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In this issue, specialists from the UPMC department of orthopaedic surgery discuss High-Resolution Ultrasound, Bundled Payment for Total Joint Arthroplasty: The Multifaceted Response of UPMC, and A “Lean and Green” Approach to Hand Surgery.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Evaluate the role of ultra sound imaging as a clinical evaluation tool for meniscus injury
  • Examine the nature of the anterolateral complex of the knee and its role in knee biomechanics and stability.
  • Discuss the hoop tension mechanism of the meniscus and its relationship to osteoarthritis in the presence of meniscus injury

Reading Resources:

  1. Kennedy MI, Claes S, Fuso FA, et al. The Anterolateral Ligament: An Anatomic, Radiographic, and Biomechanical Analysis. Am J Sports Med. 2015; 43(7): 1606-1615.
  2. Kim JG, Lee YS, Bae TS, et al. Tibiofemoral Contact Mechanics Following Posterior Root of Medial Meniscus Tear, Repair, Meniscectomy, and Allograft Transplantation. Knee Surg Sports Traumatol Arthrosc. 2013; 21(9): 2121-2125.
  3. Musahl V, Rahnemai-Azar AA, Costello J, et al. The Influence of Meniscal and Anterolateral Capsular Injury on Knee Laxity in Patients With Anterior Cruciate Ligament Injuries. Am J Sports Med. 2016. Epub ahead of print.
  4. Parker L, Nazarian LN, Carrino JA, et al. Musculoskeletal Imaging: Medicare Use, Costs, and Potential for Cost Substitution. J Am Coll Radiol. 2008; 5(3): 182-188.
  5. Rahnemai-Azar AA, Miller RM, Guenther D, et al. Structural Properties of the Antero- lateral Capsule and Iliotibial Band of the Knee. Am J Sports Med. 2016; 44(4): 892-897.


Doctors Onishi, Herbst, Fu, and Yates report no relevant relationships with any entities producing health care goods or services.

Dr. Hogan receives grant/research support from Amniox Medical, U.S. Department of Defense, and National Institutes of Health.

Dr. Baratz is a consultant for Elizur, a stockholder and speaker for Integra LifeSciences Corporation, and has relationships with the Journal of Bone and Joint Surgery, Journal of Shoulder and Elbow Surgery, Journal of Hand Surgery, Hand, American Association of Hand Surgery, and American Foundation for Surgery of the Hand.

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to .5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 5/10/2014 | Last Modified On: 11/10/2016 | Expires: 11/10/2017

This course has been expired.