this insightful discussion, Dr. Evan Lederman, an orthopedic surgeon specializing in shoulders, shares his expertise on preventing surgical infections. He reveals the surprising infection rates and key organisms like C. acnes involved in shoulder arthroplasty. Lederman addresses modifiable risk factors, such as diabetes and smoking, and emphasizes preoperative decolonization techniques. His practical tips include antibiotic strategies and optimizing operating room setups to enhance patient safety. Infection control, he stresses, requires collaboration across medical teams.

Dr. Jay Keener, an orthopaedic shoulder specialist renowned for his skills in shoulder arthroplasty, dives deep into the intricacies of anatomic shoulder replacement. He highlights crucial decision-making factors for cuff-intact osteoarthritis and discusses the limits of glenoid correction. Keener warns about posterior subluxation risks and emphasizes the importance of rotator cuff health in surgical choices. He also challenges the reliance on MRI, advocating for clinical assessment, and explains patient factors influencing the choice between anatomic and reverse procedures.

Dr. Stephen Burks, an expert in spinal oncology, shares groundbreaking insights into treating metastatic spine disease. He discusses the advantages of combining surgery and radiation for cord compression, and stresses the importance of collaboration with oncologists. Listeners will learn about the nuances of photon versus proton therapy, as well as the innovative use of carbon fiber materials in separation surgery. Burks also highlights the critical need for multidisciplinary case reviews, especially when urgent decisions are required for patient care.

Dive into the critical topic of pediatric abuse, exploring its alarming prevalence among young children, especially those under five. Discover key red flags in medical history and inconsistency in injury reports that could indicate abuse. The discussion highlights highly specific fracture patterns and the importance of thorough imaging for diagnosis. Learn about the legal obligations for reporting and the multidisciplinary approach required for managing such cases effectively. Stay informed with insights on non-accidental trauma predictors and necessary evaluations!

Dr. John Ketz, an orthopaedic foot and ankle surgeon, shares insights on rigid adult flatfoot. He defines this condition and discusses its common indications for hindfoot and midfoot fusions. John delves into the biomechanics behind posterior tibial tendon dysfunction and the importance of imaging for accurate deformity assessment. He outlines when to consider hindfoot fusion and compares various surgical techniques, emphasizing the evolving preferences in treatment. John's expertise shines through as he addresses outcomes and complex cases, providing valuable insights for practitioners.