All Guidelines

All Guidelines 2020-01-08T18:06:15+00:00
Acute Compartment Syndrome (2018)
Anesthesia and Analgesia in TJA (2020)
Anesthesia and Analgesia in TJA (2021)
Anterior Cruciate Ligament Injuries (2022)
Carpal Tunnel Syndrome (2016) - Update Pending
Clavicle Fractures (2022)
Detection and Nonoperative Management Pediatric Developmental Dysplasia of the Hip (2022)
Distal Radius Fractures (2020)
Glenohumeral Joint Osteoarthritis (2020)
Limb Salvage or Early Amputation (2019)
Management of Hip Fractures in the Older Adults (2021)
Management of Metastatic Humeral Disease (2023)
Management of Osteoarthritis of the Hip (2023)
Management of Venous Thromboembolism
Osteoarthritis of the Knee (2021)
Osteoarthritis of the Knee (Arthroplasty) (2022)
Osteochondritis Dissecans
Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Pediatric Diaphyseal Femur Fractures (2020)
Pediatric Supracondylar Humerus Fractures (2011)
Periprosthetic Joint Infections (2019)
Prevention of Implant Infection in Patients Undergoing Dental Procedures (2012) Update Pending
Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Psychosocial Factors Influencing Trauma Recovery (2019)
Rotator Cuff Injuries (2019)
Surgical Site Infections (2018)
Tranexamic Acid in Total Joint Arthroplasty (2018)
Treatment of Metastatic Carcinoma and Myeloma of the Femur (2020)
Use of Imaging Prior to Referral to a Musculoskeletal Oncologist (2018)
Strong Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2020)
Acetaminophen and Postoperative Complications
Strong Recommendation Strong Recommendation
Gabapentinoids and Postoperative Pain and/or Opioid Use
Strong Recommendation Strong Recommendation
Gabapentinoid Use Following Discharge
Strong Recommendation Strong Recommendation
Oral NSAIDs and Postoperatiave Pain and/or Opioid Use
Strong Recommendation Strong Recommendation
Intravenous Ketorolac and Postoperative Pain and/or Opioid Consumption
Strong Recommendation Strong Recommendation
Opioids Administered Immediately Prior to TJA Surgery
Strong Recommendation Strong Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Perioperative Corticosteroids and Postoperative Pain/Opioid Use/Nausea/Vomiting
Strong Recommendation Strong Recommendation
Perioperative Corticosteroid - Multiple Doses
Strong Recommendation Strong Recommendation
Femoral Nerve Block vs Adductor Canal Block in TKA
Strong Recommendation Strong Recommendation
Block vs. Block - Single or Continuous in TKA
Strong Recommendation Strong Recommendation
Block vs. Block - Single-Shot Femoral Nerve Block vs. Adductor Canal Block in TKA
Strong Recommendation Strong Recommendation
Block vs. Block - Continuous Femoral Nerve Block or Adductor Canal Block in TKA
Strong Recommendation Strong Recommendation
Ketamine and Postoperative Opioid Consumption
Strong Recommendation Strong Recommendation
Ketamine and Adverse Events
Strong Recommendation Strong Recommendation
Intraoperative Periarticular Injection and Postoperative Pain/Opioid Use in TJA
Strong Recommendation Strong Recommendation
Long Acting Local Anesthetics and Postoperative Pain/Opioid Use
Strong Recommendation Strong Recommendation
Particular Injections with Liposomal Lupivacaine vs. Ropivacaine or Bupivacaine in TJA
Strong Recommendation Strong Recommendation
Morphine in Periarticular Injection in TJA
Strong Recommendation Strong Recommendation

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT [ADULT]
Strong Recommendation Strong Recommendation

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age (2022)
Evaluation of Infants with Risk Factors for DDH
Strong Recommendation Strong Recommendation

Diagnosis and Prevention of Periprosthetic Joint Infections
Blood Tests for Preoperative Diagnosis (Strong Evidence)
Strong Recommendation Strong Recommendation
Infected Joint Replacements - Intraoperative Tests - (Strong)
Strong Recommendation Strong Recommendation
Antibiotics With Low Preoperative Suspicion or Established PJI
Strong Recommendation Strong Recommendation

Diagnosis and Treatment of Osteochondritis Dissecans (2023)
MRI OCD Knee
Strong Recommendation Strong Recommendation

Limb Salvage or Early Amputation
Psychosocial Factors
Strong Recommendation Strong Recommendation

Management of Anterior Cruciate Ligament Injuries (2022)
HISTORY AND PHYSICAL
Strong Recommendation Strong Recommendation
SURGICAL TIMING
Strong Recommendation Strong Recommendation
SINGLE OR DOUBLE BUNDLE ACL RECONSTRUCTION
Strong Recommendation Strong Recommendation
AUTOGRAFT SOURCE
Moderate Recommendation Moderate Recommendation
AUTOGRAFT VS. ALLOGRAFT
Strong Recommendation Strong Recommendation
REPAIR VS. RECONSTRUCTION
Strong Recommendation Strong Recommendation

Management of Carpal Tunnel Syndrome
Observation
Strong Recommendation Strong Recommendation
Physical Signs
Strong Recommendation Strong Recommendation
Increased Risk of CTS (Strong Evidence)
Strong Recommendation Strong Recommendation
Immobilization
Strong Recommendation Strong Recommendation
Steroid Injections
Strong Recommendation Strong Recommendation
Magnet Therapy
Strong Recommendation Strong Recommendation
Surgical Release Location
Strong Recommendation Strong Recommendation
Surgical Procedures Versus Nonoperative Treatments
Strong Recommendation Strong Recommendation
Postoperative Immobilization
Strong Recommendation Strong Recommendation

Management of Distal Radius Fractures
Indications for Fixation (Geriatric Patients)
Strong Recommendation Strong Recommendation
Fixation Tech
Strong Recommendation Strong Recommendation

Management of Glenohumeral Joint Osteoarthritis
HYALURONIC ACID
Strong Recommendation Strong Recommendation
PROGNOSTIC FACTORS (BMI)
Strong Recommendation Strong Recommendation
PROGNOSTIC FACTORS (GENDER/SEX)
Strong Recommendation Strong Recommendation
PROGNOSTIC FACTORS (COMORBIDITIES)
Strong Recommendation Strong Recommendation
TOTAL SHOULDER ARTHROPLASTY
Strong Recommendation Strong Recommendation
GLENOID COMPONENT – PEGGED OR KEELED
Strong Recommendation Strong Recommendation

Management of Hip Fractures in Older Adults
Preoperative Traction
Strong Recommendation Strong Recommendation
Venous Thromboembolism Prophylaxis
Strong Recommendation Strong Recommendation
Anesthesia
Strong Recommendation Strong Recommendation
Unstable Femoral Neck Fractures - Arthroplasty vs Fixation
Strong Recommendation Strong Recommendation
Cemented Femoral Stems
Strong Recommendation Strong Recommendation
Cephalomedullary Device - Stable Intertrochanteric Fractures
Strong Recommendation Strong Recommendation
Cephalomedullary Device - Subtrochanteric/Reverse Obliquity Fractures
Strong Recommendation Strong Recommendation
Cephalomedullary Device - Unstable Intertrochanteric Fractures
Strong Recommendation Strong Recommendation
Multimodal Analgesia
Strong Recommendation Strong Recommendation
Tranexamic Acid
Strong Recommendation Strong Recommendation
Interdisciplinary Care Programs
Strong Recommendation Strong Recommendation

Management of Osteoarthritis of the Hip (2023)
TRANEXAMIC ACID
Strong Recommendation Strong Recommendation
INTRAARTICULAR HYALURONIC ACID
Strong Recommendation Strong Recommendation
PHARMACOLOGICAL MANAGEMENT: NSAIDs
Strong Recommendation Strong Recommendation

Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition)
Lateral Wedge Insoles (Recommendation Against)
Strong Recommendation Strong Recommendation
Topical Treatments
Strong Recommendation Strong Recommendation
Supervised Exercise
Strong Recommendation Strong Recommendation
Self-Management
Strong Recommendation Strong Recommendation
Patient Education
Strong Recommendation Strong Recommendation
Oral NSAIDs
Strong Recommendation Strong Recommendation
Oral Acetaminophen
Strong Recommendation Strong Recommendation
Oral Narcotics (Recommendation Against)
Strong Recommendation Strong Recommendation

Management of Rotator Cuff Injuries
Management of Small to Medium Tears
Strong Recommendation Strong Recommendation
Long Term Non-Operative Management
Strong Recommendation Strong Recommendation
Diagnosis (Clinical Examination)
Strong Recommendation Strong Recommendation
Diagnosis (Imaging)
Strong Recommendation Strong Recommendation
Post-Op Mobilization Timing
Strong Recommendation Strong Recommendation
High-Grade Partial Thickness Rotator Cuff Tears
Strong Recommendation Strong Recommendation
Prognostic Factors (Age)
Strong Recommendation Strong Recommendation
Prognostic Factors (Worker's Compensation)
Strong Recommendation Strong Recommendation
Biological Augmentation with Platelet Derived Products
Strong Recommendation Strong Recommendation
Single-Row vs Double-Row Repair
Strong Recommendation Strong Recommendation
Single-Row vs Double-Row Repair Re-Tears
Strong Recommendation Strong Recommendation
Open vs Arthroscopic Repairs
Strong Recommendation Strong Recommendation

Management of Surgical Site Infections
Cultures
Strong Recommendation Strong Recommendation
C-Reactive Protein
Strong Recommendation Strong Recommendation
Strong Evidence of Factors Associated with Increased Risk of SSI
Strong Recommendation Strong Recommendation

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Neuromuscular Electrical Stimulation
Strong Recommendation Strong Recommendation
Peri-op Injections Total Shoulder Arthroplasty
Strong Recommendation Strong Recommendation
COX-2
Strong Recommendation Strong Recommendation
Oral Acetaminophen
Strong Recommendation Strong Recommendation
Acetaminophen
Strong Recommendation Strong Recommendation
Gabapentin
Strong Recommendation Strong Recommendation
Gabapentin
Strong Recommendation Strong Recommendation
Ketamine
Strong Recommendation Strong Recommendation

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Perioperative and Postoperative Antibiotics - Systemic and Local
Strong Recommendation Strong Recommendation
Initial Wound Management -Irrigation and Fixation
Strong Recommendation Strong Recommendation
Negative Pressure Wound Therapy - Open and Closed Fractures
Strong Recommendation Strong Recommendation
Open Wound Closure
Strong Recommendation Strong Recommendation
Modifiable Risk Factors
Strong Recommendation Strong Recommendation

Surgical Management of Osteoarthritis of the Knee (2022)
PERIPHERAL NERVE BLOCKADE (PNB)
Strong Recommendation Strong Recommendation
PERIARTICULAR LOCAL INFILTRATION
Strong Recommendation Strong Recommendation
TRANEXAMIC ACID
Strong Recommendation Strong Recommendation
RISK FACTORS: BODY MASS INDEX (BMI)
Strong Recommendation Strong Recommendation
RISK FACTORS: DIABETES/HYPERGLYCEMIA
Strong Recommendation Strong Recommendation
TOURNIQUETS
Strong Recommendation Strong Recommendation
PATELLAR RESURFACING
Strong Recommendation Strong Recommendation
CRUCIATE RETAINING ARTHROPLASTY
Strong Recommendation Strong Recommendation
PATIENT SPECIFIC TECHNOLOGY
Strong Recommendation Strong Recommendation
KINEMATIC VS. MECHANICAL ALIGNMENT
Strong Recommendation Strong Recommendation

Tranexamic Acid in Total Joint Arthroplasty
Administration Method Versus Other Methods
Strong Recommendation Strong Recommendation
Administration Method Versus Placebo
Strong Recommendation Strong Recommendation
Dosing
Strong Recommendation Strong Recommendation
Multiple Dose vs. Single Dose
Strong Recommendation Strong Recommendation
VTE Risk (Patients Without History)
Strong Recommendation Strong Recommendation

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Doseage Response of BMAs
Strong Recommendation Strong Recommendation

Treatment of Pediatric Diaphyseal Femur Fractures
Child Abuse
Strong Recommendation Strong Recommendation
Elastic Intramedullary Nails
Strong Recommendation Strong Recommendation

Use of Imaging Prior to Referral to a Musculoskeletal Oncologist
MRI: Use of Contrast
Moderate Recommendation Moderate Recommendation
MRI: Use of Contrast Benign or Malignant
Strong Recommendation Strong Recommendation
Tumor Size: Greater than 5 cm
Strong Recommendation Strong Recommendation

Defining Strength Ratings
 
Range Terminology Definition Language Stem
6/2013 - Present Strong (2nd Ed) Two or more HIGH quality studies Strong evidence supports that the practitioner should/should not do X, because…
7/2009 - 5/2013 Strong (1st Ed) Two or more HIGH quality studies We recommend…
or We cannot recommend
2007 - 6/2009 A More than one Level I study with consistent findings for or against recommending intervention. We recommend Treatment X
 
Moderate Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2020)
Acetaminophen and Postoperative Pain and/or Opiod Use
Moderate Recommendation Moderate Recommendation
Efficacy Between Low- and High-Dose Gabapentinoids
Moderate Recommendation Moderate Recommendation
Oral COX-2 NSAID and Postoperative Pain and/or Opioid Use
Moderate Recommendation Moderate Recommendation
Oral NSAID Use After Discharge Following TKA
Moderate Recommendation Moderate Recommendation
Postoperative IV Ketorolac
Moderate Recommendation Moderate Recommendation
TJA and Preoperative Opioid Use
Moderate Recommendation Moderate Recommendation
Opioids Administered Intraoperatively
Moderate Recommendation Moderate Recommendation
Opioid Use Following TJA Surgery
Moderate Recommendation Moderate Recommendation
Opioid Use Following TJA Surgery
Moderate Recommendation Moderate Recommendation
Tramadol Use Following TJA Surgery
Moderate Recommendation Moderate Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Single Shot Lumbar Plexus Nerve Block in THA
Moderate Recommendation Moderate Recommendation
Single-Shot Fascia Ilicia Block in THA
Moderate Recommendation Moderate Recommendation
Single-Shot Fascia Ilicia Block vs Lumbar Plexus Nerve Block in THA
Moderate Recommendation Moderate Recommendation
Fascia Iliaca Block vs Peri-Articular Local Anesthetic Infiltration In THA
Moderate Recommendation Moderate Recommendation
Lumbar Plexus Block vs Peri-Articular Local Anesthetic Infiltration in THA
Moderate Recommendation Moderate Recommendation
Continuous vs. Single-Shot Adductor Canal Block in TKA
Moderate Recommendation Moderate Recommendation
Single-Shot Adductor Canal Block vs Peri-Articular Local Anesthetic Infiltration in TKA
Moderate Recommendation Moderate Recommendation
Combined Single-Shot Adductor Canal Block and Peri-Articular Local Anesthetic Infiltration
Moderate Recommendation Moderate Recommendation
Single-Shot Adductor Block & Peri-Articular Local Anesthetic Infiltration vs. Single-Shot Alone
Moderate Recommendation Moderate Recommendation
Ketamine and Postoperative Pain/Nausea/Vomiting
Moderate Recommendation Moderate Recommendation
Periarticular Injections of Ketorolac in TKA
Moderate Recommendation Moderate Recommendation
Periarticular Injections of Corticosteroids in TKA
Moderate Recommendation Moderate Recommendation

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
BONE STIMULATOR
Moderate Recommendation Moderate Recommendation
HOOK PLATE VS. LATERAL LOCKING PLATE FOR LATERAL FRACTURE
Moderate Recommendation Moderate Recommendation
NAILING VS. SINGLE PLATE
Moderate Recommendation Moderate Recommendation

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age (2022)
Universal Ultrasound Screening
Moderate Recommendation Moderate Recommendation
Surveillance After Normal Infant Hip Exam
Moderate Recommendation Moderate Recommendation
Type of Brace for the Unstable Hip
Moderate Recommendation Moderate Recommendation

