Search results for JOPA

JOPA Writing Award Spotlight: Christy Rose

The JBJS Journal of Orthopaedics for Physician Assistants (JOPA) continues the tradition of recognizing outstanding review articles and case studies submitted during the previous year by practicing PAs, NPs, and PA students. OrthoBuzz is pleased to spotlight the winners of the 2020 JBJS JOPA Writing Awards. 

Name: Christy W. Rose, MSM, PA-C

Affiliations: University Orthopedic Surgeons, Division of Ortho Tennessee; University of Tennessee Medical Center, Knoxville

JOPA Article: “The Great Mimicker: Atypical Gout Presentations from an Orthopaedic Oncology Perspective

Tell us about your paper.

This paper presents 5 patients who were referred to our orthopaedic oncology clinic for atypical osseous and soft-tissue lesions or masses. Some of the lesions even appeared malignant on initial imaging, but once biopsy results were obtained, the pathology was consistent with gout. Gout is known as the “great mimicker” because it does a fantastic job of disguising itself as other disease processes. This paper highlights some of those atypical presentations with the hope that other providers will keep gout on their list of potential diagnoses when these patients present. We also cover some suggestions when working up osseous and soft-tissue masses and discuss when it is appropriate to refer to an orthopaedic oncologist.

How did you decide to write on this topic? What was the most interesting “take-away,” in your opinion?

At our institution, we treat everything from sarcomas to lipomas and everything in-between. These cases were particularly interesting to me because they were all referred to us for concerns of more nefarious diagnosis. When the patients present to our clinic, sometimes they are terrified because they were told that they had cancer even before a tissue diagnosis was obtained. These cases highlight that “nothing is certain until it is certain.” I know that this is not a profound statement, but I feel like we need to be up front with our patients and educate them on potential diagnosis, but at the same time, don’t crush their hope that something less threatening may be going on.

What do you enjoy most about your career?

My supervising physician, Dr. Anna Wallace, and I are honored and deeply humbled to have the privilege to walk with patients as they the go through their various oncologic treatments and pre- and postoperative process. These patients are so inspiring and encouraging to me because they are warriors, and they keep fighting. The outcomes aren’t always joyful (cancer stinks), but they can leave an impression on you that changes you.

How do you stay informed about new developments in orthopaedics?

I attend conferences, read journal articles, and listen to CME lectures through various apps.

What are you currently reading/listening to/watching?

My husband and I have 3 children, ages 7, 5, and 2. At home, we watch a lot of PAW Patrol, Bluey, and various Lego movies. When we are not watching something animated, we enjoy the Marvel spin-off series. When I can find time for pleasure reading, I enjoy devotionals targeted at working moms and historical fiction.

More details about the JBJS JOPA Writing Awards can be found here.

JOPA Writing Award Spotlight: Katherine Crandall 

 

The JBJS Journal of Orthopaedics for Physician Assistants (JOPA) continues the tradition of recognizing outstanding review articles and case studies submitted during the previous year by practicing PAs, NPs, and PA students. OrthoBuzz is pleased to spotlight the winners of the 2020 JBJS JOPA Writing Awards.

Name: Katherine Crandall, PA-S

Affiliation: Keck School of Medicine, University of Southern California

JOPA Article: “Physician Assistant Roles in Prevention and Management of Anterior Cruciate Ligament Injury

Tell us about your paper.

I chose to write a review article on the topic of physician assistant roles in the prevention and management of anterior cruciate ligament (ACL) injury. The roles and responsibilities of physician assistants — both in primary care and in orthopaedics — seamlessly translate to ACL care from primary prevention to long-term management.

PAs can help to prevent ACL rupture by screening for patients at risk for this injury, providing patient education on neuromuscular training techniques, and referring patients to available ACL rupture-prevention programs. Furthermore, I propose that the creation of a standardized screening tool assessing for ACL rupture risk may aid primary care PAs in screening patients for this injury.

Additionally, patients recovering from ACL ruptures can experience apprehension to return to sport, as the injury and the recovery process can be mentally traumatizing. As PAs frequently perform long-term care for patients during this process, they are well positioned to assess and intervene as needed for patients experiencing psychological obstacles throughout the process.

PAs embody the training, skills, and scope of practice to prevent and manage ACL injury; therefore, it becomes imperative to promote PA involvement in this injury.

How did you decide to write on this topic?

After working alongside physician assistants in orthopaedics both prior to PA school and throughout my clerkships, I witnessed firsthand the ability of PAs to help their orthopaedic teams meet goals in patient care. This stood true whether they were working on an orthopaedic team in the clinic, the OR, or other settings.

