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Orthobullets @orthobullets.bsky.social · 19/02/2025

Welcome to Season 2 of the Orthobullets Podcast Today's Foundations episode will focus on the topic of the Femoral Shaft Fractures. Listen wherever you listen to podcasts or by clicking the link below! bit.ly/3XaS1nk #orthosky #medsky

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Orthobullets @orthobullets.bsky.social · 12/02/2025

Welcome to Season 2 of the Orthobullets Podcast Today's Podiums episode will focus on the talk given by Dr. Howard Routman, and is titled "All This RSA Talk.... Can You Break it Down Into the Basics." Listen wherever you listen to podcasts or by clicking the link below! bit.ly/4aVRcUO #Orthosky

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Orthobullets @orthobullets.bsky.social · 03/02/2025

Can you answer this daily question from our Free QBank correctly? QID: 218180 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. bit.ly/4aG6Xzn #ortho

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Orthobullets @orthobullets.bsky.social · 30/01/2025

The decision was made to proceed with an open Latarjet procedure. (see the intraop video on the site) 7 months (Dec 2023) after his Open Latarjet, while moving objects during a move back to California, he had a recurrent shoulder dislocation. Here are the x-rays after his recent dislocation.

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Orthobullets @orthobullets.bsky.social · 30/01/2025

6 months (May 2023) after his Bankart + Remplissage procedure, he had a recurrent shoulder dislocation while playing basketball. Here are the MRI images following his recurrent dislocation.

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Orthobullets @orthobullets.bsky.social · 30/01/2025

Here is an intraoperative image from his Bankart + Remplissage procedure. (see the full video in the link above)

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Orthobullets @orthobullets.bsky.social · 30/01/2025

Here are the initial presenting MRIs images from Sept 2022, prior to his Bankart procedure.

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Orthobullets @orthobullets.bsky.social · 30/01/2025

RECURRENT DISLOCATION S/P LATARJET - DEC 2023 Seven months after his Open Latarjet, while moving objects during a move back to California, he had a recurrent shoulder dislocation. PMH: No significant past medical history. PE: Current physical exam is positive for apprehension.

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Orthobullets @orthobullets.bsky.social · 30/01/2025

RECURRENT DISLOCATION S/P BANKART- MAY 2023 6mo after, he had a recurrent shoulder dislocation while playing basketball. 2 more dislocations occurred over the following 2 weeks. Following radiographic evaluation & conversations, a decision was made to proceed w/ an open Latarjet on 6/1/2023.

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Orthobullets @orthobullets.bsky.social · 30/01/2025

Initial Presentation (cont.): He had an ISS Score of 4 (maybe 6 if we give him HSL based on MRI). Initial imaging showed 18% bone loss (Subcritical), Track Measure (GT) =17.2, and HSL =16. The decision was made to do a Knotless Bankart, Remplissage on 11/15/2022.

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Orthobullets @orthobullets.bsky.social · 30/01/2025

HPI: INITIAL PRESENTATION - SEP 2022 A 20 y/o male Basketball player presented with three dislocations of the left shoulder. He reported it would “come out in my sleep.” On exam, he had positive apprehension, a negative push/pull posterior, a sulcus visible but asymptomatic, & Beighton score 5.

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Orthobullets @orthobullets.bsky.social · 30/01/2025

Here is a new case by Dr. John Tokish and Mayo Clinic. RECURRENT SHOULDER DISLOCATION S/P LATARJET IN 20M This case will be debated at Antarctica 2026: Breaking the Ice Conference in Antarctica, Jan 14-24. How would you manage this? #orthosky #medsky Vote for CME: orthobullets.tiny.us/2m9nrrts

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Orthobullets @orthobullets.bsky.social · 28/01/2025

Welcome to Season 2 of the Orthobullets Podcast Today's Podiums episode will focus on the talk given by Dr. Arun Mullaji, and is titled "The When, Why, and How I Adopted the Anterior Approach." Listen wherever you listen to podcasts or by clicking the link below! bit.ly/3PTP8mQ #Orthosky #medsky

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Orthobullets @orthobullets.bsky.social · 27/01/2025

Can you answer this daily question from our Free QBank correctly? QID: 219179 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. bit.ly/4juY4wv #ortho

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Orthobullets @orthobullets.bsky.social · 26/01/2025

If you choose PSIF + TLIF, what type of interbody implant would you utilize? - 1 Straight/Bullet Cage - 2 Straight/Bullet Cage - 1 Banana-shaped Cage - 1 Expandable Cage

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Orthobullets @orthobullets.bsky.social · 26/01/2025

Here are postop images of yesterday's case by Dr. Ali Baaj and Sananthan Sivakanthan from Banner Health. LEG AND BUTTOCK PAIN IN 65M PROCEDURE: L4/5 MIS TLIF Do you agree with the treatment? Why or why not? #orthosky #medsky Vote on this case for CME: orthobullets.tiny.us/2p92uayd

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Orthobullets @orthobullets.bsky.social · 25/01/2025

Here is a preoperative x-ray showing pelvic measurements.