Diagnosis and Prevention of Periprosthetic Joint Infections
Risk Factors for PJI (Moderate Evidence)
Moderate Recommendation Moderate Recommendation
Blood Tests for Preoperative Diagnosis (Moderate Evidence)
Moderate Recommendation Moderate Recommendation
Infected Joint Replacements - Synovial Fluid Tests
Moderate Recommendation Moderate Recommendation
Infected Joint Replacements - Intraoperative Tests - (Moderate)
Moderate Recommendation Moderate Recommendation
Gram Stain
Moderate Recommendation Moderate Recommendation
Initiating Antimicrobials Prior to Obtaining Intra-Articular Culture
Moderate Recommendation Moderate Recommendation

Evaluation of Psychosocial Factors Influencing Recovery From Adult Orthopaedic Trauma
Factors Associated with Patient Outcomes
Moderate Recommendation Moderate Recommendation

Limb Salvage or Early Amputation
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Moderate Recommendation Moderate Recommendation
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Moderate Recommendation Moderate Recommendation
Burden of Injury (Limb Specific Injury - Time 1 and Beyond)
Moderate Recommendation Moderate Recommendation
Rehabilitation
Moderate Recommendation Moderate Recommendation
Smoking
Moderate Recommendation Moderate Recommendation
Lower Extremity Injury Scores
Moderate Recommendation Moderate Recommendation

Management of Acute Compartment Syndrome
Serum Biomarkers - Femoral Vein Lactate Concentration
Moderate Recommendation Moderate Recommendation
Pressure Methods - Diagnosis
Moderate Recommendation Moderate Recommendation
Pressure Methods - Ruling Out
Moderate Recommendation Moderate Recommendation

Management of Anterior Cruciate Ligament Injuries (2022)
ACL TRAINING PROGRAMS
Moderate Recommendation Moderate Recommendation
ANTEROLATERAL LIGAMENT / LATERAL EXTRAARTICULAR TENODESIS
Moderate Recommendation Moderate Recommendation

Management of Carpal Tunnel Syndrome
Maneuvers
Moderate Recommendation Moderate Recommendation
History Interview Topics
Moderate Recommendation Moderate Recommendation
MRI
Moderate Recommendation Moderate Recommendation
Diagnostic Scales
Moderate Recommendation Moderate Recommendation
Increased Risk of CTS (Moderate Evidence)
Moderate Recommendation Moderate Recommendation
Decreased Risk of CTS
Moderate Recommendation Moderate Recommendation
Factors Showing No Associated Risk of CTS (Moderate Evidence)
Moderate Recommendation Moderate Recommendation
Oral Treatments
Moderate Recommendation Moderate Recommendation
Oral Steroids
Moderate Recommendation Moderate Recommendation
Ketoprofen Phonophoresis
Moderate Recommendation Moderate Recommendation
Adjunctive Techniques
Moderate Recommendation Moderate Recommendation
Buffered Versus Plain Lidocaine
Moderate Recommendation Moderate Recommendation
Supervised Versus Home Therapy
Moderate Recommendation Moderate Recommendation

Management of Distal Radius Fractures
Arthroscopic Assistance
Moderate Recommendation Moderate Recommendation
Indications for Fixation (Non-Geriatric Patients)
Moderate Recommendation Moderate Recommendation

Management of Glenohumeral Joint Osteoarthritis
PROGNOSTIC FACTORS (AGE)
Moderate Recommendation Moderate Recommendation
PROGNOSTIC FACTORS (SMOKING)
Moderate Recommendation Moderate Recommendation
PROGNOSTIC FACTORS (PRE-OPERATIVE FUNCTION)
Moderate Recommendation Moderate Recommendation
PROGNOSTIC FACTORS (DEPRESSION)
Moderate Recommendation Moderate Recommendation
GLENOID COMPONENT – METAL BACKED CEMENTLESS
Moderate Recommendation Moderate Recommendation
TOTAL SHOULDER ARTHROPLASTY – SUBSCAPULARIS PEEL, LESSER TUBEROSITY OSTEOTOMY, TENOTOMY
Moderate Recommendation Moderate Recommendation

Management of Hip Fractures in Older Adults
Surgical Timing
Moderate Recommendation Moderate Recommendation
Unipolar/Bipolar Hemiarthroplasty
Moderate Recommendation Moderate Recommendation
Unstable Femoral Neck Fractures - Total Arthroplasty vs. Hemi Arthroplasty
Moderate Recommendation Moderate Recommendation
Surgical Approach
Moderate Recommendation Moderate Recommendation
Transfusion
Moderate Recommendation Moderate Recommendation

Management of Osteoarthritis of the Hip (2023)
Postoperative Physical Therapy
Moderate Recommendation Moderate Recommendation
PHYSICAL THERAPY AS CONSERVATIVE TREATMENT
Moderate Recommendation Moderate Recommendation
INTRAARTICULAR CORTICOSTEROID INJECTION
Moderate Recommendation Moderate Recommendation
CEMENTED VS. CEMENTLESS FEMORAL FIXATION
Moderate Recommendation Moderate Recommendation
EXPOSURE APPROACH
Moderate Recommendation Moderate Recommendation

Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition)
Canes
Moderate Recommendation Moderate Recommendation
Braces
Moderate Recommendation Moderate Recommendation
Neuromuscular Training
Moderate Recommendation Moderate Recommendation
Weight Loss Intervention
Moderate Recommendation Moderate Recommendation
Hyaluronic Acid (Recommendation Against)
Moderate Recommendation Moderate Recommendation
Intra-articular Corticosteroids
Moderate Recommendation Moderate Recommendation
Lavage/Debridement (Recommendation Against)
Moderate Recommendation Moderate Recommendation
Partial Meniscectomy
Moderate Recommendation Moderate Recommendation

Management of Rotator Cuff Injuries
Operative Management
Moderate Recommendation Moderate Recommendation
Acromioplasty & Rotator Cuff Repair
Moderate Recommendation Moderate Recommendation
Distal Clavicle Resection
Moderate Recommendation Moderate Recommendation
Corticosteroid Injections for Rotator Cuff Tears
Moderate Recommendation Moderate Recommendation
Prognostic Factors (Higher BMI)
Moderate Recommendation Moderate Recommendation
Prognostic Factors (Comorbidities)
Moderate Recommendation Moderate Recommendation
Prognostic Factors (Diabetes)
Moderate Recommendation Moderate Recommendation
Prognostic Factors (Patient Expectations)
Moderate Recommendation Moderate Recommendation
Postoperative Pain Management
Moderate Recommendation Moderate Recommendation

Management of Surgical Site Infections
Clinical Exam for the Diagnosis of Surgical Site Infections
Moderate Recommendation Moderate Recommendation
Increased Associated Risk of SSI
Moderate Recommendation Moderate Recommendation
Antibiotic Duration for Management of Surgical Site Infections
Moderate Recommendation Moderate Recommendation
Rifampin Use for Management of Surgical Site Infections
Moderate Recommendation Moderate Recommendation

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Massage
Moderate Recommendation Moderate Recommendation
Transcutaneous Electrical Nerve Stimulation
Moderate Recommendation Moderate Recommendation
Peri-op Injections
Moderate Recommendation Moderate Recommendation
Guided Relaxation Therapy
Moderate Recommendation Moderate Recommendation
Pregabalin
Moderate Recommendation Moderate Recommendation
Oral Relaxants
Moderate Recommendation Moderate Recommendation

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Initial Antibiotics
Moderate Recommendation Moderate Recommendation
Preoperative Antibiotics
Moderate Recommendation Moderate Recommendation
Surgery Timing
Moderate Recommendation Moderate Recommendation
Perioperative and Postoperative Antibiotics - Systemic and Local
Moderate Recommendation Moderate Recommendation
Initial Wound Management -Irrigation and Fixation
Moderate Recommendation Moderate Recommendation
Wound Coverage
Moderate Recommendation Moderate Recommendation
Silver Coated Dressings
Moderate Recommendation Moderate Recommendation
Modifiable Risk Factors
Moderate Recommendation Moderate Recommendation
Administrative Risk Factors
Moderate Recommendation Moderate Recommendation

Surgical Management of Osteoarthritis of the Knee (2022)
DRAINS
Moderate Recommendation Moderate Recommendation
CEMENTLESS FIXATION: CEMENTED FEMORAL & TIBIAL COMPONENTS VS. CEMENTLESS FEMORAL & TIBIAL COMPONENTS
Moderate Recommendation Moderate Recommendation
CEMENTLESS FIXATION: ALL CEMENTED COMPONENTS VS. HYBRID FIXATION (CEMENTLESS FEMORAL COMPONENT)
Moderate Recommendation Moderate Recommendation
UNICOMPARTMENTAL VS. TOTAL KNEE ARTHROPLASTY
Moderate Recommendation Moderate Recommendation
SURGICAL NAVIGATION
Moderate Recommendation Moderate Recommendation
PRE-OPERATIVE OPIOID USE
Moderate Recommendation Moderate Recommendation

Tranexamic Acid in Total Joint Arthroplasty
ATE Risk
Moderate Recommendation Moderate Recommendation
Timing of Administration
Moderate Recommendation Moderate Recommendation
VTE Risk (Patients With History)
Moderate Recommendation Moderate Recommendation

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Efficacy of Radiation Therapy
Moderate Recommendation Moderate Recommendation
Multi-Fraction Radiation Treatment
Moderate Recommendation Moderate Recommendation

Treatment of Pediatric Diaphyseal Femur Fractures
Early or Delayed Spica Casting
Moderate Recommendation Moderate Recommendation

Treatment of Pediatric Supracondylar Humerus Fractures
Gartland Type 1 Immobilization
Moderate Recommendation Moderate Recommendation
Closed Reduction Fixation
Moderate Recommendation Moderate Recommendation

Use of Imaging Prior to Referral to a Musculoskeletal Oncologist
Cortical Irregularity/Periosteal Reaction
Moderate Recommendation Moderate Recommendation
History of Growth: Soft Tissue Tumor
Moderate Recommendation Moderate Recommendation
History of Pain: Radiographs and MRI
Moderate Recommendation Moderate Recommendation
Plain Radiographs: Unknown Etiology
Moderate Recommendation Moderate Recommendation
Tumor Interface
Moderate Recommendation Moderate Recommendation
Ultrasound: Benign Tumor
Moderate Recommendation Moderate Recommendation

Defining Strength Ratings
 
Range Terminology Definition Language Stem
6/2013 - Present Moderate (2nd Ed) 1 HIGH or 2 MODERATE quality studies Moderate evidence supports that the practitioner could/could not do X, because…       
7/2009 - 5/2013 Moderate (1st Ed) 1 HIGH or 2 MODERATE quality studies We suggest…
2007 - 6/2009 B More than 1 Level II or III study with
consistent findings or a single
Level I study for or against recommending intervention
We suggest Treatment X
Limited Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2020)
NSAIDs Use and Postoperative Medical Complications
Limited Recommendation Limited Recommendation
Reduction of Opioid Use Prior to TJA
Limited Recommendation Limited Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Perioperative Corticosteroid Doseage
Limited Recommendation Limited Recommendation
Single Shot Quadratus Lumborum Block in THA
Limited Recommendation Limited Recommendation
Block vs. Control iPACK in TKA
Limited Recommendation Limited Recommendation
Epinephrine in Periarticular Injection in TKA
Limited Recommendation Limited Recommendation
Clonidine in Periarticular Injections and TKA
Limited Recommendation Limited Recommendation

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
NON-MODIFIABLE RISK FACTORS: AGE AND SEX
Limited Recommendation Limited Recommendation
MODIFIABLE RISK FACTORS: SMOKING
Limited Recommendation Limited Recommendation
DUAL PLATING
Limited Recommendation Limited Recommendation
ANTERIOR VS. SUPERIOR PLATING
Limited Recommendation Limited Recommendation
PRE-CONTOURED PLATE VS. NON-PRE-CONTOURED PLATE
Limited Recommendation Limited Recommendation
RADIOGRAPH: SUPINE VS. UPRIGHT
Limited Recommendation Limited Recommendation
PREDICTORS OF NON-UNION FOLLOWING NON-OPERATIVELY TREATED CLAVICLE FRACTURE
Limited Recommendation Limited Recommendation
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT[ADOLESCENT ≤18 YEARS]
Limited Recommendation Limited Recommendation

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age (2022)
Imaging of the Unstable Hip
Limited Recommendation Limited Recommendation
Imaging of the Infant Hip
Limited Recommendation Limited Recommendation
Stable Hip With Ultrasound Imaging Abnormalities
Limited Recommendation Limited Recommendation
Treatment of Clinical Instability
Limited Recommendation Limited Recommendation
Monitoring of Patients During Brace Treatment
Limited Recommendation Limited Recommendation

Diagnosis and Prevention of Periprosthetic Joint Infections
Risk Factors for PJI (Limited Evidence)
Limited Recommendation Limited Recommendation
Injections Prior to Arthroplasty
Limited Recommendation Limited Recommendation
Infected Joint Replacements - Intraoperative Tests - (Limited)
Limited Recommendation Limited Recommendation
Diagnostic Imaging
Limited Recommendation Limited Recommendation
Diagnostic Imaging - Nuclear Imaging
Limited Recommendation Limited Recommendation
Avoiding Antimicrobials Two Weeks Prior to Obtaining Intra-Articular Culture
Limited Recommendation Limited Recommendation
Perioperative Antibiotic Selection - (Limited)
Limited Recommendation Limited Recommendation
Antibiotic Cement
Limited Recommendation Limited Recommendation
Antibiotic Cement
Limited Recommendation Limited Recommendation
Preoperative Screening and Decolonization - (Limited)
Limited Recommendation Limited Recommendation

Diagnosis and Treatment of Osteochondritis Dissecans (2023)
Radiographs
Limited Recommendation Limited Recommendation
Option of Surgery for Skeletally Immature Patients with Salvageable Unstable OCD Lesions
Limited Recommendation Limited Recommendation
Option of Surgery for Skeletally Mature Patients with Salvageable Unstable OCD Lesions
Limited Recommendation Limited Recommendation

Limb Salvage or Early Amputation
Nerve Injury
Limited Recommendation Limited Recommendation
Massive Soft Tissue and Muscle Damage (Time 1)
Limited Recommendation Limited Recommendation
Vascular Injury/Limb Ischmia
Limited Recommendation Limited Recommendation
Amputation/Limb Salvage
Limited Recommendation Limited Recommendation

Management of Acute Compartment Syndrome
Biomarkers - Myoglobinuria and Serum Troponin
Limited Recommendation Limited Recommendation
Biomarkers - Electrical Injury
Limited Recommendation Limited Recommendation
Physical Exam (Awake)
Limited Recommendation Limited Recommendation
Wound Management
Limited Recommendation Limited Recommendation

Management of Anterior Cruciate Ligament Injuries (2022)
ACL SURGICAL RECONSTRUCTION
Limited Recommendation Limited Recommendation
MENISCAL REPAIR
Limited Recommendation Limited Recommendation
COMBINED ACL / MCL TEAR
Limited Recommendation Limited Recommendation
PROPHYLACTIC KNEE BRACING
Limited Recommendation Limited Recommendation
RETURN TO SPORT
Limited Recommendation Limited Recommendation
RETURN TO ACTIVITY FUNCTIONAL BRACING
Limited Recommendation Limited Recommendation

Management of Carpal Tunnel Syndrome
Patient Reported Numbness and Pain
Limited Recommendation Limited Recommendation
Hand-Held Nerve Conduction Study (NCS)
Limited Recommendation Limited Recommendation
Diagnostic Ultrasound
Limited Recommendation Limited Recommendation
Increased Risk of CTS (Limited Evidence)
Limited Recommendation Limited Recommendation
Factors Showing No Associated Risk of CTS (Limited Evidence)
Limited Recommendation Limited Recommendation
Factors Showing Conflicting Risk of CTS
Limited Recommendation Limited Recommendation
Therapeutic Ultrasound
Limited Recommendation Limited Recommendation
Laser Therapy
Limited Recommendation Limited Recommendation
Surgical Release Procedure
Limited Recommendation Limited Recommendation
Bilateral Versus Staged Carpal Tunnel Release
Limited Recommendation Limited Recommendation
Local Versus Intravenous (IV) Regional Anesthesia
Limited Recommendation Limited Recommendation
Aspirin Use
Limited Recommendation Limited Recommendation
Preoperative Antibiotics
Limited Recommendation Limited Recommendation

