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ORTHOPAEDIC GRAND ROUNDS - K-Lab - Duke University

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<strong>ORTHOPAEDIC</strong> <strong>GRAND</strong> <strong>ROUNDS</strong> CONFERENCE<br />

Wednesday, August 17, 2011<br />

103 Bryan Research Building<br />

7:00 – 8:00 A.M.<br />

LEGG-CALVE-PERTHES DISEASE – Braden K. Mayer, M.D.<br />

PEDIATRAIC LATERAL HUMERAL CONDYLAR FRACTURES - Christopher R. Jones, M.D.<br />

OCCUPATIONAL RADIATION EXPOSURE and the <strong>ORTHOPAEDIC</strong> SURGEON - Norah A. Foster, M.D.<br />

The <strong>Duke</strong> <strong>University</strong> School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical<br />

education for physicians. The <strong>Duke</strong> <strong>University</strong> 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<br />

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<br />

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<br />

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 long0030@mc.duke.edu or (919)<br />

684-3170.<br />

Doctors B. Mayer, Jones and Foster have indicated that they have no financial/professional relationships with the manufacturers of commercial products/services that may be discussed in this CME activity.<br />

WEDNESDAY, August 17, 2011<br />

Hand and Upper Extremity Anatomy <strong>Lab</strong> 6:00 – 7:00 P.M. 0101A <strong>Duke</strong> Clinic Bldg.<br />

Surgical Skills: Distal Radius Fracture Repair – David S. Ruch, M.D. and Suhail K. Mithani, M.D.<br />

THURSDAY, August 18, 2011<br />

Fracture/ Trauma Conference 6:15-7:15 A.M. 1515 <strong>Duke</strong> North Radiology<br />

Trauma Study and Protocol Update<br />

Hand/ Upper Extremity Radiology Conference [2 nd ] 6:30 – 7:30 A.M. 1512 <strong>Duke</strong> North Radiology<br />

Orthopaedic Pediatric and Journal Club 7:30 – 8:30 A.M. 107 Lenox Baker Children’s Hospital<br />

Musculoskeletal Histopathology Conference 8:00 A.M. Markee 224, <strong>Duke</strong> Clinic Bldg., Green Zone<br />

Foot and Ankle Extremity Imaging Conference [2 nd & 4 th ] 4:00 – 5:00 P.M. 1512-B2 <strong>Duke</strong> North Radiology<br />

Orthopaedic Basic Science Conference 5:30 – 7:00 P.M. 0101A <strong>Duke</strong> Clinic Bldg.<br />

Benign and Malingnant Chondral Lesions – Brian E. Brigman, M.D.<br />

FRIDAY, August 19, 2011<br />

Comprehensive Hip and Knee Reconstruction 6:15 – 7:15 A.M. 1515 <strong>Duke</strong> North Radiology<br />

Native Knee Anatomy and Biomechanics – Samuel S. Wellman, M.D.<br />

Adult Reconstruction Preoperative Conference 6:15 – 7:15 A.M. 1515 <strong>Duke</strong> North Radiology<br />

Hand Surgery Indications Conference 6:30 – 7:30 A.M. 2125 ASC Conference Room<br />

Spine Radiology Conference 6:45 – 7:30 A.M. 1526 <strong>Duke</strong> North Radiology Adm. Suite<br />

Sports Medicine Journal Club with Dean Taylor, M.D. 6:15 – 7:00 A.M. K-<strong>Lab</strong>, 101 Finch-Yeager Bldg.<br />

Sports Medicine Conference 7:00 – 9:00 A.M. K-<strong>Lab</strong>, 101 Finch-Yeager Bldg.<br />

No Conference<br />

NEXT WEEK<br />

MONDAY, August 22, 2011<br />

Attending Orthopaedic Lecture Series 6:30 – 7:30 A.M. 2002 <strong>Duke</strong> North Hospital<br />

