Jan Szatkowski @orthotraumamd Twitter profile

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Jan Szatkowski

@orthotraumamd

3 months

Medical student orthopedic rotations are in full swing. This week in the operating room,. I asked a few questions about basic anatomy, and unfortunately, the student didn’t get most of them correct. After the case, the student asked, “What can I do to improve?” I emphasized the

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Jan Szatkowski

@orthotraumamd

1 year

With permission... Great comments from everyone. Due to the comminution, I did a nail + monster plate construct. WBAT. Nail was done percutaneously and the plate was slid up laterally once the nail was placed. Full case:

Jan Szatkowski

@orthotraumamd

1 year

87 F with left knee pain after a fall. Had a left hip fracture 12 years ago and continues to be very active, lives alone, drives, and is an active member of the community. We are seeing a rise in periprosthetic fractures as TJA numbers climb. It's clear we've got a growing

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Jan Szatkowski

@orthotraumamd

8 months

Hey medical students, residents, APPs what should you be thinking about if you see this x-ray? Answer below and click on this link to see a related case.

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Jan Szatkowski

@orthotraumamd

2 months

@generalorthomd How are they going to earn 22 billion in profit if they did indicated surgery

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Jan Szatkowski

@orthotraumamd

9 months

Child falls off monkey bars. What do you see? #orthotwitter #OrthoX #MedX #urgentCare @orthobullets

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Jan Szatkowski

@orthotraumamd

2 years

This x-ray is something you never want to miss in the ED, Urgent Care, or in clinic. #orthotwitter #MedTwitter #radtwitter

Jan Szatkowski

@orthotraumamd

2 years

Challenging case. I have seen a couple of these on call in the past from 🍺 withdrawal. Curious not necessarily what people would do but when? How you do know seizures won’t happen again? @traumaticum @ReedHoyerMD @cj_footeMD @RachelFrankMD @rkh_md @robgraymd @Shoulder2LeanOn

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Jan Szatkowski

@orthotraumamd

1 year

@LaraAHayes @jointdocShields As one of my mentors always said “Follow the money” when looking for answers to these types of questions.

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Jan Szatkowski

@orthotraumamd

2 years

TAD vs CalTAD. What’s everyone using and teaching these days? #orthotwitter

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Jan Szatkowski

@orthotraumamd

10 months

My son is learning about bones at school. He told me the the femur is his favorite, because it’s “just the best bone dad.” #simpletruths #orthotwitter #orthoX

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Jan Szatkowski

@orthotraumamd

1 year

Whats the WORST thing a surgeon could say or do in the middle of an operation that might give off an unfortunate ‘bad omen’ vibe? My resident the other day reduced the fracture then high fived 👋 our surgical tech. We now have a new rule. Mid case high fives have been

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Jan Szatkowski

@orthotraumamd

6 months

25 M who has pain with weight bearing since a foot sprain a couple weeks ago. This is the bottom of his foot. X-rays were read as normal. Name that injury. #orthotwitter #orthoX @orthobullets

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Jan Szatkowski

@orthotraumamd

9 months

@generalorthomd @UHC How do you expect them to make over 5 billion last quarter if they approved the medically necessary surgeries? Patients are suffering. .

UnitedHealth Group posts $5.8 billion in profit in Q3

Optum growth led the way, with the subsidiary's revenues growing 22% year-over-year to $56.7 billion.

www.healthcarefinancenews.com

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Jan Szatkowski

@orthotraumamd

6 months

One of my favorite clamps and instruments is the colinear reduction clamp. What’s your favorite instrument and a must have in your 🧰? #orthotwitter #orthoX @orthobullets

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Jan Szatkowski

@orthotraumamd

8 months

So much information on X-rays. Agree with all that’s been said. Anterior Sail sign Posterior fat pad Anterior humeral line should intersect the middle third of the capitellum in children > 5 years old Non op vs CRPP. If CRPP what’s your pin configuration?

