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Dr. Evan Lederman and colleagues review how bone reacts to shoulder replacements and propose a classification system for critical review of implant/bone interaction

Title: Stress shielding of the humerus in press-fit anatomic shoulder arthroplasty: review and recommendations for evaluation

Patrick Denard MD, Patric Raiss MD, Reuben Gobezie MD, T. Bradley Edwards MD, Evan S. Lederman MD

Introduction

Uncemented press-fit humeral stems were developed with the goal of decreasing operative time, preserving bone stock, and easing revision. In recent years, short stems and stemless humeral implants have also become available. These press-fit humeral implants have varying designs that can lead to changes in stress distribution in the proximal humerus. Such stress shielding manifests as bony adaptations and may affect long-term functional outcome and the ability to perform revision. However, current studies of humeral fixation during total shoulder arthroplasty are complicated because a variety of classification systems have been used to report findings.

Full article link below.

Journal of Shoulder and Elbow Surgery E-pub February 6, 2018

https://doi.org/10.1016/j.jse.2017.12.020

Dr Lederman, Dr Harmsen and colleagues review strategies to prevent infection in shoulder replacement. *

Title: Preventing infection in shoulder arthroplasty: Navigating the minefields

Abstract

Periprosthetic infection after shoulder arthroplasty represents a devastating complication that often requires extensive revision surgery with substantial economic and patient burden, and ultimately leads to reduced patient function.

Seminars in Arthroplasty

Volume 28, Issue 3, September 2017, Pages 145-149

https://doi.org/10.1053/j.sart.2017.12.006

*This is based on a lecture by Dr Lederman at the 2017 Current Concepts in Shoulder Arthroplasty conference in Las Vegas, NV.

Dr. Padley has a long tradition of providing care for sports teams.

Dr. Padley returned to the Dominican Republic in April with the Cincinnati Reds for the annual opening of their Dominican complex. The trip included evaluations of 40+ Dominican athletes hoping to advance their way up the Cincinnati Reds baseball system. This marks the beginning of the baseball season for the Dominican teams. Most major league baseball teams have affiliates in the Dominican in search of that next great player! Dr. Padley is an orthopedic consultant and provider to the Cincinnati Reds for major league baseball spring training and throughout the year for their minor league and rookie league teams. In additional to this health care relationship, he is also a consultant to Japanese professional baseball for the Saitama Seibu Lions. With his expertise in hip disorders and injuries, Ballet Arizona benefits from his service as a consultant. He was a team physician for the WNBA’s Phoenix Mercury for four years including the 2014 championship season. Dr. Padley proudly serves as the team physician for Benedictine University in Mesa as well as Millennium and Verrado High Schools in Goodyear.

For more information on Dr. Padley, Click HERE

 

Support Houston and Hurricane Harvey Relief

Relief efforts for those affected by Hurricane Harvey are underway, even as the storm continues to wreak havoc in Texas. A large and complicated rescue operation is underway in Houston as floodwaters continue to rise, fed by unrelenting rain.

So far, there’s no end in sight.

More than 2 feet of rain have already fallen in Houston, and the city may see another 2 feet in the next few days, Business Insider reported. Texans were about halfway through the worst of the storm on Monday, but devastating flooding is likely to continue. Tens of thousands of people could be driven from their homes as a result.

Americans wanting to pitch in from afar can donate to organizations such as the Red Cross that are providing disaster assistance to victims affected by Harvey, which made landfall as a Category 4 hurricane but has been downgraded to a tropical storm.

Average of 91 Cents of Every Dollar Spent Invested in Humanitarian Services and Programs

The American Red Cross is accepting donations on its website. You can also text HARVEY to 90999 to donate $10.

Read more

Backpack Safety!

[vc_row][vc_column][vc_column_text]When you move your child’s backpack after he or she drops it at the door, does it feel like it contains 40 pounds of rocks? Maybe you’ve noticed your child struggling to put it on, bending forward while carrying it, or complaining of tingling or numbness. If you’ve been concerned about the effects that extra weight might have on your child’s still-growing body, your instincts are correct. Backpacks that are too heavy can cause a lot of problems for kids, like back and shoulder pain, and poor posture. Did you know that according to the Consumer Product Safety Commission, injuries from heavy backpacks result in more than 7,000 emergency room visits per year. Sprains, strains, and “overuse” injuries were among the top complaints.

