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, 758 759 Adolescent(s) ACL injuries in, 777 788 (See also Anterior cruciate ligament (ACL) injuries, in children and adolescents) Affordable Care Act (ACA) on assessing quality in care delivery, 646 648 on cost containment, 648 650 described, 645 646 sustainability of, 650 Affordable care organizations (ACOs) in bundled care market, 711 712 bundled pricing and, 707 716 (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, 655 656 Ankle stress fractures of in athletes, 809 822 (See also Foot and ankle stress fractures, in athletes) Anterior cruciate ligament (ACL) injuries anatomy related to, 777 778 in children and adolescents, 777 788 diagnosis of, 778 evaluation of, 778 introduction, 777 treatment of, 778 785 author s preferred, 780 784 delayed surgical, 778 779 nonoperative, 778 779 rehabilitation after, 784 surgical, 779 780 surgical outcomes, 784 785 Anterior instability of shoulder in pediatric athletes, 752 755 Antibiotic bone cement in infection control after TJA, 666 Arthroplasty procedures bundle payment service line for, 708 709 total hip total joint (See Total joint arthroplasty (TJA)) total knee Articular cartilage biology of, 764 765 Athlete(s) child (See Child athletes) Little League elbow in, 743 745 (See also Little League elbow, in athletes) OCD of elbow in, 745 746 pediatric OCD lesions of knee in, 763 775 (See also Osteochondritis dissecans (OCD) lesions, of knee, in pediatric athletes) shoulder injuries in, 749 762 (See also Shoulder injuries, in pediatric athletes) thumb ligament injuries, 799 807 (See also Thumb ligament injuries, in athletes) tibial stress fractures in, 733 741 (See also Tibial stress fractures, in athletes) ulnar-sided wrist pain in, 789 798 (See also Ulnar-sided wrist pain, in athletes) B Big data, 717 724 challenges related to for patient and provider, 728 729 data types, 726 727 EMRs and, 729 730 ideal use of, 720 721 introduction, 717 718 large datasets overview of, 726 727 problems related to, 725 732 differentiating data and information, 726 introduction, 725 726 strengths of for patient and provider, 728 729 Orthop Clin N Am 47 (2016) 823 828 http://dx.doi.org/10.1016/s0030-5898(16)30098-0 0030-5898/16/$ see front matter
824 Big (continued ) understanding comparative effectiveness research in orthopedics, 727 728 Big data big business, 717 718 Big data measurements in orthopedics macro-perspective on, 721 722 Big data registries, 718 720 discharge databases, 719 720 international databases, 718 Medicare claims data, 718 719 NSQIP, 719 Big data research model for, 722 Blood management in LOS determination after TJA, 655 656 Blood transfusions postoperative infections after TJA related to, 666 667 Bone stimulators in foot and ankle stress fracture management in athletes, 819 BPCI. See Bundle Payment Care Initiative (BPCI) Bundled pricing ACOs and, 707 716 defining, 709 710 determining length of episode in, 710 gainsharing and, 712 714 historical perspective on, 708 introduction, 707 708 patient care pathways development in, 711 payment models in, 714 for postacute care, 711 price determination in, 710 711 Bundle Payment Care Initiative (BPCI) described, 708 length of episode determination by, 710 pricing the bundle, 710 711 Bundle payment service line for arthroplasty procedures, 708 709 C Calcaneus stress fractures in athletes, 811 812 Calcium in foot and ankle stress fracture management in athletes, 818 819 Child athletes elbow and wrist injuries in, 743 748 (See also specific injury) OCD lesions of knee in, 763 775 (See also Osteochondritis dissecans (OCD) lesions, of knee, in pediatric athletes) shoulder injuries in, 749 762 (See also Shoulder injuries, in pediatric athletes) Children ACL injuries in, 777 788 (See also Anterior cruciate ligament (ACL) injuries, in children and adolescents) Clavicle fractures in pediatric athletes, 757 758 Communication in PCC in TJR, 700 701 Comparative effectiveness research in orthopedics big data in understanding, 727 728 Cost containment ACA on, 648 650 D Data big, 717 724 (See also Big data) Dental procedures after TJA infection control procedures related to, 667 668 Diabetes infections after TJA related to, 662 Discharge databases, 719 720 Distal clavicle injuries in pediatric athletes, 758 759 E ECU tendinitis. See Extensor carpi ulnaris (ECU) tendinitis Elbow injuries in athletes, 743 748 (See also specific injuries) OCD in athletes, 745 746 Electronic medical records (EMRs) big data and, 729 730 EMRs. See Electronic medical records (EMRs) Extensor carpi ulnaris (ECU) subluxation of in athletes, 795 796 Extensor carpi ulnaris (ECU) tendinitis in athletes, 794 795 Extracorporeal shock wave therapy in foot and ankle stress fracture management in athletes, 819 F Fibular stress fractures in athletes, 810 811 Foot and ankle stress fractures in athletes, 809 822 calcaneus stress fractures, 811 812 causes of, 809 810 epidemiology of, 809
