ORTHOPAEDIC GRAND ROUNDS CONFERENCE

Wednesday, August 21, 2013

103 Bryan Research Building 7:00 8:00 A.M.

Neuromuscular Scoliosis: Current Concepts Mohamad J. Halawi, M.D. Management of the Terrible Triad Daniel J. Blizzard, M.D. Radiation-Induced Pathologic Fracture Mitchell R. Klement, M.D.
The Duke University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Duke University School of Medicine designates this educational activity for a maximum of 1 Category I credits toward the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity. The purpose of the Conference is to enhance the physicians ability to treat patients. It is free from commercial support. DUMC takes responsibility for the content, quality and scientific integrity of this CME activity. Faculty, Physician Assistants, and Area Orthopaedists are eligible to receive CME credits for this activity; however, they must sign-in on the attendance sheets provided. In order to remain CME compliant, all speakers must sign a Faculty Disclosure Form. Please contact Ms. Sharon Long, CME Associate for Orthopaedic Surgery at Sharon.Long@mc.duke.edu or (919) 684-3170. Doctors Halawi, Blizzard and Klement have indicated that they have no financial/professional relationships with the manufacturers of commercial products/services that may be discussed in this CME activity.

WEDNESDAY, August 21, 2013

Hand and Upper Extremity Anatomy Lab 6:00 7:00 P.M. Extensor Mechanism of the Digit/Fingernail Fraser J. Leversedge, M.D. and Robin N. Kamal, M.D. 0101A Duke Clinic Bldg.

THURSDAY, August 22, 2013

Fracture/ Trauma Conference Locking Plates Langdon A. Hartsock, M.D. Hand/ Upper Extremity Radiology Conference [1st] Foot and Ankle MRI Conference [2ND and 4th] Orthopaedic Pediatric and Journal Club Conference Musculoskeletal Histopathology Conference Orthopaedic Basic Science Conference Fibrous Neoplasms, Round Cell Tumors Brian E. Brigman, M.D., Ph.D. Comprehensive Hip and Knee Reconstruction Hip Biomechanics Roberto D. Calderon, M.D. Adult Reconstruction Preoperative Conference Foot & Ankle Indications Conference Hand Surgery Indications Conference Spine Case Conference Sports Medicine Journal Club with Dean Taylor, M.D. Sports Medicine Conference No Conference Will resume August 30, 2013 Basic Surgical Skills (for PGY 1 Residents) Casting/Splinting

6:15 7:15 A.M. 6:30 7:30 A.M. 6:30 7:30 A.M. 7:30 8:30 A.M. 7:45 8:45 A.M. 5:30 7:00 P.M.

1515 Duke North Radiology 1512 Duke North Radiology 2125 ASC Conference Room 107 Lenox Baker Childrens Hospital 2-2- Cancer Center 0101A Duke Clinic Bldg.

FRIDAY, August 23, 2013

6:15 7:15 A.M. 6:15 7:15 A.M. 6:30 7:30 A.M. 6:30 7:15 A.M. 6:30 7:30 A.M. 6:15 7:00 A.M. 7:00 9:00 A.M. 9:00 A.M. 1:00 P.M.

1515 Duke North Radiology 1515 Duke North Radiology 7663A HAFS Building, 7th Floor 2125 ASC Conference Room 1N07 Cancer Center Radiology Conference Room K-Lab, 101 Finch-Yeager Bldg. K-Lab, 101 Finch-Yeager Bldg. 0101A Duke Clinic Bldg.

NEXT WEEK MONDAY, August 26, 2013

Attending Orthopaedic Lecture Series Conference 6:30 7:30 A.M. What is the Evidence that the Evidence is Correct? Benjamin A. Alman, M.D. Spine Preop Conference 2nd and 4th 7:15 7:45 A.M. Foot and Ankle Conference Case Presentations Mark E. Easley, M.D. Hand and Upper Extremity Conference The Free Vascularized Fibular Graft Marc J. Richard, M.D. Musculoskeletal Radiology-Pathology Conference 6:30 7:30 A.M. 6:30 7:15 A.M. 7:30 8:30 A.M. 2002 Duke North Hospital 1512 Duke North Radiology 2125 ASC Conference Room 0400 North Pavilion, Lower Level 1512 Duke North Radiology

TUESDAY, August 27, 2013

ANNOUNCEMENTS
Visiting Professor Fracture Conference - Langdon A. Hartsock, M.D. will speak Wednesday, August 21, 2013 - Tobacco Road 6:30pm cocktails, 7:00 dinner. Proximal Humerus Fractures and Thursday August 22, 2013 Fracture Conference Locking Plates The 2013 AOA-North American Traveling Fellows will be visiting Duke Orthopaedic Surgery Wednesday, October 23 thru Thursday,. October 24, 2013; Fellows are John A. Grant, M.D., Ph.D., Carolyn M. Hettrich, M.D., MPH, Sanjeev Kakar, M.D., MRCS, Daniel J. Stinner, M.D. and Eric J. Strauss, M.D.