When selecting a backpack, look for:

  • An ergonomic design
  • The correct size: never wider or longer than your child’s torso and never hanging more than 4 inches below the waist
  • Padded back and shoulder straps
  • Hip and chest belts to help transfer some of the weight to the hips and torso
  • Multiple compartments to better distribute the weight
  • Compression straps on the sides or bottom to stabilize the contents
  • Reflective material

Backpack Safety Tips:

  • Your backpack should weigh only 15% – 20% of your total weight
  • Use both shoulder straps to keep the weight of the backpack better distributed
  • Tighten the straps to keep the load closer to the back
  • Organize items and pack heavier things low and towards the center
  • Remove items if the backpack is too heavy and only carry items necessary for the day
  • Lift properly by bending at the knees when picking up a backpack

Remember: A roomy backpack may seem like a good idea, but the more space there is to fill, the more likely your child will fill it. Make sure your child uses both straps when carrying the backpack. Using one strap shifts the weight to one side and causes muscle pain and posture problems.

Help your child determine what is absolutely necessary to carry. If it’s not essential, leave it at home.[/vc_column_text][/vc_column][/vc_row]

 

If you or your child is experiencing neck or back pain the expert Physicians at TOCA and the dedicated staff are here to help! Call 602-277-6211 to schedule your appointment today!

 

#Recovery #Results #Relief #BackpackSaftey #MyOrthoDoc #BacktoSchool

National Nurses Week: 6 Tips to Balance the Mind, Body, and Spirit

Join us during National Nurses Week, May 6–12! We appreciate our nurses every day, but Nurses Week is a great opportunity to take the time to celebrate. We also want to support nurses in this year’s theme of becoming healthier in mind, body, and spirit.

National Nurses Week begins each year on May 6 and ends on May 12, Florence Nightingale’s birthday.

Thank you to the dedicated nurses that not only help support our TOCA Physicians and patients but all nurses for all that you do!

Whether it’s Nurses Week or not, TNS is dedicated to providing nurses with tips and guides to help lead a healthy personal life and to grow professionally. Not only is it beneficial to live a healthy life, but a healthy nurse also provides better quality care to patients. If you don’t already, we challenge you to spend some time this week taking steps to balance the mind, body, and spirit. Here are a few tips to get you started!

6 Tips to Balance the Mind, Body, and Spirit

1. Be Thankful – You might be thinking, “I already am thankful,” but how often do you actually stop and think about it? Setting aside a few minutes per day to think or write what you’re grateful for can drastically improve your mood. It’ll push you to focus on the good things in life, instead of getting hung up on the not-so-good things. Whether it’s about your family, friends, nature, or any other positive events of the day, reflect on what makes you happy. You can even invest in a gratitude journal to encourage this practice.

2. Avoid Gossip and Drama – We all know that gossip and drama aren’t left in high school, and you probably experience a lot of it if you work in a hospital. It’s also likely that you’ve worked with a nurse that bullies and/or a nurse that LOVES drama. It can be hard to disassociate yourself with certain people especially if you see them every day, but try to steer clear of the gossip. Obviously, you’ll want to keep civil relationships for the purpose of being professional. But, watch what you say and don’t contribute gossip to conversations – even if someone else is.

3. Smile & Laugh More – Smiling might be the simplest tip to help balance the mind, body, and spirit. It’s typically something that just happens and requires little thought. Smiles are contagious, so not only are you helping yourself, but you could also be helping others around you. It’s also important to not take yourself too seriously. While your job can be demanding and pretty serious since you’re in charge of other human lives, you still need to have some fun!

4. Read and Learn – Don’t let your education end at graduation. Continue to learn new things, whether it applies to nursing or not. Opening your mind to new interests and possibilities will expand your mind and allow you to grow spiritually. Knowledge is power, and there’s always something new in the world.

5. Get Enough Sleep – You’ve probably had tons of people tell you this already, but it really is important! Getting enough sleep can be a huge turning point to balance the mind, body, and spirit since it affects all three. It can be hard to find the time to get enough sleep with your busy schedule, but here are some sleep tips that might help. Don’t forget, naps are your friend!

6. Travel – If you’re a travel nurse, you’ve already got this one covered. Traveling exposes you to different cultures and ways of life. Being open to the differences in the world will truly help in balancing the mind, body, and spirit. Traveling is a life-changing experience for most people, and it can affect many aspects of our life and overall wellness. There’s much more to this world than what you’re familiar with, so go explore!

#thankanurse #nursesweek #TOCA #TOCAMD #RECOVERY #RESULTS #RELIEF

The 1st Annual TOCA Foundation Golf Tournament!

The TOCA Foundation’s mission is to improve the community in the areas of math, science and medical research.  The Phoenix Public Schools desperately need further funding in the area of math and science to improve our community’s educational outcomes and future leaders in these areas.  Together with your help, we will provide our students the tools to complete in a global future.

TOCA Foundation Federal Tax ID #20-0574111

Upcoming Events

The 1st Annual TOCA Foundation Golf Tournament 

The Orthopedic Clinic Association is pleased to announce our first ever Charity Golf Classic to be held on Friday, April 27th, 2017 benefiting Phoenix Public Schools.