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Orthobullets @orthobullets.bsky.social · 25/01/2025

PE: On exam, he is non-focal. He has full strength in BUE in Deltoids, Biceps, Triceps, Wrist Extension, and Handgrip. He has full strength in BLE in hip flexion, knee extension, plantar flexion, dorsiflexion, and EHL. He has no Hoffman, clonus, or Babinski, and his DTRs are 2+.

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Orthobullets @orthobullets.bsky.social · 25/01/2025

PMH: No significant past medical history. Past surgical history is significant for remote history of ACDF.

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Orthobullets @orthobullets.bsky.social · 25/01/2025

HPI (cont.): His pain has significantly limited his quality of life, and he is now unable to enjoy activities he previously did. He has failed conservative treatment w/ physical therapy, injections, and ablations.

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Orthobullets @orthobullets.bsky.social · 25/01/2025

HPI: A 65 y/o male presents as an outpatient w/ a few yrs of progressively worsening RLE radicular pain, numbness, & paresthesias in an L4 distribution. He endorsed evidence of neurogenic claudication w/ pain that worsens on extension, is relieved w/ flexion, and worsens w/ activity.

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Orthobullets @orthobullets.bsky.social · 25/01/2025

Here is a new case by Dr. Ali Baaj and Sananthan Sivakanthan from Banner Health. LEG AND BUTTOCK PAIN IN 65M How would you manage this? #orthosky #medsky Vote on this case for CME: orthobullets.tiny.us/2p92uayd

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Orthobullets @orthobullets.bsky.social · 23/01/2025

Here is an intraoperative image.

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Orthobullets @orthobullets.bsky.social · 23/01/2025

Here are additional postoperative images.

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Orthobullets @orthobullets.bsky.social · 23/01/2025

Here are intraop & postop images of yesterday's case by Dr. Christopher Johnson & Orthopaedics NorthEast. SHORT SEGMENT OF REMAINING BONE IN 32F PROCEDURE: COMPLIANT PRE-STRESS IMPLANT (COMPRESS) Do you agree? Why or why not? #orthosky #medsky Vote for CME: orthobullets.tiny.us/4sa3hmud

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Orthobullets @orthobullets.bsky.social · 22/01/2025

Here is an axial CT scan of the femur to assess cortical thickness.

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Orthobullets @orthobullets.bsky.social · 22/01/2025

PE: On physical examination, the patient demonstrates an antalgic gait due to a significant leg length discrepancy. Quad strength is 5/5 bilaterally. The surgical site shows an extensile medial approach, with no signs of infection or wound dehiscence noted.

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Orthobullets @orthobullets.bsky.social · 22/01/2025

PMH: History of distal femur osteosarcoma, diagnosed 14 yrs ago & treated at an outside hospital. Underwent neoadjuvant chemotherapy, followed by wide excision of the tumor & adjuvant chemotherapy. She underwent reconstruction w/ a distal femur replacement utilizing a Compress w/ a medial approach.

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Orthobullets @orthobullets.bsky.social · 22/01/2025

HPI (cont.): Knee aspiration showed no evidence of periprosthetic joint infection w/ a synovial white blood cell count of 900, PMN percentage of 14%, and negative alpha defensin test. The patient is currently 10 weeks pregnant.

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Orthobullets @orthobullets.bsky.social · 22/01/2025

HPI: 32 y/o female presents w/ progressive left hip pain. She is unable to ambulate due to severity of pain. Lab workup, including serum CRP and ESR, has returned normal.