Jan Szatkowski

@orthotraumamd

9 months

Child falls off monkey bars. What do you see? #orthotwitter #OrthoX #MedX #urgentCare @orthobullets

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Jan Szatkowski

@orthotraumamd

1 year

A 38 M was playing soccer and swears he was hit from behind. See anything on these x-rays? What's the diagnosis? What would you do? #MedTwitter #orthotwitter

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Jan Szatkowski

@orthotraumamd

1 year

61 M with right shoulder pain after a fall from a ladder. Works in construction, lives alone. How would you treat? #orthotwitter #medtwitter Full case:

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Jan Szatkowski

@orthotraumamd

29 days

A couple nice tips presented in this video.

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Jan Szatkowski

@orthotraumamd

1 year

Over 2 years ago about 44% of surgeons chose to do a hemi vs THA for this fairly healthy 76F. What would #orthotwitter do today? Has there been new evidence to help guide us? Vote on @shaunpat1 case today

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Jan Szatkowski

@orthotraumamd

10 months

54 y/o M with knee swelling and unable to do a straight leg raise after a fall. See anything? What's your next step? MRI? CT? Operative vs nonoperative. #orthotwitter #MedTwitter #medicalstudents #MedEd #orthobullets

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Jan Szatkowski

@orthotraumamd

1 year

Here are the post-op films for this case () I placed the patient lateral, attempted closed reduction and wasn't even close! Chose to do a mini-open, clamp, cerclage, and then nail. Immediate WBAT. I added the intra op films in a comment.

Jan Szatkowski

@orthotraumamd

1 year

#FractureFriday ! How would you manage this proximal femur fracture in this 77F? What position, implant choice, and approach? #orthotwitter . Case link

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Jan Szatkowski

@orthotraumamd

1 year

Doing another Lunch & Learn for our APPs. Last month reviewed emergencies like open fractures, compartment syndrome, and common dislocations. Thinking of other topics and other injuries Any suggestions or contributions? @rkh_md @TraumaSoapBoxes @generalorthomd #orthotwitter

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Jan Szatkowski

@orthotraumamd

1 year

Great comments and discussion. As @InvictaOrtho @hjluks and others suggested need to thoroughly discuss options. Went over pros and cons. To get the patient moving and hopefully back to work sooner, patient underwent fixation. Looks like most would have plated. Not perfect.

Jan Szatkowski

@orthotraumamd

1 year

61 M with right shoulder pain after a fall from a ladder. Works in construction, lives alone. How would you treat? #orthotwitter #medtwitter Full case:

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Jan Szatkowski

@orthotraumamd

2 years

35M with left thigh pain after an MVA. No other injuries. This comes in at 10 PM. When do you take to the OR? Do you place in traction if in AM? Starting point? Position? #orthotwitter #EMtwitter #MedTwitter

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Jan Szatkowski

@orthotraumamd

2 months

Thrilled to announce the release of a new orthopedic textbook co-edited with John Riehl focusing on the latest fracture treatments and global trends in orthopedics. This book challenges and expands on conventional wisdom to ensure the best care for patients with authors from

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Jan Szatkowski

@orthotraumamd

1 year

87 F with left knee pain after a fall. Had a left hip fracture 12 years ago and continues to be very active, lives alone, drives, and is an active member of the community. We are seeing a rise in periprosthetic fractures as TJA numbers climb. It's clear we've got a growing

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Jan Szatkowski

@orthotraumamd

4 years

Our Orthopaedic trauma team is having an online journal club tomorrow at 6 pm est. If anyone is interested in participating, please send me a message.

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Jan Szatkowski

@orthotraumamd

1 year

#orthoresidents , #EMtwitter #medicalstudents In our latest webinar, @dr_nls and I explored approaches to tackling calcaneus fractures. Don't overlook these injuries. Given its high propensity for posterior soft tissue complications, swift action and often an emergency OR visit

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Jan Szatkowski

@orthotraumamd

2 years

@DrMarecek @traumaticum @Davembmd @orthobullets @MJSteffesMD @FollowMercy @GiblyMd @glitter_doctor @sportsdoc2016 @Talal_1010T @bonesurgeon98 @Pranai_B @natashaomalley @DrMaraK @JenniferJBeckMD @jbhungry Surgery is humbling. I wish all my x-rays looked perfect. x-rays don’t tell us if the patients treatment was a success or failure. Constructive criticism is essential. One of my favorite parts of the day is AM fracture conference reviewing pre and post op X-rays. #alwayslearning

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Jan Szatkowski

@orthotraumamd

5 months

Non-compete agreements for physicians potentially reduce the quality of patient care without improving it. Ending non-compete agreements will benefit both physicians and patients. If you could vote tomorrow, what would be your vote?