Hand Infections – Richard D. Goldner, M.D.<br />

Spine Preop Conference 7:30 – 8:00 A.M. 1512 <strong>Duke</strong> North Radiology<br />

TUESDAY, August 23, 2011<br />

Foot and Ankle Conference 6:30 – 7:30 A.M. 2125 ASC Conference Room<br />

Case Presentations – Mark E. Easley, M.D.<br />

Hand and Upper Extremity Conference 6:30 – 7:30 A.M. 0400 North Pavilion, Lower Level<br />

Extensor Tendons: Injury, Repair, Graft – Marc J. Richard, M.D.<br />

Musculoskeletal Radiology-Pathology Conference 7:30 – 8:30 A.M. 1512 <strong>Duke</strong> North Radiology<br />

ANNOUNCEMENTS<br />

Durham, North Carolina 27710


LEGG-CALVE-PERTHES – Braden K. Mayer, M.D.<br />

REFERENCES – <strong>GRAND</strong> <strong>ROUNDS</strong> CONFERENCE<br />

1. Herring JA, Kim HT, Browne R: Legg-Calve –Perthes Disease. Part I. Classificaiton of Radiogrphs with use of the Modified Lateral Pillar and Stulberg<br />

Classifications. J Bone Joint Surg Am 2004;96(10):2103-2120.<br />

2. Herring JA, Kim HT, Brown R: Legg-Calve-Perthes Disease: Part II. Prospective Multicenter Study of the Effect of Treatment on Outcome. J Bone Joint<br />

Surg Am 2004;86(10):2121-2134.<br />

3. Wiig O, Terjesen T, Svenningsen S: Prognostic Factors and Outcome of Treatment in Perthes Disease: A Prospective Study of 368 patients with Five-<br />

Year Follow-up. J Bone Joint Surg Br 2008;90(10):1364-1371.<br />

4. Kim HT: Legg-Calve-Perthes Disease. J Am Acad Orthop Surg 2010;18:676-686.<br />

5. Grzegorzewski A, Bowen JR, Guille JT, Clutting J: Treatment of the Collapsed Femoral Head by Containment in Legg-Calve Perthes Disease. J Pediatri<br />

Orthop 2003;23(1):15-19.<br />

PEDIATRIC LATERAL HUMERAL CONDYLAR FRACTURES – Christopher R. Jones, M.D.<br />

1. Tejwani N, D Phillips, et al. (2011). Management of Lateral Humeral Condylar Fracture in Children. J Am Acad Orthop Surg 19(6):350-358.<br />

2. Song KS, CH Kang, et al. (2007). Internal Oblique Radiographs for Diagnosis of Nondisplaced or Minimally Displaced Lateral Condylar Fractures of the<br />

Humerus in Children. J Bone Joint Surg AM 89 (1):58-63.<br />

3. Jakob R, JV Fowles, et al. (1975). Observations Concerning Fractures of the Lateral Humeral Condyle in Children. J Bone Joint Surg Br 57(4):430-436.<br />

OCCUPATIONAL RADIATION and the <strong>ORTHOPAEDIC</strong> SURGEON – Norah A. Foster, M.D.<br />

1. <strong>Duke</strong> Univ Rare Book, Manuscript, and Special Collections Library: Edison Fears the Hidden Perils of the X-rays, New York World 8/3/1903, Durham NC<br />

2. NCRP 2009. Ionizing Radiation Exposure of the Population of the U.S. NCRP Report 160. The National Council on Radiation Protection and<br />

Measurements, Bethesda, MD.<br />

3. ICRP Draft Report for Consultation: Radiological Protection in Fluoroscopically Guided Procedures Performed outside the Imaging Dept. ICRP ref 4834-<br />

1783-0153. May 18, 2011. http://www.icrp.org/page.asp?id=126.<br />

4. Crawley, MT, Rogers AT. 2000. Dose-area Product Measurements in a Range of Common Orthopaedic Procedures and their Possible Use in<br />

