Browsing articles in "Upper"

Stanford Microsurgery and Resident Training

Mar 31, 2016   //   by Orrin Franko   //   Academic, All Apps, Clinicians, Free, iPad Apps, iPhone Apps, Recent Reviews, Reference, Residents, Upper  // 

Essentially microsurgery information, tips, and techniques from Stanford University.

Overall: 3+
Functionality: 3+
Coolness: 2

The SMaRT app is a free resource for anyone who performs microsurgery, or for microsurgeons in training.  The app is organized into a simple menu that includes Preparation, Practice Models, Suturing, Intra-Operative Technique, and Study Question headings.  Despite its simplistic appearance, the information is detailed, complex, and valuable.  For example, the Preparation heading includes information about instrumentation, how to set up and adjust the microscope (with associated diagrams), and explanation of sutures.   Many photos and videos are included as well, demonstrating important topics such as adjusting proper posture.  Overall, the app is very easy to navigate, a valuable resource, free, and comes from a reliable source.  I highly recommend this app as a quick reference before any microsurgical case.

iPhone Free Download
iPad Free Download
Android

MedTools

A unified repository of surgical implants, technique guides, comparisons, and unpackaging videos.

Overall: 4
Functionality: 4+
Coolness: 4+

With so many orthopedic implant companies and device options, I am amazed it has taken so long for someone to create a central educational repository.  MedTools is attempting to do just that in the form of both a website and app.  The app itself is well organized with a side-bar menu organized by body part, and sub-menus organized by implant type.  For a generic implant type (ex: Volar Distal Radius Plates, or Total Knee Arthroplasty), the user can quickly see a collection of all available companies and device offerings.  In some cases (total joint arthroplasty) this can include well over 20 different implants from more than 10 companies.  Users can then select a specific implant to obtain product information such as technique guides, reference charts, and photographs of the surgical tray to help familiarize one’s self with the instrumentation.  The app and website have also started video taping “unboxing” of specific devices to ensure that surgeons and their operative staff are prepared and familiar with devices they plan to use.

Overall, this app seems to have been a long-time coming and reflects a significant investment in work and time.  I anticipate the breadth of implants will grow significantly in the near future, which should greatly increase its value and overall utility to surgeons.

iPhone Free Download
iPad Free Download
Android

 

DASH Outcome Measure

Dec 5, 2015   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, Free, iPad Apps, Recent Reviews, Upper, Utilities  // 

Utility for administering and scoring the DASH Outcome Measure

Overall: 3+
Functionality: 4
Coolness: 2

This app is very simple and does exactly what it is supposed to do: it helps providers (surgeons, therapists, researchers) administer the DASH Outcome Measure (Disabilities of the Arm, Shoulder and Hand).  Objectively, the app has very few flaws or limitations.  The user is provided with various setting options, resources from the website, and the option of either the complete DASH or the QuickDASH. The questionnaire is then provided in its standard form, and appears very similar to the PDF version that is available online.  A patient number can be assigned, and a copy can be emailed to the patient as well as the administrator.

From a clinical perspective, the app does not maintain a database of patient scores and does not provide an easy way to integrate scores into the medical record.  That would take an additional manual step on the part of the medical practice or research group.  However, overall, this is a very useful and easy app for scoring the DASH.

iPhone
iPad $4.99 Download
Android

OrthoGuidelines

App for reviewing the AAOS Guidelines and Appropriate Use Criteria for specific diagnoses.

Overall: 5
Functionality: 4+
Coolness: 3

I applaud the AAOS for creating a very useful and intuitive app for reviewing and consulting the AAOS Guidelines and Appropriate Use Criteria for specific diagnoses.  As most orthopaedic surgeons and trainees are aware, the AAOS has committed a significant effort to developing useful guidelines and tools to help surgeons make the appropriate surgical decisions when treating a number of common conditions.  Until now, the guidelines could only be accessed in their PDF form.  This app allows anyone to review the published guidelines in a very useful format.  The app currently includes 17 guidelines (CPG) and 4 appropriate use criteria (AUC) modules.  The guidelines can be sorted by strength and stage of care.

Overall, the app is well made and a great step forward in improving access to these important tools.  I recommend the app to both trainees (for both education and testing purposes) as well as surgeons (for treatment purposes).

iPhone Free Download
iPad Free Download
Android Free Download

OrthoBullets: Bullets*

OrthoBullets’ stand-alone and companion app with study material, images, questions, and quizzes

Overall: 5+
Functionality: 5+
Coolness: 5

OrthoBullets has scored a home run with their new Bullets* app available from the iTunes store.  This app is can be used as a companion app to the existing OrthoBullets website, but also functions extraordinarily well as a stand-alone resource.  The app consists of 5 sections: Topics, QBank, Cases, Evidence and PASS.  The topics section includes all information on the OrthoBullets site, separated in the same familiar lists and easily searched by keyword.  I found the search and browsing to be very fast and intuitive.  Importantly, each topic includes the same figures, diagrams, and questions associated with the web version to help learn concepts through the VEPTR technique.

The QBank also integrates with your existing online login and automatically transfers over your existing TestMaster scores and personal tests.  It also allows you to create new tests which can be defined by test style, topics, number of questions, etc.  The format will be very familiar to existing OrthoBullets users.

The cases will be familiar to any OrthoBullets user, and includes a presentation, images, and the valuable comments and discussion that ensures.  One of the newest features includes the ability to select “Evidence” to support an answer to a question, greatly enhancing the validity and value of this service.  The evidence can also be searched independently, and by specialty.  All of this is seamlessly integrated into the mobile format.

Lastly, the PASS section is available to residents who already use the PASS system in their residency program.  While I could not test this section entirely, it appears to function similar to the website equivalent.

