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.
This 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:
- Central cord syndrome
- Brown-Séquard syndrome
- Anterior cord syndrome
- Posterior cord syndrome
This 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.
This 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.
The 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:
- Writing/video incentive program for PAs and NPs
- Physician Assistants in Orthopaedics: A Study of Job Satisfaction, Education and Lifestyles, A Research Brief from JBJS JOPA
- A salary and call survey for orthopaedic PAs.
This 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?
This 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.
In addition to the recently announced JBJS Journal of Orthopaedics for Physician Assistants (JOPA) writing awards, JBJS is offering two additional $1,000 awards for the following:
- Best Physical Exam Video by a certified, practicing PA or NP (suggested length of 10 to 15 minutes)
- Best Injection Technique Video by a certified, practicing PA or NP (e.g., subacromial, knee, or trigger finger injection)
Please submit videos without accompanying text, except for the title and author(s).
Submit your video via the JOPA Editorial Manager submission site, and please include a signed Video License Agreement.
For complete information on submitting video to JOPA, including sample videos, click here.
Please address questions regarding the video or writing contests to firstname.lastname@example.org.
This month’s Image Quiz from the JBJS Journal of Orthopaedics for Physician Assistants (JOPA) highlights the case of a 34-year-old man who presented with a 1-month history of hand and wrist pain after driving his golf club into the ground during a swing. Anteroposterior (AP) and lateral radiographs of the wrist are shown, and findings from the physical exam are described.
The Image Quiz reviews the anatomy of the wrist, focusing on the symptoms and mechanisms of hamate injuries. The quiz question is: After standard AP and lateral radiographs, which imaging modality or view would be most helpful in arriving at a definitive diagnosis? Options for treating a fracture of the hook of the hamate are also discussed.