825 fibular stress fractures, 810 811 high-risk, 812 818 imaging of, 810 introduction, 809 810 low-risk, 810 812 medial malleolar stress fractures, 812 813 metatarsal shaft stress fractures, 812 navicular stress fractures, 813 816 pathogenesis of, 809 810 patient history in, 810 physical examination of, 810 proximal fifth metatarsal stress fractures, 817 818 sesamoid stress fractures, 816 817 talus stress fractures, 816 treatment of, 818 819 Fracture(s). See also specific types clavicle in pediatric athletes, 757 758 hamate hook in athletes, 789 790 pisiform in athletes, 790 proximal humerus in pediatric athletes, 756 stress foot and ankle in athletes, 809 822 (See also Foot and ankle stress fractures, in athletes) tibial in athletes, 733 741 (See also Tibial stress fractures, in athletes) G Gainsharing bundled pricing and, 712 714 Gymnast wrist, 746 747 H Hamate hook fractures in athletes, 789 790 Health care reform impact on total joint replacement, 645 652 (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, 790 791 I Infection(s) after TJA management of, 661 671 (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, 763 775 (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, 665 666 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, 656 657 urinary catheterization as factor in, 656 for TJA, 653 660 anesthesia modality and blood management in, 655 656 factors affecting, 654 fast track pathways, 654 minimizing risk of postoperative infection in, 655 nutritional status assessment in, 655 preoperative education in, 654 655 tranexamic acid as factor in, 656 Little League elbow in athletes, 743 745 described, 743 imaging of, 745 lateral injuries, 744 medial injuries, 743 744 posterior injuries, 744 745 treatment of, 745 Little League shoulder, 750 752 LOS. See Length of stay (LOS)
826 Lunotriquetral ligament tears in athletes, 794 M Medial malleolar stress fractures in athletes, 812 813 Medicare claims data, 718 719 Metatarsal shaft stress fractures in athletes, 812 Multidirectional instability of shoulder in pediatric athletes, 755 756 Musculoskeletal service line, 681 688 building of, 683 685 components of, 682 683 defined, 682 introduction, 681 682 maintaining, 685 686 Musculoskeletal service line leaders current, 686 687 HSS, 686 TRIA, 686 687 N National Surgical Quality Improvement Program (NSQIP), 719 Navicular stress fractures in athletes, 813 816 NSQIP. See National Surgical Quality Improvement Program (NSQIP) Nutritional status infections after TJA related to, 662 663 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, 689 595 implementation requirements, 690 691 introduction, 689 690 operating room interventions in, 691 694 AAOS protocols, 691 JCAHO on, 691 surgical safety checklist outcomes, 693 694 Universal Protocol on, 691 693 WHO on, 693 scope of the problem, 690 PCC in, 698 Osteochondritis dissecans (OCD) of elbow in athletes, 745 746 Osteochondritis dissecans (OCD) lesions of knee in pediatric athletes, 763 775 arthroscopic appearance of, 767 768 biology of articular cartilage and subchondral bone in, 764 765 causes of, 763 764 clinical presentation of, 765 diagnosis of, 765 768 evaluation of, 765 768 imaging of, 765 767 introduction, 763 patient history in, 763 764 treatment of, 768 773 Overuse injuries of shoulder in pediatric athletes, 750 Overuse syndromes in pediatric athletes, 750 752 P Patient activation in LOS determination after THA, 657 Patient and family as partners in care in PCC in TJR, 701 703 Patient-centered care (PCC) benefits of, 698 defined, 698 in orthopedic surgery, 698 in TJR, 697 706 communication in, 700 701 introduction, 697 698 patient and family as partners in care in, 701 703 patient satisfaction in, 699 700 shared decision making in, 703 704 Patient satisfaction in PCC in TJR, 699 700 PCC. See Patient-centered care (PCC) Pisiform fractures in athletes, 790 Proximal fifth metatarsal stress fractures in athletes, 817 818 Proximal humerus fractures in pediatric athletes, 756 Q Quality in care delivery ACA on, 646 648 S Sesamoid stress fractures in athletes, 816 817 Shared decision making in PCC in TJR, 703 704