FTC to vote on banning noncompete clauses for physicians, other clinicians and in general

Federal regulators announce public meeting next week on issue that is divisive in health care.

www.medicaleconomics.com

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Jan Szatkowski

@orthotraumamd

2 years

Even a CT isn't fail-proof. Always exam the neck! I follow a checklist I was taught in fellowship. 1. Examine the femoral neck 2. Check rotation 3. Check Length 4. Knee Exam 5. Compartments/pulses. What's your protocol/checklist for femur fractures? #orthotwitter

Jan Szatkowski

@orthotraumamd

2 years

35M with left thigh pain after an MVA. No other injuries. This comes in at 10 PM. When do you take to the OR? Do you place in traction if in AM? Starting point? Position? #orthotwitter #EMtwitter #MedTwitter

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Jan Szatkowski

@orthotraumamd

2 years

What are some of your favorite sayings in the OR and words to live by when operating and teaching #orthotwitter #MedTwitter ? I love to stress that “slow is smooth and smooth is fast.”

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Jan Szatkowski

@orthotraumamd

1 year

My hats off to the entire team @orthobullets for creating and releasing the most advanced learning and education platform. Check out the new site today. #orthotwitter #MedTwitter Look who made the leaderboard. @traumaticum

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Jan Szatkowski

@orthotraumamd

1 year

Hey #orthotwitter summer is here and that means more high energy fractures and compartment syndrome. Who is doing a single vs dual incision fasciotomy for the lower leg? This study found “Patients with DI fasciotomies were more than twice as likely to develop a SSI compared to

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Jan Szatkowski

@orthotraumamd

9 months

Pure beauty. Proving once again that most clavicle fractures heal and don’t need plates. No pain and asked the tech why they were getting an X-ray? (Patient was following up for a femur fracture as well).

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Jan Szatkowski

@orthotraumamd

1 year

Great case for medical students and residents to learn from. What deformity (s) are you expecting to counteract here? What tools (ie reduction aids) at your disposal would you have available?

Dr Balamurugan J 🇮🇳

@imbalamurugan_J

1 year

Plating or nailing? Type 1 open fracture #orthotwitter @InvictaOrtho @generalorthomd @traumaticum

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Jan Szatkowski

@orthotraumamd

4 years

April 2nd @6 pm est we are having an online fracture conference. Let’s continue to learn from each other during these challenging and chaotic times of #COVID19 . Interested?Share your email in the form to get the link. #medtwitter #ortho

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Jan Szatkowski

@orthotraumamd

2 years

Topical antibiotics seem to be the rage. Are you using them? Which ones? When? Interesting meta-analysis in @JofOrthoTrauma . @rkh_md @DrAdamBitterman @traumaticum @lisacannada @drjuanroiz @FractureDoc @ACEMcCormack @orthopedicpearl #orthotwitter

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Jan Szatkowski

@orthotraumamd

1 year

A friend shared some X-rays and cases with me that revealed this particular “nail/plate” combo having issues with the locking screw backing out post-op 😕. Has anyone else encountered this? @rkh_md @traumaticum @InvictaOrtho @jamesablairMD

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Jan Szatkowski

@orthotraumamd

1 year

Curious what the #orthoX (formerly known as #orthotwitter ) community thinks of this recent publication in @jbjs . I can sum it up in one word TEAM. *Johns Hopkins Hospital launched a process improvement initiative for OR efficiency in outpatient orthopaedic cases, emphasizing a

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Jan Szatkowski

@orthotraumamd

1 year

Revised the nail: full arthrotomy to correct starting point, added a lateral blocking screw to correct the valgus alignment. WBAT post op. Patient followed up once so I assume he did awesome 🫣

Jan Szatkowski

@orthotraumamd

1 year

Found this case in the archives. 70M underwent IM nailing out of state after a ski accident and shoes up NWb in a cast after 5 months. Bone Stim? Keep vs revise? Plate vs Nail? #orthotwitter #MedTwitter @orthobullets

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Jan Szatkowski

@orthotraumamd

2 years

Geriatric ankle fractures continue to have high rates of complications. Should we be nailing or plating them? What does #orthotwitter think of this new study?

