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Unusual Presentation of Cobalt Hypersensitivity in a Patient With a Metal-on-Metal Bearing in Total Hip Arthroplasty

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Unusual Presentation of Cobalt Hypersensitivity in a Patient With a Metal-on-Metal Bearing in Total Hip Arthroplasty
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Vertebral Balloon

CareFusion announced the launch of the AVAmax® Vertebral Balloon, a minimally invasive device for use during kyphoplasty. CareFusion will offer the new AVAmax Vertebral Balloon as part of a system that includes needles, bone cement, and delivery instruments for both kyphoplasty and vertebroplasty, giving surgeons the choice and flexibility to perform either procedure.

The company notes that the AVAmax Vertebral Balloon and the components needed to perform the procedure will be very competitively priced, making the procedure even more accessible for clinicians and their patients. In addition, the AVAmax® PLUS vertebral augmentation system, used with the AVAmax Vertebral Balloon to deliver cement, has features that allow the radiologist’s hands to be out of the radiation field, making the procedure safer for the clinician.

For more information, contact

CareFusion
3750 Torrey View Court
San Diego, CA 92130
phone (888) 876-4287
fax (858) 617-2900
www.carefusion.com

New Arthroplasty

DePuy Orthopaedics, Inc., has announced the launch of 3 new products. The Delta XTEND™ High Mobility Humeral Cup with Premieron™ X-Linked Polyethylene is a total, semi-constrained shoulder arthroplasty that reverses the normal relationship between the scapular and humeral components. Laboratory testing has shown that the new polyethylene developed for this cup reduces wear debris by 85% over conventionally manufactured and sterilized polyethylene components.1 In addition, the cup has a shallower depth than other cups offered with the system, which may further reduce the risk of scapular neck erosion (notching) while maximizing range of motion for certain patients.

The Global CAP™ CTA, the company’s first resurfacing prosthesis, is indicated for cuff tear arthropathy. In addition to the features and design benefits offered with Global CAP for osteoarthritis or rheumatoid arthritis, Global CAP CTA has an increased area of superolateral articulation and implant geometry designed to compensate for superior humeral head migration to help restore joint stability and range of motion.

Additions to the Anatomic Locked Plating Systems (A.L.P.S.) include an Elbow Plating System designed to allow surgeons to effectively address fractures around the elbow as well as a Proximal Tibia System to addresses a variety of common proximal tibia fractures.

For more information, contact

DePuy Orthopaedics, Inc.
700 Orthopaedic Drive
Warsaw, IN 46582
phone (800) 473-3789
fax (574) 371-4865
www.depuy.com

Reference
1. Wirth MA, Klotz C, Deffenbaugh DL, McNulty D, Richards L, Tipper JL. Cross-linked glenoid prosthesis: a wear comparison to conventional glenoid prosthesis with wear particulate analysis. J Shoulder Elbow Surg. 2009;18(1):130-137.

Plating Systems

Stryker Corporation’s Orthopaedics Division announced the release of 3 new plating systems: the VariAx Elbow Locking Plate System, the VariAx Fibula Locking Plate System, and the AxSOS Extremity Plating System, which are all designed to expand the range of treatment options for bone fracture repair.

With use of predetermined screw angulation options for plating systems used in bone fracture repair, the implants may not in some instances have been anatomic or precontoured for the patient’s indication and may not have provided the choice of locking or nonlocking screws. The new AxSOS and VariAx locking plate systems are designed to provide next-generation solutions to these challenges by providing a variety of precontoured plates and straight plates. VariAx also gives surgeons the flexibility to choose the angulation of locking screws.

Stryker notes that the new VariAx Locked Plating Systems feature options that allow surgeons to provide a more customized solution through a wider range of real-time choices in the operating room. Stryker’s AxSOS Extremity Plating System features locking fixation where the surgeon needs it, allowing for greater confidence in fracture fixation and better patient fit.

By using these plating solutions with Stryker’s Asnis Micro Cannulated Screw system, surgeons have multiple plating solutions for bone fractures of the hand, distal radius, elbow, foot, and fibula.