Management of Distal Radius Fractures
Home Exercise Program
Limited Recommendation Limited Recommendation
Serial Radiography
Limited Recommendation Limited Recommendation

Management of Glenohumeral Joint Osteoarthritis
HEMIARTHROPLASTY - STEMS
Limited Recommendation Limited Recommendation

Management of Hip Fractures in Older Adults
Stable Femoral Neck Fractures
Limited Recommendation Limited Recommendation
Cephalomedullary Device - Pertrochanteric Fractures
Limited Recommendation Limited Recommendation
Weight Bearing
Limited Recommendation Limited Recommendation

Management of Metastatic Humeral Disease (2023)
Plating/Internal Fixation, Intramedullary Fixation, and/or Photodynamic Polymer
Limited Recommendation Limited Recommendation
Cementation Vs No Cementation
Limited Recommendation Limited Recommendation
Reconstruction Approach
Limited Recommendation Limited Recommendation
Prognostic Markers
Limited Recommendation Limited Recommendation

Management of Osteoarthritis of the Hip (2023)
BMI: ADVERSE EVENTS
Limited Recommendation Limited Recommendation
BMI: CLINICAL OUTCOMES
Limited Recommendation Limited Recommendation
DIABETES: ADVERSE EVENTS
Limited Recommendation Limited Recommendation
SOCIAL DETERMINANTS OF HEALTH
Limited Recommendation Limited Recommendation
NEURAXIAL VS. GENERAL ANAESTHESIA
Limited Recommendation Limited Recommendation
TOBACCO
Limited Recommendation Limited Recommendation

Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition)
Oral/Dietary Supplements
Limited Recommendation Limited Recommendation
Manual Therapy
Limited Recommendation Limited Recommendation
Massage
Limited Recommendation Limited Recommendation
Laser Treatment
Limited Recommendation Limited Recommendation
Acupuncture
Limited Recommendation Limited Recommendation
Transcutaneous Electrical Nerve Stimulation
Limited Recommendation Limited Recommendation
Percutaneous Electrical Nerve Stimulation
Limited Recommendation Limited Recommendation
Extracorporeal Shockwave Therapy
Limited Recommendation Limited Recommendation
Platelet-rich Plasma
Limited Recommendation Limited Recommendation
Denervation Therapy
Limited Recommendation Limited Recommendation
Tibial Osteotomy
Limited Recommendation Limited Recommendation

Management of Rotator Cuff Injuries
Hyaluronic Acid Injections for Rotator Cuff Tears
Limited Recommendation Limited Recommendation
Platelet Rich Plasma (PRP) Injection in Partial-Thickness Tears
Limited Recommendation Limited Recommendation
Marrow Stimulation
Limited Recommendation Limited Recommendation
Dermal Allografts
Limited Recommendation Limited Recommendation
Xenografts
Limited Recommendation Limited Recommendation

Management of Surgical Site Infections
Use of Imaging
Limited Recommendation Limited Recommendation
Erythrocyte Sedimentation Rate
Limited Recommendation Limited Recommendation
Limited Evidence of Increased Associated SSI Risk
Limited Recommendation Limited Recommendation

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Acupuncture
Limited Recommendation Limited Recommendation
Acupuncture
Limited Recommendation Limited Recommendation
Acupressure
Limited Recommendation Limited Recommendation
Compression
Limited Recommendation Limited Recommendation
Cryotherapy
Limited Recommendation Limited Recommendation
Early Mobilization
Limited Recommendation Limited Recommendation
Cognitive/Behavioral Treatment
Limited Recommendation Limited Recommendation
Music Therapy
Limited Recommendation Limited Recommendation
Patient Education
Limited Recommendation Limited Recommendation
Virtual Reality
Limited Recommendation Limited Recommendation
Intra-Articular Opioids vs NSAIDs
Limited Recommendation Limited Recommendation
Opioid Combo vs NSAID
Limited Recommendation Limited Recommendation
Tramadol Combo vs NSAID
Limited Recommendation Limited Recommendation
Fentanyl Patch vs Morphine
Limited Recommendation Limited Recommendation
Tramadol vs NSAID
Limited Recommendation Limited Recommendation
Acetaminophen/NSAID Combination Treatment vs NSAID
Limited Recommendation Limited Recommendation

Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Prophylactic Antibiotics
Limited Recommendation Limited Recommendation

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Modifiable Risk Factors
Limited Recommendation Limited Recommendation
Administrative Risk Factors
Limited Recommendation Limited Recommendation
Negative Pressure Wound Therapy - High Risk Surgical Incisions
Limited Recommendation Limited Recommendation
Orthoplastic Team
Limited Recommendation Limited Recommendation
Hyperbaric O2
Limited Recommendation Limited Recommendation

Surgical Management of Osteoarthritis of the Knee (2022)
CEMENTLESS FIXATION: ALL CEMENTLESS COMPONENTS VS. HYBRID FIXATION (CEMENTLESS TIBIAL COMPONENT)
Limited Recommendation Limited Recommendation
UNICOMPARTMENTAL KNEE ARTHROPLASTY VS. HIGH/PROXIMAL TIBIAL OSTEOTOMY
Limited Recommendation Limited Recommendation
DISCHARGE FACILITIES / DISPOSITION
Limited Recommendation Limited Recommendation
ROBOTICS IN TOTAL KNEE ARTHROPLASTY
Limited Recommendation Limited Recommendation
ROBOTICS IN UNICOMPARTMENTAL KNEE ARTHROPLASTY
Limited Recommendation Limited Recommendation

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Arthroplasty
Limited Recommendation Limited Recommendation

Treatment of Pediatric Diaphyseal Femur Fractures
Infant Femur Fracture
Limited Recommendation Limited Recommendation
ORIF Pediatric Femur Fractures
Limited Recommendation Limited Recommendation
Pain Control
Limited Recommendation Limited Recommendation
Waterproof Casting
Limited Recommendation Limited Recommendation

Treatment of Pediatric Supracondylar Humerus Fractures
Medial vs. Lateral Pinning
Limited Recommendation Limited Recommendation
Open Reduction Criteria
Limited Recommendation Limited Recommendation

Use of Imaging Prior to Referral to a Musculoskeletal Oncologist
History of Pain: Tc99 Bone Scan
Limited Recommendation Limited Recommendation

Defining Strength Ratings
 
Range Terminology Definition Language Stem
6/2013 - Present Limited (2nd Ed) 1 MODERATE or 2 or more LOW quality studies Limited evidence supports that the practitioner might/might not do X, because…
7/2009 - 5/2013 Limited (1st Ed) 1 MODERATE or 2 LOW quality studies Treatment X is an OPTION
2007 - 6/2009 N/A N/A N/A
Consensus Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2020)
Acetaminophen Use After Discharge
Consensus Recommendation Consensus Recommendation
Oral NSAID Use After Discharge Following THA
Consensus Recommendation Consensus Recommendation

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Perioperative Corticosteroids and Complications after TJA
Consensus Recommendation Consensus Recommendation
Contraindications to Perioperative Corticosteroid Use
Consensus Recommendation Consensus Recommendation
Periarticular Injections of Ketorolac in THA
Consensus Recommendation Consensus Recommendation
Perioperative Corticosteroids and Postoperative Pain/Opioid Use in THA
Consensus Recommendation Consensus Recommendation
Epinephrine in Periarticular Injection in THA
Consensus Recommendation Consensus Recommendation
Clonidine in Periarticular Injections and THA
Consensus Recommendation Consensus Recommendation

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
IMMOBILIZATION METHOD
Consensus Recommendation Consensus Recommendation
LATERAL CLAVICLE FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT
Consensus Recommendation Consensus Recommendation

Diagnosis and Prevention of Periprosthetic Joint Infections
Risk Factors for PJI (Consensus)
Consensus Recommendation Consensus Recommendation
Risk Factors for PJI (Consensus)
Consensus Recommendation Consensus Recommendation
Diagnostic Imaging - (Consensus)
Consensus Recommendation Consensus Recommendation
Perioperative Antibiotic Selection - (Consensus)
Consensus Recommendation Consensus Recommendation
Preoperative Screening and Decolonization - (Consensus)
Consensus Recommendation Consensus Recommendation
Intraoperative Technical Factors
Consensus Recommendation Consensus Recommendation

Diagnosis and Treatment of Osteochondritis Dissecans (2023)
Evaluation of OCD Healing
Consensus Recommendation Consensus Recommendation
Post Operative Physical Therapy
Consensus Recommendation Consensus Recommendation

Limb Salvage or Early Amputation
Massive Muscle Damage (Time 0)
Consensus Recommendation Consensus Recommendation
Orthotics/Prosthetics
Consensus Recommendation Consensus Recommendation
Comorbidities
Consensus Recommendation Consensus Recommendation

Management of Acute Compartment Syndrome
Serum Biomarkers in Late/Missed ACS
Consensus Recommendation Consensus Recommendation
Pressure Monitoring in Late/Missed ACS
Consensus Recommendation Consensus Recommendation
Physical Exam (Obtunded)
Consensus Recommendation Consensus Recommendation
Alternative Methods of Diagnosis
Consensus Recommendation Consensus Recommendation
Fasciotomy Methods
Consensus Recommendation Consensus Recommendation
Fasciotomy for Late/Missed ACS
Consensus Recommendation Consensus Recommendation
Associated Fracture
Consensus Recommendation Consensus Recommendation
Pain Management Effects on Diagnosis
Consensus Recommendation Consensus Recommendation

Management of Anterior Cruciate Ligament Injuries (2022)
ASPIRATION OF THE KNEE
Consensus Recommendation Consensus Recommendation

Management of Distal Radius Fractures
Opioid Use
Consensus Recommendation Consensus Recommendation

Management of Glenohumeral Joint Osteoarthritis
PRE-OPERATIVE PHYSICAL THERAPY
Consensus Recommendation Consensus Recommendation
POST-OPERATIVE PHYSICAL THERAPY
Consensus Recommendation Consensus Recommendation
INJECTABLE BIOLOGICS
Consensus Recommendation Consensus Recommendation
ALTERNATIVE NON-SURGICAL TREATMENTS
Consensus Recommendation Consensus Recommendation
OPIOID PAIN MEDICATION
Consensus Recommendation Consensus Recommendation
NON-PROSTHETIC SURGICAL OPTIONS
Consensus Recommendation Consensus Recommendation
RADIOGRAPHS
Consensus Recommendation Consensus Recommendation
ANATOMIC OR REVERSE TOTAL SHOULDER ARTHROPLASTY
Consensus Recommendation Consensus Recommendation
CEMENTED STEMS
Consensus Recommendation Consensus Recommendation
GLENOID COMPONENTS – POLYETHYLENE-METAL OR ALL POLYETHYLENE
Consensus Recommendation Consensus Recommendation
BICEP TENODESIS AND TENOTOMY
Consensus Recommendation Consensus Recommendation
TRANEXAMIC ACID
Consensus Recommendation Consensus Recommendation
SUPRASPINATUS TEARS
Consensus Recommendation Consensus Recommendation
DISCHARGE
Consensus Recommendation Consensus Recommendation
CRYOTHERAPY
Consensus Recommendation Consensus Recommendation
MULTIMODAL PAIN MANAGEMENT
Consensus Recommendation Consensus Recommendation

Management of Osteoarthritis of the Hip (2023)
PRESCRIPTION OPIOID AS CONSERVATIVE TREATMENT
Consensus Recommendation Consensus Recommendation
PHARMACOLOGICAL MANAGEMENT: ACETAMINOPHEN
Consensus Recommendation Consensus Recommendation
HIP-SPINE RELATIONSHIP
Consensus Recommendation Consensus Recommendation

Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition)
Dry Needling
Consensus Recommendation Consensus Recommendation
Free Floating Interpositional Devices
Consensus Recommendation Consensus Recommendation

Management of Rotator Cuff Injuries
Supervised Exercise vs Unsupervised Exercise
Consensus Recommendation Consensus Recommendation
Multiple Steroid Injections for Rotator Cuff Tears
Consensus Recommendation Consensus Recommendation
Platelet Rich Plasma (PRP) Injection in Full-Thickness Tears
Consensus Recommendation Consensus Recommendation
Partial Rotator Cuff Tear
Consensus Recommendation Consensus Recommendation
Unrepairable Tears Without Arthropathy (Non-Reverse Arthroplasty)
Consensus Recommendation Consensus Recommendation
Massive, Unrepairable Rotator Cuff Tear (Reverse Arthroplasty)
Consensus Recommendation Consensus Recommendation
Unrepairable Tears with Arthropathy
Consensus Recommendation Consensus Recommendation

Management of Surgical Site Infections
Adjunctive Treatment
Consensus Recommendation Consensus Recommendation
Surgical Timing and Percutaneous Drainage
Consensus Recommendation Consensus Recommendation
Surgical Timing
Consensus Recommendation Consensus Recommendation
Timing and Implant Removal
Consensus Recommendation Consensus Recommendation
Multidisciplinary Team
Consensus Recommendation Consensus Recommendation

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Anti-Depressants
Consensus Recommendation Consensus Recommendation

Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Oral Hygiene
Consensus Recommendation Consensus Recommendation

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Preoperative Skin Preparation
Consensus Recommendation Consensus Recommendation

Surgical Management of Osteoarthritis of the Knee (2022)
BILATERAL SIMULTANEOUS TOTAL KNEE ARTHROPLASTY VS. STAGED
Consensus Recommendation Consensus Recommendation
RISK FACTORS: SMOKING
Consensus Recommendation Consensus Recommendation

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Imaging and Clinical Findings
Consensus Recommendation Consensus Recommendation
Efficacy of Bone Modifying Agents
Consensus Recommendation Consensus Recommendation
BMAs for Various Diagnosis
Consensus Recommendation Consensus Recommendation
Imaging Findings and Atypical Fractures
Consensus Recommendation Consensus Recommendation
Radiation Therapy and Prophylactic Femur Stabilization
Consensus Recommendation Consensus Recommendation
Radiation Therapy after Resection and Reconstruction
Consensus Recommendation Consensus Recommendation
Estimating Survival and Reconstruction Method
Consensus Recommendation Consensus Recommendation
Long Stem Hemiarthroplasty
Consensus Recommendation Consensus Recommendation
Cephalomedullary Nailing
Consensus Recommendation Consensus Recommendation

Treatment of Pediatric Supracondylar Humerus Fractures
Closed Reduction with Decreased Perfusion of Hand
Consensus Recommendation Consensus Recommendation
Open Exploration for No Pulse and Underperfused Hand
Consensus Recommendation Consensus Recommendation

Use of Imaging Prior to Referral to a Musculoskeletal Oncologist
CT Scans: Prior Chest Radiograph
Consensus Recommendation Consensus Recommendation
CT Scans: Staging
Consensus Recommendation Consensus Recommendation
CT Scans: Staging
Consensus Recommendation Consensus Recommendation
History of Growth: MRI
Consensus Recommendation Consensus Recommendation
History of Pain: Contrast-Enhanced CT Scan
Consensus Recommendation Consensus Recommendation
History of Pain: MRI
Consensus Recommendation Consensus Recommendation
History of Pain: Unknown Etiology
Consensus Recommendation Consensus Recommendation
MRI and CT Scans: Area to Visualize
Consensus Recommendation Consensus Recommendation
MRI and CT Scans: Area to Visualize
Consensus Recommendation Consensus Recommendation
MRI: Magnet Strength
Consensus Recommendation Consensus Recommendation
MRI: Use of Contrast
Consensus Recommendation Consensus Recommendation
Plain Radiographs: Initial Evaluation
Consensus Recommendation Consensus Recommendation
Tumor Size: Bone or Soft Tissue
Consensus Recommendation Consensus Recommendation
Ultrasound in Large > 5 cm
Consensus Recommendation Consensus Recommendation
Ultrasound in Small < 5 cm
Consensus Recommendation Consensus Recommendation