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Jan Szatkowski

@orthotraumamd

2 years

New residents just started and fellows are on their way. It's critical to know ways to reduce exposure. Radiation Exposure Among Orthopaedic Trauma Surgeons:... : Journal of Orthopaedic Trauma

Radiation Exposure Among Orthopaedic Trauma Surgeons:... : Journal of Orthopaedic Trauma

pment. Main Outcome Measurements: The main outcome measurements included radiation dose estimates. Results: Surgeon radiation exposure estimates performed at the level of the thyroid, chest, and...

journals.lww.com

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Jan Szatkowski

@orthotraumamd

1 year

Found this case in the archives. 70M underwent IM nailing out of state after a ski accident and shoes up NWb in a cast after 5 months. Bone Stim? Keep vs revise? Plate vs Nail? #orthotwitter #MedTwitter @orthobullets

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Jan Szatkowski

@orthotraumamd

7 months

39 M with foot pain and swelling. Felt a "pop" 3 months ago while playing soccer. Multiple "negative" x-rays taken at urgent care and the ED. #orthotwitter #orthoX #MedTwitter @orthobullets

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Jan Szatkowski

@orthotraumamd

4 months

So why did hospitals get an inflationary increase but not physicians? “According to the AMA, if physicians got an inflationary adjustment similar to that of hospitals and other health professionals, they would have seen a 4.6% increase in payment in 2024.”

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Jan Szatkowski

@orthotraumamd

7 months

21 M with left shoulder pain. What's your differential and what other exam and testing findings would you recommend? Best next step? #MedEd #orthoX

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Jan Szatkowski

@orthotraumamd

6 months

As many have suggested, we need to be concerned about the Lisfranc joint (). It's very common for many of these patients to have a delay in diagnosis. These are WB x-rays taken over two weeks after the injury. Note the widening on the right foot. I think

Jan Szatkowski

@orthotraumamd

6 months

25 M who has pain with weight bearing since a foot sprain a couple weeks ago. This is the bottom of his foot. X-rays were read as normal. Name that injury. #orthotwitter #orthoX @orthobullets

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Jan Szatkowski

@orthotraumamd

1 year

33 M involved in a MVA with a closed tibia and humerus fracture. Initially the radial nerve is working but acutely stops after splint application. What would you do? #orthotwitter #MedTwitter

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Jan Szatkowski

@orthotraumamd

2 years

@rkh_md Did they also include a lateral of the watch? You can’t make a diagnosis with just one view.

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Jan Szatkowski

@orthotraumamd

1 year

Physical examination is key. Also never forget the importance of looking beyond the bones. A disrupted Kager's fat pad could indicate an Achilles tendon injury as in this case. What's everyone's preferred treatment? Op vs. non op? If operative, what technique? The full case is

Jan Szatkowski

@orthotraumamd

1 year

A 38 M was playing soccer and swears he was hit from behind. See anything on these x-rays? What's the diagnosis? What would you do? #MedTwitter #orthotwitter

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Jan Szatkowski

@orthotraumamd

2 years

Happy to be a small part of this project led by John Riehl MD. Looking forward to the next one. Will definitely need to get some input from @traumaticum on the next version. We need more teaching cases from #aroundthebone and #aroundtheworld

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Jan Szatkowski

@orthotraumamd

1 year

What are some foot and ankle (ie Fankle) emergencies? @dr_nls is doing a talk and looking for suggestions. #orthotwitter