Overall, the Bullets* app is a full-featured educational tool for any orthopaedic student, resident, fellow, or attending.  With quick and easy access to the entire OrthoBullets database combined with cases, quiz access and a versatile interface – I highly recommend this free app to everyone.

iPhone Free Download
iPad Free Download
Android

SS Carpal Tunnel

Dec 5, 2015   //   by Orrin Franko   //   All Apps, Clinical, Free, iPad Apps, iPhone Apps, Patients, Recent Reviews, Upper  // 

Explanation and information about limited open carpal tunnel syndrome

Overall: 4
Functionality: 5
Coolness: 4

This app, created by Surgery Squad, is a cute and useful educational tool for educating patients about carpal tunnel syndrome.  Unfortunately, the information in the app is not all entirely accurate as it draws a very strong link between computer use and carpal tunnel syndrome and suggests that release of transverse carpal ligament alleviates all “inflammation” of the median nerve.  Using cartoon-like graphics and user interaction, the app asks you to “perform” the procedure through the various steps of a standard carpal tunnel utilizing a carpal tunnel-tome.  The steps are overall reasonable, but obviously reflect the specific preferences of the design surgeons, such as use of non-absorbable sutures and a post-operative splint with return to activity in 4-6 weeks.   Overall, this may be a useful app to recommend to patients considering a carpal tunnel release, especially if the technique closely matches your own.

iPhone $0.99 Download
iPad $0.99 Download
Android

AAOS Access

Complete video content from the AAOS

Overall: 4+
Functionality: 5
Coolness: 4

The American Association of Orthopaedic Surgeons (AAOS) has now created a mobile app portal for access to an entire library of AAOS video content.  The AAOS Access app includes the ability to view, download, and save videos from the Orthopaedic Video Theater, previously only found on the AAOS website.  The user interface is easy to navigate, with a navigation tab on the left providing shortcuts to featured videos, special collections, or specific topics.  Videos can be downloaded for viewing, or streamed directly on the device.  Video and audio content is very good, and can be watched in full screen mode.   The current collection (March 2015) includes 414 videos, an impressive collection, and certainly more will be added in the future.  Additional features include a search function as well as a bookmark tool for easily accessing favorites.

iPhone
iPad Free Download
Android

ASSH HandCare

Mar 23, 2015   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, Free, iPad Apps, Patients, Recent Reviews, Top, Upper  // 

Patient handouts for upper extremity conditions made by the ASSH.

Overall: 4+
Functionality: 5
Coolness: 4

The American Society for Surgery of the Hand (ASSH) is one of the first orthopaedic specialty societies to take a pro-active role in tablet-based patient education with release of HandCare.  The app is free, simple to understand, and easy to use.  The library of documents covers 60 of the most popular topics treated by upper extremity surgeons.  Each hand out is 1 page and includes a combination of images and text explaining cause, diagnosis, and treatment for each pathology or procedure.  The handouts are very clear and well written.  In addition, basic annotation tools including highlighting, underlining, strike-out, comments, and free-writing are provided allowing the surgeon to modify or customize these as needed, and then save a custom version as a bookmark for future access.  Once a document is selected, it can be easily shared via email as a PDF.  The app even includes 5 “anatomy templates” for sketching/teaching from a model of a hand or upper extremity muscles or bones.  Overall, a very useful app that should be duplicated by other orthopaedic specialty societies.

iPhone
iPad Free Download
Android

ICUC

Jan 29, 2015   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, Free, General Ortho, iPad Apps, Lower, Recent Reviews, Reference, Residents, Students, Study/Review, Top, Trauma, Upper  // 

High-quality case-based teaching tool for orthopedic trauma.

Overall: 5
Functionality: 5+
Coolness: 5

The ICUC app represents the future of surgical education.  Founded by orthopaedic surgeons and launched in 2014, the purpose of this app is to improve orthopaedic surgical education by sharing expert opinion on common cases through open and transparent commentary (www.ICUC.net).  The app itself is very high quality and has an intuitive user interface.

The user begins by selecting a body region, divided by bones/joints of the upper or lower extremity.  At the time of this review, about half of the bones/joints had associated teaching files. Once an area is selected, the user is presented with a library of cases, reference cases, and expert opinions.

The ICUC Library includes continuous and complete registration of every surgical procedure performed by a group of selected surgeons during a registration period, with no possibility of changes of any type to the original data for different fracture patterns.  For this reason, there exist cases with and without errors. An overview page for each case includes the AO fracture classification, assessment of outcome, approach, and highlights.  The entire case can then be downloaded and reviewed.  The case is of very high quality and includes pre-operative imaging (XR and CT), intra-operative photographs, intra-operative fluoroscopy images, post-operative XR, and post-operative clinical function.  As an example of the level of detail, the proximal humerus case I reviewed had over 170 included images and commentary.  Of note, the comments are quite honest, and appropriately critical about imperfect techniques or non-ideal outcomes.  The amount of information here is extraordinary, with just the proximal humerus having 49 detailed cases.

The Reference Cases section includes animations representing approaches and treatment techniques.  These are usually in the form of an animation and clearly represent the theory behind treatment.

The Expert Opinion section includes recommendations for various parts of the procedure.  For example, in the proximal humerus they include X-ray tips, advice for retraction of the cephalic vein, recommendations to avoid drill-tip screws, drilling tips, etc.  These reflect the opinions of experienced leaders in the field.

The interface is easy to navigate.  When cases are selected and downloaded, they are stored in the “briefcase” for easy access and reference.  Cases can then be removed as well, if additional storage space is required.

Overall, this app represents an extraordinary advancement in surgical education and transparency.  The inclusion of a high volume of cases, combined with honest expert opinion, provides the opportunity for enhanced resident and surgeon education that is not limited by geographic barriers.  I recommend this app highly for all trainees and surgeons.

iPhone
iPad Free Download
Android

Hand.MD

Dec 23, 2014   //   by Orrin Franko   //   All Apps, Business, Clinical, Free, iPad Apps, iPhone Apps, Patients, Recent Reviews, Upper  // 

A personal practice app for Dr. Orrin Franko with patient information, videos, and peri-operative as well as post-operative rehabilitation education.

