Browsing articles from "February, 2012"

Septic Hip

Feb 20, 2012   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, iPad Apps, iPhone Apps, Lower, Pediatrics, Residents, Students, Under $1, Utilities  // 
Overall: 4
Functionality: 4
Coolness: 4

This quick-reference app is designed to use a popular clinical algorithm to assist with the diagnostic distinction between transient synovitis and septic arthritis of the hip.  The app is based on 5 clinical predictors: fever, weight-bearing, ESR, WBC (published by Kocher et al. in 1999) and CRP (added by Caird et al. in 2006).  The interface is simple and intuitive by allowing the user to select the predictors that apply to a particular patient.  By touching “next,” the user is then presented with the probability of septic arthritis as calculated by each study individually (validated), and the overall probability of septic arthritis (average of the two).  Overall, this is a simple app that offers a convenient way to utilize an existing and popular clinical diagnostic algorithm.

iPhone $0.99 Download
iPad $0.99 Download
Android

iBones

Feb 20, 2012   //   by Orrin Franko   //   All Apps, General Ortho, iPad Apps, iPhone Apps, Patients, Under $10, Under $5  // 
Overall: 2
Functionality: 2
Coolness: 2

Created by Buffeln.Net, this app is an expansion of the existing online testing platform based in German.  However, the app presents information in Latin and English, as well as German, and includes options for changing the language.  The organization includes iBones, the primary review module, which includes 74 images of bones with multiple choice questions.   Only names of the entire bones are included, not more advanced bony anatomy.  Other modules include statistics and search functions, as well as “specials,” which advertises coupons for the website.  Overall, this app is a cartoon-based basic bone quiz that would be most appropriate for elementary school children who want to learn about different bones in the body.  Bottom line: consider downloading this app for your kids.

iPhone $1.99 Download
iPad $1.99 Download
Android

BoneTest Miscellaneous 11

Feb 20, 2012   //   by Orrin Franko   //   Academic, All Apps, Clinicians, iPhone Apps, Lower, Residents, Students, Study/Review, Trauma, Tumor, Under $10  // 
Overall: 2-
Functionality: 2
Coolness: 1

Part of an entire suite of BoneTest apps created for test review, the Miscellaneous app includes 50 questions that cover Trauma, Oncology, Basic Science, and Foot & Ankle topics.  The app is simplistically organized as a list of questions, labeled from 1-50.  There is no “test” mode or a way to randomize the question order.  Selecting any given question presents the question and answer options (standard multiple choice, true false, fill-in-the-blank, etc.) with associated images, when appropriate.  Questions and answer choices are clearly presented, but the question format does not reflect OITE or OSAS questions despite many of the questions appearing to be most appropriate for orthopaedic residents and surgeons (too advanced for students, in many cases).  One nice feature is that a brief explanation is provided for every answer choice (incorrect as well correct answers).  References have been provided for every question, but are often vague, and refer only to a book (OKU 9) without chapter or page number.  Lastly, a significant limitation of this app is that once an answer is selected, it can never be “unselected,” implying that this app is “one time use, only.”  Overall, this app is too advanced for students, but is not ideally organized for residents or surgeons by not allowing for question randomization or resetting the questions.

iPhone $9.99 Download
iPad
Android

Knee Pain

Overall: 3+
Functionality: 2+
Coolness: 3

Knee Pain is an app “course” created by Dr. Eric Gozna to teach his mnemonic for the 10 most common sources of knee pain: “four thought” on the knee.  The app is actually a narrated slideshow format that auto-advances through 55 slides of informational slides that include descriptions of the anatomy, as well as information about the pathology, the presentation, the diagnosis and treatment.  Some slides include video examples of a clinical exam, and some slides include review questions to reinforce concepts and lessons.  The concept of the app is novel.  Dr. Gozna’s credentials are listed on the site (an orthopaedic surgeon in Canada), however the information presented may be more credible if endorsed by an orthopaedic society.  Overall, the presentation is clear and may be most useful to students, non-orthopaedic providers, or patients interested in learning more about knee pain in a community-based practice.