To learn more, contact

Stryker Orthopedics
325 Corporate Drive
Mahwah, NJ 07430
phone (201) 831-5000
www.stryker.com

Computer-Assisted TKA System

OrthAlign, Inc., has received 510(k) market clearance from the US Food and Drug Administration for the latest design of its palm-sized disposable KneeAlign™ computer-assisted system for total knee arthroplasty.

For more information, contact

OrthAlign, Inc
120 Columbia, Suite 500
Aliso Viejo, CA 92656
phone (949) 715-2424
www.orth-align.com

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Vertebral Balloon

CareFusion announced the launch of the AVAmax® Vertebral Balloon, a minimally invasive device for use during kyphoplasty. CareFusion will offer the new AVAmax Vertebral Balloon as part of a system that includes needles, bone cement, and delivery instruments for both kyphoplasty and vertebroplasty, giving surgeons the choice and flexibility to perform either procedure.

The company notes that the AVAmax Vertebral Balloon and the components needed to perform the procedure will be very competitively priced, making the procedure even more accessible for clinicians and their patients. In addition, the AVAmax® PLUS vertebral augmentation system, used with the AVAmax Vertebral Balloon to deliver cement, has features that allow the radiologist’s hands to be out of the radiation field, making the procedure safer for the clinician.

For more information, contact

CareFusion
3750 Torrey View Court
San Diego, CA 92130
phone (888) 876-4287
fax (858) 617-2900
www.carefusion.com

New Arthroplasty

DePuy Orthopaedics, Inc., has announced the launch of 3 new products. The Delta XTEND™ High Mobility Humeral Cup with Premieron™ X-Linked Polyethylene is a total, semi-constrained shoulder arthroplasty that reverses the normal relationship between the scapular and humeral components. Laboratory testing has shown that the new polyethylene developed for this cup reduces wear debris by 85% over conventionally manufactured and sterilized polyethylene components.1 In addition, the cup has a shallower depth than other cups offered with the system, which may further reduce the risk of scapular neck erosion (notching) while maximizing range of motion for certain patients.

The Global CAP™ CTA, the company’s first resurfacing prosthesis, is indicated for cuff tear arthropathy. In addition to the features and design benefits offered with Global CAP for osteoarthritis or rheumatoid arthritis, Global CAP CTA has an increased area of superolateral articulation and implant geometry designed to compensate for superior humeral head migration to help restore joint stability and range of motion.

Additions to the Anatomic Locked Plating Systems (A.L.P.S.) include an Elbow Plating System designed to allow surgeons to effectively address fractures around the elbow as well as a Proximal Tibia System to addresses a variety of common proximal tibia fractures.

For more information, contact

DePuy Orthopaedics, Inc.
700 Orthopaedic Drive
Warsaw, IN 46582
phone (800) 473-3789
fax (574) 371-4865
www.depuy.com

Reference
1. Wirth MA, Klotz C, Deffenbaugh DL, McNulty D, Richards L, Tipper JL. Cross-linked glenoid prosthesis: a wear comparison to conventional glenoid prosthesis with wear particulate analysis. J Shoulder Elbow Surg. 2009;18(1):130-137.

Plating Systems

Stryker Corporation’s Orthopaedics Division announced the release of 3 new plating systems: the VariAx Elbow Locking Plate System, the VariAx Fibula Locking Plate System, and the AxSOS Extremity Plating System, which are all designed to expand the range of treatment options for bone fracture repair.

With use of predetermined screw angulation options for plating systems used in bone fracture repair, the implants may not in some instances have been anatomic or precontoured for the patient’s indication and may not have provided the choice of locking or nonlocking screws. The new AxSOS and VariAx locking plate systems are designed to provide next-generation solutions to these challenges by providing a variety of precontoured plates and straight plates. VariAx also gives surgeons the flexibility to choose the angulation of locking screws.