Overall: 4+
Functionality: 5
Coolness: 4

This personal practice app is a full-featured patient portal for Dr. Orrin Franko. Powered by CARE, the app provides a personalized website and personalized physical therapy/rehabilitation protocols for patients.   The app is incredibly comprehensive by providing information to patients about their surgery, their surgeon, and lists the exercises they should be performing week-by-week after surgery with complete video demonstrations.  Pre- and post-operative information is available to patients, and the post-operative physical therapy protocol is clearly organized for patients to reference either at home or at the gym.  The user interface is intuitive and visually appealing. Overall, the application has been well implemented and would be a great benefit to any patients of Dr. Franko.

iPhone Free Download
iPad Free Download
Android

Insights Orthopedics

Orthopaedic journal and news aggregator with personalized information.

Overall: 5
Functionality: 5+
Coolness: 5

 

Insights Orthopedics is a comprehensive and visually stunning news and research aggregator for orthopedics.  With a recent redesign in October 2014, their interface has become even more streamlined and visually appealing. Using their specialized search engine, the app collects orthopaedic journals, videos, full-text articles, news, podcasts, images, clinical trials, and association information and presents it in a clear and functional format.  The app looks and feels like the “flipboard for orthopaedic surgery.” The initial landing page presents the various modules, including journal clubs from various institutions, leading journal articles, videos, upcoming events, bookmarks, and industry.  A simple swipe of the keyboard quickly scrolls through the various articles and videos permitting continued browsing of abstracts.  With the new features, thousands of institutional library subscriptions have been adding, permitting full access to the article for users.  The intuitive user interface includes the ability to bookmark resources for off-line browsing or share links via Twitter, Facebook, LinkedIn, email, and SMS.  One of the apps most versatile features is the Aggregator function, which works as a search and includes many pre-populated key terms as well as the ability to type in your own words.

Overall, this app has the look and feel of a “top app” with a number of useful features for any orthopaedic surgeon or trainee.

iPhone
iPad Free Download
Android

 

Measure Whiz

App to assist in measuring Upper Extremity range of motion from The Hand Center at the Orthopedic & Sports Physical Therapy Associates

Overall: 2
Functionality: 2
Coolness: 2

 

Measure Whiz was created for use by Occupational Therapists to assist in measuring and recording upper extremity range of motion (ROM) using a mobile device. This app is intriguing as it leverages the phone’s gyroscope to measure angular differences in all three planes, but its usefulness is limited as it has minimal features, a large range of error, and is difficult to use for certain measurements. The app interface is very basic. From the home screen you can select ‘History’, ‘Range of Motion’, and ‘Assessment’. The ‘History’ and ‘Assessment’ options are just voice memos which can easily be record over accidentally.  The ROM options include Wrist, Forearm, Elbow, Shoulder, Digits with specific motion sub-options per joint. There is no option for lower extremity ROM measurements.

By selecting a specific joint and motion you can then measure the ROM live. Position the handset distal to the joint in a neutral position and press ‘Start’. Then allow the patient to move the body part being measured and then tap the ‘Finish’ Button. The ROM is displayed and updated live. The app does not lock the plane of measurement and allows ROM measurements in the X & Y plane simultaneously. This allows for different acceptable phone positions, but leads to errors in measurement with any movement out of plane. It is very sensitive & dependent on initial position when zeroed. Using the app can be difficult as you must stabilize the device against the body part being measured which can be difficult for wrist ROM and near impossible for digit ROM. It worked adequately for forearm, elbow and shoulder ROM.

A ‘New Patient’ button at the bottom of the homepage clears the app information. Multiple patient data is not supported and data is not saved for later. Data is lost when app is closed and there is no prompt when the ‘New Patient’ button is pressed, making it easy to accidentally clear the data. Overall the app is quite finicky. There are better goniometer apps out there and a real goniometer is probably better and more accurate.

iPhone Free Download
iPad
Android

 

Throw Like a Pro

Jul 7, 2014   //   by Orrin Franko   //   All Apps, Clinical, Clinicians, General Ortho, iPad Apps, iPhone Apps, Patients, Recent Reviews, Residents, Sports, Top, Under $10, Upper, Utilities  // 

Baseball throwing injury prevention app released by Dr. James Andrews and Dr. Kevin Wilk

Overall: 5
Functionality: 5
Coolness: 5

In response to the increasing rates of “Tommy John” surgery as a result of throwing injuries, this app has been released to help young baseball players prevent injuries and safely participate in sports.  The purpose of this app is to provide information about safe participation that keeps players out of the operating room.

The app includes an overview of baseball throwing injuries, statistics, and general guidelines for prevention.  The app then divides recommendations into Pre-Season and In-Season sections.  In Pre-Season, videos are included that demonstrate how to perform 5 different stretching exercises, with instructions to complete them daily.  Next, the player performs the “Throwers Ten” which includes videos of 20 more exercises that should be performed with 10 repetitions, 3-4 times/week.  Lastly, there is advice for a throwing progression with a module that talks the player through the distance and number of throws to build up.

The In-Season module includes a warm up with stretching (same videos), a thrower’s ten band workout (more videos), a throwing warm up and a pitching warm up.  The app includes a pitch-count tool which can be modified for the patient’s age, rest days, and maximum pitches desired (and advised).

Overall, the app has a very high production quality and includes important information from leading surgeons in the field of throwing injuries. They estimate a 60% reduction in throwing injuries if used properly.

iPhone $9.99 Download
iPad $9.99 Download
Android

Radiopaedia MSK

Jul 7, 2014   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, General Ortho, iPad Apps, iPhone Apps, Lower, Residents, Students, Study/Review, Trauma, Under $1, Under $5, Upper  // 

App version of Radiopaedia.org, radiology teaching files for musculoskeletal education.