Defining Strength Ratings
 
Range Terminology Definition Language Stem
6/2013 - Present Consensus (2nd Ed) Expert opinion (no studies) Only used in one circumstance: It pertains to medical interventions that potentially prevent loss of life or limb (catastrophic consequences). In the absence of reliable evidence, it is the opinion of the work group that…
7/2009 - 5/2013 Consensus (1st Ed) Expert opinion (no studies) Only used in two circumstances: 1.Procedures have virtually no associated harm, are of relatively low cost, and reflect routine clinical care. 2. It pertains to medical interventions that potentially prevent loss of life or limb. In the absence of reliable Evidence, it is the opinion of the work group…*
2007 - 6/2009 N/A N/A N/A
Inconclusive

Defining Strength Ratings
 
Range Terminology Definition Language Stem
6/2013 - Present N/A N/A N/A
7/2009 - 5/2013 Inconclusive 1 LOW quality study, Contradictory studies, Lack of evidence (no studies) We are unable to recommend FOR OR AGAINST treatment X
2007 - 6/2009 I There is insufficient or conflicting evidence not allowing a
recommendation for or against intervention.
We are
unable to recommend for or against…

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
MODIFIABLE RISK FACTORS: SMOKING

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age (2022)
Universal Ultrasound Screening
Evaluation of Infants with Risk Factors for DDH
Imaging of the Unstable Hip
Imaging of the Infant Hip
Surveillance After Normal Infant Hip Exam
Stable Hip With Ultrasound Imaging Abnormalities

Diagnosis and Prevention of Periprosthetic Joint Infections
Risk Factors for PJI (Moderate Evidence)
Risk Factors for PJI (Limited Evidence)
Injections Prior to Arthroplasty
Antibiotics With Low Preoperative Suspicion or Established PJI
Perioperative Antibiotic Selection - (Limited)
Perioperative Antibiotic Selection - (Consensus)
Antibiotic Cement
Antibiotic Cement
Preoperative Screening and Decolonization - (Limited)
Preoperative Screening and Decolonization - (Consensus)
Intraoperative Technical Factors

Management of Anterior Cruciate Ligament Injuries (2022)
ACL TRAINING PROGRAMS
MENISCAL REPAIR
PROPHYLACTIC KNEE BRACING

Management of Glenohumeral Joint Osteoarthritis
PROGNOSTIC FACTORS (BMI)
PROGNOSTIC FACTORS (GENDER/SEX)

Management of Hip Fractures in Older Adults
Venous Thromboembolism Prophylaxis
Transfusion

Management of Osteoarthritis of the Hip (2023)
BMI: ADVERSE EVENTS
DIABETES: ADVERSE EVENTS
HIP-SPINE RELATIONSHIP

Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition)
Lateral Wedge Insoles (Recommendation Against)
Canes
Braces
Oral/Dietary Supplements
Topical Treatments
Supervised Exercise
Neuromuscular Training
Self-Management
Patient Education
Weight Loss Intervention
Manual Therapy

Management of Rotator Cuff Injuries
Prognostic Factors (Higher BMI)

Management of Surgical Site Infections
Increased Associated Risk of SSI
Multidisciplinary Team

Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Prophylactic Antibiotics
Topical Oral Antimicrobials
Oral Hygiene

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Initial Antibiotics
Preoperative Antibiotics
Surgery Timing
Perioperative and Postoperative Antibiotics - Systemic and Local
Perioperative and Postoperative Antibiotics - Systemic and Local
Initial Wound Management -Irrigation and Fixation
Initial Wound Management -Irrigation and Fixation
Wound Coverage
Negative Pressure Wound Therapy - Open and Closed Fractures
Open Wound Closure
Silver Coated Dressings
Modifiable Risk Factors
Modifiable Risk Factors
Modifiable Risk Factors
Administrative Risk Factors
Administrative Risk Factors
Orthoplastic Team
Preoperative Skin Preparation

Surgical Management of Osteoarthritis of the Knee (2022)
RISK FACTORS: BODY MASS INDEX (BMI)
RISK FACTORS: DIABETES/HYPERGLYCEMIA
PRE-OPERATIVE OPIOID USE
RISK FACTORS: SMOKING

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Efficacy of Bone Modifying Agents
Doseage Response of BMAs
BMAs for Various Diagnosis
Imaging Findings and Atypical Fractures
Efficacy of Radiation Therapy
Radiation Therapy and Prophylactic Femur Stabilization
Radiation Therapy after Resection and Reconstruction
Multi-Fraction Radiation Treatment

Use of Imaging Prior to Referral to a Musculoskeletal Oncologist
CT Scans: Prior Chest Radiograph
CT Scans: Staging
CT Scans: Staging
Cortical Irregularity/Periosteal Reaction
History of Growth: MRI
History of Growth: Soft Tissue Tumor
History of Pain: Contrast-Enhanced CT Scan
History of Pain: MRI
History of Pain: Radiographs and MRI
History of Pain: Tc99 Bone Scan
History of Pain: Unknown Etiology
MRI and CT Scans: Area to Visualize
MRI and CT Scans: Area to Visualize
MRI: Magnet Strength
MRI: Use of Contrast
MRI: Use of Contrast
MRI: Use of Contrast Benign or Malignant
Plain Radiographs: Initial Evaluation
Plain Radiographs: Unknown Etiology
Tumor Interface
Tumor Size: Bone or Soft Tissue
Tumor Size: Greater than 5 cm
Ultrasound in Large > 5 cm
Ultrasound in Small < 5 cm
Ultrasound: Benign Tumor

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
NON-MODIFIABLE RISK FACTORS: AGE AND SEX
PREDICTORS OF NON-UNION FOLLOWING NON-OPERATIVELY TREATED CLAVICLE FRACTURE

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age (2022)
Universal Ultrasound Screening
Evaluation of Infants with Risk Factors for DDH
Imaging of the Unstable Hip
Imaging of the Infant Hip
Surveillance After Normal Infant Hip Exam
Stable Hip With Ultrasound Imaging Abnormalities

Diagnosis and Prevention of Periprosthetic Joint Infections
Risk Factors for PJI (Moderate Evidence)
Risk Factors for PJI (Limited Evidence)
Risk Factors for PJI (Consensus)
Risk Factors for PJI (Consensus)
Injections Prior to Arthroplasty
Blood Tests for Preoperative Diagnosis (Strong Evidence)

Evaluation of Psychosocial Factors Influencing Recovery From Adult Orthopaedic Trauma
Factors Associated with Patient Outcomes

Limb Salvage or Early Amputation
Psychosocial Factors
Smoking
Comorbidities

Management of Anterior Cruciate Ligament Injuries (2022)
RETURN TO SPORT

Management of Carpal Tunnel Syndrome
Increased Risk of CTS (Strong Evidence)
Increased Risk of CTS (Moderate Evidence)
Increased Risk of CTS (Limited Evidence)
Decreased Risk of CTS
Factors Showing No Associated Risk of CTS (Moderate Evidence)
Factors Showing No Associated Risk of CTS (Limited Evidence)
Factors Showing Conflicting Risk of CTS

Management of Glenohumeral Joint Osteoarthritis
PROGNOSTIC FACTORS (COMORBIDITIES)
PROGNOSTIC FACTORS (AGE)
PROGNOSTIC FACTORS (SMOKING)
PROGNOSTIC FACTORS (PRE-OPERATIVE FUNCTION)
PROGNOSTIC FACTORS (DEPRESSION)

Management of Metastatic Humeral Disease (2023)
Prognostic Markers

Management of Osteoarthritis of the Hip (2023)
BMI: ADVERSE EVENTS
BMI: CLINICAL OUTCOMES
DIABETES: ADVERSE EVENTS
SOCIAL DETERMINANTS OF HEALTH
TOBACCO

Management of Rotator Cuff Injuries
Prognostic Factors (Worker's Compensation)
Prognostic Factors (Comorbidities)
Prognostic Factors (Diabetes)
Prognostic Factors (Patient Expectations)

Management of Surgical Site Infections
Strong Evidence of Factors Associated with Increased Risk of SSI
Limited Evidence of Increased Associated SSI Risk
Multidisciplinary Team

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Modifiable Risk Factors
Modifiable Risk Factors
Modifiable Risk Factors
Administrative Risk Factors
Administrative Risk Factors

Surgical Management of Osteoarthritis of the Knee (2022)
RISK FACTORS: BODY MASS INDEX (BMI)

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Imaging and Clinical Findings

Treatment of Pediatric Diaphyseal Femur Fractures
Child Abuse

Use of Imaging Prior to Referral to a Musculoskeletal Oncologist
CT Scans: Prior Chest Radiograph
CT Scans: Staging
CT Scans: Staging
Cortical Irregularity/Periosteal Reaction
History of Growth: MRI
History of Growth: Soft Tissue Tumor
History of Pain: Contrast-Enhanced CT Scan
History of Pain: MRI
History of Pain: Radiographs and MRI
History of Pain: Tc99 Bone Scan
History of Pain: Unknown Etiology
MRI and CT Scans: Area to Visualize
MRI and CT Scans: Area to Visualize
MRI: Magnet Strength
MRI: Use of Contrast
MRI: Use of Contrast
MRI: Use of Contrast Benign or Malignant
Plain Radiographs: Initial Evaluation
Plain Radiographs: Unknown Etiology
Tumor Interface
Tumor Size: Bone or Soft Tissue
Tumor Size: Greater than 5 cm
Ultrasound in Large > 5 cm
Ultrasound in Small < 5 cm
Ultrasound: Benign Tumor

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
RADIOGRAPH: SUPINE VS. UPRIGHT
PREDICTORS OF NON-UNION FOLLOWING NON-OPERATIVELY TREATED CLAVICLE FRACTURE

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age (2022)
Imaging of the Unstable Hip
Imaging of the Infant Hip
Surveillance After Normal Infant Hip Exam
Stable Hip With Ultrasound Imaging Abnormalities
Monitoring of Patients During Brace Treatment

Diagnosis and Prevention of Periprosthetic Joint Infections
Risk Factors for PJI (Moderate Evidence)
Injections Prior to Arthroplasty
Blood Tests for Preoperative Diagnosis (Strong Evidence)
Blood Tests for Preoperative Diagnosis (Moderate Evidence)
Infected Joint Replacements - Synovial Fluid Tests
Infected Joint Replacements - Intraoperative Tests - (Strong)
Infected Joint Replacements - Intraoperative Tests - (Moderate)
Infected Joint Replacements - Intraoperative Tests - (Limited)
Diagnostic Imaging
Diagnostic Imaging - Nuclear Imaging
Diagnostic Imaging - (Consensus)
Gram Stain
Avoiding Antimicrobials Two Weeks Prior to Obtaining Intra-Articular Culture
Initiating Antimicrobials Prior to Obtaining Intra-Articular Culture

Diagnosis and Treatment of Osteochondritis Dissecans (2023)
Radiographs
MRI OCD Knee

Limb Salvage or Early Amputation
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Burden of Injury (Limb Specific Injury - Time 1 and Beyond)
Nerve Injury
Massive Soft Tissue and Muscle Damage (Time 1)
Vascular Injury/Limb Ischmia
Smoking
Lower Extremity Injury Scores
Amputation/Limb Salvage
Comorbidities

Management of Acute Compartment Syndrome
Biomarkers - Myoglobinuria and Serum Troponin
Serum Biomarkers - Femoral Vein Lactate Concentration
Biomarkers - Electrical Injury
Serum Biomarkers in Late/Missed ACS
Pressure Methods - Diagnosis
Pressure Methods - Ruling Out
Pressure Monitoring in Late/Missed ACS
Physical Exam (Awake)
Physical Exam (Obtunded)
Alternative Methods of Diagnosis
Pain Management Effects on Diagnosis

Management of Anterior Cruciate Ligament Injuries (2022)
HISTORY AND PHYSICAL

Management of Carpal Tunnel Syndrome
Observation
Physical Signs
Maneuvers
History Interview Topics
Patient Reported Numbness and Pain
Hand-Held Nerve Conduction Study (NCS)
MRI
Diagnostic Ultrasound
Diagnostic Scales

Management of Osteoarthritis of the Hip (2023)
SOCIAL DETERMINANTS OF HEALTH
HIP-SPINE RELATIONSHIP

Management of Rotator Cuff Injuries
Long Term Non-Operative Management
Diagnosis (Clinical Examination)
Diagnosis (Imaging)
Prognostic Factors (Age)
Prognostic Factors (Worker's Compensation)
Prognostic Factors (Comorbidities)
Prognostic Factors (Diabetes)
Prognostic Factors (Patient Expectations)

Management of Surgical Site Infections
Use of Imaging
Cultures
C-Reactive Protein
Erythrocyte Sedimentation Rate
Clinical Exam for the Diagnosis of Surgical Site Infections
Multidisciplinary Team

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Modifiable Risk Factors
Modifiable Risk Factors

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Imaging and Clinical Findings
Imaging Findings and Atypical Fractures
Estimating Survival and Reconstruction Method

Treatment of Pediatric Diaphyseal Femur Fractures
Child Abuse

Treatment of Pediatric Supracondylar Humerus Fractures
Nerve Injuries

Anesthesia and Analgesia in Total Joint Arthroplasty (2020)
TJA and Preoperative Opioid Use

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Single Shot Lumbar Plexus Nerve Block in THA
Single Shot Quadratus Lumborum Block in THA
Single-Shot Fascia Ilicia Block vs Lumbar Plexus Nerve Block in THA
Fascia Iliaca Block vs Peri-Articular Local Anesthetic Infiltration In THA
Lumbar Plexus Block vs Peri-Articular Local Anesthetic Infiltration in THA
Femoral Nerve Block vs Adductor Canal Block in TKA
Block vs. Control iPACK in TKA
Block vs. Block - Single or Continuous in TKA
Block vs. Block - Single-Shot Femoral Nerve Block vs. Adductor Canal Block in TKA
Block vs. Block - Continuous Femoral Nerve Block or Adductor Canal Block in TKA
Continuous vs. Single-Shot Adductor Canal Block in TKA
Single-Shot Adductor Canal Block vs Peri-Articular Local Anesthetic Infiltration in TKA
Combined Single-Shot Adductor Canal Block and Peri-Articular Local Anesthetic Infiltration
Single-Shot Adductor Block & Peri-Articular Local Anesthetic Infiltration vs. Single-Shot Alone
Ketamine and Postoperative Opioid Consumption
Ketamine and Postoperative Pain/Nausea/Vomiting
Ketamine and Adverse Events
Intraoperative Periarticular Injection and Postoperative Pain/Opioid Use in TJA
Long Acting Local Anesthetics and Postoperative Pain/Opioid Use
Particular Injections with Liposomal Lupivacaine vs. Ropivacaine or Bupivacaine in TJA
Periarticular Injections of Ketorolac in TKA
Periarticular Injections of Ketorolac in THA
Periarticular Injections of Corticosteroids in TKA
Perioperative Corticosteroids and Postoperative Pain/Opioid Use in THA
Morphine in Periarticular Injection in TJA
Epinephrine in Periarticular Injection in TKA
Epinephrine in Periarticular Injection in THA
Clonidine in Periarticular Injections and TKA
Clonidine in Periarticular Injections and THA

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
BONE STIMULATOR
PREDICTORS OF NON-UNION FOLLOWING NON-OPERATIVELY TREATED CLAVICLE FRACTURE
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT[ADOLESCENT ≤18 YEARS]
IMMOBILIZATION METHOD

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age (2022)
Universal Ultrasound Screening
Evaluation of Infants with Risk Factors for DDH
Imaging of the Unstable Hip
Imaging of the Infant Hip
Surveillance After Normal Infant Hip Exam
Stable Hip With Ultrasound Imaging Abnormalities
Treatment of Clinical Instability
Type of Brace for the Unstable Hip
Monitoring of Patients During Brace Treatment

Diagnosis and Prevention of Periprosthetic Joint Infections
Initiating Antimicrobials Prior to Obtaining Intra-Articular Culture
Antibiotics With Low Preoperative Suspicion or Established PJI
Perioperative Antibiotic Selection - (Limited)
Perioperative Antibiotic Selection - (Consensus)
Antibiotic Cement
Antibiotic Cement
Preoperative Screening and Decolonization - (Consensus)
Intraoperative Technical Factors