Stryker notes that the new VariAx Locked Plating Systems feature options that allow surgeons to provide a more customized solution through a wider range of real-time choices in the operating room. Stryker’s AxSOS Extremity Plating System features locking fixation where the surgeon needs it, allowing for greater confidence in fracture fixation and better patient fit.

By using these plating solutions with Stryker’s Asnis Micro Cannulated Screw system, surgeons have multiple plating solutions for bone fractures of the hand, distal radius, elbow, foot, and fibula.

To learn more, contact

Stryker Orthopedics
325 Corporate Drive
Mahwah, NJ 07430
phone (201) 831-5000
www.stryker.com

Computer-Assisted TKA System

OrthAlign, Inc., has received 510(k) market clearance from the US Food and Drug Administration for the latest design of its palm-sized disposable KneeAlign™ computer-assisted system for total knee arthroplasty.

For more information, contact

OrthAlign, Inc
120 Columbia, Suite 500
Aliso Viejo, CA 92656
phone (949) 715-2424
www.orth-align.com

Vertebral Balloon

CareFusion announced the launch of the AVAmax® Vertebral Balloon, a minimally invasive device for use during kyphoplasty. CareFusion will offer the new AVAmax Vertebral Balloon as part of a system that includes needles, bone cement, and delivery instruments for both kyphoplasty and vertebroplasty, giving surgeons the choice and flexibility to perform either procedure.

The company notes that the AVAmax Vertebral Balloon and the components needed to perform the procedure will be very competitively priced, making the procedure even more accessible for clinicians and their patients. In addition, the AVAmax® PLUS vertebral augmentation system, used with the AVAmax Vertebral Balloon to deliver cement, has features that allow the radiologist’s hands to be out of the radiation field, making the procedure safer for the clinician.

For more information, contact

CareFusion
3750 Torrey View Court
San Diego, CA 92130
phone (888) 876-4287
fax (858) 617-2900
www.carefusion.com

New Arthroplasty

DePuy Orthopaedics, Inc., has announced the launch of 3 new products. The Delta XTEND™ High Mobility Humeral Cup with Premieron™ X-Linked Polyethylene is a total, semi-constrained shoulder arthroplasty that reverses the normal relationship between the scapular and humeral components. Laboratory testing has shown that the new polyethylene developed for this cup reduces wear debris by 85% over conventionally manufactured and sterilized polyethylene components.1 In addition, the cup has a shallower depth than other cups offered with the system, which may further reduce the risk of scapular neck erosion (notching) while maximizing range of motion for certain patients.

The Global CAP™ CTA, the company’s first resurfacing prosthesis, is indicated for cuff tear arthropathy. In addition to the features and design benefits offered with Global CAP for osteoarthritis or rheumatoid arthritis, Global CAP CTA has an increased area of superolateral articulation and implant geometry designed to compensate for superior humeral head migration to help restore joint stability and range of motion.

Additions to the Anatomic Locked Plating Systems (A.L.P.S.) include an Elbow Plating System designed to allow surgeons to effectively address fractures around the elbow as well as a Proximal Tibia System to addresses a variety of common proximal tibia fractures.

For more information, contact

DePuy Orthopaedics, Inc.
700 Orthopaedic Drive
Warsaw, IN 46582
phone (800) 473-3789
fax (574) 371-4865
www.depuy.com

Reference
1. Wirth MA, Klotz C, Deffenbaugh DL, McNulty D, Richards L, Tipper JL. Cross-linked glenoid prosthesis: a wear comparison to conventional glenoid prosthesis with wear particulate analysis. J Shoulder Elbow Surg. 2009;18(1):130-137.

Plating Systems

Stryker Corporation’s Orthopaedics Division announced the release of 3 new plating systems: the VariAx Elbow Locking Plate System, the VariAx Fibula Locking Plate System, and the AxSOS Extremity Plating System, which are all designed to expand the range of treatment options for bone fracture repair.