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Orthobullets @orthobullets.bsky.social · 22/01/2025

Here is a new case by Dr. Christopher Johnson and Orthopaedics NorthEast. SHORT SEGMENT OF REMAINING BONE IN 32F How would you manage this #orthotwitter? Vote on this case for CME: orthobullets.tiny.us/4sa3hmud

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Orthobullets @orthobullets.bsky.social · 21/01/2025

Welcome to Season 2 of the Orthobullets Podcast Today's Podiums episode will focus on the talk given by Dr. Michael McKee, and is titled "Midshaft Clavicle Fractures Always Heal...Until They Don’t" Listen wherever you listen to podcasts or by clicking the link below! bit.ly/3WrBLxV #Orthosky

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Orthobullets @orthobullets.bsky.social · 20/01/2025

Welcome to Season 2 of the Orthobullets Podcast Today's Foundations episode will focus on the topic of the Tibial Shaft Fractures. Listen wherever you listen to podcasts or by clicking the link below! bit.ly/4ap8kC9 #orthosky #Medsky

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Orthobullets @orthobullets.bsky.social · 19/01/2025

Here is an additional postoperative clinical follow up image.

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Orthobullets @orthobullets.bsky.social · 19/01/2025

Here are the postoperative clinical follow up images.

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Orthobullets @orthobullets.bsky.social · 19/01/2025

Here are the intraoperative images.

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Orthobullets @orthobullets.bsky.social · 19/01/2025

Here are the additional preoperative planning images.

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Orthobullets @orthobullets.bsky.social · 19/01/2025

Here are the preoperative planning images.

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Orthobullets @orthobullets.bsky.social · 19/01/2025

Here are preop planning, intraop, & postop images of yesterday's case by Dr. Daniel Acevedo and ACE Orthopedic Institute. RIGHT SHOULDER PAIN IN 51M PROCEDURE: RIGHT TOTAL SHOULDER ARTHROPLASTY Do you agree with the treatment? Why or why not? Vote for CME: orthobullets.tiny.us/yuffh7va

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Orthobullets @orthobullets.bsky.social · 18/01/2025

Here are some preoperative CT scan cuts.

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Orthobullets @orthobullets.bsky.social · 18/01/2025

PE: Patient has forward flexion to 160 degrees, external rotation to 30 degrees, internal rotation to the buttock, external rotation at 90 degrees to 70, and internal rotation at 90 degrees of 0. There is no tenderness to palpation to the AC joint, supraspinatus, or biceps groove. Strength is 5/5.

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Orthobullets @orthobullets.bsky.social · 18/01/2025

PMH: No significant past medical history. Past surgical history is significant for prior right shoulder arthroscopic labral repair and left total hip arthroplasty.

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Orthobullets @orthobullets.bsky.social · 18/01/2025

HPI (cont.): Unable to complete PT exercises due to pain & stiffness. Anti-inflammatory drugs did not alleviate pain. He has severe pain that is 8 out of 10, affecting his quality of life and ability to do activities around the house.

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Orthobullets @orthobullets.bsky.social · 18/01/2025

HPI: 51 y/o male presents for years of ongoing right shoulder pain. Denies injury to shoulder, but had a prior labral repair. Denies numbness or tingling, but reports excruciating pain that radiates down to his elbow. Does not want cortisone due to risk avascular necrosis.

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Orthobullets @orthobullets.bsky.social · 18/01/2025

Here is a new case by Dr. Daniel Acevedo and ACE Orthopedic Institute. RIGHT SHOULDER PAIN IN 51M This case will be debated at the 2025 Shoulder360 Course in Miami, Florida, Apr 3-5, 2025. How would you manage this? #orthosky #medsky Vote on this case for CME: orthobullets.tiny.us/yuffh7va

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Orthobullets @orthobullets.bsky.social · 16/01/2025

Here are the intraoperative images.

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Orthobullets @orthobullets.bsky.social · 16/01/2025

Here are intraop & postop images of yesterday's case by Dr. Charles Lieder and Dr. Craig Forsthoefel from Illinois Bone & Joint Institute. HIP DISLOCATION WITH ACETABULAR FRACTURE IN 25M PROCEDURE: RIGHT ACETABULUM ORIF WITH POSTERIOR CAPSULAR REPAIR Vote for CME: orthobullets.tiny.us/4my7y5n7

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Orthobullets @orthobullets.bsky.social · 16/01/2025

Can you answer this daily question from our Free QBank correctly? QID: 218714 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. bit.ly/40imNeA #orthosky #medsky

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Orthobullets @orthobullets.bsky.social · 15/01/2025

Welcome to Season 2 of the Orthobullets Podcast Today's Core episode will focus on the topic of Articular Cartilage Defects of Knee. Listen wherever you listen to podcasts or by clicking the link below! bit.ly/4ajDKtE #orthosky #medsky

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Orthobullets @orthobullets.bsky.social · 15/01/2025

Here is a preoperative CT video of the pelvis.

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