Limb Salvage or Early Amputation
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Burden of Injury (Limb Specific Injury - Time 1 and Beyond)
Nerve Injury
Massive Soft Tissue and Muscle Damage (Time 1)
Smoking
Lower Extremity Injury Scores

Management of Anterior Cruciate Ligament Injuries (2022)
ASPIRATION OF THE KNEE
COMBINED ACL / MCL TEAR

Management of Carpal Tunnel Syndrome
Immobilization
Steroid Injections
Magnet Therapy
Oral Treatments
Oral Steroids
Ketoprofen Phonophoresis
Therapeutic Ultrasound
Laser Therapy

Management of Glenohumeral Joint Osteoarthritis
HYALURONIC ACID
PRE-OPERATIVE PHYSICAL THERAPY
INJECTABLE BIOLOGICS
ALTERNATIVE NON-SURGICAL TREATMENTS
OPIOID PAIN MEDICATION

Management of Hip Fractures in Older Adults
Preoperative Traction
Surgical Timing
Transfusion

Management of Metastatic Humeral Disease (2023)
Patient Selection for Nonoperative Techniques Versus Operative Techniques
VTE prophylaxis

Management of Osteoarthritis of the Hip (2023)
TRANEXAMIC ACID
PHYSICAL THERAPY AS CONSERVATIVE TREATMENT
INTRAARTICULAR CORTICOSTEROID INJECTION
INTRAARTICULAR HYALURONIC ACID
PHARMACOLOGICAL MANAGEMENT: NSAIDs
PRESCRIPTION OPIOID AS CONSERVATIVE TREATMENT
PHARMACOLOGICAL MANAGEMENT: ACETAMINOPHEN

Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition)
Lateral Wedge Insoles (Recommendation Against)
Canes
Braces
Oral/Dietary Supplements
Topical Treatments
Supervised Exercise
Neuromuscular Training
Self-Management
Patient Education
Weight Loss Intervention
Manual Therapy
Massage
Laser Treatment
Acupuncture
Transcutaneous Electrical Nerve Stimulation
Percutaneous Electrical Nerve Stimulation
Extracorporeal Shockwave Therapy
Oral NSAIDs
Oral Acetaminophen
Oral Narcotics (Recommendation Against)
Hyaluronic Acid (Recommendation Against)
Intra-articular Corticosteroids
Platelet-rich Plasma
Denervation Therapy
Lavage/Debridement (Recommendation Against)
Partial Meniscectomy
Tibial Osteotomy
Dry Needling
Free Floating Interpositional Devices

Management of Rotator Cuff Injuries
Management of Small to Medium Tears
Long Term Non-Operative Management
Operative Management
Corticosteroid Injections for Rotator Cuff Tears
Hyaluronic Acid Injections for Rotator Cuff Tears
Platelet Rich Plasma (PRP) Injection in Partial-Thickness Tears
Multiple Steroid Injections for Rotator Cuff Tears
Platelet Rich Plasma (PRP) Injection in Full-Thickness Tears
Unrepairable Tears with Arthropathy

Management of Surgical Site Infections
Antibiotic Duration for Management of Surgical Site Infections
Rifampin Use for Management of Surgical Site Infections

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Acupuncture
Acupuncture
Acupressure
Compression
Cryotherapy
Early Mobilization
Massage
Neuromuscular Electrical Stimulation
Transcutaneous Electrical Nerve Stimulation
Peri-op Injections
Peri-op Injections Total Shoulder Arthroplasty
Cognitive/Behavioral Treatment
Guided Relaxation Therapy
Music Therapy
Patient Education
Virtual Reality
Intra-Articular Opioids vs NSAIDs
Opioid Combo vs NSAID
Tramadol Combo vs NSAID
Fentanyl Patch vs Morphine
Tramadol vs NSAID
Anti-Depressants
COX-2
Oral Acetaminophen
Acetaminophen
Acetaminophen/NSAID Combination Treatment vs NSAID
Gabapentin
Gabapentin
Pregabalin
Ketamine
Oral Relaxants

Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Prophylactic Antibiotics
Topical Oral Antimicrobials
Oral Hygiene

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Preoperative Antibiotics
Perioperative and Postoperative Antibiotics - Systemic and Local
Perioperative and Postoperative Antibiotics - Systemic and Local
Initial Wound Management -Irrigation and Fixation
Initial Wound Management -Irrigation and Fixation
Wound Coverage
Negative Pressure Wound Therapy - Open and Closed Fractures
Silver Coated Dressings
Modifiable Risk Factors
Negative Pressure Wound Therapy - High Risk Surgical Incisions
Orthoplastic Team
Hyperbaric O2
Preoperative Skin Preparation

Surgical Management of Osteoarthritis of the Knee (2022)
TOURNIQUETS
PRE-OPERATIVE OPIOID USE
BILATERAL SIMULTANEOUS TOTAL KNEE ARTHROPLASTY VS. STAGED
RISK FACTORS: SMOKING

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Efficacy of Bone Modifying Agents
Doseage Response of BMAs
BMAs for Various Diagnosis
Efficacy of Radiation Therapy
Radiation Therapy and Prophylactic Femur Stabilization
Radiation Therapy after Resection and Reconstruction
Multi-Fraction Radiation Treatment

Treatment of Pediatric Diaphyseal Femur Fractures
Infant Femur Fracture
Early or Delayed Spica Casting
Waterproof Casting

Treatment of Pediatric Supracondylar Humerus Fractures
Gartland Type 1 Immobilization

Anesthesia and Analgesia in Total Joint Arthroplasty (2020)
Opioids Administered Immediately Prior to TJA Surgery
Opioids Administered Intraoperatively

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
HOOK PLATE VS. LATERAL LOCKING PLATE FOR LATERAL FRACTURE
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT [ADULT]
NAILING VS. SINGLE PLATE
DUAL PLATING
ANTERIOR VS. SUPERIOR PLATING
PRE-CONTOURED PLATE VS. NON-PRE-CONTOURED PLATE
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT[ADOLESCENT ≤18 YEARS]
LATERAL CLAVICLE FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT

Diagnosis and Prevention of Periprosthetic Joint Infections
Antibiotic Cement

Diagnosis and Treatment of Osteochondritis Dissecans (2023)
Option of Surgery for Skeletally Immature Patients with Salvageable Unstable OCD Lesions
Option of Surgery for Skeletally Mature Patients with Salvageable Unstable OCD Lesions

Limb Salvage or Early Amputation
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Burden of Injury (Limb Specific Injury - Time 1 and Beyond)
Nerve Injury
Massive Soft Tissue and Muscle Damage (Time 1)
Vascular Injury/Limb Ischmia
Smoking
Lower Extremity Injury Scores
Amputation/Limb Salvage
Massive Muscle Damage (Time 0)
Comorbidities

Management of Acute Compartment Syndrome
Fasciotomy Methods
Fasciotomy for Late/Missed ACS
Associated Fracture

Management of Anterior Cruciate Ligament Injuries (2022)
SURGICAL TIMING
SINGLE OR DOUBLE BUNDLE ACL RECONSTRUCTION
AUTOGRAFT SOURCE
AUTOGRAFT VS. ALLOGRAFT
ANTEROLATERAL LIGAMENT / LATERAL EXTRAARTICULAR TENODESIS
REPAIR VS. RECONSTRUCTION
ACL SURGICAL RECONSTRUCTION
COMBINED ACL / MCL TEAR

Management of Carpal Tunnel Syndrome
Surgical Release Location
Surgical Release Procedure
Surgical Procedures Versus Nonoperative Treatments
Adjunctive Techniques
Bilateral Versus Staged Carpal Tunnel Release
Local Versus Intravenous (IV) Regional Anesthesia
Buffered Versus Plain Lidocaine
Aspirin Use
Preoperative Antibiotics

Management of Distal Radius Fractures
Arthroscopic Assistance
Indications for Fixation (Non-Geriatric Patients)
Indications for Fixation (Geriatric Patients)
Fixation Tech

Management of Glenohumeral Joint Osteoarthritis
PROGNOSTIC FACTORS (BMI)
PROGNOSTIC FACTORS (GENDER/SEX)
TOTAL SHOULDER ARTHROPLASTY
GLENOID COMPONENT – PEGGED OR KEELED
GLENOID COMPONENT – METAL BACKED CEMENTLESS
TOTAL SHOULDER ARTHROPLASTY – SUBSCAPULARIS PEEL, LESSER TUBEROSITY OSTEOTOMY, TENOTOMY
HEMIARTHROPLASTY - STEMS
NON-PROSTHETIC SURGICAL OPTIONS
RADIOGRAPHS
ANATOMIC OR REVERSE TOTAL SHOULDER ARTHROPLASTY
CEMENTED STEMS
GLENOID COMPONENTS – POLYETHYLENE-METAL OR ALL POLYETHYLENE
BICEP TENODESIS AND TENOTOMY
TRANEXAMIC ACID
SUPRASPINATUS TEARS

Management of Hip Fractures in Older Adults
Surgical Timing
Anesthesia
Unstable Femoral Neck Fractures - Arthroplasty vs Fixation
Unipolar/Bipolar Hemiarthroplasty
Unstable Femoral Neck Fractures - Total Arthroplasty vs. Hemi Arthroplasty
Cemented Femoral Stems
Surgical Approach
Cephalomedullary Device - Stable Intertrochanteric Fractures
Cephalomedullary Device - Subtrochanteric/Reverse Obliquity Fractures
Cephalomedullary Device - Unstable Intertrochanteric Fractures
Multimodal Analgesia
Tranexamic Acid
Stable Femoral Neck Fractures
Cephalomedullary Device - Pertrochanteric Fractures

Management of Metastatic Humeral Disease (2023)
Plating/Internal Fixation, Intramedullary Fixation, and/or Photodynamic Polymer
En Bloc Resection, Curettage, Internal Fixation, or Intramedullary Nailing
Patient Selection for Nonoperative Techniques Versus Operative Techniques
Cementation Vs No Cementation
Reconstruction Approach

Management of Osteoarthritis of the Hip (2023)
CEMENTED VS. CEMENTLESS FEMORAL FIXATION
EXPOSURE APPROACH
NEURAXIAL VS. GENERAL ANAESTHESIA

Management of Rotator Cuff Injuries
Management of Small to Medium Tears
Operative Management
Acromioplasty & Rotator Cuff Repair
Distal Clavicle Resection
High-Grade Partial Thickness Rotator Cuff Tears
Biological Augmentation with Platelet Derived Products
Single-Row vs Double-Row Repair
Single-Row vs Double-Row Repair Re-Tears
Marrow Stimulation
Dermal Allografts
Xenografts
Open vs Arthroscopic Repairs
Partial Rotator Cuff Tear
Unrepairable Tears Without Arthropathy (Non-Reverse Arthroplasty)
Massive, Unrepairable Rotator Cuff Tear (Reverse Arthroplasty)
Unrepairable Tears with Arthropathy

Management of Surgical Site Infections
Adjunctive Treatment
Surgical Timing and Percutaneous Drainage
Surgical Timing
Timing and Implant Removal

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Surgery Timing
Open Wound Closure

Surgical Management of Osteoarthritis of the Knee (2022)
DRAINS
CEMENTLESS FIXATION: CEMENTED FEMORAL & TIBIAL COMPONENTS VS. CEMENTLESS FEMORAL & TIBIAL COMPONENTS
CEMENTLESS FIXATION: ALL CEMENTED COMPONENTS VS. HYBRID FIXATION (CEMENTLESS FEMORAL COMPONENT)
UNICOMPARTMENTAL VS. TOTAL KNEE ARTHROPLASTY
TRANEXAMIC ACID
SURGICAL NAVIGATION
PATELLAR RESURFACING
CRUCIATE RETAINING ARTHROPLASTY
PATIENT SPECIFIC TECHNOLOGY
KINEMATIC VS. MECHANICAL ALIGNMENT
CEMENTLESS FIXATION: ALL CEMENTLESS COMPONENTS VS. HYBRID FIXATION (CEMENTLESS TIBIAL COMPONENT)
UNICOMPARTMENTAL KNEE ARTHROPLASTY VS. HIGH/PROXIMAL TIBIAL OSTEOTOMY
ROBOTICS IN TOTAL KNEE ARTHROPLASTY
ROBOTICS IN UNICOMPARTMENTAL KNEE ARTHROPLASTY

Tranexamic Acid in Total Joint Arthroplasty
ATE Risk
Administration Method Versus Other Methods
Administration Method Versus Placebo
Dosing
Multiple Dose vs. Single Dose
Timing of Administration
VTE Risk (Patients With History)
VTE Risk (Patients Without History)

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Long Stem Hemiarthroplasty
Cephalomedullary Nailing
Arthroplasty

Treatment of Pediatric Diaphyseal Femur Fractures
Early or Delayed Spica Casting
Elastic Intramedullary Nails
ORIF Pediatric Femur Fractures
Pain Control

Treatment of Pediatric Supracondylar Humerus Fractures
Closed Reduction Fixation
Medial vs. Lateral Pinning
Open Incision for Medial Pin
Time Threshold for Reduction
Open Reduction Criteria
Closed Reduction with Decreased Perfusion of Hand
Open Exploration for No Pulse and Underperfused Hand
Open Exploration for No Pulse and Perfused Hand
Open Reduction for Adolescents

Anesthesia and Analgesia in Total Joint Arthroplasty (2020)
Acetaminophen and Postoperative Pain and/or Opiod Use
Acetaminophen Use After Discharge
Acetaminophen and Postoperative Complications
Gabapentinoids and Postoperative Pain and/or Opioid Use
Gabapentinoid Use Following Discharge
Efficacy Between Low- and High-Dose Gabapentinoids
Oral COX-2 NSAID and Postoperative Pain and/or Opioid Use
Oral NSAID Use After Discharge Following TKA
Oral NSAID Use After Discharge Following THA
Intravenous Ketorolac and Postoperative Pain and/or Opioid Consumption
Postoperative IV Ketorolac
NSAIDs Use and Postoperative Medical Complications
TJA and Preoperative Opioid Use
Reduction of Opioid Use Prior to TJA
Opioids Administered Immediately Prior to TJA Surgery
Opioids Administered Intraoperatively
Opioid Use Following TJA Surgery
Opioid Use Following TJA Surgery

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Perioperative Corticosteroids and Postoperative Pain/Opioid Use/Nausea/Vomiting
Perioperative Corticosteroids and Complications after TJA
Perioperative Corticosteroid Doseage
Perioperative Corticosteroid - Multiple Doses
Contraindications to Perioperative Corticosteroid Use
Single Shot Lumbar Plexus Nerve Block in THA
Single-Shot Fascia Ilicia Block in THA
Single Shot Quadratus Lumborum Block in THA
Single-Shot Fascia Ilicia Block vs Lumbar Plexus Nerve Block in THA
Fascia Iliaca Block vs Peri-Articular Local Anesthetic Infiltration In THA
Lumbar Plexus Block vs Peri-Articular Local Anesthetic Infiltration in THA
Femoral Nerve Block vs Adductor Canal Block in TKA
Block vs. Control iPACK in TKA
Block vs. Block - Single or Continuous in TKA
Block vs. Block - Single-Shot Femoral Nerve Block vs. Adductor Canal Block in TKA
Block vs. Block - Continuous Femoral Nerve Block or Adductor Canal Block in TKA
Continuous vs. Single-Shot Adductor Canal Block in TKA
Single-Shot Adductor Canal Block vs Peri-Articular Local Anesthetic Infiltration in TKA
Combined Single-Shot Adductor Canal Block and Peri-Articular Local Anesthetic Infiltration
Single-Shot Adductor Block & Peri-Articular Local Anesthetic Infiltration vs. Single-Shot Alone
Ketamine and Adverse Events
Intraoperative Periarticular Injection and Postoperative Pain/Opioid Use in TJA
Long Acting Local Anesthetics and Postoperative Pain/Opioid Use
Particular Injections with Liposomal Lupivacaine vs. Ropivacaine or Bupivacaine in TJA
Periarticular Injections of Ketorolac in TKA
Periarticular Injections of Corticosteroids in TKA
Perioperative Corticosteroids and Postoperative Pain/Opioid Use in THA
Morphine in Periarticular Injection in TJA
Epinephrine in Periarticular Injection in TKA
Epinephrine in Periarticular Injection in THA
Clonidine in Periarticular Injections and TKA
Clonidine in Periarticular Injections and THA