Additionally, while working in sports medicine and seeing patients recovering from ACL rupture, I noticed that there was overlap between the care required for this particular injury (i.e. prevention, acute care, long-term continuity of care) and the roles and responsibilities of PAs. I suspected that PAs could play a particularly instrumental role in preventing and managing this injury, and decided to investigate further.

What was the most interesting “take-away,” in your opinion?

The recovery period from an ACL rupture can be challenging both physically and psychologically. While there is ample focus placed on the physical recovery from this injury, patients frequently lack adequate psychological assessment and care during their recovery — an element of the healing process that is fundamental to an athlete’s safe return to activity.

Physician assistants are often involved in long-term care for patients recovering from ACL rupture. They have the opportunity to assess patient progression and recovery, both in the physical and psychological perspectives, and to act or intervene as needed. One way PAs can monitor their patients’ psychological progress is by using the ACL Return-to-Sport Index (ACL-RSI), which assesses a patient’s mental readiness to resume their activities. PAs regularly utilize clinical screening tools such as the PHQ-9 for depression or the CAGE questionnaire for alcohol abuse; therefore, PAs could utilize the ACL-RSI to monitor their patients’ readiness, and subsequently counsel or refer to psychological professionals as needed.

What do you enjoy most about your career?

Currently a PA student, I am scheduled to soon take (and hopefully pass!) my PA Boards. While I do not have a career yet, I can say that my greatest enjoyment as a student (outside of patient care) has been connecting with individuals and groups that are similarly passionate about the PA career, orthopaedics, and other similar health-care interests of mine such as advocacy, community involvement, and preventive medicine. I have been fortunate to participate in leadership and advocacy positions in my own USC program as well as with various PA organizations such as the Physician Assistant Education Association and the American Academy of PAs. In doing so, I have collaborated with numerous passionate and driven students, PAs, and others throughout the country, which has endured as a source of inspiration throughout my studies.

I would also like to thank Dr. Jennifer Beck for her assistance and continued support.

How do you stay informed about new developments in orthopaedics?

I keep up-to-date through JBJS, Physician Assistants in Orthopaedic Surgery, and other orthopaedic journals. I will now be sure to tune in to OrthoBuzz as well!

What are you currently reading/listening to/watching?

Listening to the Home Cooking podcast, reading The Body Keeps the Score, and watching The Crown.

More details about the JBJS JOPA Writing Awards can be found here.

 

JOPA 2019 Writing Awards

Since 2016, The Journal of Bone & Joint Surgery and JBJS Journal of Orthopaedics for Physician Assistants (JOPA) have awarded two $500 prizes to outstanding JOPA review articles or case studies written by authors who were PA students at the time of article submission.

The 2019 award winners for best articles by PA students produced high-quality literature reviews that address current and impactful topics. We recognized author Matthew Morrow, BA, PA-S out of Northwestern University for “The Effects of Cannabinoid Use on Acute Orthopaedic Pain: A Review of the Current Literature,” which showed that cannabis use provided little to no pain relief for acute musculoskeletal pain. The review also concluded that cannabis use while recovering from musculoskeletal trauma may be associated with an increased use of narcotics. The article suggests that cannabis use has a larger role for chronic rather than acute musculoskeletal pain.

Brittany Szabo, PA-S and Justin Gambini, MSPAS, PA-C, from Campbell University College of Pharmacy and Health Sciences, were recognized for “Ewing Sarcoma: A Review on Primary Bone Malignancy in Pediatrics and the Diagnosis, Treatment, and Challenges of Managing Ewing Sarcoma.” This article provided a comprehensive review of a “can’t miss” orthopaedic diagnosis, including clinical and diagnostic signs for orthopaedic providers to look for.

Congratulations to our 2019 PA student writing-award winners! We are offering two $500 awards again this year, so please encourage all of your PA students to submit an article for consideration! Deadline for submission is December 31, 2020.

And be on the lookout for an announcement about 2 additional 2019 JOPA Writing Award winners.

Dagan Cloutier, PA-C
Editor, JBJS Journal of Orthopaedics for Physician Assistants

Attention PAs and NPs: JBJS JOPA CME Membership

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Access the most relevant peer-reviewed orthopaedic content, including unlimited CME, by purchasing a 1-year JBJS JOPA CME membership—for the limited-time special rate of $99.

Your JBJS JOPA CME membership includes the following essential ingredients for your professional development and education:

  • New JBJS Reviews CME every week
  • Full access to JBJS Reviews and JBJS Journal of Orthopaedics for Physician Assistants (JOPA)
  • Monthly Image Quizzes
  • Annual PA Salary Survey
  • Physical Exam and Injection Video Library

With more than 50 AMA PRA Category 1 CreditsTM available annually* with your membership, you can complete all your CME for under $100.