iPhone $9.99 Download
iPad $9.99 Download
Android $9.62 Download

Tumorpedia Soft Tissue

Overall: 4-
Functionality: 3
Coolness: 4

This app is the “Soft Tissue” version in the Tumorpedia series, a collection of apps that serve as an encyclopedia of orthopaedic oncology.  This version includes over 14 orthopaedic soft tissue tumors.  Each topic is divided into general information, incidence and demographics, xrays, MRI, CT, pathology, differential diagnosis, and treatment.  The amount of information presented for each topic is variable, but generally a specific and informative overview of the topic is included.  The images are especially useful for demonstrating “typical” appearances on imaging exams and pathologic specimens.   The app also includes an “updated” feature, suggesting that the database may undergo regular updates in the future.  It appears that images are downloaded in real-time from a server, thus the app is of limited use when no WiFi or wireless data signal is available. As a result, some of the images did not load during my testing.  Overall, this series of orthopaedic tumor information is an inexpensive and useful reference for orthopaedic trainees, nurses, and other medical providers who diagnose and treat musculoskeletal tumors.  Because this is a first version, hopefully future versions will be available with improved functionality.

iPhone $2.99 Download
iPad $2.99 Download
Android $2.99 Download

Tumorpedia Lite

Overall: 3+
Functionality: 3
Coolness: 4

This app is the free version in the Tumorpedia series, a collection of apps that serve as an encyclopedia of orthopaedic oncology based on www.bonetumor.org.  This version includes a selected collection of 28 orthopaedic tumors.  Each topic is divided into general information, incidence and demographics, xrays, MRI, CT, pathology, differential diagnosis, and treatment.  The amount of information presented for each topic is variable, but generally a specific and informative overview of the topic is included.  The images are especially useful for demonstrating “typical” appearances on imaging exams and pathologic specimens.   The app also includes an “updated” feature, suggesting that the database may undergo regular updates in the future.  Overall, this series of orthopaedic tumor information is a useful reference for orthopaedic trainees, nurses, and other medical providers who diagnose and treat musculoskeletal tumors.

iPhone Free Download
iPad Free Download
Android Free Download

Tumorpedia Foot and Ankle

Overall: 4-
Functionality: 3
Coolness: 4

This app is the “Foot and Ankle” version in the Tumorpedia series, a collection of apps that serve as an encyclopedia of orthopaedic oncology based on www.bonetumor.org.  This version includes 23 orthopaedic foot and ankle tumors.  Each topic is divided into general information, incidence and demographics, xrays, MRI, CT, pathology, differential diagnosis, and treatment.  The amount of information presented for each topic is variable, but generally a specific and informative overview of the topic is included.  The images are especially useful for demonstrating “typical” appearances on imaging exams and pathologic specimens.   The app also includes an “updated” feature, suggesting that the database may undergo regular updates in the future.  It appears that images are downloaded in real-time from a server, thus the app is of limited use when no WiFi or wireless data signal is available. As a result, some of the images did not load during my testing.  Overall, this series of orthopaedic tumor information is an inexpensive and useful reference for orthopaedic trainees, nurses, and other medical providers who diagnose and treat musculoskeletal tumors.  Because this is a first version, hopefully future versions will be available with improved functionality.

iPhone $2.99 Download
iPad $2.99 Download
Android $2.99 Download

Tumorpedia Espanol

Overall: 4-
Functionality: 3
Coolness: 4

This app is the “Espanol” version in the Tumorpedia series, a collection of apps that serve as an encyclopedia of orthopaedic oncology based on www.bonetumor.org.  This version includes over 100 orthopaedic tumors with complete information in Spanish.  Each topic is divided into general information, incidence and demographics, xrays, MRI, CT, pathology, differential diagnosis, and treatment.  The amount of information presented for each topic is variable, but generally a specific and informative overview of the topic is included.  The images are especially useful for demonstrating “typical” appearances on imaging exams and pathologic specimens.   The app also includes an “updated” feature, suggesting that the database may undergo regular updates in the future.  It appears that images are downloaded in real-time from a server, thus the app is of limited use when no WiFi or wireless data signal is available. As a result, some of the images did not load during my testing.  Overall, this series of orthopaedic tumor information is an inexpensive and useful reference for orthopaedic trainees, nurses, and other medical providers who diagnose and treat musculoskeletal tumors.  Because this is a first version, hopefully future versions will be available with improved functionality.