Durham, North Carolina 27710

REFERENCES GRAND ROUNDS CONFERENCE

Neuromuscular Scoliosis: Current Concepts Mohamad J. Halawi, M.D. 1. 2. 3. Drummond DS. Neuromuscular scoliosis: recent concepts. J Pediatr Orthop, 1996. 16(3): p. 281-3. McCarthy RE., Management of neuromuscular scoliosis. Orthop Clin North Am, 1999. 30(3):p 435-49 viii. Vialle RC. Thevenin-Lemoine and P. Mary. Neuromuscular scoliosis. Orthop Traumatol Surg Res, 2013. 99(1Suppl): p. S124-39

Management of the Terrible Triad Daniel J. Blizzard, M.D. 1. 2. 3. 4. 5. 6. Josefsson PO, Gentz CF, Johnell O, Wendeberg B. Dislocations of the elbow and intra-articular fractures. CORR.1989;246:126-30. Egol KA, Immerman I, Paksima N, Tejwani N, Koval KJ. Fracture-dislocation of the elbow functional outcome following treatment with a standardized protocol. Bull NYU Hosp Jt Dis. 2007;65:263-70 Forthman C, Henket M, Ring DC. Elbow dislocation with intra-articular fracture: the results of operative treatment without repair of the medial collateral ligament. JHS 2007;32:1200-9. ODriscoll SW, Morrey BF, Korinek S, An KN: Elbow subluxation and dislocation: A spectrum of instability. CORR 1992;280-186-197. Cohen MS: Fractures of the coronoid process. Hand Clin 2004;20:443-453. ODriscoll SW, Jupiter JB, King GJ, Hotchkiss RN, Morrey BF: The unstable elbow. Instr Course Lect 2001;50;89-102.

Radiation-Induced Pathologic Fracture Mitchell R. Klement, M.D. 1. 2. 3. 4. 5. 6. Lin PP, Schupak KD, Boland PJ, Brennan MF, Healey JH. Pathologic femoral fracture after periosteal excision and radiation for the treatment of soft tissue sarcoma. Cancer 1998;82:2356-2365. Gortzak Y, Lockwood GA, Mahendra A et al. Prediction of pathologic fracture risk of the femur after combined modality treatment of soft tissue sarcoma of the thigh. Cancer 2010;116:1553-1559. Kim HJ, Healey JH, Morris CD, Boland PJ. Site-dependent replacement or internal fixation for post radiation femur fractures after soft tissue sarcoma resection. Clin Orthop Relat Res 2010;468:3035-3040. Cao X, Wu X, Frassica D, et al. Irradiation induces bone injury by damaging bone marrow microenvironment for stem cells. Proc Natl Acad Sci USA 2011;108:1609 -1614. Sternheim A, Saidi K, Lochab J, et al. Internal fixation of radiation-induced pathological fractures of the femur has a high rate of failure. Bone Joint J 2013;95-B:1144-8 Helmstedter CS, Goebel M, Zlotecki R, Scarborough MT: Pathologic fractures after surgery and radiation for soft tissue tumors. Clin Orthop Relat Res 2001;389:165-172.
DUKE NORTH HOSPITAL 2301 Erwin Road, Durham, NC 27710, 919.684.8111 Attending Orthopaedic Lecture Series Conference [2002, 2nd Floor] Spine Preop Conference [1512, 1st Floor] Musculoskeletal Radiology-Pathology Conference [1512, 1st Floor] Fracture/ Trauma Conference [1515, 1st Floor] Foot & Ankle Extremity Imaging Conference [1512-B2, 1st Floor] Comprehensive Hip & Knee Reconstruction Conference [1515, 1st Floor] Adult Reconstruction Preoperative Conference [1515, 1st Floor] Hand/Upper Extremity Radiology Conference [1512 1st Floor] Spine Radiology Conference [1526 Radiology Adm Suite] Operating Rooms [3rd Floor], 919.681.5155 NORTH PAVILION BLDG./ AMBULATORY SURGERY CENTER 2400 Pratt Street, Durham, NC 27705, 919.668.2000 Foot & Ankle Conference [2125, 2nd Floor] Hand & Upper Ext. Conference [0400, Lower Level] Hand Indications Conference [2125, 2nd Floor] Operating Rooms [2nd Floor], 919.668.2000 PG III PARKING North Pavilion (ASC)

PG II PARKING Duke North Hosp.

PG I PARKING Duke Clinic Bldg. LENOX BAKER CHILDRENS HOSP. 3000 Erwin Road, Durham, NC 27710 Pediatric Orthopaedic Clinic [1st Floor], 919.684.6669 Ortho. Pediatric and Journal Club Conference [107, 1st Floor]

DURHAM VA 508 Fulton Street, Durham, NC 27705, 919.286.0411 Orthopaedic Clinic E [1st Floor], 919.286.0411 ext. 6248 or 6249 Operating Rooms [4th Floor] FINCH-YEAGER BLDG. 300 Frank Bassett Drive, Durham, NC 27708 Sports Medicine Clinic [3rd Floor], 919.668.1402 Sports Medicine Journal Club Conference [101, 1st Floor] Sports Medicine Conference [101, 1st Floor]

BRYAN RESEARCH BLDG. Grand Rounds Conference [103, 1st Floor]

DUKE CLINIC BLDG. 200 Trent Drive, Durham, NC 27710, 919.684.8111 Main Clinic 1F [1st Floor, Yellow Zone], 919.684.5488 Adult Spine Clinic 1L [1st Floor, Purple Zone], 919.681.2929 Surgical Oncology Clinic 1A [1st Floor, White Zone], 919.660.1240 Hand & Upper Ext. Anatomy Lab [0101A, Basement, Purple Zone] Musculoskeletal Histopathology Conference [224, 2nd Floor, Green Zone] Basic Science Conference [0101A, Basement, Purple Zone]