With use of predetermined screw angulation options for plating systems used in bone fracture repair, the implants may not in some instances have been anatomic or precontoured for the patient’s indication and may not have provided the choice of locking or nonlocking screws. The new AxSOS and VariAx locking plate systems are designed to provide next-generation solutions to these challenges by providing a variety of precontoured plates and straight plates. VariAx also gives surgeons the flexibility to choose the angulation of locking screws.

Stryker notes that the new VariAx Locked Plating Systems feature options that allow surgeons to provide a more customized solution through a wider range of real-time choices in the operating room. Stryker’s AxSOS Extremity Plating System features locking fixation where the surgeon needs it, allowing for greater confidence in fracture fixation and better patient fit.

By using these plating solutions with Stryker’s Asnis Micro Cannulated Screw system, surgeons have multiple plating solutions for bone fractures of the hand, distal radius, elbow, foot, and fibula.

To learn more, contact

Stryker Orthopedics
325 Corporate Drive
Mahwah, NJ 07430
phone (201) 831-5000
www.stryker.com

Computer-Assisted TKA System

OrthAlign, Inc., has received 510(k) market clearance from the US Food and Drug Administration for the latest design of its palm-sized disposable KneeAlign™ computer-assisted system for total knee arthroplasty.

For more information, contact

OrthAlign, Inc
120 Columbia, Suite 500
Aliso Viejo, CA 92656
phone (949) 715-2424
www.orth-align.com

Issue
The American Journal of Orthopedics - 39(5)
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Volar Plate Repair for Posttraumatic Hyperextension Deformity of the Proximal Interphalangeal Joint

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Dr. Khorsandi is Medical Director, the Brown Hand Center, Houston, Texas.

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Clinical Presentation of Pulmonary Embolus After Total Joint Arthroplasty: Do Size and Location of Embolus Matter?

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Dr. Pulido is Resident, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

Dr. Grossman is Resident, Department of Orthopaedic Surgery, Albert Einstein College of Medicine Program, Montefiore Medical Center, New York, New York.

Dr. Smith is Assistant Professor, Main Line Orthopaedics, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania.

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Dr. Pulido is Resident, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

Dr. Grossman is Resident, Department of Orthopaedic Surgery, Albert Einstein College of Medicine Program, Montefiore Medical Center, New York, New York.

Dr. Smith is Assistant Professor, Main Line Orthopaedics, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania.

Dr. Joshi is Research Assistant Professor, Department of Information Systems, University of Maryland Baltimore County, Baltimore, Maryland.

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Dr. Pulido is Resident, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

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Dr. Joshi is Research Assistant Professor, Department of Information Systems, University of Maryland Baltimore County, Baltimore, Maryland.

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Delayed-Onset Slipped Capital Femoral Epiphysis: Case Report of Association With Pituitary Tumor

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Dr. Price is Attending, Department of Orthopaedic Surgery, St. Lukes-Roosevelt Hospital Center, New York, New York; Associate Professor of Orthopaedic Surgery, Columbia University, New York, New York; Attending, Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York, New York; and Clinical Associate Professor of Orthopaedic Surgery, New York University, New York, New York.

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Dr. Price is Attending, Department of Orthopaedic Surgery, St. Lukes-Roosevelt Hospital Center, New York, New York; Associate Professor of Orthopaedic Surgery, Columbia University, New York, New York; Attending, Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York, New York; and Clinical Associate Professor of Orthopaedic Surgery, New York University, New York, New York.

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Dr. Price is Attending, Department of Orthopaedic Surgery, St. Lukes-Roosevelt Hospital Center, New York, New York; Associate Professor of Orthopaedic Surgery, Columbia University, New York, New York; Attending, Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York, New York; and Clinical Associate Professor of Orthopaedic Surgery, New York University, New York, New York.

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Acromioclavicular Septic Athritis: A Case Report of a Novel Pathogen

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Acromioclavicular Septic Athritis: A Case Report of a Novel Pathogen

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Incidental "Rotator Cuff Tear of the Hip" at Primary Total Hip Arthroplasty

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Hal E. Cates, MD, Monica A. Schmidt, PhD, and Rachael M. Person

Dr. Cates is in private practice at Tennessee Orthopaedic Clinics, Knoxville, Tennessee, is Co-Director, Joint Replacement Center, Parkwest Medical Center, Knoxville, Tennessee, and is Adjunct Associate Professor, University of Tennessee, Knoxville, Tennessee.