Diagnosis and Prevention of Periprosthetic Joint Infections
Preoperative Screening and Decolonization - (Limited)
Preoperative Screening and Decolonization - (Consensus)

Diagnosis and Treatment of Osteochondritis Dissecans (2023)
Evaluation of OCD Healing
Post Operative Physical Therapy

Limb Salvage or Early Amputation
Psychosocial Factors
Orthotics/Prosthetics

Management of Acute Compartment Syndrome
Wound Management

Management of Anterior Cruciate Ligament Injuries (2022)
RETURN TO ACTIVITY FUNCTIONAL BRACING

Management of Carpal Tunnel Syndrome
Supervised Versus Home Therapy
Postoperative Immobilization

Management of Distal Radius Fractures
Home Exercise Program
Serial Radiography
Opioid Use

Management of Glenohumeral Joint Osteoarthritis
PROGNOSTIC FACTORS (GENDER/SEX)
PROGNOSTIC FACTORS (COMORBIDITIES)
POST-OPERATIVE PHYSICAL THERAPY
DISCHARGE
CRYOTHERAPY
MULTIMODAL PAIN MANAGEMENT

Management of Hip Fractures in Older Adults
Transfusion
Multimodal Analgesia
Interdisciplinary Care Programs
Weight Bearing

Management of Osteoarthritis of the Hip (2023)
Postoperative Physical Therapy
BMI: CLINICAL OUTCOMES
TOBACCO

Management of Rotator Cuff Injuries
Post-Op Mobilization Timing
Prognostic Factors (Age)
Prognostic Factors (Higher BMI)
Prognostic Factors (Comorbidities)
Prognostic Factors (Diabetes)
Prognostic Factors (Patient Expectations)
Postoperative Pain Management
Supervised Exercise vs Unsupervised Exercise

Management of Surgical Site Infections
Antibiotic Duration for Management of Surgical Site Infections
Rifampin Use for Management of Surgical Site Infections
Multidisciplinary Team

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Acupuncture
Acupuncture
Acupressure
Compression
Cryotherapy
Early Mobilization
Massage
Neuromuscular Electrical Stimulation
Transcutaneous Electrical Nerve Stimulation
Peri-op Injections
Peri-op Injections Total Shoulder Arthroplasty
Cognitive/Behavioral Treatment
Guided Relaxation Therapy
Music Therapy
Patient Education
Virtual Reality
Intra-Articular Opioids vs NSAIDs
Opioid Combo vs NSAID
Tramadol Combo vs NSAID
Fentanyl Patch vs Morphine
Tramadol vs NSAID
Anti-Depressants
COX-2
Oral Acetaminophen
Acetaminophen
Acetaminophen/NSAID Combination Treatment vs NSAID
Gabapentin
Gabapentin
Pregabalin
Ketamine
Oral Relaxants

Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Oral Hygiene

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Perioperative and Postoperative Antibiotics - Systemic and Local
Perioperative and Postoperative Antibiotics - Systemic and Local
Wound Coverage
Negative Pressure Wound Therapy - Open and Closed Fractures
Silver Coated Dressings
Negative Pressure Wound Therapy - High Risk Surgical Incisions
Orthoplastic Team
Hyperbaric O2

Surgical Management of Osteoarthritis of the Knee (2022)
PERIPHERAL NERVE BLOCKADE (PNB)
PERIARTICULAR LOCAL INFILTRATION
TRANEXAMIC ACID
RISK FACTORS: BODY MASS INDEX (BMI)
RISK FACTORS: DIABETES/HYPERGLYCEMIA
TOURNIQUETS
DISCHARGE FACILITIES / DISPOSITION

Treatment of Pediatric Diaphyseal Femur Fractures
Pain Control

Treatment of Pediatric Supracondylar Humerus Fractures
Timing of Pin Removal
Return to Activity

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
IMMOBILIZATION METHOD

Limb Salvage or Early Amputation
Rehabilitation
Orthotics/Prosthetics

Management of Anterior Cruciate Ligament Injuries (2022)
RETURN TO ACTIVITY FUNCTIONAL BRACING

Management of Carpal Tunnel Syndrome
Supervised Versus Home Therapy

Management of Distal Radius Fractures
Home Exercise Program

Management of Glenohumeral Joint Osteoarthritis
POST-OPERATIVE PHYSICAL THERAPY

Management of Hip Fractures in Older Adults
Interdisciplinary Care Programs
Weight Bearing

Management of Osteoarthritis of the Hip (2023)
Postoperative Physical Therapy
PHYSICAL THERAPY AS CONSERVATIVE TREATMENT
SOCIAL DETERMINANTS OF HEALTH
HIP-SPINE RELATIONSHIP

Management of Rotator Cuff Injuries
Operative Management
Prognostic Factors (Patient Expectations)
Supervised Exercise vs Unsupervised Exercise
Unrepairable Tears Without Arthropathy (Non-Reverse Arthroplasty)

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Acupuncture
Acupressure
Compression
Cryotherapy
Early Mobilization
Massage
Neuromuscular Electrical Stimulation
Transcutaneous Electrical Nerve Stimulation
Peri-op Injections
Peri-op Injections Total Shoulder Arthroplasty
Cognitive/Behavioral Treatment
Guided Relaxation Therapy
Music Therapy
Patient Education
Virtual Reality
Intra-Articular Opioids vs NSAIDs
Opioid Combo vs NSAID
Tramadol Combo vs NSAID
Fentanyl Patch vs Morphine
Tramadol vs NSAID
Anti-Depressants
COX-2
Oral Acetaminophen
Acetaminophen
Acetaminophen/NSAID Combination Treatment vs NSAID
Gabapentin
Gabapentin
Pregabalin
Ketamine
Oral Relaxants

Surgical Management of Osteoarthritis of the Knee (2022)
RISK FACTORS: BODY MASS INDEX (BMI)
RISK FACTORS: DIABETES/HYPERGLYCEMIA

Treatment of Pediatric Supracondylar Humerus Fractures
Physical Therapy or Occupational Therapy
Return to Activity

Anesthesia and Analgesia in Total Joint Arthroplasty (2020)
Acetaminophen and Postoperative Pain and/or Opiod Use
Acetaminophen Use After Discharge
Acetaminophen and Postoperative Complications
Gabapentinoids and Postoperative Pain and/or Opioid Use
Gabapentinoid Use Following Discharge
Efficacy Between Low- and High-Dose Gabapentinoids
Oral NSAIDs and Postoperatiave Pain and/or Opioid Use
Oral COX-2 NSAID and Postoperative Pain and/or Opioid Use
Oral NSAID Use After Discharge Following TKA
Oral NSAID Use After Discharge Following THA
Intravenous Ketorolac and Postoperative Pain and/or Opioid Consumption
NSAIDs Use and Postoperative Medical Complications
TJA and Preoperative Opioid Use
Reduction of Opioid Use Prior to TJA
Opioids Administered Immediately Prior to TJA Surgery
Opioids Administered Intraoperatively
Opioid Use Following TJA Surgery
Opioid Use Following TJA Surgery

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Perioperative Corticosteroids and Postoperative Pain/Opioid Use/Nausea/Vomiting
Perioperative Corticosteroids and Complications after TJA
Perioperative Corticosteroid Doseage
Perioperative Corticosteroid - Multiple Doses
Contraindications to Perioperative Corticosteroid Use
Single Shot Lumbar Plexus Nerve Block in THA
Single-Shot Fascia Ilicia Block in THA
Single Shot Quadratus Lumborum Block in THA
Single-Shot Fascia Ilicia Block vs Lumbar Plexus Nerve Block in THA
Fascia Iliaca Block vs Peri-Articular Local Anesthetic Infiltration In THA
Lumbar Plexus Block vs Peri-Articular Local Anesthetic Infiltration in THA
Femoral Nerve Block vs Adductor Canal Block in TKA
Block vs. Control iPACK in TKA
Block vs. Block - Single or Continuous in TKA
Block vs. Block - Single-Shot Femoral Nerve Block vs. Adductor Canal Block in TKA
Block vs. Block - Continuous Femoral Nerve Block or Adductor Canal Block in TKA
Continuous vs. Single-Shot Adductor Canal Block in TKA
Single-Shot Adductor Canal Block vs Peri-Articular Local Anesthetic Infiltration in TKA
Combined Single-Shot Adductor Canal Block and Peri-Articular Local Anesthetic Infiltration
Single-Shot Adductor Block & Peri-Articular Local Anesthetic Infiltration vs. Single-Shot Alone
Ketamine and Postoperative Opioid Consumption
Ketamine and Postoperative Pain/Nausea/Vomiting
Ketamine and Adverse Events
Intraoperative Periarticular Injection and Postoperative Pain/Opioid Use in TJA
Long Acting Local Anesthetics and Postoperative Pain/Opioid Use
Particular Injections with Liposomal Lupivacaine vs. Ropivacaine or Bupivacaine in TJA
Periarticular Injections of Ketorolac in TKA
Periarticular Injections of Ketorolac in THA
Periarticular Injections of Corticosteroids in TKA
Perioperative Corticosteroids and Postoperative Pain/Opioid Use in THA
Morphine in Periarticular Injection in TJA
Epinephrine in Periarticular Injection in TKA
Epinephrine in Periarticular Injection in THA
Clonidine in Periarticular Injections and TKA
Clonidine in Periarticular Injections and THA

Diagnosis and Prevention of Periprosthetic Joint Infections
Risk Factors for PJI (Moderate Evidence)
Risk Factors for PJI (Limited Evidence)
Risk Factors for PJI (Consensus)
Risk Factors for PJI (Consensus)
Injections Prior to Arthroplasty
Blood Tests for Preoperative Diagnosis (Strong Evidence)
Blood Tests for Preoperative Diagnosis (Moderate Evidence)
Infected Joint Replacements - Synovial Fluid Tests
Infected Joint Replacements - Intraoperative Tests - (Strong)
Infected Joint Replacements - Intraoperative Tests - (Moderate)
Infected Joint Replacements - Intraoperative Tests - (Limited)
Diagnostic Imaging
Diagnostic Imaging - Nuclear Imaging
Diagnostic Imaging - (Consensus)
Gram Stain
Avoiding Antimicrobials Two Weeks Prior to Obtaining Intra-Articular Culture
Initiating Antimicrobials Prior to Obtaining Intra-Articular Culture
Antibiotics With Low Preoperative Suspicion or Established PJI
Perioperative Antibiotic Selection - (Limited)
Perioperative Antibiotic Selection - (Consensus)
Antibiotic Cement
Preoperative Screening and Decolonization - (Limited)
Preoperative Screening and Decolonization - (Consensus)
Intraoperative Technical Factors

Management of Hip Fractures in Older Adults
Preoperative Traction
Surgical Timing
Venous Thromboembolism Prophylaxis
Anesthesia
Unstable Femoral Neck Fractures - Arthroplasty vs Fixation
Unipolar/Bipolar Hemiarthroplasty
Unstable Femoral Neck Fractures - Total Arthroplasty vs. Hemi Arthroplasty
Cemented Femoral Stems
Surgical Approach
Cephalomedullary Device - Stable Intertrochanteric Fractures
Cephalomedullary Device - Unstable Intertrochanteric Fractures
Transfusion
Multimodal Analgesia
Tranexamic Acid
Stable Femoral Neck Fractures
Cephalomedullary Device - Pertrochanteric Fractures
Weight Bearing

Management of Osteoarthritis of the Hip (2023)
TRANEXAMIC ACID
Postoperative Physical Therapy
PHYSICAL THERAPY AS CONSERVATIVE TREATMENT
INTRAARTICULAR CORTICOSTEROID INJECTION
INTRAARTICULAR HYALURONIC ACID
PHARMACOLOGICAL MANAGEMENT: NSAIDs
CEMENTED VS. CEMENTLESS FEMORAL FIXATION
EXPOSURE APPROACH
BMI: ADVERSE EVENTS
BMI: CLINICAL OUTCOMES
PRESCRIPTION OPIOID AS CONSERVATIVE TREATMENT
DIABETES: ADVERSE EVENTS
PHARMACOLOGICAL MANAGEMENT: ACETAMINOPHEN
SOCIAL DETERMINANTS OF HEALTH
HIP-SPINE RELATIONSHIP
NEURAXIAL VS. GENERAL ANAESTHESIA
TOBACCO

Management of Surgical Site Infections
Use of Imaging
Cultures
C-Reactive Protein
Erythrocyte Sedimentation Rate
Clinical Exam for the Diagnosis of Surgical Site Infections
Strong Evidence of Factors Associated with Increased Risk of SSI
Increased Associated Risk of SSI
Limited Evidence of Increased Associated SSI Risk
Antibiotic Duration for Management of Surgical Site Infections
Adjunctive Treatment
Rifampin Use for Management of Surgical Site Infections
Surgical Timing and Percutaneous Drainage
Surgical Timing
Timing and Implant Removal

Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Prophylactic Antibiotics
Topical Oral Antimicrobials
Oral Hygiene

Surgical Management of Osteoarthritis of the Knee (2022)
DRAINS
CEMENTLESS FIXATION: CEMENTED FEMORAL & TIBIAL COMPONENTS VS. CEMENTLESS FEMORAL & TIBIAL COMPONENTS
CEMENTLESS FIXATION: ALL CEMENTED COMPONENTS VS. HYBRID FIXATION (CEMENTLESS FEMORAL COMPONENT)
UNICOMPARTMENTAL VS. TOTAL KNEE ARTHROPLASTY
PERIPHERAL NERVE BLOCKADE (PNB)
PERIARTICULAR LOCAL INFILTRATION
TRANEXAMIC ACID
SURGICAL NAVIGATION
RISK FACTORS: BODY MASS INDEX (BMI)
RISK FACTORS: DIABETES/HYPERGLYCEMIA
TOURNIQUETS
PATELLAR RESURFACING
CRUCIATE RETAINING ARTHROPLASTY
PATIENT SPECIFIC TECHNOLOGY
KINEMATIC VS. MECHANICAL ALIGNMENT
CEMENTLESS FIXATION: ALL CEMENTLESS COMPONENTS VS. HYBRID FIXATION (CEMENTLESS TIBIAL COMPONENT)
PRE-OPERATIVE OPIOID USE
BILATERAL SIMULTANEOUS TOTAL KNEE ARTHROPLASTY VS. STAGED
UNICOMPARTMENTAL KNEE ARTHROPLASTY VS. HIGH/PROXIMAL TIBIAL OSTEOTOMY
DISCHARGE FACILITIES / DISPOSITION
RISK FACTORS: SMOKING
ROBOTICS IN TOTAL KNEE ARTHROPLASTY
ROBOTICS IN UNICOMPARTMENTAL KNEE ARTHROPLASTY

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Block vs. Block - Continuous Femoral Nerve Block or Adductor Canal Block in TKA

Management of Anterior Cruciate Ligament Injuries (2022)
ACL TRAINING PROGRAMS
MENISCAL REPAIR

Management of Carpal Tunnel Syndrome
Observation
Physical Signs
Maneuvers
History Interview Topics
Patient Reported Numbness and Pain
Hand-Held Nerve Conduction Study (NCS)
MRI
Diagnostic Ultrasound
Diagnostic Scales
Increased Risk of CTS (Strong Evidence)
Increased Risk of CTS (Moderate Evidence)
Increased Risk of CTS (Limited Evidence)
Decreased Risk of CTS
Factors Showing No Associated Risk of CTS (Moderate Evidence)
Factors Showing No Associated Risk of CTS (Limited Evidence)
Factors Showing Conflicting Risk of CTS
Immobilization
Steroid Injections
Magnet Therapy
Oral Treatments
Oral Steroids
Ketoprofen Phonophoresis
Therapeutic Ultrasound
Laser Therapy
Surgical Release Location
Surgical Release Procedure
Surgical Procedures Versus Nonoperative Treatments
Adjunctive Techniques
Bilateral Versus Staged Carpal Tunnel Release
Local Versus Intravenous (IV) Regional Anesthesia
Buffered Versus Plain Lidocaine
Aspirin Use
Preoperative Antibiotics
Supervised Versus Home Therapy
Postoperative Immobilization

