ORTHOPAEDIC GRAND ROUNDS CONFERENCE

103 Bryan Research Building 7:00 8:00 A.M. PATIENT SAFETY CONFERENCE Dissociation Of Components With Attempted Reduction Of Dislocated THA Erika L. Templeton, M.D. Delayed Diagnosis Of Osteosarcoma After ACL Reconstruction Mitchell R. Klement, M.D. Missed Acute Volar DRUJ Dislocation Vasili Karas, 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 Templeton, Klement and Karas 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, September 4, 2013

WEDNESDAY, September 4, 2013

Hand and Upper Extremity Anatomy Lab 6:00 7:00 P.M. Joints of the Hand Fraser J .Leversedge, M.D. and Ilvy H. Cotterell, M.D. Attention Residents: Absolute Stability and ExFix Lab at G2B on Shannon Road 6:30 P.M. 0101A Duke Clinic Bldg.

THURSDAY, September 5, 2013

Fracture/ Trauma Conference 6:15 7:15 A.M. Basic Science and Biomechanical Consideration for Fracture Healing Philip N. Horne, M.D. Hand/ Upper Extremity Radiology Conference [1st] 6:30 7:30 A.M. Foot and Ankle MRI Conference [2ND and 4th] 6:30 7:30 A.M. Orthopaedic Pediatric and Journal Club Conference 7:30 8:30 A.M. Musculoskeletal Histopathology Conference 7:45 8:45 A.M. Orthopaedic Basic Science Conference 5:30 7:00 P.M. OITE Review - Hand Comprehensive Hip and Knee Reconstruction Gait Analysis/YBT Robin Queen, Ph.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 Pre-Participation PE/Cardiac Nic Phillips, M.D. Basic Surgical Skills (for PGY 1 Residents) Shoulder Anatomy 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 1512 Duke North Radiology 2125 ASC Conference Room 107 Lenox Baker Childrens Hospital 2-2 Cancer Center 0101A Duke Clinic Bldg.

FRIDAY, September 6, 2013

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, September 9, 2013

Attending Orthopaedic Lecture Series Conference TL SpineTrauma Christopher R. Brown, M.D. Spine Preop Conference 2nd and 4th Foot and Ankle Conference Adult Acquired Flatfoot James A. Nunley, M.D. Hand and Upper Extremity Conference Neurological Evaluation EMG/NCVs Vern C. Juel. M.D. Musculoskeletal Radiology-Pathology Conference 6:30 7:30 A.M. 7:15 7:45 A.M. 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, September 10, 2013

ANNOUNCEMENTS
Hip Preservation of the Young Hip from Arthroscopy to Arthroplasty Human Fresh Tissue Lab, September 7, 2013 , 7:30a.m. hosted by Dr. Steven A. Olson 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. Pediatric Orthopaedic Guest Lecturer, Grand Rounds Conference, Wednesday, October 30, 2013: John Herzenberg, M.D., The Rubin Institute for Advanced Orthopaedics, Director of International Center for Limb Lengthening and Director of Pediatric Orthopaedics both at Sinai Hospital of Baltimore

Durham, North Carolina 27710

REFERENCES GRAND ROUNDS CONFERENCE

Dissociation of Components with Attempted Reduction of Dislocated THA Erka L. Templeton, M.D. 1. 2. 3. 4. 5. Dangles CJ, Altstetter CJ. Failure of the Modular Neck in a Total Hip Arthroplasty. J Arthroplasty Skendzel JG, Blaha JD, Urquhart AG. Total Hip Arthroplasty Modular Neck Failure J Arthroplasty Grupp TM, Weik T, Bloemer W, Knaebel HP. Modular Titanium Alloy Neck Adapter Failures in Hip Replacement Failure Mode Analysis and Influence of Implant Materiala. BMC Musculskelet Disord. 2010;11:3. Wilson DA, Dunbar MJ, Amirault JD, Farhat Z. Early Failure of a Modular Femoral Neck Total Hip Arthroplasty Component: A Care Report. J Bone Joint Surg Am. 2010;6:1514-1517. Sporer SM, et al. A case of disassociation of a Modular Femoral Neck Trunion after Total Hip Arthroplasty. J Arthroplasty. 2006: 6:918-921.

Delayed Diagnosis of Osteosarcoma After ACL Reconstruction Mitchell R. Klement, M.D. Ayerza MA, Muscolo DL, Aponte-Tinao LA, Farfalli G. Effect of Erroneous Surgical Procedures on Recurrence and Survival Rates for Patients with Osteosarcoma. Clinical Orthopaedics and Related Research. Nov 2006;452:231-235. 2. Jeon DG, Lee SY, Kim JW. Bone Primary Sarcomas Undergone Unplanned Intralesional Procedures The Possibility of Limb Salvage and Their Oncologic Results. Journal of Surgical Oncology. Dec 1 2006;94(7):592-598. 3. Kim MS, Lee SY, Cho WH, et al. Prognostic Effects of Doctor-Associated Diagnostic Delays in Osteosarcoma. Archives of Orthopaedic and Trauma Surgery. Octr 2009;129(10):1421-1425 4. Sanders TG, Medynski MA, Feller JF, Lawhorn KW. Bone Contusion Patterns of the Knee at MR Imaging: Footprint of the Mechanism of Injury. Radiographics: A review Publication of the Radiological Society of North America, Inc. Oct 2000;20 Spec No:S125-151. 5. Suresh S, Saifuddin A. Radiological Appearances of Appendicular Osteosarcoma: A Comprehensive Pictorial Review. C lnical Radiology. Apr 2007;62(4):314-323. Missed Acute Volar DRUJ Dislocation Vasili Karas, M.D. 1. 2. 3. 4. 5. Bruckner LJD, Lichtman DM, Alexander AH: Complex dislocations of the distal radioulnar joint : recognition and management. Clin Orthop 275:90-103, 1992 Dameron Jr. TB: Traumatic dislocation of the distal radio-ulnar joint. Clin Orthop 83:55-63, 1972. Goldfarb CA, Yin Y, Gilula LA, et al: Wrist fractures: What the Clinician Wants to Know 1. Radiology 219(1):11-28, 2001 Kumar A, Iqbal M: Missed Isolated Volar Dislocation of Distal Radio-ulnar joint: a case report. J Emerg Med 17(5):873-875, 1999 Mittal R, Kulkarni R, Subsposh SY, et al: Isolated volar dislocation of distal radioulnar joint: how easy to miss! European Journal of Emergency Medicine 11(2):113-116, 2004.
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)

1.

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 st Orthopaedic Clinic E [1 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]