Measurement of quadriceps strength using a handheld dynamometer. Patients were seated with the knee at 90° flexion. Quadriceps strength was measured isometrically with a handheld dynamometer (μTas F-1, Anima Corporation, Japan) secured to the distal lower leg using a strap with belt stabilization.

Achieving quadriceps strength within the distribution of older adults without knee OA following TKA is associated with clinically meaningful differences in satisfaction and functional activities.

#Osteoarthritis #Arthroplasty #Knee #Quadriceps #Muscle #OrthoSky #MedSky

ow.ly/9CHK50YEZ7I

Abstract text for article titled 'The Suspected Cauda Equina Syndrome Score (SuCESS)'. The Bone & Joint Journal.

The authors aimed to develop and validate a simplified clinical risk score, the Suspected Cauda Equina Syndrome Score (SuCCESS), based on interpretable and routinely collected variables.

#CaudaEquinaSyndrome #Spine #MedSky #OrthoSky

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Cover of BJJ Paper of the Month featuring a study on managing displaced supracondylar humerus fractures with lateral versus crossed Kirschner wires. The Bone & Joint Journal.

Last month's most downloaded #BJJ paper sought to evaluate whether loss of reduction in lateral Kirschner (K)-wiring is noninferior to crossed K-wiring in closed reduction and percutaneous pinning of Type III supracondylar humerus fractures.

#Fracture #MedSky #OrthoSky

ow.ly/z6lB50Yz4AU

“Thank you for saving my life… because of you, I have a future.”
Video: ABC News #BlueSky #MedSky #LawSky #NurseSky #OrthoSky #SportsSky #climb

Two weeks since I had my shoulder replacement surgery.

Tough bit of physio today

#MedSky #Orthosky

Showing cross-sectional arrangement of tendon fibres in the Achilles tendon.

Nonoperative treatments have proven highly effective for managing MAT, often serving as the primary approach, as approximately 75% of patients experience spontaneous resolution of the condition.

#Achilles #Tendinopathy #OrthoSky #MedSky

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Abstract text for article titled 'The association between type of bone cement and revision surgery after primary elective total hip arthroplasty'. The Bone & Joint Journal.

While most contemporary cement types have comparable revision rates, five were associated with a significantly higher rate of revision. Outcome monitoring for bone cement warrants scrutiny just like implant components.

#BoneCement #Orthopedics #OrthoSky #MedSky

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Example showing how the articular surface percentage involvement (ASPI) was calculated for a specific patient.

The aim of this study was to report the long-term patient-reported outcomes of unstable ankle fractures with a posterior malleolus fracture and without.

#PROMs #AnkleFracture #Trauma #OrthoSky #MedSky

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Example of open reduction and internal fixation combined with primary subtalar arthrodesis in a 76-year-old male. Lateral radiographs a) preoperatively, b) immediately postoperatively, and c) six months postoperatively. The patient fulfilled the following of Schepers’ criteria: Böhler angle < 0°, age > 65 years, and with comorbidities.

ORIF combined with subtalar arthrodesis provided good rates of subtalar union and good functional outcomes, with results similar or better than those following ORIF alone or delayed arthrodesis.

#ORIF #Arthrodesis #Fracture #Trauma #OrthoSky #MedSky

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NHS success: they've refurbished the ward since last year, and I've been given 3 extra packs of biscuits!

(Oh, yeah, and the new shoulder is fine)

#MedSky #OrthoSky

Abstract text for 'Foot and ankle surgical research – marching forwards'. The Bone & Joint Journal.

In this month’s busy issue of The Bone & Joint Journal, we have a collection of foot and ankle research studies, with 11 papers spanning the specialty.

#Foot #Ankle #BJJ #Orthopedics #OrthoSky #MedSky

ow.ly/1sXP50YlNXM

😂 Probably women, too (she says just asking a golf pro how to drive it a 100 yards further!:) #BlueSky #MedSky #EMSky #IMSky #NurseSky #PoliSky #OrthoSky

BJJ Paper of the Month exploring the link between surgery timing and outcomes after hip fracture. The Bone & Joint Journal. Mazarello Paes et al. Bone Joint J. 2026;108-B(1):30-38.

In last month's most downloaded #BJJ paper, the authors report that surgery within 24 to 48 hours after hip fracture in older people is associated with better clinical outcomes and improved patient-reported outcomes.

#Surgery #HipFracture #PROMs #OrthoSky #MedSky

ow.ly/QwKj50YiblH

Abstract text for article titled 'Survival of the Exeter V40 hemiarthroplasty femoral component and associated complications'. The Bone & Joint Journal.

PTS designs are widely used in cemented hip hemiarthroplasty for displaced intracapsular native hip fractures, though concerns persist regarding the association with higher postoperative periprosthetic femoral fracture risk.

#Hemiarthroplasty #Fracture #OrthoSky #MedSky

ow.ly/VEH550YbLTP

Just in case anyone is wondering… the cement is being prioritised for cemented hemiarthroplasty for hip fracture. #OrthoSky #AnSky

#bone infarct . Usually an " incidental finding ", which makes me think they are painless, which seems odd. Because most other infarcts hurt like hell ( heart. Muscle , GI tract etc...)
#orthosky
#medksy
#ortho

Abstract text for article titled 'Arthroplasty for hip fracture: the art and evidence of hip arthroplasty'. The Bone & Joint Journal.

