For Professionals

What's the Diagnosis?

This popular feature provides cases for physicians and medical students to work through, with further information provided in successive screens. A special emphasis of this feature is the careful selection of especially clear and representative images from the teaching collection of the Department of Radiology and Imaging at HSS.
This Month's Case: 87 year old woman with left hip pain and states no recent trauma.
- Review past cases

HSS Journal, Volume 4, Number 1: Abstracts

The HSS Journal is the Musculoskeletal Journal of Hospital for Special Surgery. It is a peer-reviewed journal that presents cutting edge research, clinical pathways, and state-of-the-art techniques by HSS faculty and alumni.

Early Dislocation Rate in Ceramic-on-Ceramic Total Hip Arthroplasty
Kenny Mai, MD; Mary E. Hardwick, MSN; Richard H. Walker, MD; Steven N. Copp, MD; Kace A. Ezzet, MD; Clifford W. Colwell, Jr., MD

Arthrofibrosis of the Knee After Tibial Spine Fracture in Children: A Report of Two Complicated Cases
Purushottam A. Gholve, MD, MBMS, MRCS; Kurt V. Voellmicke, MD; Melih Guven, MD; Hollis G. Potter, MD; Scott A. Rodeo, MD; Roger A. Widmann, MD

Total Hip Arthroplasty is Less Painful at 12 Months Compared with Hemiarthroplasty in Treatment of Displaced Femoral Neck Fracture
William Mcaulay, MD; Kate W. Nellans, MD, MPH; Richard Iorio, MD; Kevin L. Garvin, MD; William L. Healy, MD; Melvin P. Rosenwasser, MD

Proximal Tibia Fracture After Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Autograft: A Case Report
James E. Voose, MD; Mark C. Drakos, MD; Dean G. Lorich, MD; Stephen Fealy, MD

The Hospital for the Ruptured and Crippled: William Bradley Coley, Third Surgeon-in-Chief 1925-1933
David B. Levine, MD

Brachial Plexopathy/Nerve Root Avulsion in a Football Player: The Role of Electrodiagnostics
Joseph H. Feinberg, MD; Jeffrey Radecki, MD; Scott W. Wolfe, MD; Helene L. Strauss, BA; Douglas N. Mintz, MD

Imaging of Juvenile Rheumatoid Arthritis
Carolyn M. Sofka, MD; Eric Bogner, MD

The Eftekhar and Kerboul classifications in assessment of developmental dysplasia of the hip in adult patients. Measurement of inter- and intraobserver reliability
Alexander Brunner, MD; Benjamin Ulmar, MD; Heiko Reichel, MD, PhD; Ralf Decking, MD

Anti-neutrophil Cytoplasmic Antibody (c-ANCA) Positive Recurrent Eosinophilic Fasciitis Responsive to Cyclophosphamide
Virginia Florina Haiduc, MD; Doruk Erkan, MD; Kyriakos Kirou, MD; Josephine Park, MSPT, OCS; Morris J. Danon, MD

Femoral Revision with an Extensively Hydroxyapatite-Coated Femoral Component
Lawrence V. Gulotta, MD; Andreas Baldini, MD; Kristin Foote, MEd; Stephen Lyman, PhD; Bryan J. Nestor, MD

Ketamine as an Adjunct to Postoperative Pain Management in Opioid Tolerant Patients After Spinal Fusions: A Prospective Randomized Trial
Michael K. Urban, MD, PhD; Jacques T. Ya Deau, MD, PhD; Barbara Wukovits, BSN; Jane Y. Lipnitsky, BA

The One Year Incidence of Postoperative Myocardial Infarction in an Orthopedic Population
M. K. Urban, MD, PhD; K. Jules-Elysee, MD; C. Loughlin, MD; W. Kelsey, BA; E. Flynn, BA

Pulmonary Embolism after IVC Filter
M. K. Urban, MD, PhD; K. Jules-Elysee, MD; C. R. MacKenzie, MD

Role of Wnt Signaling in Bone Remodeling and Repair
Paul S. Issack, MD, PhD; David L. Helfet, MD; Joseph M. Lane, MD

Limb Salvage Reconstruction of the Ankle with Fusion and Simultaneous Tibial Lengthening Using the Ilizarov/Taylor Spatial Frame
Nazzar Tellisi, MD; Austin T. Fragomen, MD; Svetlana Ilizarov, MD