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Jan Szatkowski

@orthotraumamd

2 years

54 M with ankle pain after a fall downstairs. What's your preferred position, approach, scope (y/n) construct? @moreyraortho @cj_footeMD @Ortho_AnkleFoot @FootAndAnkleMD @dr_nls @AnnaMillerMD @yoon_rs #orthotwitter

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Jan Szatkowski

@orthotraumamd

1 year

Saw a recent @otatrauma forum post discussing the use of MRIs and the safety concerns associated with external fixators. It’s clear that many polytrauma patients require MRI scans for their various injuries. Interested to hear the thoughts and practices of the #orthotwitter

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Jan Szatkowski

@orthotraumamd

2 years

Happy to report a successful surgery (so far) on Rudolph. Any suggestions #orthotwitter on weight bearing?

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Jan Szatkowski

@orthotraumamd

1 year

I texted my joints partner and friend. Now I feel like he just threatened me ;). I may need to cheer for Purdue now. #MarchMadness

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Jan Szatkowski

@orthotraumamd

2 years

The starting point remains the same regardless of the approach (semi-extended, patella tendon splitting, etc). What's everyone's preferred approach? Was at a resident course a couple months ago, and more than 90% had ONLY seen a suprapatellar. @rkh_md @traumaticum @lisacannada

Orthobullets

@orthobullets

2 years

The recommended starting point on the tibia for guide wire and intramedullary (IM) nail fixation is at the medial edge of the lateral tibial eminence. Learn more on our DAILY Orthobullets podcast. #orthotwitter

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Jan Szatkowski

@orthotraumamd

4 years

New teaching case posted to @orthobullets . What would you do for this tibia nonunion? What’s your treatment algorithm?

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Jan Szatkowski

@orthotraumamd

2 years

What’s the best way to fix some of these fractures? All treatment options have associated risks. This was a poster at this years @otatrauma meeting. #ota2022 @TexasTech

Orthobullets

@orthobullets

2 years

Femoral neck fxs are highly morbid injuries & are the most expensive fractures to treat. Treatment options include multiple cannulated screws (MCS) fixation, sliding hip screw (SHS), hemiarthroplasty & THA. Learn more on our podcast. #orthotwitter

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Jan Szatkowski

@orthotraumamd

10 months

When planning for a TAR, when/how do you decide on whether to stem the tibial component? Patient BMI, bone quality, age, degree of deformity (if so, what's your threshold?) #orthoX #orthotwitter @BostonFootAnkle @GlennShiMD @FootAndAnkleMD @AnkleInstitute

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Jan Szatkowski

@orthotraumamd

3 months

In a previous post we discussed the importance of anatomy for medical students. Physicians, surgeons, and healthcare professionals from around the world provided many great insights. Another important aspect of orthopaedic education is evaluating X-rays. What is your

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Jan Szatkowski

@orthotraumamd

1 year

64M with long standing ankle pain after multiple sprains as an athlete in college. Now is a farmer and still loves to fish, golf, and work. Would prefer to have one surgery that lasts and wants to stay active. Fusion or replacement? #orthotwitter #MedTwitter

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Jan Szatkowski

@orthotraumamd

2 years

I came home and my daughter asked “can you fix this boo boo?” The first thing that came to mind was whether I should use a nail or a plate for this intertroch fracture? #orthotwitter

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Jan Szatkowski

@orthotraumamd

3 months

With new residents and students starting and summer in full swing, great time to review compartment syndrome. Always be on the lookout when evaluating patients! #OrthoX

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Jan Szatkowski

@orthotraumamd

6 months

We are getting ready for our next journal club and the topic is Traumaplasty. In celebration of March Madness, we're introducing Periprosthetic Madness, inspired by the increasing rates of arthroplasty. We want to explore this topic in depth. What articles and topics do you

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Jan Szatkowski

@orthotraumamd

10 months

The Hoffman sign, a simple yet crucial component in physical exams. I had a case where a patient came to me with all their normal imaging for his ankle giving way and falls. Heeding the advice I always remember from a mentor, “Examine the patient.” It turned out he wasn’t