Overall: 5
Functionality: 5
Coolness: 5

This app presents musculoskeletal imaging in a case-based format and is designed to teach students and residents about musculoskeletal injuries.  The app is very intuitive, and currently includes 68 case presentations.  Each case has unknowns with various imaging modalities and views, questions, and then answers to those questions. It also includes a radiology report, as well as additional online cases with the same (or similar) diagnoses.  The app is very simple, yet intuitive, and can be very useful for reviewing images.

iPhone $4.99 Download
iPad $4.99 Download
Android

FracturED

App for learning skills needed to treat fractures in the emergency department.

Overall: 3
Functionality: 3
Coolness: 2

Created by an emergency medicine resident, this app is organized into modules for educating residents about how to care for fractures in the emergency department. The app begins with basic information, including annotated images for demonstrating surface anatomy, bones, and nerve distributions.  The app is then organized into cases which include a brief story of the patient, appropriate xray imaging with various views, and a discussion of the pathology and treatment options.  The discussion also has an extensive list of references for additional reading.

As of this review, the app includes 20 cases for the “Hand and Wrist” including a demonstration of how to apply various splints.  However, the general “upper extremity,” “lower extremity” and “foot” sections are all marked as “coming soon.”

This app is a useful learning tool for ED residents, but is currently only limited to the upper extremity.

iPhone
iPad $0.99 Download
Android

Bone Ninja

Jul 7, 2014   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, iPad Apps, Lower, Pediatrics, Residents, Top, Under $10, Upper, Utilities  // 

Sophisticated app for pre-operative planning of osteotomies and limb correction.

Overall: 5
Functionality: 5+
Coolness: 4

Although it has a catchy name and cute icon, Bone Ninja is neither a toy nor a game. This is a sophisticated and serious app created by the International Center for Limb Lengthening to teach planning for limb lengthening and alignment surgery. The app was primarily used as a tool for the deformity course that they host, and I advise that anyone interested in the app either take the course or watch one of the introductory lectures.

The app itself includes a library of images for practicing and learning. This includes both frontal and saggital plane views of limbs with various angular deformities. The user can also upload their own image. Once an image is selected, you enter the editing mode. The features are impressive, and include calibration and enhanced editing tools such as various select functions, linking options, the ability to free-cut the image, angular and length measurement tools and rulers, and more. It even has “hardware” icons that can be added to the images.

As stated above, this app is not for amateurs and includes lessons and resources for learning, including links to YouTube videos (Part 1, Part 2, Demo).

App website: http://www.lifebridgehealth.org/RIAO/BoneNinjaAppforiPad.aspx

iPhone
iPad $9.99 Download
Android

ASSH 2013

Jul 7, 2014   //   by Orrin Franko   //   Academic, All Apps, Android Apps, Clinicians, Free, iPad Apps, iPhone Apps, Recent Reviews, Reference, Upper  // 

Conference app for the 2013 Annual Meeting of the American Society of Surgery for the Hand

Overall: 4
Functionality: 4
Coolness: 3

This app is created for attending the ASSH 2013 conference in San Francisco.  Presumably, future meetings will have similar apps that will support equivalent functionality, including a schedule, personal calendar, full program, speaker search, handout information, maps, exhibitor details, and more.

iPhone Free Download
iPad Free Download
Android Free Download

Arthrex Synergy

Jul 7, 2014   //   by Orrin Franko   //   All Apps, Clinical, Clinicians, Free, General Ortho, iPad Apps, Lower, Products, Recent Reviews, Sports, Subscription, Top, Upper  // 

Image and Video app that works in conjunction with Arthrex’s arthroscopy tower

Overall: 4+
Functionality: 4
Coolness: 5

This app works with Arthrex’s arthroscopy tower and allows for each transfer of images and videos to an iPad for editing, patient education, and sharing.  Use of the app and login information can be obtained from your device representative.

The app is organized into a list of patients with their corresponding images. Once a patient is selected, the images can be viewed individually, with a few editing features for enhancement. For example, this includes saturation adjustment, contrast adjustment, and the ability to annotate with text, lines, and circles/arrows. The benefit of annotation is that images can then be selected for sharing with the patient, via email.  In addition to the images, links can be provided for documentation on related implants, or documents uploaded by the surgeon.  The surgeon can also record a video message or narration of the diagnosis and treatment.

Arthrex has gone to appropriate lengths to ensure that all transmissions are HIPAA compliant, and sharing the images generates 2 emails, the second with a secure password that allows the patient to unlock the attachment in the first email.

Overall, this is a very high quality app that complements their associated medical devices.

iPhone
iPad Free Download
Android

HAND Journal

Feb 3, 2014   //   by Orrin Franko   //   Academic, All Apps, Clinicians, Free, iPad Apps, iPhone Apps, Journals/Books, Residents, Subscription, Upper  // 

A journal app for the Hand Journal.

Overall: 3
Functionality: 3
Coolness: 2

This is a journal app for Hand. Unfortunately, the app requires a personal login for access. Thus, a detail review cannot be provided at this time.

iPhone Free Download
iPad Free Download
Android

CORE – Clinical Orthopedic Exam

May 4, 2013   //   by Orrin Franko   //   All Apps, Android Apps, Clinical, Clinicians, General Ortho, iPad Apps, iPhone Apps, Lower, Reference, Residents, Spine, Sports, Students, Top, Upper  // 
Overall: 4+
Functionality: 4+
Coolness: 4+

 

CORE has set the standard for a clinical exam app.  Divided by body part, body region, alphabetical, favorites, or search – the app contains a database of over 400 clinical tests which includes a purpose, instructions, video demo, and test properties.   The most striking feature of this app, in addition to the vast collection of tests and videos, is actually the “properties” tab.  For every test, data is presented regarding the sensitivity, specificity, likelihood ratio, accuracy and other relevant statistical tests based on primary literature references.  These lists are incredibly complete.  For example, the hip impingement test lists 10 primary sources with their respective sensitivities and specificities using the impingement test to detect labral tears.  In addition, by selecting the primary references the user is directed to the full literature source with the abstract text.  This is a feature that I have not seen replicated by any other orthopaedic reference.  The videos can either be downloaded to the app or a link to YouTube can be emailed/shared with colleagues.  Tests can be marked as a “favorite” and quickly reviewed at a later time.  Unfortunately, the search feature was not ideal.  When I searched “grind” there were “no results” but when I searched “Apley” I was provided with Apley’s Grind Test.  This app seems ideal for a medical student with an interest in musculoskeletal medicine (PM&R, sports medicine, or orthopaedic surgery) or a junior resident in any of these fields.  Overall, a very complete and useful app for trainees.