Five-Year Survival in a Cohort of Hip Fracture Patients: The Predictive Role of Pre-fracture Health Status
Margaret G. E. Peterson, PhD; Charles N. Cornell, MD; Stephen A. Paget, MD; John P. Allegrante, PhD

Perspectives from an Olympics Team Physician in Beijing
Scott A. Rodeo, MD

Dr. Rodeo is utilizing his sports medicine expertise by caring for the U.S. athletes as a team physician in the 2008 Beijing Olympic Summer games this August. His blog will cover the unique issues challenging team physicians in this rarefied atmosphere of elite sports. See http://olympicsmd.blogspot.com/

Your Diet and Preparing for Surgery

This set of guidelines was produced for patients preparing for their upcoming surgical procedure. It includes parameters for dieting up to a week prior to surgery and features charts outlining a low fiber/low residue diet for those with or without lactose intolerance and/or diabetes. This information is also available in a printable .pdf format. Read more

HSS Children's Pavilion Video

Watch a video about Pediatric Orthopedic surgery at HSS and the role the new Children's Pavilion will play in making our youngest patients healthier and happier. Watch the video

Horizon Web Extras

Read expanded patient stories from Horizon, the HSS newsmagazine. Included are pieces highlighting a lupus patient, a child with severe leg injuries, and a woman with - not one, but two - frozen shoulders. Read more

HSS eNewsletter History

If you'd like to view a past HSS eNewsletter you may have missed, just click on the corresponding month listed on the left side of our registration page. View past issues

Podcasts

Subscribe to the HSS patient and professional podcasts - free audio and video content available for downloading and listening/viewing using iTunes or your favorite podcast reader. These podcasts are comprised of interviews, patient testimonials, condition or treatment highlights, surgical videos, and many other subjects presented by the experts at HSS. Learn more

Professional Education Programs

Announcing Our CME Accreditation!

Hospital for Special Surgery is pleased to announce that we have been approved by the Accreditation Council for Continuing Medical Education as a CME Provider. For more information and registration, please visit http://www.hss.edu/cme.asp.

4th International Conference on Giant Cell Arteritis & Polymyalgia Rheumatica
July 31-August 2, 2008

This international conference convenes periodically to advance knowledge in the study and treatment of large vessel vasculitis (GCA and Takayasu's Arteritis) and Polymyalgia Rheumatica. Speakers include internationally renowned thought leaders and experts who will present on a variety of basic science and clinical topics essential to the practitioner caring for patients with these complex disorders. Learn more

Visiting Professor Lecture Series

Hospital for Special Surgery's Visiting Professor Lecture Series is a Professional Education Department presentation of both Distinguished Research Lectures and Honorary Service Lectures, presenting current musculoskeletal research and related science and perspectives.

September 12, 2008
Rose Honorary Lecture in Foot & Ankle
Management Strategies for the Failing Total Ankle Replacement
James A. Nunley II, MD
Goldner-Jones Professor and Chief of Orthopaedic Surgery
Duke University Medical Center

Third Annual Symposium: Current Concepts in Foot and Ankle
September 12, 2008

Didactic sessions and case presentations will cover Lisfranc injuries, subtle Cavovarus foot, sprains, ankle arthroplasty, allograft ligament reconstruction, medial ankle injuries, and treatment/rehabilitation of acute and chronic Achilles tendon problems. A special live demonstration will feature Achilles repair with the Achillon® system. Learn more

Mechanical Disorders of the Lumbar Spine and Sacroiliac Joint
Presented by the HSS Rehabilitation Department
September 13-14, 2008

Intended for physical therapists, physical therapy assistants, and physicians, attendees of this course will learn how to systematically assess patients for lumbar and sacroiliac mechanical dysfunction and apply appropriate therapeutic exercises and manual therapy for successful outcomes. Learn more

The Journey Toward Pain Relief: Second Annual Program on Pain Awareness
September 29, 2008

The journey toward pain relief is often an unnecessarily difficult one for patients. While the Joint Commission standards have helped to vastly improve pain management, thousands of patients each year still receive inadequate post-operative pain care. The issues presented during this course address the way pain is approached and treated at different points in the patient's post-operative recovery phase. Learn more

Rheumatoid Arthritis: New Targeted Treatments
Free Online CME Program

Because the tumor necrosis factor (TNF) inhibitors have been so successful in treating RA, many clinicians are interested in how the newer agents fit into a treatment plan that includes anti-TNF agents. HSS program faculty describe the major immunologic mechanisms that both lead to rheumatoid arthritis and are potential targets for treatment; choose the most effective, responsive and most practical disease activity measures to assure the best outcome; and recognize the modern and effective treatment options for RA and when to employ them. This program is available from September 6, 2007 to September 5, 2008. Learn more