iPhone $2.99 Download
iPad $2.99 Download
Android $2.99 Download

Tumorpedia Bone

Feb 20, 2012   //   by Orrin Franko   //   Academic, All Apps, Android Apps, Clinical, Clinicians, iPad Apps, iPhone Apps, Patients, Reference, Residents, Study/Review, Top, Tumor, Under $10, Under $5  // 
Overall: 4-
Functionality: 3
Coolness: 4

This app is the “Bone” version in the Tumorpedia series, a collection of apps that serve as an encyclopedia of orthopaedic oncology based on www.bonetumor.org.  This version includes over 70 orthopaedic bone tumors.  Each topic is divided into general information, incidence and demographics, xrays, MRI, CT, pathology, differential diagnosis, and treatment.  The amount of information presented for each topic is variable, but generally a specific and informative overview of the topic is included.  The images are especially useful for demonstrating “typical” appearances on imaging exams and pathologic specimens.   The app also includes an “updated” feature, suggesting that the database may undergo regular updates in the future.  It appears that images are downloaded in real-time from a server, thus the app is of limited use when no WiFi or wireless data signal is available. As a result, some of the images did not load during my testing.  Overall, this series of orthopaedic tumor information is an inexpensive and useful reference for orthopaedic trainees, nurses, and other medical providers who diagnose and treat musculoskeletal tumors.  Because this is a first version, hopefully future versions will be available with improved functionality.

iPhone $2.99 Download
iPad $2.99 Download
Android $2.99 Download

RealWorld Orthopaedics

Overall: 4+
Functionality: 4+
Coolness: 3+

Created by physicians and medical students at the Universite de Sherbrooke, this is one of the best musculoskeletal radiology apps available. The app is organized into subheadings: Medical, Technical, and Chapters.  Although not intuitively named, each section contains an abundance of information medical and radiology information.  For example, the Medical section includes a listing of about 150 radiographic fractures and dislocations, with each topic including 1-2 different patient cases.  Selecting a patient includes high-resolution images of the named pathology.  The most valuable and impressive part of the app, however, is the “eye” icon which overlays colorful highlighting directly over the radiograph with associated annotations (“glasses” icon) to explain the important radiographic findings.  This feature, alone, is impressive.  An information icon also links directly to reading material found in the Chapter section.  The Technical and Chapter sections include the same library of patients and images, but organized in a different way.  The most notable feature this app lacks is a “search” function that can quickly search for a fracture or dislocation of choice.  Overall, a very well-made and impressive app that would be useful to any medical student, intern, or junior resident that needs to learn about musculoskeletal radiology.

iPhone $9.99 Download
iPad $9.99 Download
Android

CCJR Mobile

Feb 20, 2012   //   by Orrin Franko   //   Academic, All Apps, Arthroplasty, Clinical, Clinicians, Free, iPad Apps, Journals/Books, Lower, Reference, Residents, Top  // 
Overall: 5
Functionality: 4+
Coolness: 4

Based on the Current Concepts in Joint Review (CCJR) live meetings, this app serves as a mobile version of the conference with information about speakers, topics, and the ability to download full videos.  From the home screen, the user can select a talk from an extensive list of speakers and topics (about 125 lectures) from the 2011 Spring meeting.  Selecting a particular lecture includes an abstract summary of the talk, as well as the option to immediately download the full video (WiFi not required).  Most videos appear to be 6 min in length and download in 1-2 minutes using 3G.  The other modules in the app reorganized the data by Topic, as well as by Speaker.  The app also includes a search feature, which appears to only search the titles of individual lectures, but not the associated abstracts.  Overall, there are few negative remarks that one can make about this well-made, well-organized app that offers over 100 brief lectures on relevant topics by leaders in the field. Currently, this app is offered for free, and would be useful to any surgeons, residents, or fellows who perform total joint arthroplasty.  The App Store summary suggests that future updates will offer premium modules with expanded information at a price.

iPhone Free Download
iPad Free Download
Android

iPrevent Running Injuries

Feb 3, 2012   //   by Orrin Franko   //   All Apps, Android Apps, Clinical, iPhone Apps, Patients, Sports, Under $10, Under $5  // 
Overall: 3+
Functionality: 3
Coolness: 3

 