Management of Distal Radius Fractures
Arthroscopic Assistance
Home Exercise Program
Indications for Fixation (Non-Geriatric Patients)
Indications for Fixation (Geriatric Patients)
Serial Radiography
Fixation Tech
Opioid Use

Management of Hip Fractures in Older Adults
Cephalomedullary Device - Subtrochanteric/Reverse Obliquity Fractures

Management of Metastatic Humeral Disease (2023)
Prognostic Markers

Management of Surgical Site Infections
Use of Imaging
Cultures
C-Reactive Protein
Erythrocyte Sedimentation Rate
Clinical Exam for the Diagnosis of Surgical Site Infections
Strong Evidence of Factors Associated with Increased Risk of SSI
Increased Associated Risk of SSI
Adjunctive Treatment
Multidisciplinary Team

Anesthesia and Analgesia in Total Joint Arthroplasty (2020)
Acetaminophen and Postoperative Pain and/or Opiod Use
Acetaminophen Use After Discharge
Acetaminophen and Postoperative Complications
Gabapentinoids and Postoperative Pain and/or Opioid Use
Gabapentinoid Use Following Discharge
Efficacy Between Low- and High-Dose Gabapentinoids
Oral NSAIDs and Postoperatiave Pain and/or Opioid Use
Oral COX-2 NSAID and Postoperative Pain and/or Opioid Use
Oral NSAID Use After Discharge Following TKA
Oral NSAID Use After Discharge Following THA
Intravenous Ketorolac and Postoperative Pain and/or Opioid Consumption
Postoperative IV Ketorolac
NSAIDs Use and Postoperative Medical Complications
TJA and Preoperative Opioid Use
Reduction of Opioid Use Prior to TJA
Opioids Administered Immediately Prior to TJA Surgery
Opioids Administered Intraoperatively
Opioid Use Following TJA Surgery
Opioid Use Following TJA Surgery

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Perioperative Corticosteroids and Postoperative Pain/Opioid Use/Nausea/Vomiting
Perioperative Corticosteroids and Complications after TJA
Perioperative Corticosteroid Doseage
Perioperative Corticosteroid - Multiple Doses
Contraindications to Perioperative Corticosteroid Use
Single Shot Lumbar Plexus Nerve Block in THA
Single-Shot Fascia Ilicia Block in THA
Single Shot Quadratus Lumborum Block in THA
Single-Shot Fascia Ilicia Block vs Lumbar Plexus Nerve Block in THA
Fascia Iliaca Block vs Peri-Articular Local Anesthetic Infiltration In THA
Lumbar Plexus Block vs Peri-Articular Local Anesthetic Infiltration in THA
Femoral Nerve Block vs Adductor Canal Block in TKA
Block vs. Control iPACK in TKA
Block vs. Block - Single or Continuous in TKA
Block vs. Block - Single-Shot Femoral Nerve Block vs. Adductor Canal Block in TKA
Continuous vs. Single-Shot Adductor Canal Block in TKA
Single-Shot Adductor Canal Block vs Peri-Articular Local Anesthetic Infiltration in TKA
Combined Single-Shot Adductor Canal Block and Peri-Articular Local Anesthetic Infiltration
Single-Shot Adductor Block & Peri-Articular Local Anesthetic Infiltration vs. Single-Shot Alone
Ketamine and Postoperative Opioid Consumption
Ketamine and Postoperative Pain/Nausea/Vomiting
Ketamine and Adverse Events
Intraoperative Periarticular Injection and Postoperative Pain/Opioid Use in TJA
Long Acting Local Anesthetics and Postoperative Pain/Opioid Use
Particular Injections with Liposomal Lupivacaine vs. Ropivacaine or Bupivacaine in TJA
Periarticular Injections of Ketorolac in TKA
Periarticular Injections of Ketorolac in THA
Periarticular Injections of Corticosteroids in TKA
Perioperative Corticosteroids and Postoperative Pain/Opioid Use in THA
Morphine in Periarticular Injection in TJA
Epinephrine in Periarticular Injection in TKA
Epinephrine in Periarticular Injection in THA
Clonidine in Periarticular Injections and TKA
Clonidine in Periarticular Injections and THA

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age (2022)
Universal Ultrasound Screening
Evaluation of Infants with Risk Factors for DDH
Imaging of the Unstable Hip
Imaging of the Infant Hip
Surveillance After Normal Infant Hip Exam
Stable Hip With Ultrasound Imaging Abnormalities
Treatment of Clinical Instability
Type of Brace for the Unstable Hip
Monitoring of Patients During Brace Treatment

Diagnosis and Prevention of Periprosthetic Joint Infections
Risk Factors for PJI (Moderate Evidence)
Risk Factors for PJI (Limited Evidence)
Risk Factors for PJI (Consensus)
Risk Factors for PJI (Consensus)
Injections Prior to Arthroplasty
Blood Tests for Preoperative Diagnosis (Strong Evidence)
Blood Tests for Preoperative Diagnosis (Moderate Evidence)
Infected Joint Replacements - Synovial Fluid Tests
Infected Joint Replacements - Intraoperative Tests - (Moderate)
Infected Joint Replacements - Intraoperative Tests - (Limited)
Diagnostic Imaging
Diagnostic Imaging - Nuclear Imaging
Diagnostic Imaging - (Consensus)
Gram Stain
Avoiding Antimicrobials Two Weeks Prior to Obtaining Intra-Articular Culture
Initiating Antimicrobials Prior to Obtaining Intra-Articular Culture
Antibiotics With Low Preoperative Suspicion or Established PJI
Perioperative Antibiotic Selection - (Consensus)
Antibiotic Cement
Antibiotic Cement
Preoperative Screening and Decolonization - (Limited)
Preoperative Screening and Decolonization - (Consensus)
Intraoperative Technical Factors

Diagnosis and Treatment of Osteochondritis Dissecans (2023)
Radiographs
MRI OCD Knee
Option of Surgery for Skeletally Immature Patients with Salvageable Unstable OCD Lesions
Option of Surgery for Skeletally Mature Patients with Salvageable Unstable OCD Lesions
Evaluation of OCD Healing
Post Operative Physical Therapy

Limb Salvage or Early Amputation
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Burden of Injury (Limb Specific Injury - Time 1 and Beyond)
Psychosocial Factors
Rehabilitation
Nerve Injury
Massive Soft Tissue and Muscle Damage (Time 1)
Vascular Injury/Limb Ischmia
Smoking
Lower Extremity Injury Scores
Amputation/Limb Salvage
Massive Muscle Damage (Time 0)
Orthotics/Prosthetics
Comorbidities

Management of Anterior Cruciate Ligament Injuries (2022)
HISTORY AND PHYSICAL
SURGICAL TIMING
SINGLE OR DOUBLE BUNDLE ACL RECONSTRUCTION
AUTOGRAFT SOURCE
AUTOGRAFT VS. ALLOGRAFT
ANTEROLATERAL LIGAMENT / LATERAL EXTRAARTICULAR TENODESIS
REPAIR VS. RECONSTRUCTION
ASPIRATION OF THE KNEE
ACL SURGICAL RECONSTRUCTION
COMBINED ACL / MCL TEAR
PROPHYLACTIC KNEE BRACING
RETURN TO SPORT
RETURN TO ACTIVITY FUNCTIONAL BRACING

Management of Hip Fractures in Older Adults
Preoperative Traction
Surgical Timing
Venous Thromboembolism Prophylaxis
Anesthesia
Unstable Femoral Neck Fractures - Arthroplasty vs Fixation
Unipolar/Bipolar Hemiarthroplasty
Unstable Femoral Neck Fractures - Total Arthroplasty vs. Hemi Arthroplasty
Cemented Femoral Stems
Surgical Approach
Cephalomedullary Device - Stable Intertrochanteric Fractures
Cephalomedullary Device - Unstable Intertrochanteric Fractures
Transfusion
Multimodal Analgesia
Tranexamic Acid
Stable Femoral Neck Fractures
Cephalomedullary Device - Pertrochanteric Fractures
Weight Bearing

Management of Osteoarthritis of the Hip (2023)
TRANEXAMIC ACID
Postoperative Physical Therapy
PHYSICAL THERAPY AS CONSERVATIVE TREATMENT
INTRAARTICULAR CORTICOSTEROID INJECTION
INTRAARTICULAR HYALURONIC ACID
PHARMACOLOGICAL MANAGEMENT: NSAIDs
CEMENTED VS. CEMENTLESS FEMORAL FIXATION
EXPOSURE APPROACH
BMI: ADVERSE EVENTS
BMI: CLINICAL OUTCOMES
PRESCRIPTION OPIOID AS CONSERVATIVE TREATMENT
DIABETES: ADVERSE EVENTS
PHARMACOLOGICAL MANAGEMENT: ACETAMINOPHEN
SOCIAL DETERMINANTS OF HEALTH
HIP-SPINE RELATIONSHIP
NEURAXIAL VS. GENERAL ANAESTHESIA
TOBACCO

Management of Osteoarthritis of the Knee (Non-Arthroplasty) (3rd Edition)
Lateral Wedge Insoles (Recommendation Against)
Canes
Braces
Topical Treatments
Supervised Exercise
Neuromuscular Training
Self-Management
Patient Education
Weight Loss Intervention
Manual Therapy
Massage
Laser Treatment
Acupuncture
Transcutaneous Electrical Nerve Stimulation
Percutaneous Electrical Nerve Stimulation
Extracorporeal Shockwave Therapy
Oral NSAIDs
Oral Acetaminophen
Oral Narcotics (Recommendation Against)
Hyaluronic Acid (Recommendation Against)
Intra-articular Corticosteroids
Platelet-rich Plasma
Denervation Therapy
Lavage/Debridement (Recommendation Against)
Partial Meniscectomy
Tibial Osteotomy
Dry Needling
Free Floating Interpositional Devices

Management of Surgical Site Infections
Use of Imaging
Cultures
C-Reactive Protein
Erythrocyte Sedimentation Rate
Clinical Exam for the Diagnosis of Surgical Site Infections
Strong Evidence of Factors Associated with Increased Risk of SSI
Increased Associated Risk of SSI
Limited Evidence of Increased Associated SSI Risk
Antibiotic Duration for Management of Surgical Site Infections
Adjunctive Treatment
Rifampin Use for Management of Surgical Site Infections
Surgical Timing and Percutaneous Drainage
Surgical Timing
Timing and Implant Removal
Multidisciplinary Team

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Acupuncture
Acupuncture
Acupressure
Compression
Cryotherapy
Early Mobilization
Massage
Neuromuscular Electrical Stimulation
Transcutaneous Electrical Nerve Stimulation
Peri-op Injections
Peri-op Injections Total Shoulder Arthroplasty
Cognitive/Behavioral Treatment
Guided Relaxation Therapy
Music Therapy
Patient Education
Virtual Reality
Intra-Articular Opioids vs NSAIDs
Opioid Combo vs NSAID
Tramadol Combo vs NSAID
Fentanyl Patch vs Morphine
Tramadol vs NSAID
Anti-Depressants
COX-2
Oral Acetaminophen
Acetaminophen
Acetaminophen/NSAID Combination Treatment vs NSAID
Gabapentin
Gabapentin
Pregabalin
Ketamine
Oral Relaxants

Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Prophylactic Antibiotics

Surgical Management of Osteoarthritis of the Knee (2022)
DRAINS
CEMENTLESS FIXATION: CEMENTED FEMORAL & TIBIAL COMPONENTS VS. CEMENTLESS FEMORAL & TIBIAL COMPONENTS
CEMENTLESS FIXATION: ALL CEMENTED COMPONENTS VS. HYBRID FIXATION (CEMENTLESS FEMORAL COMPONENT)
UNICOMPARTMENTAL VS. TOTAL KNEE ARTHROPLASTY
PERIPHERAL NERVE BLOCKADE (PNB)
PERIARTICULAR LOCAL INFILTRATION
TRANEXAMIC ACID
SURGICAL NAVIGATION
RISK FACTORS: BODY MASS INDEX (BMI)
RISK FACTORS: DIABETES/HYPERGLYCEMIA
TOURNIQUETS
PATELLAR RESURFACING
CRUCIATE RETAINING ARTHROPLASTY
PATIENT SPECIFIC TECHNOLOGY
KINEMATIC VS. MECHANICAL ALIGNMENT
CEMENTLESS FIXATION: ALL CEMENTLESS COMPONENTS VS. HYBRID FIXATION (CEMENTLESS TIBIAL COMPONENT)
PRE-OPERATIVE OPIOID USE
BILATERAL SIMULTANEOUS TOTAL KNEE ARTHROPLASTY VS. STAGED
UNICOMPARTMENTAL KNEE ARTHROPLASTY VS. HIGH/PROXIMAL TIBIAL OSTEOTOMY
DISCHARGE FACILITIES / DISPOSITION
RISK FACTORS: SMOKING
ROBOTICS IN TOTAL KNEE ARTHROPLASTY
ROBOTICS IN UNICOMPARTMENTAL KNEE ARTHROPLASTY

Tranexamic Acid in Total Joint Arthroplasty
ATE Risk
Administration Method Versus Other Methods
Administration Method Versus Placebo
Dosing
Multiple Dose vs. Single Dose
Timing of Administration
VTE Risk (Patients With History)
VTE Risk (Patients Without History)

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Long Stem Hemiarthroplasty
Cephalomedullary Nailing
Arthroplasty

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
BONE STIMULATOR
NAILING VS. SINGLE PLATE
NON-MODIFIABLE RISK FACTORS: AGE AND SEX
MODIFIABLE RISK FACTORS: SMOKING
PRE-CONTOURED PLATE VS. NON-PRE-CONTOURED PLATE
RADIOGRAPH: SUPINE VS. UPRIGHT
PREDICTORS OF NON-UNION FOLLOWING NON-OPERATIVELY TREATED CLAVICLE FRACTURE
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT[ADOLESCENT ≤18 YEARS]
IMMOBILIZATION METHOD
LATERAL CLAVICLE FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT

Detection and Nonoperative Management of Pediatric Developmental Dysplasia of the Hip in Infants Up to Six Months of Age (2022)
Universal Ultrasound Screening
Evaluation of Infants with Risk Factors for DDH
Imaging of the Unstable Hip
Imaging of the Infant Hip
Surveillance After Normal Infant Hip Exam
Stable Hip With Ultrasound Imaging Abnormalities
Treatment of Clinical Instability
Type of Brace for the Unstable Hip
Monitoring of Patients During Brace Treatment

Diagnosis and Treatment of Osteochondritis Dissecans (2023)
Radiographs
MRI OCD Knee
Option of Surgery for Skeletally Immature Patients with Salvageable Unstable OCD Lesions
Evaluation of OCD Healing
Post Operative Physical Therapy

Management of Surgical Site Infections
Use of Imaging
Cultures
C-Reactive Protein
Erythrocyte Sedimentation Rate
Clinical Exam for the Diagnosis of Surgical Site Infections
Strong Evidence of Factors Associated with Increased Risk of SSI
Increased Associated Risk of SSI
Adjunctive Treatment
Multidisciplinary Team

Treatment of Pediatric Diaphyseal Femur Fractures
Child Abuse
Infant Femur Fracture
Early or Delayed Spica Casting
Elastic Intramedullary Nails
ORIF Pediatric Femur Fractures
Pain Control
Waterproof Casting

Treatment of Pediatric Supracondylar Humerus Fractures
Gartland Type 1 Immobilization
Closed Reduction Fixation
Medial vs. Lateral Pinning
Open Incision for Medial Pin
Time Threshold for Reduction
Open Reduction Criteria
Closed Reduction with Decreased Perfusion of Hand
Open Exploration for No Pulse and Underperfused Hand
Open Exploration for No Pulse and Perfused Hand
Timing of Pin Removal
Physical Therapy or Occupational Therapy
Return to Activity
Nerve Injuries
Open Reduction for Adolescents