 

iPhone $39.99 Download
iPad $39.99 Download
Android $39.99 Download

 

AAOS Musculoskeletal Exam – Shoulder

May 4, 2013   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, iPad Apps, iPhone Apps, Reference, Residents, Sports, Under $10, Upper  // 

Simple app to learn shoulder exam and special tests

Overall: 3
Functionality: 3
Coolness: 2

I commend the AAOS’ effort to create mobile educational material for students and trainees, the first of which is this simple app for learning the shoulder exam and special tests.  This app has a very simple structural layout in list form that presents the shoulder exam: inspection, muscles, range of motion, and special tests.  Each part of the exam includes a description, instructions and video.  The special tests include information about specificity and sensitivity and include a short reference list.  However, despite the useful information presented here, the app is bare and lacks much depth.  The user interface is unfortunately too simple, and the overall content includes only 30 total exam maneuvers.  At a cost of $9, this is quite a high price considering other apps that include more information and detail at a better value.  I hope that this app will be expanded upon and improved in future versions.

iPhone $8.99 Download
iPad $8.99 Download
Android

 

Wrist Repair

May 4, 2013   //   by Orrin Franko   //   All Apps, Clinical, Free, iPad Apps, iPhone Apps, Patients, Upper  // 

3D animated distal radius fracture fixation

Overall: 3
Functionality: 1
Coolness: 4

This simple app appears to be a patient education tool by demonstrating the general steps for distal radius open reduction and internal fixation.  The app consists entirely of a single annotated 3D animation that allows the user to adjust the camera angle (zoom, pan, rotation) while demonstrating the steps for distal radius fixation.  Video includes annotated descriptions of the steps as well as multiple viewing options: surgeon view, bones only, xray view, and annotation (drawing tools).  Overall a very simple app that may be educational for patients.

iPhone Free Download Here
iPad Free Download Here
Android

 

Nerve Whiz

Dec 26, 2012   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, Free, General Ortho, iPad Apps, iPhone Apps, Lower, Reference, Residents, Spine, Students, Study/Review, Top, Upper  // 

Extraordinary app with detailed and complete information about the brachial and lumbar plexes, including innervation, sensory distribution, and sites of compression.

Overall: 5+
Functionality: 5
Coolness: 5+

Developed by Zach London, MD from University of Michigan, Nerve Whiz is one of the most useful and intuitive nerve reference resources I have come across.  The app includes complete information about the course, branches, innervation, sensory distribution, and sites of compression of the brachial plexus (C5-T1) and lumbar plexus (L2-S2).  The app has multiple sections with hidden gems.  “Chart” includes a complete listing of all data, organized by either upper or lower extremity and sorted by muscle, nerve, roots, action, trunk, or cord.  The next feature is an incredible “muscle localizer” and uses an intuitive algorithm to provide the site of injury after the user selects muscles that are injured.  For example, selecting a weak “deltoid” returns localization to either C5, C6, upper trunk, posterior cord, or axillary nerve.  The diagram section utilizes a brachial plexus diagram and highlights the selected area of interest – the diagram is both intuitive and complete.  The final section, “sensory,” allows the user to point to an area of sensory loss and returns a list of potential roots and nerves that may be injured, with associated dermatome diagrams.  Overall, this extraordinary reference app should be in the pocket of every medical student and orthopaedic, neurologic, or neurosurgical trainee.

iPhone Free Download
iPad Free Download
Android

HandMD

Dec 26, 2012   //   by Orrin Franko   //   All Apps, Business, Clinicians, Free, iPad Apps, iPhone Apps, Patients, Upper  // 

A personal practice app for the hand surgery practice of Dr. Jeffrey Wint in Springfield, MA.

Overall: 3
Functionality: 3
Coolness: 2

This app is a personal practice app for Dr. Jeffrey Wint.  The app includes information about Dr. Wint, including office information, location, hours, Twitter feed, and various podcasts.  A tab also includes various academic and professional achievements, including education/training information and recent awards.  Users can send a private message to Dr. Wint via the app.

iPhone Free Download
iPad Free Download
Android

iSplint

Dec 26, 2012   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, Free, General Ortho, iPad Apps, iPhone Apps, Lower, Pediatrics, Reference, Residents, Students, Trauma, Upper  // 

A light-weight splinting reference designed for emergency department physicians.

Overall: 4-
Functionality: 4
Coolness: 3

iSplint has features not present in other splinting apps, including fully native videos demonstrating splint application.  The app was created by an emergency medicine physician at George Washington University, giving it credibility.  Unfortunately, the selection of splints is limited to thumb spica, triple S, radial gutter, dorsal hand, sugar tong (upper extremity), posterior ankle, and sugar tong (lower extremity).  Aside from non-traditional orthopaedic terminology for some of these splints, the application of splints are all demonstrated using fiberglass with minimal padding.  This is somewhat of a deviation from traditional orthopaedic splint application.  In addition to the video demonstration, there is a “discussion” for each splint which links to a table that offers an image of the applied splint, application tips, and provides very brief indications.  Overall, this app is focused more towards emergency department staff, as advertised.  However, orthopaedic providers should be aware of this application and consider recommending it to colleague for simple splint applications.

iPhone Free Download
iPad Free Download
Android

Top Ortho “App”

Download the www.TopOrthoApps.com iPhone app!  You’re already on the website, why not have on-the-go access direct from your iPhone?  This app has all of the best Top Ortho App lists that you’re used to: Top Apps, Free Apps, iPad Apps, Journals, Sports Apps, and much more!  Full reviews and screenshots are all available for free.