Dr. Schmidt is the Executive Director, Tennessee Orthopaedic Foundation for Education and Research, Knoxville, Tennessee.

Ms. Person is an undergraduate nursing student at the University of Tennessee, Knoxville, Tennessee.

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Hal E. Cates, MD, Monica A. Schmidt, PhD, and Rachael M. Person

Dr. Cates is in private practice at Tennessee Orthopaedic Clinics, Knoxville, Tennessee, is Co-Director, Joint Replacement Center, Parkwest Medical Center, Knoxville, Tennessee, and is Adjunct Associate Professor, University of Tennessee, Knoxville, Tennessee.

Dr. Schmidt is the Executive Director, Tennessee Orthopaedic Foundation for Education and Research, Knoxville, Tennessee.

Ms. Person is an undergraduate nursing student at the University of Tennessee, Knoxville, Tennessee.

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Hal E. Cates, MD, Monica A. Schmidt, PhD, and Rachael M. Person

Dr. Cates is in private practice at Tennessee Orthopaedic Clinics, Knoxville, Tennessee, is Co-Director, Joint Replacement Center, Parkwest Medical Center, Knoxville, Tennessee, and is Adjunct Associate Professor, University of Tennessee, Knoxville, Tennessee.

Dr. Schmidt is the Executive Director, Tennessee Orthopaedic Foundation for Education and Research, Knoxville, Tennessee.

Ms. Person is an undergraduate nursing student at the University of Tennessee, Knoxville, Tennessee.

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The American Journal of Orthopedics - 39(3)
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Incidental "Rotator Cuff Tear of the Hip" at Primary Total Hip Arthroplasty
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Incidental "Rotator Cuff Tear of the Hip" at Primary Total Hip Arthroplasty
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rotator cuff, muscle tear, total hip arthroplasty, tha, Hardinge approach, limp, trendelenburg gait, gluteus medius tendon, ajo, american journal of orthopedics, Cates, Schmidt, Person
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Cementless Femoral Fixation in Total Hip Arthroplasty

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Cementless Femoral Fixation in Total Hip Arthroplasty

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Kenny T. Mai, MD, Christopher A. Verioti, DO, Kevin Casey, MD, Yury Slesarenko, MD, Louis Romeo, MD, and Clifford W. Colwell Jr., MD

Dr. Mai is Attending Orthopaedic Surgeon, Hanford Community Medical Center, Hanford, California.

Dr. Verioti is a Research Fellow, Shiley Center for Orthopaedic Research and Education at Scripps Clinic, La Jolla, California.

Dr. Casey is Attending Orthopaedic Surgeon, Kaiser Permanente, Riverside, California.

Dr. Slesarenko is Attending Orthopaedic Surgeon, Baptist Medical Center, San Antonio, Texas.

Dr. Romeo is Director, Joint Replacement Center, Division of Orthopaedics, State University of New York at Stony Brook, East Setauket, New York.

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Kenny T. Mai, MD, Christopher A. Verioti, DO, Kevin Casey, MD, Yury Slesarenko, MD, Louis Romeo, MD, and Clifford W. Colwell Jr., MD

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Dr. Verioti is a Research Fellow, Shiley Center for Orthopaedic Research and Education at Scripps Clinic, La Jolla, California.

Dr. Casey is Attending Orthopaedic Surgeon, Kaiser Permanente, Riverside, California.

Dr. Slesarenko is Attending Orthopaedic Surgeon, Baptist Medical Center, San Antonio, Texas.

Dr. Romeo is Director, Joint Replacement Center, Division of Orthopaedics, State University of New York at Stony Brook, East Setauket, New York.