Created by two orthopaedic surgeons, this app is a video focused on patient education regarding stretching, strengthening, and agility exercises to prevent running injuries.  The app design is simple, and includes a single video about 20 minutes long, as well as contact information for the website www.sportsipa.com (sports injury prevention academy).  The video itself is well-narrated and well-produced and demonstrates many useful stretching and strengthening activities.  In addition, narration by the two orthopaedic surgeon developers explain the purpose and motivation for developing this course.  Overall, this app can be very useful to any patient/athlete interested in preventing running injuries.  Unlike other apps, the developers are board-certified orthopaedic surgeons, thereby lending credibility to the recommendations.

iPhone $1.99 Download
iPad
Android $1.99 Download

 

iPrevent ACL Injuries

Feb 3, 2012   //   by Orrin Franko   //   All Apps, Android Apps, Clinical, iPhone Apps, Patients, Sports, Under $10, Under $5  // 
Overall: 3+
Functionality: 3
Coolness: 3

 

Created by two orthopaedic surgeons, this app is a video focused on patient education regarding stretching, strengthening, and agility exercises to prevent ACL injuries.  The app design is simple, and includes a single video about 18 minutes long, as well as contact information for the website www.sportsipa.com (sports injury prevention academy).  The video itself is well-narrated and well-produced and demonstrates many useful stretching and strengthening activities.  In addition, narration by the two orthopaedic surgeon developers explain the purpose and motivation for developing this course.  Overall, this app can be very useful to any patient/athlete interested in preventing ACL injuries.  Unlike other apps, the developers are board-certified orthopaedic surgeons, thereby lending credibility to the recommendations.

iPhone $1.99 Download
iPad
Android $1.99 Download

 

Hospital for Special Surgery: Top Ranked Hospital

Feb 3, 2012   //   by Orrin Franko   //   All Apps, Business, Free, General Ortho, iPad Apps, iPhone Apps, Patients  // 
Overall: 3+
Functionality: 3
Coolness: 3

 

A personal practice app for the Hospital for Special Surgery, this app provides comprehensive patient information about orthopaedics and the hospital system.  Unlike other orthopaedic practice apps, the developers have included patient information for 40 common orthopaedic conditions with links to more information online.  Under the Treatment heading, all hospital staff is listed, either by name or specialty, with a brief CV and practice contact information. The Rehabilitation tab includes affiliated rehab centers, and the Wellness tab lists affiliated Yoga, Pilates, and T’ai Chi classes.  The app includes a hospital map, contact information, and links to social media and podcasts.  This app is most useful to current or prospective patients, or those in the greater New York area.  Overall, a complete and well-designed patient-information app.

iPhone Free Download
iPad Free Download
Android

 

Dr. DeGroot On Line

Feb 3, 2012   //   by Orrin Franko   //   All Apps, Android Apps, Business, Free, iPhone Apps, Patients  // 
Overall: 2
Functionality: 2
Coolness: 1

 

A personal practice app for Dr. DeGroot, this provides patient information about the practice, credentials, e-mail information, location, and phone number.  No general medical information is provided.  Probably only useful for current or prospective patients in the greater Boston area.

iPhone Free Download
iPad
Android Free Download

 

Andrews Sports Medicine & Orthopaedic Center

Feb 3, 2012   //   by Orrin Franko   //   All Apps, Business, Free, iPhone Apps, Patients, Sports  // 
Overall: 2
Functionality: 2
Coolness: 1

 

A personal practice app for the Andrews Center, this provides patient information about the practice, appointment information, contact information, location, and links to the website.  Expanded patient information about the practice is provided through a web portal.  This app is probably only useful for current or prospective patients, or those in the greater Birmingham area.

iPhone Free Download
iPad
Android

 

Orthopaedics Pro

Feb 2, 2012   //   by Orrin Franko   //   Academic, All Apps, General Ortho, iPhone Apps, Residents, Study/Review, Under $1, Under $10, Under $5  // 
Overall: 2+
Functionality: 2+
Coolness: 2

 

