Please wait...

Tag: surgical technique

Diagnostic and Therapeutic Role of Ultrasound-Guided Infiltration in Peripheral Nerve Compressions

By Cristobal Greene, MD The entrapment of the posterior interosseous nerve and proximal median nerve (Pronator and Lacertus Syndrome) present as a diagnostic challenge, based primarily on medical history and physical examination, as nerve conduction test and imaging studies have not proven to be useful. In recent years, we have added to our diagnostic and treatment algorithm […]

Read more

Step 1: Find Your Patients

By Scott N. Loewenstein, MD A little over 5 years ago, I started my intern year rotating on the vascular service at the VA hospital. I showed up at 5 a.m. to learn that the rest of the team was working on an overnight ruptured aorta call case at another hospital, so I was left alone […]

Read more

Less Invasive Procedures

By Alejandro Badia, MD, FACS I am inclined to perform a new operation or variation of a procedure when I feel the existing option does not lead to ideal results, or more often, when the newer option is more efficient and often cost-effective, and more imporantly, when the patient will recover faster and with less […]

Read more

My New Go-To Fixation Technique

By Ryan D. Endress, MD I’ve recently adopted the technique of cannulated intramedullary screws for metacarpal neck and shaft fractures. Depending on the fracture pattern, I would previously either perform percutaneous fixation with wires, or open fixation with plates and/or lag screws. I was looking for a way to provide the best of both worlds (i.e. less […]

Read more

My New Magic Recipe

By Constantinos Ketonis, MD, PhD Surgeons are often called “creatures of habit” and are known to abide by the slogan “if it’s not broken don’t fix it.” We like routine and we like to perform each procedure the exact same way, every time–from the placement of the retractors to the application of the bandages. There […]

Read more

Employing New Techniques

By Jaehon Kim, MD, FAAOS I’m a mid-career hand surgeon in an academic center with a passion for trauma. Recently, my residents declared me to be the necrotizing fasciitis specialist in New York City after seeing three of them in a span of two weeks. It’s a title I desperately wish to shed as soon […]

Read more

Treatment Comfort Zone

By Michael B. Lilyquist, MD We have likely all heard the phrase, “don’t be the first, but don’t be the last” to adopt a new surgical technique or device.  This is seemingly wise counsel and was often repeated during my orthopaedic residency training. It was almost always stated when an x-ray was reviewed in morning […]

Read more

Getting a Grip on Ulnar Sided Wrist Pain

By Ather Mirza, MD Being in practice for over 30 years, I have seen a progressive and dynamic shift in procedural approaches over time. As techniques have evolved, our field and the larger medical community have greatly benefited from the pearls and pitfalls shared among colleagues. When a potential breakthrough emerges in the field of […]

Read more

Intramedullary Fixation

By Tyler Steven Pidgeon, MD “If it ain’t broke, don’t fix it” is a common adage that many surgeons live by. When success is more or less assured with a certain procedure, it can be hard to step outside of one’s comfort zone and try something new. Why take a risk with your patient’s outcome? […]

Read more