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Kenny T. Mai, MD, Christopher A. Verioti, DO, Kevin Casey, MD, Yury Slesarenko, MD, Louis Romeo, MD, and Clifford W. Colwell Jr., MD

Dr. Mai is Attending Orthopaedic Surgeon, Hanford Community Medical Center, Hanford, California.

Dr. Verioti is a Research Fellow, Shiley Center for Orthopaedic Research and Education at Scripps Clinic, La Jolla, California.

Dr. Casey is Attending Orthopaedic Surgeon, Kaiser Permanente, Riverside, California.

Dr. Slesarenko is Attending Orthopaedic Surgeon, Baptist Medical Center, San Antonio, Texas.

Dr. Romeo is Director, Joint Replacement Center, Division of Orthopaedics, State University of New York at Stony Brook, East Setauket, New York.

Dr. Colwell is Medical Director, Shiley Center for Orthopaedic Research and Education at Scripps Clinic, La Jolla, California.

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Cementless Femoral Fixation in Total Hip Arthroplasty
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In Vivo Micron-Scale Arthroscopic Imaging of Human Knee Osteoarthritis With Optical Coherence Tomography: Comparison With Magnetic Resonance Imaging and Arthroscopy

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In Vivo Micron-Scale Arthroscopic Imaging of Human Knee Osteoarthritis With Optical Coherence Tomography: Comparison With Magnetic Resonance Imaging and Arthroscopy

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Kathy Zheng, MPH, Scott D. Martin, MD, Christopher H. Rashidifard, BA, Bin Liu, PhD, and Mark E. Brezinski, MD, PhD

Ms. Zheng is Research Assistant, Center for Optical Coherence Tomography and Optical Physics, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.

Dr. Martin is Orthopedic Surgeon, Center for Optical Coherence Tomography and Optical Physics, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, and Assistant Professor, Harvard Medical School, Boston, Massachusetts.

Mr. Rashidifard is Research Assistant, and Dr. Liu is Scientist, Center for Optical Coherence Tomography and Optical Physics, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.

Dr. Brezinski is Physician and Senior Scientist, Center for Optical Coherence Tomography and Optical Physics, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, and Associate Professor, Harvard Medical School, Boston, Massachusetts.

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Kathy Zheng, MPH, Scott D. Martin, MD, Christopher H. Rashidifard, BA, Bin Liu, PhD, and Mark E. Brezinski, MD, PhD

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Dr. Martin is Orthopedic Surgeon, Center for Optical Coherence Tomography and Optical Physics, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, and Assistant Professor, Harvard Medical School, Boston, Massachusetts.

Mr. Rashidifard is Research Assistant, and Dr. Liu is Scientist, Center for Optical Coherence Tomography and Optical Physics, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.

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Kathy Zheng, MPH, Scott D. Martin, MD, Christopher H. Rashidifard, BA, Bin Liu, PhD, and Mark E. Brezinski, MD, PhD

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Dr. Martin is Orthopedic Surgeon, Center for Optical Coherence Tomography and Optical Physics, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, and Assistant Professor, Harvard Medical School, Boston, Massachusetts.

Mr. Rashidifard is Research Assistant, and Dr. Liu is Scientist, Center for Optical Coherence Tomography and Optical Physics, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.

Dr. Brezinski is Physician and Senior Scientist, Center for Optical Coherence Tomography and Optical Physics, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, and Associate Professor, Harvard Medical School, Boston, Massachusetts.

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In Vivo Micron-Scale Arthroscopic Imaging of Human Knee Osteoarthritis With Optical Coherence Tomography: Comparison With Magnetic Resonance Imaging and Arthroscopy
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In Vivo Micron-Scale Arthroscopic Imaging of Human Knee Osteoarthritis With Optical Coherence Tomography: Comparison With Magnetic Resonance Imaging and Arthroscopy
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Intrathecal Migration of a Bullet in the Spinal Canal

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Intrathecal Migration of a Bullet in the Spinal Canal

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Roop Singh, MD, Rajesh Rohilla, MD, and Ramchander Siwach, MD

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Roop Singh, MD, Rajesh Rohilla, MD, and Ramchander Siwach, MD

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