This app is an attempt at an all-inclusive orthopaedics study tool.  The menu is organized into flashcards, true/fales (500 questions) and single best answer (106 questions).  The flashcards are not merely “factoids” of information, rather they are complete paragraphs of text information for every subject.  The app certainly contains a lot of information, but is also difficult to navigate at times.  The information is inconsistent, and at times impressive.  For example, the subheading “calcaneus fracture” includes reference to normal Bohler’s angle and normal Angle of Gissane.  It also includes Sander’s classification (text only), Zwipp classification, principles of fixation, reports Letournel’s results, and provides Essex-Lopresti’s subtypes.  However, the format is difficult to read and organize in one’s mind.  The true/false section is a sequential series of true/false questions that must be completed in order.  The single best answer section must also be completed in order.  Both of these sections suffer from a poor user interface, however the questions and explanations are good and very complete. Overall, the app is a good first attempt at a review/flashcard app, but would greatly benefit from an interface overhaul which is currently the apps greatest weakness.

iPhone $0.99 Download
iPad
Android

 

iJoints

Feb 2, 2012   //   by Orrin Franko   //   All Apps, Clinical, General Ortho, iPhone Apps, Lower, Reference, Residents, Students, Study/Review, Under $1, Under $10, Under $5, Upper  // 
Overall: 3+
Functionality: 3
Coolness: 4

 

This app has taken images from the Visible Human Project ™ to recreate axial, coronal, and sagittal slice images of a cadaveric hip, knee, ankle, shoulder, elbow, and wrist.  The app was created by a board certified radiologist, and the functionality is strictly limited to anatomy identification (no added information about anatomical origins, insertion, or inervation).  Navigation is intuitive from the main menu, with joints separated by the types of slices.  Each section includes about 9-12 slices for each joint.  After selecting a slice, options include mirror image (left/right), adding/removing labels, labeling muscles, bones, vessels, or “other,” and advancing a slide. The images are very clear, and all relevant anatomy is labeled. In addition to reviewing by joint, a search function allows for the user to enter any structure and will return every slice that includes the named structure. Lastly, a quiz function also exists that is organized by joint/slice. The quiz shows an image with labelled anatomy and asks you to identify a particular structure (multiple choice). If incorrect, the user is shown the correct answer, as well as the name of the structure that was incorrectly selected. Overall, this app seems most appropriate for students learning anatomy, and especially with regard to radiology-oriented slices for 3D imaging (coronal, axial, and sagittal).  Thus, the app would be greatly beneficial for improving CT and MRI identification, but how this may transfer to surgical anatomy is not as clear.

iPhone $0.99 Download
iPad
Android

 

Shoulder Pain

Feb 2, 2012   //   by Orrin Franko   //   All Apps, Android Apps, Clinicians, iPad Apps, iPhone Apps, Patients, Reference, Students, Under $10, Upper  // 
Overall: 3+
Functionality: 2+
Coolness: 3

 

Shoulder Pain is an app “course” created by Dr. Eric Gozna to teach his mnemonic for the six most common causes of shoulder pain: FACTSS.  The app is actually a narrated slideshow format that auto-advances through 71 slides of informational slides that include descriptions of each pathology, as well as information about the pathology, the presentation, the diagnosis and treatment.  Some slides include video examples of a clinical exam, and some slides include review questions to reinforce concepts and lessons.  The concept of the app is novel.  Dr. Gozna’s credentials are listed on the site (an orthopaedic surgeon in Canada), however the information presented may be more credible if endorsed by an orthopaedic society.  Overall, the presentation is clear and may be most useful to students, non-orthopaedic providers, or patients interested in learning more about shoulder pain in a community-based practice.

iPhone $9.99 Download
iPad $9.99 Download
Android $10.07 Download

 

Medscape

Overall: 5
Functionality: 5
Coolness: 4+

 

Medscape is a familiar name among physicians, and their well-designed app extends the functionality of their website into a mobile format.  Using the same login (free), users are provided with headlines based on their selected specialty.  For example, when logged in as “orthopaedics” the headlines include information about metal-on-metal hips, PPI and hip fracture risk, and an article on orthopaedic surgery rates – all headlines link to a full article and include audio or video, if available. The app is then divided into three sections.  The News icon expands upon the headline articles and are specific to your specialty. The Reference icon includes information about drugs, diseases & conditions, procedures, and more. The third icon is Education, includes CME approved articles which can be used to earn CME credit.  The Reference section can be especially useful; articles are incredibly detailed about a broad spectrum of orthopaedic conditions and are written by professionals in the field with references provided.  In addition, the Musculoskeletal Procedures section has an impressive collection of common orthopaedic techniques, such as splinting and joint/tendon injections.  The content of the Medscape app is an expansive collection of free information that would be useful to any provider.  The only challenge is how to find what you’re looking for.  Thankfully, the app has a great search functionality which is both accurate and incredibly fast.  Overall, the app is highly recommended for any provider, and by registering as an orthopaedic surgeon online, the news headlines become even more relevant.