Please join TOCA for the 2017 Charity Golf Event to help children in our area.  This Tournament will be held at the ASU Karsten Golf Course and will start with a Tee-off box breakfast,  and conclude with a raffle, silent auction and an awards luncheon following your day of golf.  We humbly request your donation, which would greatly contribute to our event’s success and would be deeply appreciated.  Together, we will make this a dynamic event!

Date: Thursday April 27th, 2017

Location: ASU Karsten Golf Course
1125 E. Rio Salado Pkwy.
Tempe, AZ 85281

Consider your involvement in this memorable event:

  • Register your team today! We expect this tournament to sell out so call or email us today!
  • Become a sponsorship partner! There are several packages available, ranging from $500 to $5000.
  • Donate! If golfing isn’t your game of choice, consider becoming a friend of our foundation! Any donation to the foundation will have an impact on the youth in our community!

This Tournament is sure to be a hit, so sign up today to secure your team’s position in this year’s Charity Golf Classic by Clicking Here.  If you have any questions regarding sponsorship opportunities or to register your team, please contact Lisa Paulson at lpaulson@tocamd.com or 602.512.8525.

We recognize there are many golf tournaments and organizations you can support and we appreciate your consideration to participate in this event

#RECOVERY.RESULTS.RELIEF.

Random Acts of Kindness week (#RAKWeek2017)

Random Acts of Kindness week (#RAKWeek2017), Feb 12-18, is an annual opportunity to unite through kindness. Formally recognized in 1995, this seven-day celebration demonstrates that kindness is contagious. It all starts with one act – one smile, one coffee for a stranger, one favor for a friend. It’s an opportunity for participants to leave the world better than they found it and inspire others to do the same.

Share your random act of kindness! 

Learn more at: www.randomactsof.us 

1. Pay it Backward: buy coffee for the person behind you in line.
2. Send a positive text message to five different people right now.
Post inspirational sticky notes around your neighborhood, office, school, etc.
3. Donate old towels or blankets to an animal shelter.
4. Say hi to the person next to you on the elevator.
5. Surprise a neighbor with freshly baked cookies or treats!
6. Let someone go in front of you in line who only has a few items.
7. Leave a gas gift card at a gas pump.
8. Have a LinkedIn account? Write a recommendation for coworker or connection.
9. Encounter someone in customer service who is especially kind? Take an extra five minutes to tell their manager.
10. Leave unused coupons next to corresponding products in the grocery store.
11. Leave a note on someone’s car telling them how awesome they parked.
12. Try to make sure every person in a group conversation feels included.
13. Write a kind message on your mirror with a dry erase marker for yourself, your significant other or a family member.
14. Smile at five strangers.
15. Set an alarm on your phone to go off at three different times during the day. In those moments, do something kind for someone else.
16. Send a gratitude email to a coworker who deserves more recognition.
17. Know parents who could use a night out? Offer to babysit for free.
18. Hold up positive signs for traffic or in a park for people exercising outside!
19. Return shopping carts for people at the grocery store.
20. Write a positive comment on your favorite blog, website, or a friend’s social media account.
21. Have a clean up party at a beach or park.
22. While you’re out, compliment a parent on how well-behaved their child is.
23. Leave a kind server the biggest tip you can afford.
24. When you’re throwing something away on the street, pick up any litter around you and put that in the trash too.
25. Everyone is important. Learn the names of your office security guard, the person at the front desk and other people you see every day. Greet them by name. Also say “hello” to strangers and smile. These acts of kindness are so easy, and they almost always make people smile.
26. Find opportunities to give compliments. It costs nothing, takes no time, and could make someone’s entire day. Don’t just think it. Say it.
27. Take flowers or treats to the nurses’ station at your nearest hospital.
28.Keep an extra umbrella at work, so you can lend it out when it rains.
29. Send a ‘Thank you’ card or note to the officers at your local police or fire station.
30. Run an errand for a family member who is busy.
31. Leave a box of goodies in your mailbox for your mail carrier.
32. Tape coins around a playground for kids to find.
33. Put your phone away while in the company of others.
34. Email or write to a former teacher who made a difference in your life.
35. Hold the door open for someone
36. Tell a joke
37. Donate outgrown clothes
38. Call a friend you haven’t seen in a while just to say hello
39. Smile at everyone. It’s contagious.
40. Bring your neighbors’ garbage cans up for them. 
41. Let someone into your lane. They’re probably in a rush just like you. Or wave a thank you to someone who lets you in!
42. Give someone a hug
43. When you go somewhere to get or do something, ask the people around you if you can pick up anything they need
44. Let someone have the parking spce
45. Stop to talk to a homeless person
46. Play board games with senior citizens at a nursing home. Sixty percent of them will never have a visitor during their stay.
47. Hold the elevator
48. Empathize
49. Text someone good morning or good night
50. Say yes at the store when the cashier asks if you want to donate $1 to whichever cause
51. Be encouraging! 
52. Help someone struggling with heavy bags
53. Be kind to the customer service rep on the phone. It’s not their fault
54. Be patient
55. Compliment a stranger
56. Be thoughtful – Did your co-worker have a bad day today? Bring them them a coffee in the morning. 
57. Say “Thank you”, a lot – Everyone works hard. 
58. Send a care package to a solider
59. Leave nice comments on blogs, Twitter, and Facebook
60. Slow way down when you drive past a pedestrian — 35 mph can seem like the Indy 500 to a someone walking their dog.
61. Compliment the first three people you talk to today.