Establishing Local Diagnostic Reference Levels. Br. J. Radio. 73, 740-744.<br />

5. ICRP 2007. The 2007 Recommendations of the International Commission on Radiological Protection. ICRP Publication 103, Ann. ICRP 37(2-4)<br />

6. ICRP 2011a, Statement on Tissue Reactions ICRP Ref. 4825-3093-1464.<br />

7. Radiation Exposure to the Hands and the Thyroid of the Surgeon During Intramedullary Nailing. Muller et al. 1998.<br />

DUKE NORTH HOSPITAL<br />

2301 Erwin Road, Durham, NC 27710, 919.684.8111<br />

Attending Orthopaedic Lecture Series Conference [2002, 2 nd Floor]<br />

Spine Preop Conference [1512, 1 st Floor]<br />

Musculoskeletal Radiology-Pathology Conference [1512, 1 st Floor]<br />

Fracture/ Trauma Conference [1515, 1 st Floor]<br />

Foot & Ankle Extremity Imaging Conference [1512-B2, 1 st Floor]<br />

Comprehensive Hip & Knee Reconstruction Conference [1515, 1 st Floor]<br />

Adult Reconstruction Preoperative Conference [1515, 1 st Floor]<br />

Hand/Upper Extremity Radiology Conference [1512 1 st Floor]<br />

Spine Radiology Conference [1526 Radiology Adm Suite]<br />

Operating Rooms [3 rd Floor], 919.681.5155<br />

NORTH PAVILION BLDG./ AMBULATORY SURGERY CENTER<br />

2400 Pratt Street, Durham, NC 27705, 919.668.2000<br />

Foot & Ankle Conference [2125, 2 nd Floor]<br />

Hand & Upper Ext. Conference [0400, Lower Level]<br />

Hand Indications Conference [2125, 2 nd Floor]<br />

Operating Rooms [2 nd Floor], 919.668.2000<br />

PG III PARKING<br />

North Pavilion (ASC)<br />

PG II PARKING<br />

<strong>Duke</strong> North Hosp.<br />

PG I PARKING<br />

<strong>Duke</strong> Clinic Bldg.<br />

LENOX BAKER CHILDREN’S HOSP.<br />

3000 Erwin Road, Durham, NC 27710<br />

Pediatric Orthopaedic Clinic [1 st Floor], 919.684.6669<br />

Ortho. Pediatric and Journal Club Conference [107, 1 st Floor]<br />

DURHAM VA<br />

508 Fulton Street, Durham, NC 27705, 919.286.0411<br />

Orthopaedic Clinic E [1 st Floor], 919.286.0411 ext. 6248 or 6249<br />

Operating Rooms [4 th Floor]<br />

FINCH-YEAGER BLDG.<br />

300 Frank Bassett Drive, Durham, NC 27708<br />

Sports Medicine Clinic [3 rd Floor], 919.668.1402<br />

Sports Medicine Journal Club Conference [101, 1 st Floor]<br />

Sports Medicine Conference [101, 1 st Floor]<br />

BRYAN RESEARCH BLDG.<br />

Grand Rounds Conference [103, 1 st Floor]<br />

DUKE CLINIC BLDG.<br />

200 Trent Drive, Durham, NC 27710, 919.684.8111<br />

Main Clinic 1F [1 st Floor, Yellow Zone], 919.684.5488<br />

Adult Spine Clinic 1L [1 st Floor, Purple Zone], 919.681.2929<br />

Surgical Oncology Clinic 1A [1 st Floor, White Zone], 919.660.1240<br />

Hand & Upper Ext. Anatomy <strong>Lab</strong> [0101A, Basement, Purple Zone]<br />

Musculoskeletal Histopathology Conference [224, 2 nd Floor, Green Zone]<br />

Basic Science Conference [0101A, Basement, Purple Zone]

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