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1 Note: Page numbers of article titles are in boldface type. A AAOS. See American Academy of Orthopaedic Surgeons (AAOS) ACA. See Affordable Care Act (ACA) ACL injuries. See Anterior cruciate ligament (ACL) injuries ACOs. See Affordable care organizations (ACOs) Acromioclavicular injuries in pediatric athletes, Adolescent(s) ACL injuries in, (See also Anterior cruciate ligament (ACL) injuries, in children and adolescents) Affordable Care Act (ACA) on assessing quality in care delivery, on cost containment, described, sustainability of, 650 Affordable care organizations (ACOs) in bundled care market, bundled pricing and, (See also Bundled pricing) American Academy of Orthopaedic Surgeons (AAOS) reliability of care in orthopedic surgery, 691 clinical practice guidelines, 694 Anesthesia/anesthetics in infection control after TJA, 666 in LOS determination after TJA, Ankle stress fractures of in athletes, (See also Foot and ankle stress fractures, in athletes) Anterior cruciate ligament (ACL) injuries anatomy related to, in children and adolescents, diagnosis of, 778 evaluation of, 778 introduction, 777 treatment of, author s preferred, delayed surgical, nonoperative, rehabilitation after, 784 surgical, surgical outcomes, Anterior instability of shoulder in pediatric athletes, Antibiotic bone cement in infection control after TJA, 666 Arthroplasty procedures bundle payment service line for, total hip total joint (See Total joint arthroplasty (TJA)) total knee Articular cartilage biology of, Athlete(s) child (See Child athletes) Little League elbow in, (See also Little League elbow, in athletes) OCD of elbow in, pediatric OCD lesions of knee in, (See also Osteochondritis dissecans (OCD) lesions, of knee, in pediatric athletes) shoulder injuries in, (See also Shoulder injuries, in pediatric athletes) thumb ligament injuries, (See also Thumb ligament injuries, in athletes) tibial stress fractures in, (See also Tibial stress fractures, in athletes) ulnar-sided wrist pain in, (See also Ulnar-sided wrist pain, in athletes) B Big data, challenges related to for patient and provider, data types, EMRs and, ideal use of, introduction, large datasets overview of, problems related to, differentiating data and information, 726 introduction, strengths of for patient and provider, Orthop Clin N Am 47 (2016) /16/$ see front matter

2 824 Big (continued ) understanding comparative effectiveness research in orthopedics, Big data big business, Big data measurements in orthopedics macro-perspective on, Big data registries, discharge databases, international databases, 718 Medicare claims data, NSQIP, 719 Big data research model for, 722 Blood management in LOS determination after TJA, Blood transfusions postoperative infections after TJA related to, Bone stimulators in foot and ankle stress fracture management in athletes, 819 BPCI. See Bundle Payment Care Initiative (BPCI) Bundled pricing ACOs and, defining, determining length of episode in, 710 gainsharing and, historical perspective on, 708 introduction, patient care pathways development in, 711 payment models in, 714 for postacute care, 711 price determination in, Bundle Payment Care Initiative (BPCI) described, 708 length of episode determination by, 710 pricing the bundle, Bundle payment service line for arthroplasty procedures, C Calcaneus stress fractures in athletes, Calcium in foot and ankle stress fracture management in athletes, Child athletes elbow and wrist injuries in, (See also specific injury) OCD lesions of knee in, (See also Osteochondritis dissecans (OCD) lesions, of knee, in pediatric athletes) shoulder injuries in, (See also Shoulder injuries, in pediatric athletes) Children ACL injuries in, (See also Anterior cruciate ligament (ACL) injuries, in children and adolescents) Clavicle fractures in pediatric athletes, Communication in PCC in TJR, Comparative effectiveness research in orthopedics big data in understanding, Cost containment ACA on, D Data big, (See also Big data) Dental procedures after TJA infection control procedures related to, Diabetes infections after TJA related to, 662 Discharge databases, Distal clavicle injuries in pediatric athletes, E ECU tendinitis. See Extensor carpi ulnaris (ECU) tendinitis Elbow injuries in athletes, (See also specific injuries) OCD in athletes, Electronic medical records (EMRs) big data and, EMRs. See Electronic medical records (EMRs) Extensor carpi ulnaris (ECU) subluxation of in athletes, Extensor carpi ulnaris (ECU) tendinitis in athletes, Extracorporeal shock wave therapy in foot and ankle stress fracture management in athletes, 819 F Fibular stress fractures in athletes, Foot and ankle stress fractures in athletes, calcaneus stress fractures, causes of, epidemiology of, 809