827 Shoulder anatomy of, 749 750 anterior instability of in pediatric athletes, 752 755 Little League, 750 752 traumatic injuries of in pediatric athletes, 756 Shoulder injuries in pediatric athletes, 749 762 anterior instability, 752 755 clavicle fractures, 757 758 distal clavicle and acromioclavicular injuries, 758 759 introduction, 749 750 multidirectional instability, 755 756 overuse injuries, 750 overuse syndromes, 750 752 proximal humerus fractures, 756 sternoclavicular injuries, 759 traumatic injuries, 756 Smoking infections after TJA related to, 662 663 Sternoclavicular injuries in pediatric athletes, 759 Stress fractures foot and ankle in athletes, 809 822 (See also Foot and ankle stress fractures, in athletes) Subchondral bone biology of, 764 765 Subluxation of ECU in athletes, 795 796 T Talus stress fractures in athletes, 816 Tendinitis ECU in athletes, 794 795 TFCC injuries. See Triangular fibrocartilage complex (TFCC) injuries THA. See Total hip arthroplasty (THA) 30-day readmission after TJA reducing, 673 680 (See also Total joint arthroplasty (TJA), 30-day readmission after, reducing) Thumb carpometacarpal joint dislocation in athletes, 799 801 Thumb interphalangeal joint injuries in athletes, 805 Thumb ligament injuries in athletes, 799 807 introduction, 799 thumb carpometacarpal joint dislocation, 799 801 thumb interphalangeal joint injuries, 805 thumb metacarpophalageal joint UCL injuries, 801 804 thumb metacarpophalangeal joint dislocation, 801 thumb RCL injuries, 804 805 Thumb metacarpophalageal joint UCL injuries in athletes, 801 804 Thumb metacarpophalangeal joint dislocation in athletes, 801 Thumb radial collateral ligament (RCL) injuries in athletes, 804 805 Tibial stress fractures in athletes, 733 741 causes of, 733 differential diagnosis of, 735 evaluation of patient history in, 734 physical examination in, 734 735 imaging of, 735 736 incidence of, 733 introduction, 733 734 site-specific, 734 treatment of, 736 740 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, 707 708 infection control after, 661 671 airborne bacteria control in, 665 anesthesia measures in, 666 antibiotic bone cement in, 666 blood transfusions related, 666 667 dental procedures related, 667 668 intraoperative measures in, 663 666 introduction, 661 662 LAF systems in, 665 666 postoperative measures in, 666 668 preoperative measures in, 662 663 prophylactic antibiotics in, 664 665 skin preparation in, 663 664 traffic control in operating room in, 665 wound drainage related, 667 prevalence of, 707 reducing LOS for, 653 660 (See also Length of stay (LOS), for TJA) 30-day readmission after economic scope of, 674 increased rates of risk factors related to, 674 676 reducing, 673 680 approaches to, 676 677 future directions in, 677 678 introduction, 673 674
828 Total joint replacement (TJR) health care reform impact on, 645 652 (See also Affordable Care Act (ACA)) introduction, 645 646 PCC in, 697 706 (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, 792 793 TRIA service line, 686 687 U UCL injuries. See Ulnar collateral ligament (UCL) injuries Ulnar collateral ligament (UCL) injuries thumb metacarpophalageal joint in athletes, 801 804 Ulnar-sided wrist pain in athletes, 789 798 ECU tendinitis, 794 795 hamate hook fractures, 789 790 HHS, 790 791 introduction, 789 lunotriquetral ligament tears, 794 pisiform fractures, 790 subluxation of ECU, 795 796 TFCC injuries, 792 793 ulnocarpal impaction syndrome, 793 794 Ulnocarpal impaction syndrome in athletes, 793 794 Universal Protocol reliability of care in orthopedic surgery, 691 693 Urinary catheterization as factor in LOS after TJA, 656 U.S. health care system historical background of, 645 646 V Vitamin D in foot and ankle stress fracture management in athletes, 818 819 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, 743 748 (See also specific injuries) gymnast wrist, 746 747 Wrist pain ulnar-sided in athletes, 789 798