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MAY 2016

Volume 99, Number 5

 
 

Complete issue

Archives

About RIMJ

For Authors
Contributors
Letters to the Editor

For Advertisers

Editor-in-Chief
Joseph H. Friedman, MD

Associate Editor
Sun Ho Ahn, MD

Managing Editor
Mary Korr

Graphic Designer
Marianne Migliori

Advertising
Steve DeToy, Sarah Stevens

     

14

VIDEOS IN CLINIC MEDICINE
New feature, open for submissions

 

 

Dystonic Gait Developing After Elective, Unremarkable Hip Surgery
Umer Akbar, MD; Joseph H. Friedman, MD
WATCH VIDEO [0:36] or Download RIMJ PDF

 

CONTRIBUTIONS

15

Cost and Selection of Ophthalmic Anti-Vascular Endothelial Growth Factor Agents
Emily Li, MD; Paul B. Greenberg, MD; Indu Voruganti, MS; Magdalena G. Krzystolik, MD

18

Adolescent Perspectives on Addressing Youth Violence
in the Primary Care Setting

Alison Riese, MD, MPH; Anne Gabonay Frank, MD;
Natasha Frederick, MD, MPH; Elizabeth Dawson-Hahn, MD, MPH; Sarah M. Bagley, MD; Bonnie O’Connor, P
hD

22

Pseudotumor cerebri:
What We Have Learned from the Idiopathic Intracranial Hypertension Treatment Trial

Rachel V. Thakore, BS; Meredith A.J. Johnson, MPH; Gregory B. Krohel, MD; Lenworth N. Johnson, MD, MA (hon.)

25

An Analysis of Organ Donation Policy in the United States
Ghazi Ahmad; Sadia Iftikhar, MD

28

Modifiable Risk Factors in Total Joint Arthroplasty:
A Pilot Study

Steven F. DeFroda, MD, ME; Lee E. Rubin, MD; Derek R. Jenkins, MD

 

Case Report

32

Hypercalcemia of Malignancy in a Newborn with Infantile Fibrosarcoma
Sungeeta Agrawal, MD; Lisa Swartz Topor, MD, MMSc

 

PUBLIC HEALTH

34

Health by Numbers
Human Papillomavirus (HPV) Vaccination Coverage
among Rhode Island Adolescents, 2008–2014

Hyun (Hanna) Kim, PhD; Tricia Washburn, BS; Kathy Marceau, BA; Patricia Raymond, RN, MPH

38

Vital Statistics
Roseann Giorgianni, State Registrar

 

COMMENTARY
(7-page section)

7

No stone unturned
JOSEPH H. FRIEDMAN, MD

 

Downton Abbey’s
‘Medical’ Finale
HERBERT RAKATANSKY, MD

 

WE ARE READ EVERYWHERE
RIMJ readers' photos

13

Panama Canal

40

RIMS NEWS
(6-page section)

 

Working for You

 

Mix & Mingle

 

Why You Should Join RIMS

55

PEOPLE
(11-page section)

 

Appointments
Recognition
Obituaries

66

HERITAGE

 

The graduates of the
first medical school at
Brown: 1811–1826

Mary Korr

 

IN THE NEWS
(complete 8-page section)

46

Lifespan, several Rhode Island physician groups form independent physician association
Community Physician Partners, Inc., includes Anchor Medical Associates, Medical Associates of Rhode Island, University Internal Medicine and University Medicine

47

Bradley Hospital launches new outpatient program for high-risk adolescents
Mindful Teen program helps teens develop emotion regulation skills to avoid hospitalization, improve quality of life

 

RIH study finds more deaths in US from sailing than football
Alcohol use is critical factor in many sailing fatalities

48

Body Dysmorphic Disorder symptoms improve, relapse preventable with sustained medication
RIH, Mass. General researchers collaborate on groundbreaking study

50

Women & Infants/Brown to Continue Participation in NIH’s Maternal Fetal Medicine Units Network (MFMU) and Neonatal Research Network (NRN)

51

Long-Term Services Research for Vulnerable Vets gets funding

 

Health department confirms first case of Zika virus in RI

53

Miriam Hospital receives $743,000 federal grant to develop online resources to curb risk behaviors, HIV in men

 
RHODE ISLAND MEDICAL JOURNAL (USPS 464-820), a monthly publication, is owned and published by the Rhode Island Medical Society, 405 Promenade Street, Suite A, Providence RI 02908, 401-331-3207. All rights reserved. ISSN 2327-2228. Published articles represent opinions of the authors and do not necessarily reflect the official policy of the Rhode Island Medical Society, unless clearly specified. Advertisements do not imply sponsorship or endorsement by the Rhode Island Medical Society.

ADVERTISING: Sarah Stevens, Rhode Island Medical Society, 401-331-3207, fax 401-751-8050, sstevens@rimed.org.

VIDEOS IN CLINIC MEDICINE

Dystonic Gait Developing After Elective, Unremarkable Hip Surgery
Umer Akbar, MD; Joseph H. Friedman, MD

A 63-year-old man presented for the evaluation of abnormal gait which began two years before. It developed sub-acutely starting about four weeks after his second unremarkable hip replacement surgery, the first having taken place 8 months earlier. His neurological exam was normal except for the gait (see video). His standing posture was normal but he exhibited hyper-flexion of the knees during ambulation, external rotation of the right leg, abduction of the left leg, excess elevation of the left foot and slightly greater extension of the right lower leg causing a mildly longer stride and asymmetry.

Focal and segmental dystonia following peripheral injury or limb immobilization1,2 is a rare phenomenon, and the very existence of this entity is debated3. Many cases are associated with litigation and other secondary gain, unlike this case, and are thought to possibly represent psychogenic or malingering disorders. The proposed mechanism for “organic” peripheral injury dystonia is aberrant reorganization within the central nervous system secondary to the injury.

Vimeo