While both their surgical and medical management have advanced tremendously in recent decades, several aspects of the use of arthroplasty in patients with a hip fracture remain controversial.

#Arthroplasty #HipFracture #BJJ #OrthoSky #MedSky

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Love this woman! Go win gold🥇 @lindseyvonn ! #SportsSky #BlueSky #MedSkt #OrthoSky #SkiSky #olympics

The figure shows a pretreatment MRI in a) T1 and b) T2 of a 63-year-old female with a pleomorphic sarcoma in the anterior compartment of the thigh who had neoadjuvant radiotherapy. The blue line is the measurement of oedema at the cranial edge of the tumour.

Oedema tail is associated with aggressive infiltrative tumours; 26% of them had tumour cells that would remain if we resected the tumour with a wide R0 margin, even with preoperative radiation.

#Tumour #Oedema #Sarcoma #Oncology #Orthopedics #OrthoSky #MedSky

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Presumed aseptic orthopedic implant revisions: unmasking hidden infections and shaping future directions #OrthoSky #MedSky
🦴 https://ow.ly/Opfq50Y4KtW 🦴

Assessment of a posterior (trans-)olecranon fracture-dislocation using different diagnostic tools. a) Radiograph. b) 2D CT. c) 3D CT. d) 3D-printed model.

3D-printed models help diagnose complex elbow fracture patterns. If printing time is reduced and reusable materials are used, the models can be of added value to standard practice.

#Elbow #Fracture #Trauma #Surgeon #OrthoSky #MedSky

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Abstract text for article titled 'Radiological outcome of early surgical fixation versus cast immobilization for adults with a scaphoid waist fracture: five-year follow-up of the Scaphoid Waist Internal Fixation for Fractures Trial'. The Bone & Joint Journal.

SWIFFT was a pragmatic, parallel-group, multicentre, open-label, two-arm, randomized superiority trial. This longer-term evidence confirms consolidation of the proportion of bony bridging, and the increasing #arthritis impact of #injury on joints.

#OrthoSky #MedSky

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A candy cane which broke at the apex of the curve which is where the moment arms are greatest thus creating the likeliest fracture pattern. The "skin" still holds this in relative alignment as I have not opened the cellophane. Since I don't actually like candy canes, I guess I'll just throw the damn thing away now.

Seeing a broken candy cane flopping around in a wrapper gives my inner fracture surgeon chest pain.

#Orthosky
#Medsky

Abstract text for article titled 'Patient-reported outcomes may be ‘missing not at random’ in hip and knee arthroplasty'. The Bone & Joint Journal.

Non-responders of routinely collected PROM scores in hip and knee arthroplasty had significantly increased mortality and significantly worse baseline scores despite similar demographics and revision risk.

#PROMs #Arthroplasty #Surgery #MedSky #OrthoSky

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Gait analyzing mat (GAITRite Electronic Walkway; CIR Systems, USA).

Peroneus longus tendon harvest for anterior cruciate ligament reconstruction can cause subtle but measurable alterations in gait biomechanics, particularly affecting single-leg support time.

#Tendon #Ligament #Biomechanics #Surgery #OrthoSky #MedSky

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Someone has a screw loose
And a screw break and tibia fracture
#medsky #orthosky #break #hardware

BJJ LIFE logo. FRCS (T&O) exam on 4th February 2026? To pass, you'll need to be able to answer a question every 72 seconds. Perfect your exam technique with ‘Exam Mode’ on BJJ LIFE.

⏰ FRCS exam on 4th February? | ⌛ You'll need to answer a MCQ every 72 seconds

There's still time to perfect your exam technique! In 'Exam Mode' you can set a custom countdown clock and get your results only after completion for a real test experience.

#FRCS #OrthoSky

boneandjoint.org.uk/life/

Intraoperative image of an acetabulum with a wave sign two-thirds of the way from the labrum to the fossa. (Beck classification 2, University College London Hospitals classification 1B).

Increasing waiting times are resulting in increased severity of intra-articular damage in patients undergoing hip arthroscopy for femoroacetabular impingement, particularly in male patients.

#HipArthroscopy #FAI #OrthoSky #MedSky

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Anteroposterior radiograph of a 68-year-old female patient showing severe osteoarthritis of the carpometacarpal joint of the thumb with adduction of the first metacarpal and compensatory hyperextension of the metacarpophalangeal joint. Intraoperative anteroposterior radiograph of a TOUCH (KeriMedical, Switzerland) dual mobility carpometacarpal joint arthroplasty of the thumb in a 58-year-old male patient.

The SCOOTT is a multicentre, three-arm, RCT which is currently being undertaken, comparing the clinical outcomes and cost-effectiveness of an enhanced package of non-surgical management, trapeziectomy, and thumb CMCJA.

#RCT #Thumb #Ortho #Surgery #Trial #OrthoSky #MedSky

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👇🏻Ping #orthosky @laurahamilton.bsky.social