Clinical Trials

HSS features controlled human studies of new and emerging therapies for:

Lupus Arthritis Antiphospholipid syndrome Skeletal Dysplasias Scleroderma Arthroplasty (joint replacement)

Osteoporosis Foot and ankle conditions Knee conditions Shoulder conditions Spine conditions

The latest trials from the clinical trial directory are listed below:

A Phase 1b Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Dose-Escalation study with an open-label extension to evaluate the safety and tolerability of multiple IV doses of Medi-545, a fully Human Anti-interferon-alpha Monoclonal Antibody, in patients with Systemic Lupus Erythematosus
Kyriakos A. Kirou, MD

Antibodies are a type of protein that exists naturally in the body. The main goals of the study are to see whether the MEDI 545 antibody is safe in patients with lupus, how well it is tolerated when it is injected directly into the vein, and how much MEDI 545 is found in the blood when the drug is given at different doses. The information learned in this study may be helpful in the further development of MEDI 545 for the treatment of lupus. Patients with stable or mildly active lupus will be considered. Learn more

The Effect of Ischemic Preconditioning on Systemic Inflammatory Markers after Total Knee Arthroplasty
Stavros G. Memtsoudis, MD

During knee surgery, the surgeon routinely uses a tourniquet to temporarily cut of blood supply to the site of surgery. When allowing blood back into the leg at the end of the procedure, debris gets washed out and gains access to the rest of the body. Rarely, this can result in signs of inflammation of various body systems. Previous studies suggest that cutting off the blood supply for a short period of time just before a prolonged episode may be associated with a decrease in the inflammation of other organ systems. We propose to study this theory in knee surgery patients by looking at levels of markers of inflammation present in the blood before and after tourniquet release. Learn more

For Your Patients

Dr. Thomas Sculco Discusses Hip Replacement Surgery
Thomas P. Sculco, MD
Janet Cahill, PT, CSCS

In this six-part series of videos, Dr. Thomas P. Sculco, Surgeon-in-Chief at Hospital for Special Surgery, discusses the causes of arthritis, treatments of arthritis, and what to expect if you plan to undergo total hip replacement surgery. Watch the videos

Medial Collateral Ligament (MCL) Injuries of the Knee
Robert A. Gallo, MD

The MCL is commonly injured in soccer players as well as skiers and football players. In this article, Dr. Gallo discusses the symptoms to watch out for, methods of diagnosis, and treatment options - both non-surgical and surgical. Read more

Infusion Therapy for Rheumatoid Arthritis (RA): A Patient's Perspective

Elizabeth was diagnosed with rheumatoid arthritis (RA). This video demonstrates her experiences undergoing infusion therapy, leading to her return to a more normal life and her decision to compete in her first triathlon. Watch the video

Lupus and Employment Rights: Knowing Your Options

People living with lupus may not know what their employment rights are, especially when it comes to asking for reasonable accommodation, or if their employer discriminates against them due to their disability status. This HSS SLE Workshop summary covers the laws that protect those with lupus and offers solutions to those who believe they have faced discrimination. Read more

Dermatomyositis: Myositis and the Skin

This presentation, adapted from an HSS Myositis Support Group discussion, focuses on how myositis affects the skin in a specific form of the disease called dermatomyositis. Among the topics discussed are the various skin symptoms relevant to those with inclusion body myositis and polymyositis, and the most beneficial ways of caring for the skin. Read more

Never Sitting Still

Read about Irene Meister, PhD, a very busy professional whose mobility was jeopardized by a fall on a sidewalk and a shattered shoulder. A physician friend recommended HSS with these words: "With an injury that serious, I don't want you to go anywhere else." Read her story

Patient Information

HSS Hospital Map - Main Campus

HSS.edu has posted a helpful new map outlining the layout of HSS's Manhattan campus - as well as a full listing of area parking areas and bus stops - to help our patients find the best transportation options for their hospital visit. View the map

Public and Patient Education Programs

Public and Patient Education Division

The HSS Public and Patient Education Department strives to provide current and useful information to public and patient audiences through education programs, lectures/symposia, workshops, exercise classes, support groups, publications, and a patient education library. Stay tuned to HSS.edu for the Fall 2008 Calendar of Events, coming soon. For more information on public and patient education programming, contact us at pped@hss.edu.