Orthopedic Surgeries: Review of Physicological Effect Pre and Post-Surgical Treatments

Patient satisfaction with a treatment is an important outcome measure and isassociated with increased adherence to that treatment. The role of psychologicalfactors with regard to successful surgical outcomes has been highlightedpreviously. This is an orthopedic literature for the psychological traits that arerelevant to surgical outcomes as well as an overview of options for psychologicallyoptimizing a patient for surgery and ways to address problems encountered inthe postoperative period in pandemic or non-pandemic before. A literature reviewwas conducted in the electronic database PubMed using keyword “Psychological”,and “Orthopedic Surgeries”. All type of studies were included for this study, suchas controlled trials, systematic reviews, literature reviews, and pilot studiespublished between 2015 and 2021. Articles which not written in English wereexcluded from the study. This search resulted in 6 papers. All of the papersdisscuss about physicological effect on pre and post-surgical treatment.Satisfaction with surgery was closely associated with physical function andanxiety before surgery. Our analysis provides low levels of evidence supportingthe use of psychological interventions, particularly with regard to anxiety andmental components of quality of life. Pre-operative anxiety, depression and lowself-efficacy are consistently associated with worse physiological surgicaloutcomes and quality of life. However, there is currently insufficient evidence tobe sure that pre-operative psychological interventions are of benefit, or whichinterventions are most effective.

Orthopedic Surgeries: Review of Physicological Effect Pre and Post-Surgical Treatments

Patient satisfaction with a treatment is an important outcome measure and is associated with increased adherence to that treatment. The role of psychological factors with regard to successful surgical outcomes has been highlighted previously. This is an orthopedic literature for the psychological traits that are relevant to surgical outcomes as well as an overview of options for psychologically optimizing a patient for surgery and ways to address problems encountered in the postoperative period in pandemic or non-pandemic before. A literature review was conducted in the electronic database PubMed using keyword “Psychological”, and “Orthopedic Surgeries”. All type of studies were included for this study, such as controlled trials, systematic reviews, literature reviews, and pilot studies published between 2015 and 2021. Articles which not written in English were excluded from the study. This search resulted in 6 papers. All of the papers disscuss about physicological effect on pre and post-surgical treatment. Satisfaction with surgery was closely associated with physical function and anxiety before surgery. Our analysis provides low levels of evidence supporting the use of psychological interventions, particularly with regard to anxiety and mental components of quality of life. Pre-operative anxiety, depression and low self-efficacy are consistently associated with worse physiological surgical outcomes and quality of life. However, there is currently insufficient evidence to be sure that pre-operative psychological interventions are of benefit, or which interventions are most effective.

Classification Systems in Rotator Cuff Tears

Rotator cuff pathology is one of the most common conditions affecting the shoulder joint. Several classification systems have been used to describe rotator cuff tears in orthopedic literature. However, no comprehensive classification inclusive of all types and characteristics currently exists. Rotator cuff tears are classified based on various parameters. These include: 1. Tear depth 2. Tear Size/Extent 3. Tear Retraction 4. Tendon Quality 5. Tear Progression 6. Arthroscopic Classification. This review article aims to establish an algorithm based on the various existing classification systems so as to arrive at the best surgical or non-surgical solution as well as prognosticate the patient regarding the outcome. Special consideration needs to be made for massive tears which are irreparable. Keywords: Rotator cuff tears; Rotator cuff tear classification; Massive irreparable rotator cuff tears; Partial rotator cuff tears; Subscapularis tears; Geometric Classification; Arthroscopic Classification; Rotator cuff retraction; Rotator cuff tendon quality; Prognosis for Rotator Cuff tears.

Intermetatarsal Coalition: Case Report, Literature Review, and Imaging Findings of an Underrecognized and Underdiagnosed Cause of Foot Pain

Coalition is defined as abnormal bridging between two bones, and the connection can be osseous or nonosseous. Most coalitions in the foot involve the hindfoot. Intermetatarsal coalition is thought to be much rarer than the more common hindfoot coalitions and has only been reported sporadically in the orthopedic literature. We present two patients with nonosseous intermetatarsal coalition presenting with nonspecific dorsolateral foot pain and describe the imaging findings of intermetatarsal coalition with different modalities. We suspect that whilst rarely described, intermetatarsal coalition is quite likely a more common underrecognized entity than a rare entity. This report is aimed at increasing the awareness of coalition in this location, in the radiology community, particularly the nonosseous ones, given that this condition can be debilitating but treatable.

Instrucción Ortopédica de Posgrado - Imágenes. Resolución del caso. [Post-Graduate Orthopedic Instruction: Imaging. Answer to Case Study]

Se describe el sindrome de friccion del tendon patelar-condilo femoral, que es una entidad que ha recibido poca atención en la literatura ortopédica, y en muchas ocasiones constituye un hallazgo en las imágenes de RM sin sospecha clínica ni conocimiento de la existencia del cuadro de impingement del sector superolateral del paquete adiposo infrarotuliano de Hoffa (PAI). Es importante que se identifiquen los hallazgos característicos de las imágenes, tanto para la correcta elección del tratamiento como para distinguir esta entidad de otras causas de dolor anterior de rodilla. Si bien no existen en la actualidad respuestas definitivas con respecto a la etiología del síndrome, su identificación tiene implicaciones importantes tanto para el diagnóstico como para el tratamiento. Patellar tendon-lateral femoral condyle friction syndrome is discussed, a condition that has received little attention in orthopedic literature. In many cases, it is an incidental finding on MRI when there is no clinical suspicion or even confirmation of Hoffa fat pad impingement (FPI) syndrome. Identification of pathognomonic findings on imaging studies is key, both for selecting the adequate treatment option and to distinguish this condition from other causes of anterior knee pain. Although there is currently no definitive etiology for the syndrome, its identification is important for both diagnosis and treatment.

The Potential Role of Corticosteroid Prophylaxis for the Prevention of Microscopic Fat Embolism Syndrome in Gluteal Augmentations

BackgroundMicroscopic fat embolism syndrome (micro-FES) has been recently identified as a potentially fatal complication following gluteal augmentation utilizing autologous fat grafts; safety recommendations advocating for subcutaneous lipo-injections may be insufficient for its prevention.ObjectivesThe authors of this systematic review evaluated the potential role of corticosteroid prophylaxis for the prevention of micro-FES in gluteal augmentation procedures.MethodsThe authors performed a systematic search employing the National Library of Medicine (PubMed), Medline, and Embase databases. Search terms were those pertaining to studies reporting the efficacy of prophylactic corticosteroid administration on micro-FES incidence in a high-risk surrogate population.ResultsThirteen articles met the inclusion criteria for review, comprising 2 studies reporting on the efficacy of a single intravenous (IV) corticosteroid dose for the prophylaxis of micro-FES, 9 studies reporting on multiple prophylactic IV doses, and 2 additional studies reporting on the efficacy of inhaled corticosteroids in this context. All studies were identified from the orthopedic literature given that none were available directly from within plastic surgery. The prophylactic efficacy of multiple IV doses of methylprednisolone, or a single larger dose, was established, whereas the efficacy of inhaled corticosteroids remains elusive.ConclusionsA single perioperative IV dose of methylprednisolone may be most appropriate for utilization by plastic surgeons; the safety and implication of this therapy on wound healing and fat graft survival are discussed. Further studies directly evaluating the efficacy of corticosteroid prophylaxis in the gluteal augmentation population are indicated. Finally, recommendations pertaining to the prevention, timely recognition, and effective management of micro-FES are discussed.