3 825 fibular stress fractures, high-risk, imaging of, 810 introduction, low-risk, medial malleolar stress fractures, metatarsal shaft stress fractures, 812 navicular stress fractures, pathogenesis of, patient history in, 810 physical examination of, 810 proximal fifth metatarsal stress fractures, sesamoid stress fractures, talus stress fractures, 816 treatment of, Fracture(s). See also specific types clavicle in pediatric athletes, hamate hook in athletes, pisiform in athletes, 790 proximal humerus in pediatric athletes, 756 stress foot and ankle in athletes, (See also Foot and ankle stress fractures, in athletes) tibial in athletes, (See also Tibial stress fractures, in athletes) G Gainsharing bundled pricing and, Gymnast wrist, H Hamate hook fractures in athletes, Health care reform impact on total joint replacement, (See also Affordable Care Act (ACA)) HHS. See Hypothenar hammer syndrome (HHS) Hospital for Special Surgery (HSS) service line, 686 HSS. See Hospital for Special Surgery (HSS) Hypothenar hammer syndrome (HHS) in athletes, I Infection(s) after TJA management of, (See also Total joint arthroplasty (TJA), infection control after) minimizing risk for in LOS determination, 655 International databases, 718 J JCAHO. See Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) reliability of care in orthopedic surgery, 691 K Knee OCD lesions of in pediatric athletes, (See also Osteochondritis dissecans (OCD) lesions, of knee, in pediatric athletes) L LAF systems. See Laminar air flow (LAF) systems Laminar air flow (LAF) systems in infection control after TJA, Length of episode determination of in bundle payment service line, 710 Length of stay (LOS) after THA patient activation in, 657 postoperative management as factor in, urinary catheterization as factor in, 656 for TJA, anesthesia modality and blood management in, factors affecting, 654 fast track pathways, 654 minimizing risk of postoperative infection in, 655 nutritional status assessment in, 655 preoperative education in, tranexamic acid as factor in, 656 Little League elbow in athletes, described, 743 imaging of, 745 lateral injuries, 744 medial injuries, posterior injuries, treatment of, 745 Little League shoulder, LOS. See Length of stay (LOS)

4 826 Lunotriquetral ligament tears in athletes, 794 M Medial malleolar stress fractures in athletes, Medicare claims data, Metatarsal shaft stress fractures in athletes, 812 Multidirectional instability of shoulder in pediatric athletes, Musculoskeletal service line, building of, components of, defined, 682 introduction, maintaining, Musculoskeletal service line leaders current, HSS, 686 TRIA, N National Surgical Quality Improvement Program (NSQIP), 719 Navicular stress fractures in athletes, NSQIP. See National Surgical Quality Improvement Program (NSQIP) Nutritional status infections after TJA related to, in LOS determination for TJA, 655 O Obesity infections after TJA related to, 662 OCD. See Osteochondritis dissecans (OCD) Orthopedic surgery high reliability of care in, implementation requirements, introduction, operating room interventions in, AAOS protocols, 691 JCAHO on, 691 surgical safety checklist outcomes, Universal Protocol on, WHO on, 693 scope of the problem, 690 PCC in, 698 Osteochondritis dissecans (OCD) of elbow in athletes, Osteochondritis dissecans (OCD) lesions of knee in pediatric athletes, arthroscopic appearance of, biology of articular cartilage and subchondral bone in, causes of, clinical presentation of, 765 diagnosis of, evaluation of, imaging of, introduction, 763 patient history in, treatment of, Overuse injuries of shoulder in pediatric athletes, 750 Overuse syndromes in pediatric athletes, P Patient activation in LOS determination after THA, 657 Patient and family as partners in care in PCC in TJR, Patient-centered care (PCC) benefits of, 698 defined, 698 in orthopedic surgery, 698 in TJR, communication in, introduction, patient and family as partners in care in, patient satisfaction in, shared decision making in, Patient satisfaction in PCC in TJR, PCC. See Patient-centered care (PCC) Pisiform fractures in athletes, 790 Proximal fifth metatarsal stress fractures in athletes, Proximal humerus fractures in pediatric athletes, 756 Q Quality in care delivery ACA on, S Sesamoid stress fractures in athletes, Shared decision making in PCC in TJR,