To obtain the special $99 rate, click here and enter code WHQ834AA at checkout.

*The Journal of Bone and Joint Surgery Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. JBJS designates each JBJS Reviews journal-based activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

JBJS JOPA Image Quiz: Incomplete Spinal Cord Injury

Lateral_Spine.pngThis month’s Image Quiz from the JBJS Journal of Orthopaedics for Physician Assistants (JOPA) presents the case of a 55-year-old woman with neck pain and upper-extremity weakness after a motor vehicle accident that occurred 1 week prior, during which she sustained a whiplash injury.  She notes severe bilateral arm weakness, “clumsy hands,” and mild lower-extremity weakness with walking. The bilateral upper-extremity muscle groups have a strength of 3 of 5, and the lower-extremity muscle groups have a strength of 5 of 5. Sensation remains intact throughout the upper and lower extremities.

Select from among four choices as the most likely diagnosis:

  1. Central cord syndrome
  2. Brown-Séquard syndrome
  3. Anterior cord syndrome
  4. Posterior cord syndrome

JBJS JOPA Image Quiz: Lateral Clavicle Fracture

clou1.jpgThis month’s Image Quiz from the JBJS Journal of Orthopaedics for Physician Assistants (JOPA) presents the case of a 64-year-old woman who fell out of bed while sleeping and landed directly on the lateral aspect of the right shoulder. Based on the image shown here and a Zanca view radiograph, she was diagnosed in the emergency room with a lateral clavicle fracture. After staying in a sling for about two weeks, the patient continued to have shoulder pain when using the arm with overhead activities and when sleeping on the shoulder at night.

Select from among four choices as the next best step in treatment: MRI to evaluate the coracoclavicular ligaments, open reduction/internal fixation, continued sling treatment until pain resolves, or transacromial wire fixation.

JBJS JOPA Image Quiz: 7-Year-Old Girl with an Injured Wrist

JOPA IQ Wrist Fracture.jpgThis month’s Image Quiz from the JBJS Journal of Orthopaedics for Physician Assistants (JOPA) presents the case of a 7-year-old girl who sustained a wrist injury from a fall off of monkey bars. An initial lateral radiograph is shown here. Clinicians attempted a closed reduction and applied a long arm cast. At the 1-week follow-up visit, radiographs showed additional displacement and increased dorsal angulation.

Select from among five possible choices for the greatest predictor of fracture displacement in the setting of distal radial metaphyseal fractures: increased fracture obliquity, a cast index ratio of less than or equal to 0.7, short arm casting, an intact ulna, or increased initial displacement of the radius.

Fall Issue of JBJS JOPA Now Available

Fall_2016_JOPA_Cover.pngThe Fall 2016 JBJS JOPA is now available. To access the new issue, go to the JBJS JOPA website, click on the journal image to the right, and download the PDF. Topics include:

  • A Visual Guide to the Salter-Harris Pediatric Fracture Classification System
  • Perioperative Pain Management in the Chronic Opioid User
  • Radiation Safety for PAs in the Orthopaedic Operating Room
  • Recap of the monthly image quizzes, including November’s quiz on Distal Radial Metaphyseal Fractures.

With your JOPA subscription, you receive complimentary access to JBJS Reviews, which delivers new online review articles weekly, with a CME opportunity attached to each article.

Create your account and gain access to these important orthopaedic resources/opportunities:

JBJS JOPA Image Quiz: A 15-Year-Old Girl with Dislocated Patella

clou3_REV_9-13-16.jpgThis month’s Image Quiz from the JBJS Journal of Orthopaedics for Physician Assistants(JOPA) presents the case of a teenage girl who dislocated her patella while playing volleyball. The quiz provides four postreduction images, two radiographs and two fat-suppressed MRI scans, and then readers are presented with two questions:

  • What is the next best step in this patient’s treatment?
  • Which concomitant condition does NOT cause an increased risk of patellar instability?

JBJS JOPA Image Quiz: 74-Year-Old Woman with Knee Pain

jopa-image-quiz_9_26_16This month’s Image Quiz from the JBJS Journal of Orthopaedics for Physician Assistants (JOPA) presents the case of a 74-year-old woman with a 2-month history of left knee pain. She was given an intra-articular knee injection for presumed osteoarthritis, which failed to provide any relief. At a follow-up visit, clinicians obtained the MRI shown here.

Pick among five possible diagnoses: secondary osteonecrosis, transient osteoporosis, spontaneous osteonecrosis, osteochondritis dissecans, or bone marrow edema lesion.