AANA25 Shoulder Access Pass-CONCURRENT SESSION 2F: Residents and Fellows Showcase

Video Transcription

Video Summary

This panel of orthopedic research presentations covered advances and insights in hip pathology, surgical education, radiation safety, AI in medicine, publishing costs, and diversity initiatives.<br /><br />Dr. Megan Bowman introduced a novel MRI classification system for hip abductor muscle fatty atrophy, highlighting its simplicity and reproducibility compared to existing subjective systems. Their grading combines muscle thickness, fat content percentage, and fat localization, correlating higher fatty infiltration and posterior fat distribution with worse hip pathologies. Future work aims to use this system to predict surgical outcomes for abductor tendon repair.<br /><br />Ben Johnson studied foot position impact on mechanical and anatomical axis measurements in patients with tibial torsional malalignment, showing significant shifts in alignment metrics between feet-forward versus knees-forward radiographs. This suggests that functional positions should be considered in surgical planning.<br /><br />Shrish Chhena demonstrated that larger acetabular labral tear size (>60 degrees) predicts worse long-term outcomes and a nearly six-fold higher risk of conversion to total hip arthroplasty after hip arthroscopy, even when adjusting for age and other factors. Despite worse outcomes, patient satisfaction remained positive.<br /><br />Stephen Pill showed that fellow involvement in arthroscopic rotator cuff surgery increases operative time but does not adversely affect two-year patient-reported outcomes, supporting the educational value of fellow participation.<br /><br />Alex Meyer reported multi-institutional evidence that augmented reality arthroscopy simulation effectively improves orthopedic interns' skills, efficiency, and confidence, suggesting its utility in resident training.<br /><br />Isabel Chalim revealed gaps in radiation safety knowledge and use of protective equipment among female orthopedic surgeons, despite increased breast cancer risk. Many lack education and access to properly fitting lead gear, highlighting the need for targeted safety training.<br /><br />Tuckerman Jones assessed large language AI models (ChatGPT, Google BARD/Gemini) and found they provide mostly accurate, improving orthopedic sports medicine information, though occasional errors remain. These tools show promise as reliable patient education aids.<br /><br />Brett Helt analyzed publishing costs in orthopedic journals, finding average open-access fees around $2,300, with higher fees correlating with impact factor. Hybrid journals had higher article processing charges than open access only. This raises concerns about financial barriers to academic dissemination.<br /><br />Lastly, studies by Adeline Ching and James Pye evaluated female representation at sports medicine meetings and fellowship programs. Female moderators correlated with more female panelists, but women remain underrepresented in leadership and academic ranks. DEI initiatives on fellowship websites correlated with increased female faculty and fellows, emphasizing the importance of visible diversity efforts integrated within orthopedic departments.<br /><br />Overall, these presentations highlight innovations in diagnostic tools, surgical education, diversity, and digital medicine that may improve patient outcomes and equity in orthopedic sports medicine.

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Keywords

hip pathology

MRI classification

fatty atrophy

tibial torsional malalignment

acetabular labral tear

hip arthroscopy outcomes

arthroscopic rotator cuff surgery

augmented reality simulation

radiation safety

large language AI models

publishing costs

diversity equity inclusion