#kindness #randomactsofkindness #Recovery#Results #Relief #RandomActsofTOCA

The 1st Annual TOCA Foundation Golf Tournament!

The TOCA Foundation’s mission is to improve the community in the areas of math, science and medical research.  The Phoenix Public Schools desperately need further funding in the area of math and science to improve our community’s educational outcomes and future leaders in these areas.  Together with your help, we will provide our students the tools to complete in a global future.

TOCA Foundation Federal Tax ID #20-0574111

Upcoming Events

The 1st Annual TOCA Foundation Golf Tournament 

The Orthopedic Clinic Association is pleased to announce our first ever Charity Golf Classic to be held on Friday, April 27th, 2017 benefiting Phoenix Public Schools.

Please join TOCA for the 2017 Charity Golf Event to help children in our area.  This Tournament will be held at the ASU Karsten Golf Course and will start with a Tee-off box breakfast,  and conclude with a raffle, silent auction and an awards luncheon following your day of golf.  We humbly request your donation, which would greatly contribute to our event’s success and would be deeply appreciated.  Together, we will make this a dynamic event!

Date: Thursday April 27th, 2017

Location: ASU Karsten Golf Course
1125 E. Rio Salado Pkwy.
Tempe, AZ 85281

Consider your involvement in this memorable event:

  • Register your team today! We expect this tournament to sell out so call or email us today!
  • Become a sponsorship partner! There are several packages available, ranging from $500 to $5000.
  • Donate! If golfing isn’t your game of choice, consider becoming a friend of our foundation! Any donation to the foundation will have an impact on the youth in our community!

This Tournament is sure to be a hit, so sign up today to secure your team’s position in this year’s Charity Golf Classic by Clicking Here.  If you have any questions regarding sponsorship opportunities or to register your team, please contact Lisa Paulson at lpaulson@tocamd.com or 602.512.8525.

We recognize there are many golf tournaments and organizations you can support and we appreciate your consideration to participate in this event

#RECOVERY.RESULTS.RELIEF.

Backpack Safety!

[vc_row][vc_column][vc_column_text]When you move your child’s backpack after he or she drops it at the door, does it feel like it contains 40 pounds of rocks? Maybe you’ve noticed your child struggling to put it on, bending forward while carrying it, or complaining of tingling or numbness. If you’ve been concerned about the effects that extra weight might have on your child’s still-growing body, your instincts are correct. Backpacks that are too heavy can cause a lot of problems for kids, like back and shoulder pain, and poor posture. Did you know that according to the Consumer Product Safety Commission, injuries from heavy backpacks result in more than 7,000 emergency room visits per year. Sprains, strains, and “overuse” injuries were among the top complaints.

When selecting a backpack, look for:

  • An ergonomic design
  • The correct size: never wider or longer than your child’s torso and never hanging more than 4 inches below the waist
  • Padded back and shoulder straps
  • Hip and chest belts to help transfer some of the weight to the hips and torso
  • Multiple compartments to better distribute the weight
  • Compression straps on the sides or bottom to stabilize the contents
  • Reflective material

Backpack Safety Tips:

  • Your backpack should weigh only 15% – 20% of your total weight
  • Use both shoulder straps to keep the weight of the backpack better distributed
  • Tighten the straps to keep the load closer to the back
  • Organize items and pack heavier things low and towards the center
  • Remove items if the backpack is too heavy and only carry items necessary for the day
  • Lift properly by bending at the knees when picking up a backpack

Remember: A roomy backpack may seem like a good idea, but the more space there is to fill, the more likely your child will fill it. Make sure your child uses both straps when carrying the backpack. Using one strap shifts the weight to one side and causes muscle pain and posture problems.

Help your child determine what is absolutely necessary to carry. If it’s not essential, leave it at home.[/vc_column_text][/vc_column][/vc_row]