Overall: 5
Functionality: 5
Coolness: 5

This app has all of the best Top Ortho App lists that you’re used to: Top Apps, Free Apps, iPad Apps, Journals, Sports Apps, and much more!  Full reviews and screenshots are all available for free.

iPhone Free Download
iPad Free Download
Android

Orthopaedic Patient Information

Sep 5, 2012   //   by Orrin Franko   //   All Apps, Arthroplasty, Clinical, Clinicians, General Medical, General Ortho, iPad Apps, Lower, Patients, Reference, Spine, Sports, Students, Top, Trauma, Upper  // 

Very high-quality 3D anatomical models with video demonstrations of common anatomy, pathology, and treatments.

Overall: 5+
Functionality: 5+
Coolness: 5+

Orthopaedic Patient Information is part of the 3D4Medical’s suite of full-featured anatomy apps.  All of their apps follow a similar and intuitive format, but this one differs slightly. The relevant body part is presented with a video demonstrating the most common anatomy, conditions, and treatments.  These demonstrations are very high quality.   The level of detail and anatomical accuracy of all muscles, tendons, vessels, nerves, ligaments and bones is impressive.  Overall, the entire suite of 3D4Medical anatomy apps are the best anatomy models we have seen yet, and this patient information app is fantastic.

iPhone
iPad $49.99 Download
Android

Shoulder Pro III

Sep 5, 2012   //   by Orrin Franko   //   All Apps, Clinical, Clinicians, General Medical, General Ortho, iPad Apps, Patients, Reference, Residents, Students, Study/Review, Top, Upper  // 

Full-featured 3D anatomy models with support for 3D rotation, various anatomy layers, cross-sectional slices, annotations, and video demonstrations.

Overall: 5+
Functionality: 5+
Coolness: 5+

Shoulder Pro III is part of the 3D4Medical’s suite of full-featured anatomy apps.  All of their apps follow a similar and intuitive format.  The relevant body part is presented with skin covering, and different anatomical layers can then be “unwrapped” sequentially through the body.  The level of detail and anatomical accuracy of all muscles, tendons, vessels, nerves, ligaments and bones is impressive.  In addition to the different layers, the view can be manipulated freely.  All body parts can be rotated in the horizontal plan through 360 degrees rotation.  In addition, axial, coronal, and sagittal slices can be taken through various levels of each joint or body part.  The app includes “pins” which already identify every possible structure of every layer.  In addition, most of the apps in the series include videos demonstrating relevant surgical procedures or common pathologies.  These demonstrations are very high quality.  The app includes a “pen” feature for drawing on the screen, however doodles are not saved and disappear once the pen is turned off.  There is even a separate button to turn vessels on and off.  Overall, the entire suite of 3D4Medical anatomy apps are the best anatomy models we have seen yet, based on their accuracy, level of control, and video demonstrations.  Ideal for health care students and possibly even for surgical preparation.

iPhone
iPad $12.99 Download
Android

AAOS eBooks

Full-featured app for downloading and reading books in your AAOS bookshelf library. Text and images are all very clean and apps runs smoothly.

Overall: 5
Functionality: 5
Coolness: 4+

AAOS eBooks, that provides mobile access to titles purchased from their web-based store. As of writing, the store includes 8 popular titles, but is expected to increase to over 30 titles within the next few months.  Unfortunately purchases cannot be made directly through the app, but rather must be paid for on the website.  In addition, although the app asks users to log in via their AAOS username and password, this is an error and rather users must register at the AAOS eBookstore website (www.ebooks.aaos.org) to gain login information. After logging in, users can view the books they have purchased and can download them selectively, ranging in size from about 10-80 Mb.  Once downloaded, the text viewer has typical options, including the ability to change the font, change text size, adjust brightness, highlight text, make notes, and place bookmarks.  The annotation functions are primitive, at best, and even the instructions for highlighting require 4 separate steps each time.  The books themselves are of high quality, text is crisp, and images are clear, however the user cannot increase the image size, which often prevents fully appreciating many of the detailed illustrations.  Because books are downloaded to the device, they are accessible even without internet access, which is a valuable feature.  The app is still primitive in its feature set and title selection.  In addition, some books, such as OKU 10, already ship with a CD that includes a digital PDF version of the book, which is much easier to read and annotate using any of the popular PDF readers for mobile devices.

iPhone
iPad Free* Download
Android

iShoulder

Sep 1, 2012   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, iPhone Apps, Patients, Residents, Sports, Top, Under $5, Upper  // 

A full featured app with fantastic images and information for providers and patients, as well as a drawing utility and notes/calendar sections.

Overall: 5
Functionality: 3+
Coolness: 4

This full-featured app contains a vast library of valuable images, text, and features that would be useful to surgeons, trainees, and patients.  The unassuming format includes sections for doctors, patients, and utilities.  Doctors have a number of choices, including anatomy, operative approaches, examination, tests, outcomes scores, and more.  Each category includes subsections with concise and relevant text and images.  For example, the operative approach section is very good, and includes detailed images useful for a quick review before a case; it even includes “dangers” to watch out for.  The Scores section includes a quick reference for the Constant, UCLA Shoulder, Rowe, ISIS, QuickDASH, and Oxford questionnaires.  Every section I explored included more and more useful information.  The “Patients” section is equally expansive with 10 of the most common categories of shoulder pathology presented with images and text.  Lastly, the utilities include a drawing board to demonstrate rotator cuff pathology, a voice notes recorder, personal text notes, and a calendar.  The practical utility of these functions is unclear, but I was impressed that the developer went through the effort to include these added features.  Overall, the app could benefit from a redesign, but the information hidden within the clunky navigation system is very good.

iPhone $3.99 Download
iPad
Android

OrthoRef Lite

Jun 8, 2012   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, Free, General Ortho, iPad Apps, iPhone Apps, Lower, Reference, Residents, Trauma, Upper  // 

A free version of a list-based reference of orthopaedic classification systems from the creator of NeuroMind, one of the top Neurosurgery apps.  This version only includes 60 scores for free.