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Jan Szatkowski

@orthotraumamd

6 months

Congratulations to the incoming Orthopaedic residents @IUOrthoSurgery

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Jan Szatkowski

@orthotraumamd

1 year

Great talks this morning on Trends in Ortho. Awesome job ⁦ @rkh_md ⁩ talking about #orthotwitter . He brought up some great people to follow ⁦ @InvictaOrtho ⁩ ⁦ @jointdocShields ⁩ ⁦ @hugortopedista ⁩ ⁦ @traumaticum ⁩ ⁦ @_NancyMD ⁩

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Jan Szatkowski

@orthotraumamd

2 months

@orthobullets @sancleracot @clinicogranada @EauClaireOrtho @InvictaOrtho @docfarrow @DrFraneNicholas @stevemchale @FractureDoc @jamesablairMD @itius @rkh_md @traumaticum Great use of the spring wire here. Here is a technique article and further description from @MayoClinic .

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Jan Szatkowski

@orthotraumamd

3 years

Great podcast @orthobullets . Important to distinguish this from other 5th metatarsal fractures.

Orthobullets

@orthobullets

3 years

True Jones fractures involve a vascular watershed area, and non-union is reported to be as high as 15-30%. The treatment of choice is with an intramedullary compression screw. Learn more about 5th Metatarsal Base Fracture on our podcast. #orthotwitter

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Jan Szatkowski

@orthotraumamd

9 months

Not surprised by the poll results. Recently a PGY-3 was doing a tibial nail with me. We were using an infra Patella approach, they asked me where to find the technique guide for this “new, cool approach that doesn't go through the knee.” #orthotwitter #orthoX

Jan Szatkowski

@orthotraumamd

9 months

@orthobullets @qldhealth @traumaticum @DrFraneNicholas @xlgriffin @stevemchale @FractureDoc @jamesablairMD @DeformityDoc @itius @rkh_md @EdinburghKnee This case was done via an infra patella approach, how many people would have have used a semi-extended approach.

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Jan Szatkowski

@orthotraumamd

6 months

To help get a good starting point, the awl can be a useful tool to walk over your starting point to the correct spot. #avoidvarus

Orthobullets

@orthobullets

6 months

Can you answer this daily question from our Free QBank correctly? QID: 218834 Comment your answer below, then check to see if you got it correct by clicking the link below to see the answer & explanation. #orthotwitter #MedTwitter

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Jan Szatkowski

@orthotraumamd

11 months

Good X-ray example for #orthotwitter

RJ

@northwoods1980

11 months

Lymphoma example

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Jan Szatkowski

@orthotraumamd

7 months

@orthobullets @dr_nls @VUMChealth @BostonFootAnkle @anklefootmd @DrAdamBitterman @FootAndAnkleMD @orthovulcano @jtvfootanklemd @drbonesmd112952 @Drlyndonmason @traumaticum @InvictaOrtho What an exhilarating showdown at this year’s Orthopedic Super Bowl! The competition wasn’t between the Chiefs and the 49ers; this was a battle of surgical strategies and expertise. Who emerged victorious in this clash of orthopedic titans? #TeamFuse or #TeamFix The energy and

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Jan Szatkowski

@orthotraumamd

8 months

As we enter 2024, I'm filled with excitement and gratitude for what the team @medbullets and @orthobullets has accomplished. The dedication to advancing orthopaedic and medical education has made a global impact. Thank you to the incredible community who make all of this

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Jan Szatkowski

@orthotraumamd

2 years

Of the answers I agree maximum plantarflexion but this is a case I take in the middle of the night. Need to take off pressure ASAP to avoid necrosis. does this injury get you out of bed? @rkh_md @CJFooteMD @DrFraneNicholas @AnkleFootMotion @pmangoneMD

Orthobullets

@orthobullets

2 years

Can you answer this daily question from our Free QBank correctly? QID: 211682 **The answer will be posted in 24 hours. #orthotwitter #ortho #orthopedicsurgery #orthopedics #orthopedicsurgeon #orthopaedics #orthopaedic #orthopedic #ortholife #orthoresident #MedTwitter

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Jan Szatkowski

@orthotraumamd

22 days

Great insights shared by Dr Deana Mercer on treating distal radius fractures The video provides a nice explanation of the extended FCR approach and offers tips for achieving an anatomic reduction.