5 827 Shoulder anatomy of, anterior instability of in pediatric athletes, Little League, traumatic injuries of in pediatric athletes, 756 Shoulder injuries in pediatric athletes, anterior instability, clavicle fractures, distal clavicle and acromioclavicular injuries, introduction, multidirectional instability, overuse injuries, 750 overuse syndromes, proximal humerus fractures, 756 sternoclavicular injuries, 759 traumatic injuries, 756 Smoking infections after TJA related to, Sternoclavicular injuries in pediatric athletes, 759 Stress fractures foot and ankle in athletes, (See also Foot and ankle stress fractures, in athletes) Subchondral bone biology of, Subluxation of ECU in athletes, T Talus stress fractures in athletes, 816 Tendinitis ECU in athletes, TFCC injuries. See Triangular fibrocartilage complex (TFCC) injuries THA. See Total hip arthroplasty (THA) 30-day readmission after TJA reducing, (See also Total joint arthroplasty (TJA), 30-day readmission after, reducing) Thumb carpometacarpal joint dislocation in athletes, Thumb interphalangeal joint injuries in athletes, 805 Thumb ligament injuries in athletes, introduction, 799 thumb carpometacarpal joint dislocation, thumb interphalangeal joint injuries, 805 thumb metacarpophalageal joint UCL injuries, thumb metacarpophalangeal joint dislocation, 801 thumb RCL injuries, Thumb metacarpophalageal joint UCL injuries in athletes, Thumb metacarpophalangeal joint dislocation in athletes, 801 Thumb radial collateral ligament (RCL) injuries in athletes, Tibial stress fractures in athletes, causes of, 733 differential diagnosis of, 735 evaluation of patient history in, 734 physical examination in, imaging of, incidence of, 733 introduction, site-specific, 734 treatment of, TJA. See Total joint arthroplasty (TJA) TJR. See Total joint replacement (TJR) TKA. See Total knee arthroplasty (TKA) Total hip arthroplasty (THA) Total joint arthroplasty (TJA) costs of, infection control after, airborne bacteria control in, 665 anesthesia measures in, 666 antibiotic bone cement in, 666 blood transfusions related, dental procedures related, intraoperative measures in, introduction, LAF systems in, postoperative measures in, preoperative measures in, prophylactic antibiotics in, skin preparation in, traffic control in operating room in, 665 wound drainage related, 667 prevalence of, 707 reducing LOS for, (See also Length of stay (LOS), for TJA) 30-day readmission after economic scope of, 674 increased rates of risk factors related to, reducing, approaches to, future directions in, introduction,

6 828 Total joint replacement (TJR) health care reform impact on, (See also Affordable Care Act (ACA)) introduction, PCC in, (See also Patient-centered care (PCC), in TJR) Total knee arthroplasty (TKA) Tranexamic acid as factor in LOS after TJA, 656 Triangular fibrocartilage complex (TFCC) injuries in athletes, TRIA service line, U UCL injuries. See Ulnar collateral ligament (UCL) injuries Ulnar collateral ligament (UCL) injuries thumb metacarpophalageal joint in athletes, Ulnar-sided wrist pain in athletes, ECU tendinitis, hamate hook fractures, HHS, introduction, 789 lunotriquetral ligament tears, 794 pisiform fractures, 790 subluxation of ECU, TFCC injuries, ulnocarpal impaction syndrome, Ulnocarpal impaction syndrome in athletes, Universal Protocol reliability of care in orthopedic surgery, Urinary catheterization as factor in LOS after TJA, 656 U.S. health care system historical background of, V Vitamin D in foot and ankle stress fracture management in athletes, W WHO. See World Health Organization (WHO) World Health Organization (WHO) reliability of care in orthopedic surgery, 693 Wound drainage postoperative infections after TJA related to, 667 Wrist injuries in athletes, (See also specific injuries) gymnast wrist, Wrist pain ulnar-sided in athletes,

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