Overall: 3+
Functionality: 3+
Coolness: 3

From the creator of top-app NeuroMind, this app attempts to provide a comprehensive list of orthopaedic classification systems and decision support for orthopaedic surgeons and trainees.  The lite version only includes 60 scores for free, but the remaining 40 require the full version.  The app is organized into 3 sections: scores, decision support, and “other.”  Currently the app is in its infancy and is limited by the number of scores available, as well as a lack of images.  In total, this app currently contains over 100 scoring and classification systems.  The list is organized by body part, and for the most part, many of the most common systems are included.  Unfortunately, the app is limited by the fact that there are no images provided to assist with fracture descriptions, which are relatively succinct and difficult to understand if not already familiar with a particular injury scoring system.  The decision support tab provides assistive scoring tools for 9 different injuries, including SLIC, TLICS, and stroke risk in AF.  These are definitely helpful.  The “other” section includes links to a safe surgery checklist as well as the TEDx talk given by the app’s creator, Pieter Kubben.  Overall, this app is most appropriate for surgeons already familiar with a particular classification system and who need a reminder about the details.

iPhone Free Download
iPad Free Download
Android

OrthoRef

Jun 8, 2012   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, General Ortho, iPad Apps, iPhone Apps, Lower, Reference, Residents, Spine, Trauma, Under $5, Upper  // 

A list-based reference of orthopaedic classification systems from the creator of NeuroMind, one of the top Neurosurgery apps.

Overall: 3+
Functionality: 3+
Coolness: 3

From the creator of top-app NeuroMind, this app attempts to provide a comprehensive list of orthopaedic classification systems and decision support for orthopaedic surgeons and trainees.  The app is organized into 3 sections: scores, decision support, and “other.”  Currently the app is in its infancy and is limited by the number of scores available, as well as a lack of images.  In total, this app currently contains over 100 scoring and classification systems.  The list is organized by body part, and for the most part, many of the most common systems are included.  Unfortunately, the app is limited by the fact that there are no images provided to assist with fracture descriptions, which are relatively succinct and difficult to understand if not already familiar with a particular injury scoring system.  The decision support tab provides assistive scoring tools for 9 different injuries, including SLIC, TLICS, and stroke risk in AF.  These are definitely helpful.  The “other” section includes links to a safe surgery checklist as well as the TEDx talk given by the app’s creator, Pieter Kubben.  Overall, this app is most appropriate for surgeons already familiar with a particular classification system and who need a reminder about the details.

iPhone $3.99 Download
iPad $3.99 Download
Android

Traumaline

Jun 8, 2012   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, Free, General Ortho, iPhone Apps, Journals/Books, Lower, Reference, Residents, Top, Trauma, Upper  // 

An orthopaedic trauma literature search tool organized by body part and published by the AO foundation to organize peer-review articles and evaluate levels of evidence.

Overall: 4+
Functionality: 5
Coolness: 4

AO Foundation has created a unique and useful tool that is a great resource for residents, students,  and orthopaedic surgeons alike.  Organized by body part (with a familiar appearance to those who use the AO Surgery app), this app has classified over 5500 peer-reviewed articles applicable to the treatment of orthopaedic fractures.  The user can search by body part as well as key word, and can presumably find relevant articles related to specific trauma topics.  The search algorithm appears to apply to the title, as well as the abstract.  In addition, the app easily identifies the level of evidence for each article, provides the full abstract, and links to the Pubmed abstract.  Overall, while smart phones are typically not the platform of choice to browse the literature, this app is certainly worth a look.

iPhone Free Download
iPad
Android

Ombro e Cotovelo

Jun 8, 2012   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, Free, iPhone Apps, Non-English, Patients, Reference, Upper  // 

A Portuguese-language iPhone app for orthopaedic shoulder and elbow pathology.

Overall: NR
Functionality: NR
Coolness: NR

Unfortunately, I do not speak Portuguese and cannot evaluate this app based on its merits.  However, from playing around with the menus, this app appears to offer a significant amount of general information about shoulder and elbow pathology… in Portuguese.

iPhone Free Download
iPad
Android

OrtoClass

Jun 8, 2012   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, Free, iPhone Apps, Lower, Non-English, Reference, Residents, Trauma, Upper  // 

A Portuguese-language iPhone app for orthopaedic trauma classification systems.

Overall: NR
Functionality: NR
Coolness: NR

Unfortunately, I do not speak Portuguese and cannot evaluate this app based on its merits.  However, from playing around with the menus, this app appears to closely mimic the English-language “OrthoClass” app that received very high reviews.  The only difference is that this one is in Portuguese.

iPhone Free Download
iPad
Android

I.T.S. InfoPoint

Mar 3, 2012   //   by Orrin Franko   //   All Apps, Arthroplasty, Clinical, Clinicians, Free, iPad Apps, Lower, Products, Trauma, Upper  // 
Overall: 3+
Functionality: 4
Coolness: 3

This app demonstrates the products made by I.T.S., a medical device company in Austria that develops titanium implants. The app includes many of the features expected from a device company app, including general information, a catalog and description of implants, sub-sections for upper and lower extremities, and a product overview video.  In addition, there is a “fracture classifications” section that assists a surgeon by allowing the user to select a body part from a diagram, then select the fracture pattern – and the app will list the relevant implants.  Selecting on an implant includes typical information such as features, xrays, indications, and a surgical technique PDF.  Overall, many of the features are “empty” and do not include information, and thus the app currently lacks completeness.  Overall, however, this is a great app for surgeons using these devices.

iPhone
iPad Free Download
Android

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

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

 

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

eSplint

Jan 15, 2012   //   by Orrin Franko   //   All Apps, Clinical, Clinicians, General Ortho, iPhone Apps, Lower, Pediatrics, Reference, Residents, Students, Top, Trauma, Under $1, Under $10, Under $5, Upper  // 
Overall: 4+
Functionality: 4+
Coolness: 3