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Jan Szatkowski

@orthotraumamd

1 year

Calling all residents, med students and #orthotwitter .🔬 Join us for a deep dive into our latest @orthobullets case study on clavicle fractures. Don’t miss this chance to expand your knowledge, ask your burning questions, and engage in stimulating discussion regarding indications

Orthobullets

@orthobullets

1 year

Here is a new case by Dr. Nikhil Verma ( @DrNikhilVerma ) and Midwest Orthopaedics at Rush ( @MOR_Docs ). MIDSHAFT CLAVICLE FRACTURE NONUNION S/P ORIF IN 23M How would you manage this #orthotwitter ? Vote on this case for CME:

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Jan Szatkowski

@orthotraumamd

9 months

Probably one of the worse injuries in orthopaedics. Anyone doing acute fusions for these?

Fusion versus fixation in complex comminuted C3-type tibial pilon fractures: a systematic review

Comminuted intra-articular tibial pilon fractures can be challenging to manage, with high revision rates and poor functional outcomes. This study reviewed [1] treatment, complications, and clinical...

www.ncbi.nlm.nih.gov

Orthobullets

@orthobullets

9 months

A tibial plafond fracture (also known as a pilon fracture) is a fracture of the distal end of the tibia, most commonly associated with comminution, intra-articular extension, and significant soft tissue injury. Diagnosis is typically made through clinical evaluation and confirmed

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Jan Szatkowski

@orthotraumamd

3 months

@orthobullets @FSFB_Salud @AAHips @InvictaOrtho @docfarrow @DrFraneNicholas @eric_novack @stevemchale @FractureDoc @jamesablairMD @traumaticum @rkh_md Ouch! One side would be bad enough for a 67M but bilateral. Who’s fixing or replacing either or both? Lots of debate on @X this week on how to treat a femoral neck fracture in a 40M in a case by @sancleracot . What would you do here? @ChipRoutt @InvictaOrtho @Ortho_Deck

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Jan Szatkowski

@orthotraumamd

1 year

Intra op films

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Jan Szatkowski

@orthotraumamd

2 years

Good luck to all #OrthoTwitter #Match2023 applicants on Universal Interview Offer Day tomorrow. Truly impressed by all the applicants and their accomplishments. #MedTwitter #Orthopedics

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Jan Szatkowski

@orthotraumamd

1 year

@orthobullets @IOENetwork Interesting talks. Who is using a collared stem? @MayoClinic Dr Abdel gave a convincing talk that we all should be.

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Jan Szatkowski

@orthotraumamd

5 months

Wow, it's incredible to see the number of news stories, social media posts, and discussions regarding yesterday's FTC ruling. The ruling to ban non-competes marks a significant shift, particularly for the healthcare industry and its physicians. Having discussed this with several

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Jan Szatkowski

@orthotraumamd

1 month

Proximal tibia fractures can be difficult to manage. Apex anterior and valgus deformity are common. Entry point is key. I would do this nail in the semi-extended position and I would have a low threshold to use blocking screws. Don't need specialized instruments to nail if using

Dr Kunal Nune

@kunalnune

1 month

Prox 1/3rd Tibia fracture in a 59/M , done by my Senior Resident Closed Reduction Internal Fixation with expert tibia nail,kindly comment @Davembmd @InvictaOrtho @pratikorho @traumaticum @generalorthomd @Traumatisch @abu_inayaat @EdinburghTrauma @orthotraumamd @DrLatifKhan

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Jan Szatkowski

@orthotraumamd

2 years

What’s your “go to” when fixing femoral neck fractures in young patients? Cannulated screws, SHS, proximal femur plate etc? Been seeing more of the new proximal femoral plating systems being used. @rkh_md @jamesablairMD @traumaticum

Orthobullets

@orthobullets

2 years

Femoral neck fxs are highly morbid injuries & are the most expensive fractures to treat. Treatment options include multiple cannulated screws (MCS) fixation, sliding hip screw (SHS), hemiarthroplasty & THA. Learn more on our podcast. #orthotwitter