iPhone Free Download
iPad Free Download
Android Free Download

 

iOrtho+

An-all inclusive physical exam and special test app including images, videos, and artwork to demonstrate the proper execution of each test.

Overall: 4+
Functionality: 5
Coolness: 4

This app is a comprehensive mobile orthopaedic guide that includes physical exam tests and mobilizations.  Although the app can be downloaded for free, only a limited number of exam tests and mobilizations are available until the $14.99 in-app purchase is made.  The app includes over 200 special physical exam tests, separated by body part.  For example, rotator cuff tests are divided by muscle, and subscapularis tests include lift-off (Gerber), internal rotation lag, belly press, belly-off, and bear-hug.  Each test includes a picture demonstrating the test, a brief description of the technique and interpretation, and Stat/Ref which summarizes the clinical evidence supporting the test’s sensitivity, specificity, and +/- liklihood ratios (with references provided).  A great feature is the addition of video for many of the tests.  The mobilizations section includes over 80 techniques images and descriptions.

The app underwent a recent update which now includes medical screening tests to rule out visceral pathology, impressive dermatome artwork, deep tendon reflex testing, C-spine screens such as NEXUS and Canadian spine rules, agility-functional testing for the lower extremity, and enhanced reference list to > 1100 sources, statistical data that includes clustering of ortho tests to enhance evidence-based clinical decision making.  And, if a desired test is not available, the app includes an “add your own test” section.

Overall, the app is best designed for medical students or junior residents who are learning the orthopaedic physical exam and special tests.  The app is very high quality for the extensive information and value it provides.

iPhone Free + $14.99 Download
iPad Free + $14.99 Download
Android Free + $14.99 Download

Dragon Medical Search

Feb 2, 2012   //   by Orrin Franko   //   All Apps, Clinical, Clinicians, Free, General Medical, iPhone Apps, Patients, Reference, Top, Utilities  // 
Overall: 4+
Functionality: 4
Coolness: 4+

Nuance has expanded their collection of voice dictation apps with a free app designed specifically for searching medical sites with speech.  The format is similar to the Dragon Search app, however after speaking a search phrase, the app simultaneously presents search results from Google, Medscape, Medline, drugs.mobi, and IMO.  Most providers are familiar with these sites, and when searching a phrase such as “femur fracture” the search engines returned relevant sites, articles, and information.  When searching a drug name, information from drugs.mobi was very useful with regards to dosing, side effects, and interactions.  The IMO search tab was incredibly useful for searching ICD9 codes and returned a complete list of relevant diagnostic codes for any pathology named.  Once again, Nuance has created a free app that can be of great value.  The app is limited by the fact that an internet is always required, however the utility of searching ICD9 codes from your phone is well worth the price (free).

iPhone Free Download
iPad
Android

 

Aesculap Spine MIS Thoracolumbar

Feb 2, 2012   //   by Orrin Franko   //   All Apps, Clinicians, Free, iPad Apps, iPhone Apps, Products, Spine  // 
Overall: 3
Functionality: 2
Coolness: 2

This app is a product information app for Aesculap MIS devices.  The app is divided into three sections: Philosophy, Products, and Training Courses.  The Philosophy section is organized into a three-page PDF brochure with information about minimally invasive spine surgery. The products section promotes four of their products, and include a movie showcasing their products, the product brochure, the surgical technique guide, example radiographic images, links to their website, and instructions for use (although the information section states that the app is not intended to provide technical advice or instructions). The training courses section includes brochures about their training courses (“Aesculap Academy”), but links to their website for full information.   Overall, the app is designed to promote Aesculap products and otherwise has little value to orthopaedic practitioners or patients.

iPhone Free Download
iPad Free Download
Android

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