Anesthesia and Analgesia in Total Joint Arthroplasty (2021)
Perioperative Corticosteroids and Postoperative Pain/Opioid Use/Nausea/Vomiting
Perioperative Corticosteroids and Complications after TJA
Perioperative Corticosteroid Doseage
Perioperative Corticosteroid - Multiple Doses
Contraindications to Perioperative Corticosteroid Use
Single-Shot Fascia Ilicia Block in THA
Ketamine and Postoperative Opioid Consumption
Ketamine and Postoperative Pain/Nausea/Vomiting
Ketamine and Adverse Events
Intraoperative Periarticular Injection and Postoperative Pain/Opioid Use in TJA

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
BONE STIMULATOR
HOOK PLATE VS. LATERAL LOCKING PLATE FOR LATERAL FRACTURE
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT [ADULT]
NAILING VS. SINGLE PLATE
NON-MODIFIABLE RISK FACTORS: AGE AND SEX
MODIFIABLE RISK FACTORS: SMOKING
DUAL PLATING
ANTERIOR VS. SUPERIOR PLATING
PRE-CONTOURED PLATE VS. NON-PRE-CONTOURED PLATE
RADIOGRAPH: SUPINE VS. UPRIGHT
PREDICTORS OF NON-UNION FOLLOWING NON-OPERATIVELY TREATED CLAVICLE FRACTURE
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT[ADOLESCENT ≤18 YEARS]
IMMOBILIZATION METHOD
LATERAL CLAVICLE FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT

Diagnosis and Prevention of Periprosthetic Joint Infections
Infected Joint Replacements - Intraoperative Tests - (Strong)

Management of Glenohumeral Joint Osteoarthritis
HYALURONIC ACID
PROGNOSTIC FACTORS (BMI)
PROGNOSTIC FACTORS (GENDER/SEX)
PROGNOSTIC FACTORS (COMORBIDITIES)
TOTAL SHOULDER ARTHROPLASTY
GLENOID COMPONENT – PEGGED OR KEELED
PROGNOSTIC FACTORS (AGE)
PROGNOSTIC FACTORS (SMOKING)
PROGNOSTIC FACTORS (PRE-OPERATIVE FUNCTION)
PROGNOSTIC FACTORS (DEPRESSION)
GLENOID COMPONENT – METAL BACKED CEMENTLESS
TOTAL SHOULDER ARTHROPLASTY – SUBSCAPULARIS PEEL, LESSER TUBEROSITY OSTEOTOMY, TENOTOMY
HEMIARTHROPLASTY - STEMS
PRE-OPERATIVE PHYSICAL THERAPY
POST-OPERATIVE PHYSICAL THERAPY
INJECTABLE BIOLOGICS
ALTERNATIVE NON-SURGICAL TREATMENTS
OPIOID PAIN MEDICATION
NON-PROSTHETIC SURGICAL OPTIONS
RADIOGRAPHS
ANATOMIC OR REVERSE TOTAL SHOULDER ARTHROPLASTY
CEMENTED STEMS
GLENOID COMPONENTS – POLYETHYLENE-METAL OR ALL POLYETHYLENE
BICEP TENODESIS AND TENOTOMY
TRANEXAMIC ACID
SUPRASPINATUS TEARS
DISCHARGE
CRYOTHERAPY
MULTIMODAL PAIN MANAGEMENT

Management of Metastatic Humeral Disease (2023)
Plating/Internal Fixation, Intramedullary Fixation, and/or Photodynamic Polymer
En Bloc Resection, Curettage, Internal Fixation, or Intramedullary Nailing
Patient Selection for Nonoperative Techniques Versus Operative Techniques
Cementation Vs No Cementation
Reconstruction Approach
VTE prophylaxis

Management of Rotator Cuff Injuries
Management of Small to Medium Tears
Long Term Non-Operative Management
Operative Management
Acromioplasty & Rotator Cuff Repair
Distal Clavicle Resection
Diagnosis (Clinical Examination)
Diagnosis (Imaging)
Post-Op Mobilization Timing
Corticosteroid Injections for Rotator Cuff Tears
Hyaluronic Acid Injections for Rotator Cuff Tears
Platelet Rich Plasma (PRP) Injection in Partial-Thickness Tears
High-Grade Partial Thickness Rotator Cuff Tears
Prognostic Factors (Age)
Prognostic Factors (Higher BMI)
Prognostic Factors (Worker's Compensation)
Prognostic Factors (Comorbidities)
Prognostic Factors (Diabetes)
Prognostic Factors (Patient Expectations)
Biological Augmentation with Platelet Derived Products
Single-Row vs Double-Row Repair
Single-Row vs Double-Row Repair Re-Tears
Marrow Stimulation
Dermal Allografts
Xenografts
Open vs Arthroscopic Repairs
Postoperative Pain Management
Supervised Exercise vs Unsupervised Exercise
Multiple Steroid Injections for Rotator Cuff Tears
Platelet Rich Plasma (PRP) Injection in Full-Thickness Tears
Partial Rotator Cuff Tear
Unrepairable Tears Without Arthropathy (Non-Reverse Arthroplasty)
Massive, Unrepairable Rotator Cuff Tear (Reverse Arthroplasty)
Unrepairable Tears with Arthropathy

Management of Surgical Site Infections
Use of Imaging
Cultures
C-Reactive Protein
Erythrocyte Sedimentation Rate
Clinical Exam for the Diagnosis of Surgical Site Infections
Strong Evidence of Factors Associated with Increased Risk of SSI
Increased Associated Risk of SSI
Limited Evidence of Increased Associated SSI Risk
Antibiotic Duration for Management of Surgical Site Infections
Adjunctive Treatment
Rifampin Use for Management of Surgical Site Infections
Surgical Timing and Percutaneous Drainage
Surgical Timing
Timing and Implant Removal
Multidisciplinary Team

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Acupuncture
Acupuncture
Acupressure
Compression
Cryotherapy
Early Mobilization
Massage
Neuromuscular Electrical Stimulation
Transcutaneous Electrical Nerve Stimulation
Peri-op Injections
Peri-op Injections Total Shoulder Arthroplasty
Cognitive/Behavioral Treatment
Guided Relaxation Therapy
Music Therapy
Patient Education
Virtual Reality
Intra-Articular Opioids vs NSAIDs
Opioid Combo vs NSAID
Tramadol Combo vs NSAID
Fentanyl Patch vs Morphine
Tramadol vs NSAID
Anti-Depressants
COX-2
Oral Acetaminophen
Acetaminophen
Acetaminophen/NSAID Combination Treatment vs NSAID
Gabapentin
Gabapentin
Pregabalin
Ketamine
Oral Relaxants

Treatment of Pediatric Supracondylar Humerus Fractures
Gartland Type 1 Immobilization
Closed Reduction Fixation
Medial vs. Lateral Pinning
Open Incision for Medial Pin
Time Threshold for Reduction
Open Reduction Criteria
Closed Reduction with Decreased Perfusion of Hand
Open Exploration for No Pulse and Underperfused Hand
Open Exploration for No Pulse and Perfused Hand
Timing of Pin Removal
Physical Therapy or Occupational Therapy
Return to Activity
Nerve Injuries
Open Reduction for Adolescents

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
BONE STIMULATOR
HOOK PLATE VS. LATERAL LOCKING PLATE FOR LATERAL FRACTURE
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT [ADULT]
NAILING VS. SINGLE PLATE
MODIFIABLE RISK FACTORS: SMOKING
DUAL PLATING
ANTERIOR VS. SUPERIOR PLATING
PRE-CONTOURED PLATE VS. NON-PRE-CONTOURED PLATE
RADIOGRAPH: SUPINE VS. UPRIGHT
PREDICTORS OF NON-UNION FOLLOWING NON-OPERATIVELY TREATED CLAVICLE FRACTURE
ISOLATED DISPLACED MIDSHAFT FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT[ADOLESCENT ≤18 YEARS]
IMMOBILIZATION METHOD
LATERAL CLAVICLE FRACTURE: OPERATIVE VS. NON-OPERATIVE TREATMENT

Evaluation of Psychosocial Factors Influencing Recovery From Adult Orthopaedic Trauma
Factors Associated with Patient Outcomes

Limb Salvage or Early Amputation
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Burden of Injury (Non-Limb Specific Injury - Time 0 and Time 1)
Burden of Injury (Limb Specific Injury - Time 1 and Beyond)
Psychosocial Factors
Rehabilitation
Massive Soft Tissue and Muscle Damage (Time 1)
Vascular Injury/Limb Ischmia
Smoking
Lower Extremity Injury Scores
Amputation/Limb Salvage
Massive Muscle Damage (Time 0)
Orthotics/Prosthetics
Comorbidities

Management of Acute Compartment Syndrome
Serum Biomarkers - Femoral Vein Lactate Concentration
Biomarkers - Electrical Injury
Serum Biomarkers in Late/Missed ACS
Pressure Methods - Diagnosis
Pressure Methods - Ruling Out
Pressure Monitoring in Late/Missed ACS
Physical Exam (Awake)
Physical Exam (Obtunded)
Alternative Methods of Diagnosis
Fasciotomy Methods
Fasciotomy for Late/Missed ACS
Pain Management Effects on Diagnosis
Wound Management

Management of Distal Radius Fractures
Arthroscopic Assistance
Home Exercise Program
Indications for Fixation (Non-Geriatric Patients)
Indications for Fixation (Geriatric Patients)
Serial Radiography
Fixation Tech
Opioid Use

Management of Hip Fractures in Older Adults
Preoperative Traction
Surgical Timing
Venous Thromboembolism Prophylaxis
Anesthesia
Unstable Femoral Neck Fractures - Arthroplasty vs Fixation
Unipolar/Bipolar Hemiarthroplasty
Unstable Femoral Neck Fractures - Total Arthroplasty vs. Hemi Arthroplasty
Cemented Femoral Stems
Cephalomedullary Device - Stable Intertrochanteric Fractures
Cephalomedullary Device - Subtrochanteric/Reverse Obliquity Fractures
Cephalomedullary Device - Unstable Intertrochanteric Fractures
Transfusion
Multimodal Analgesia
Tranexamic Acid
Stable Femoral Neck Fractures
Cephalomedullary Device - Pertrochanteric Fractures
Weight Bearing

Management of Surgical Site Infections
Use of Imaging
Cultures
C-Reactive Protein
Erythrocyte Sedimentation Rate
Clinical Exam for the Diagnosis of Surgical Site Infections
Strong Evidence of Factors Associated with Increased Risk of SSI
Increased Associated Risk of SSI
Limited Evidence of Increased Associated SSI Risk
Antibiotic Duration for Management of Surgical Site Infections
Adjunctive Treatment
Rifampin Use for Management of Surgical Site Infections
Surgical Timing and Percutaneous Drainage
Surgical Timing
Timing and Implant Removal
Multidisciplinary Team

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery (2021)
Acupuncture
Acupuncture
Acupressure
Compression
Cryotherapy
Early Mobilization
Massage
Neuromuscular Electrical Stimulation
Transcutaneous Electrical Nerve Stimulation
Peri-op Injections
Peri-op Injections Total Shoulder Arthroplasty
Cognitive/Behavioral Treatment
Guided Relaxation Therapy
Music Therapy
Patient Education
Virtual Reality
Intra-Articular Opioids vs NSAIDs
Opioid Combo vs NSAID
Tramadol Combo vs NSAID
Fentanyl Patch vs Morphine
Tramadol vs NSAID
Anti-Depressants
COX-2
Oral Acetaminophen
Acetaminophen
Acetaminophen/NSAID Combination Treatment vs NSAID
Gabapentin
Gabapentin
Pregabalin
Ketamine
Oral Relaxants

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Initial Antibiotics
Preoperative Antibiotics
Surgery Timing
Perioperative and Postoperative Antibiotics - Systemic and Local
Perioperative and Postoperative Antibiotics - Systemic and Local
Initial Wound Management -Irrigation and Fixation
Initial Wound Management -Irrigation and Fixation
Wound Coverage
Negative Pressure Wound Therapy - Open and Closed Fractures
Open Wound Closure
Silver Coated Dressings
Modifiable Risk Factors
Modifiable Risk Factors
Modifiable Risk Factors
Administrative Risk Factors
Administrative Risk Factors
Negative Pressure Wound Therapy - High Risk Surgical Incisions
Hyperbaric O2
Preoperative Skin Preparation

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Imaging and Clinical Findings
Efficacy of Bone Modifying Agents
Doseage Response of BMAs
BMAs for Various Diagnosis
Imaging Findings and Atypical Fractures
Efficacy of Radiation Therapy
Radiation Therapy and Prophylactic Femur Stabilization
Radiation Therapy after Resection and Reconstruction
Multi-Fraction Radiation Treatment
Estimating Survival and Reconstruction Method
Long Stem Hemiarthroplasty
Cephalomedullary Nailing
Arthroplasty

Treatment of Pediatric Diaphyseal Femur Fractures
Child Abuse
Infant Femur Fracture
Early or Delayed Spica Casting
Elastic Intramedullary Nails
ORIF Pediatric Femur Fractures
Pain Control
Waterproof Casting

Treatment of Pediatric Supracondylar Humerus Fractures
Gartland Type 1 Immobilization
Closed Reduction Fixation
Medial vs. Lateral Pinning
Open Incision for Medial Pin
Time Threshold for Reduction
Open Reduction Criteria
Closed Reduction with Decreased Perfusion of Hand
Open Exploration for No Pulse and Underperfused Hand
Open Exploration for No Pulse and Perfused Hand
Timing of Pin Removal
Physical Therapy or Occupational Therapy
Return to Activity
Nerve Injuries
Open Reduction for Adolescents

Clinical Practice Guideline for the Treatment of Clavicle Fractures (2022)
NON-MODIFIABLE RISK FACTORS: AGE AND SEX

Limb Salvage or Early Amputation
Nerve Injury

Management of Acute Compartment Syndrome
Biomarkers - Myoglobinuria and Serum Troponin
Associated Fracture

Management of Hip Fractures in Older Adults
Surgical Approach

Management of Metastatic Humeral Disease (2023)
Plating/Internal Fixation, Intramedullary Fixation, and/or Photodynamic Polymer
En Bloc Resection, Curettage, Internal Fixation, or Intramedullary Nailing
Patient Selection for Nonoperative Techniques Versus Operative Techniques
Cementation Vs No Cementation
Reconstruction Approach
Prognostic Markers
VTE prophylaxis

Management of Surgical Site Infections
Multidisciplinary Team

Prevention of Surgical Site Infection After Major Extremity Trauma (2022)
Orthoplastic Team

Treatment of Metastatic Carcinoma and Myeloma of the Femur
Imaging and Clinical Findings
Efficacy of Bone Modifying Agents
Doseage Response of BMAs
BMAs for Various Diagnosis
Imaging Findings and Atypical Fractures
Efficacy of Radiation Therapy
Radiation Therapy and Prophylactic Femur Stabilization
Radiation Therapy after Resection and Reconstruction
Multi-Fraction Radiation Treatment
Estimating Survival and Reconstruction Method
Long Stem Hemiarthroplasty
Cephalomedullary Nailing
Arthroplasty

Use of Imaging Prior to Referral to a Musculoskeletal Oncologist
CT Scans: Prior Chest Radiograph
CT Scans: Staging
CT Scans: Staging
Cortical Irregularity/Periosteal Reaction
History of Growth: MRI
History of Growth: Soft Tissue Tumor
History of Pain: Contrast-Enhanced CT Scan
History of Pain: MRI
History of Pain: Radiographs and MRI
History of Pain: Tc99 Bone Scan
History of Pain: Unknown Etiology
MRI and CT Scans: Area to Visualize
MRI and CT Scans: Area to Visualize
MRI: Magnet Strength
MRI: Use of Contrast
MRI: Use of Contrast
MRI: Use of Contrast Benign or Malignant
Plain Radiographs: Initial Evaluation
Plain Radiographs: Unknown Etiology
Tumor Interface
Tumor Size: Bone or Soft Tissue
Tumor Size: Greater than 5 cm
Ultrasound in Large > 5 cm
Ultrasound in Small < 5 cm
Ultrasound: Benign Tumor