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Jan Szatkowski

@orthotraumamd

1 year

Had a busy and fun day in the OR. Great cases and tunes today. What's the #1 song on your playlist that gets your adrenaline pumping and ready to rock the OR? #orthotwitter

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Jan Szatkowski

@orthotraumamd

1 year

Virtual Trauma Call Case. 25 M with arm pain after a motorcycle accident. What other injury(s) are you worried about? What's your plan? Approach? #orthotwitter

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Jan Szatkowski

@orthotraumamd

2 years

Showed these X-rays at a resident conference the other day and a couple asked why were there staples below the knee cap?! I usually use a supra patella approach these days, but still good to know multiple ways to treat an injury. What is your preferred approach? #orthotwitter

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Jan Szatkowski

@orthotraumamd

1 year

Hey #orthotwitter . As a surgeon who is fairly healthy, non smoker, non diabetic say in your 40s... are you getting your Achilles fixed? Does age matter? What would lead yourself to have surgery or not? #scientifictwitterpoll

Bipin Theruvil FRCS (T&O),FRCS (Ed&Glasg),MS AIIMS

@centerofhip

1 year

Hey #orthotwitter 61 yr old , well controlled diabetic, stage actor. Mid substance rupture of TA, 2.5cm gap in neutral position of foot. Conserve/ fix? If conservative, what should be the protocol? If fixing, what is your preferred technique? @FootAndAnkleMD @orthotraumamd

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Jan Szatkowski

@orthotraumamd

3 years

When I see these fractures, all I can think about is their remodeling ability. @Davembmd has some great examples in his book.

Orthobullets

@orthobullets

3 years

~20-25% of distal radius metaphyseal fxs re-displace early after closed reduction and casting. Indications for surgery in kids >10 years old include: angulation >20 degrees and rotation >30 degrees. Learn more on our DAILY podcast. #orthotwitter

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Jan Szatkowski

@orthotraumamd

8 months

Hey #orthotwitter . Just curious, what’s the official penalty for someone who ‘borrows’ your OR lead and misplaces/steals your thyroid shield while you’re out?

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Jan Szatkowski

@orthotraumamd

1 year

Here’s a 3 d recon of the case Dr Natoli and I will be presenting tonight @otatrauma fracture night. Please join us and weigh in on the discussion. #orthopedicsurgery #orthotwitter

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Jan Szatkowski

@orthotraumamd

1 year

#FractureFriday ! How would you manage this proximal femur fracture in this 77F? What position, implant choice, and approach? #orthotwitter . Case link

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Jan Szatkowski

@orthotraumamd

23 days

Vascular injuries are a serious risk in orthopedic procedures. It’s crucial to have a thorough understanding of the anatomy and the specific areas at risk. This knowledge not only helps in preventing these injuries but also in recognizing them early when they do occur. Stay

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Jan Szatkowski

@orthotraumamd

2 years

83 F with left hip pain after a fall. Unable to bear weight What's your plan? Pain meds?CT? MRI? #orthotwitter #MedTwitter #emergencymedicine #urgentcare #MedStudentTwitter

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Jan Szatkowski

@orthotraumamd

1 year

Great talk about the Prevent Clot study by my partner Dr Natoli at this years @indianaortho society meeting. Aspirin for the win! @NEJM #orthotwitter

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Jan Szatkowski

@orthotraumamd

2 years

What’s your protocol for Jones fractures? Assuming an active otherwise healthy patient. Role for non op? Screw (head vs headless)? Plate? @dr_nls @pmangoneMD @BostonFootAnkle @AGianakosDO @PatelPodiatry @ParkerPodiatry @AnkleInstitute @DMFootAnkle

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Jan Szatkowski

@orthotraumamd

1 year

My son told my wife that he put a surprise in my bag so I could “have fun at work.” It was great to find this bubble bottle. #wellness

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Jan Szatkowski

@orthotraumamd

4 months

The morning's grand round talk by @Drlyndonmason was incredible. One of the statements that really resonated with me was. "Question everything. Always look at your results." @IU_Health @IUOrthoSurgery .

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