 

This app is clearly a must-have guide for any primary care, urgent care, or emergency care provider by providing simple step-by-step instructions for splint application.  In addition, junior residents in musculoskeletal medicine fields, such as orthopaedic surgery or podiatry, may also find this to be a useful refresher for the application of splints.  The app is very simply organized into headings such as Splint Technique, Coaptation, Sugar Tong, etc. and provides a text and image guide for the application of each splint type.  The guide briefly lists a few indications for that particular splints, includes a text description with associated images, provides a very good brief video demonstrating application of the splint, and even includes patient education instructions for splint care!  Overall, this application is very useful to a variety of practitioners.  At such a great price, I cannot think of a reason why anyone who might need to apply a splint would not download this very simple and useful reference tool.

 

iPhone $0.99 Download
iPad
Android

 

Shoulder Classification

Jan 15, 2012   //   by Orrin Franko   //   All Apps, Clinical, Clinicians, Free, iPhone Apps, Reference, Residents, Study/Review, Top, Trauma, Upper  // 
Overall: 4
Functionality: 4+
Coolness: 3

 

This app is likely to be overlooked and under-rated, but I believe it is a hidden gem.  Someone (no developer or contact information is provided) has compiled an incredibly comprehensive list of injury and disease classification systems about the shoulder with their associated primary literature reference.  The app is organized into list format, and the main list tree includes conditions such as AC joint, Acromion, SLAP, Calcific Tendonitis, etc.  Then, upon selecting a particular condition or injury, you see multiple different classification systems that have been published for that particular topic.  This list is very comprehensive and utilizes the most common classification systems, as well as those less frequently employed.  Each description includes a reference to the primary literature source, a brief description, and typically includes an associated image when appropriate.  Overall, the developers of this small, simple, and free app have done a phenomenal job of compiling classification systems for shoulder pathology.

 

iPhone Free Download
iPad
Android

 

CARE for Patients

Jan 14, 2012   //   by Orrin Franko   //   All Apps, Arthroplasty, Clinical, Clinicians, Free, General Ortho, iPad Apps, iPhone Apps, Lower, Patients, Products, Sports, Subscription, Top, Upper  // 
Overall: 5
Functionality: 5
Coolness: 5+

 

This app and service sets the standard for the future of mobile medicine.  Created by physical therapists, the app is an extension of the CARE subscription service available to surgeons which provides a personalized website and personalized physical therapy/rehabilitation protocols for patients.   The app is incredibly comprehensive by providing information to patients about their surgery, their surgeon, and lists the exercises they should be performing week-by-week after surgery with complete video demonstrations.

The power of this application, however, is a surgeon’s ability to create a fully customizable practice website and personalized app.  Thus, when a patient is enrolled he/she will only see information and post-operative protocols that have been specifically selected by their surgeon.  In essence, the app allows any orthopaedic surgeons to have their own personal app for patients.

The app itself consists of the sections described above.  Pre- and post-operative information is available to patients, and the post-operative physical therapy protocol is clearly organized for patients to reference either at home or at the gym.  Overall, the application has been well implemented and the service is currently being used by various academic and private practices nationwide.

***Special Offer: for surgeons/practices interested in learning more about CARE for Patients™, mention “TopOrthoApps” and receive a 10% discount on any enrollment!***

iPhone Free* Download
iPad Free* Download
Android

*Requires enrollment/subscription.  Receive 10% discount by mentioning TopOrthoApps.com!  Find out more here.

CORE – Clinical Orthopedic Exam

Dec 31, 2011   //   by Orrin Franko   //   All Apps, Android Apps, Clinical, Clinicians, General Ortho, iPad Apps, iPhone Apps, Lower, Reference, Residents, Sports, Students, Top, Upper  // 
Overall: 4+
Functionality: 4+
Coolness: 4+

 

CORE has set the standard for a clinical exam app.  Divided by body part, body region, alphabetical, favorites, or search – the app contains a database of nearly 250 clinical tests which includes a purpose, instructions, video demo, and test properties.  The most striking feature of this app, in addition to the vast collection of tests and videos, is actually the “properties” tab.  For every test, data is presented regarding the sensitivity, specificity, likelihood ratio, accuracy and other relevant statistical tests based on primary literature references.  These lists are incredibly complete.  For example, the hip impingement test lists 10 primary sources with their respective sensitivities and specificities using the impingement test to detect labral tears.  In addition, by selecting the primary references the user is directed to the full literature source with the abstract text.  This is a feature that I have not seen replicated by any other orthopaedic reference.  In the basic version of the app, the videos are not contained within the app, but rather link to YouTube videos that can be emailed/shared with colleagues. However, for an in-app purchase of $7.99 all videos can be downloaded to the device (about 1GB of data).  Tests can be marked as a “favorite” and quickly reviewed at a later time.  Unfortunately, the search feature was not ideal.  When I searched “grind” there were “no results” but when I searched “Apley” I was provided with Apley’s Grind Test; however, this function is easily improved in a future update.  This app seems ideal for a medical student with an interest in musculoskeletal medicine (PM&R, sports medicine, or orthopaedic surgery) or a junior resident in any of these fields.  Overall, a very complete and useful app for trainees.

To learn more about this app, as well as others by the same developers, check out their website at www.clinicallyrelevant.com.

iPhone $39.99 Download
iPad $39.99 Download
Android $39.99 Download

 

Mobile Coder Hand & Wrist

Dec 29, 2011   //   by Orrin Franko   //   All Apps, Clinical, Clinicians, Free, iPad Apps, iPhone Apps, Reference, Subscription, Upper  // 
Overall: 3+
Functionality: 4
Coolness: 3

 

This is a useful coding app designed specifically for surgeons who perform hand surgery.  The app download is free and includes 2 sections, however the complete 14-sections download require an in-app purchase of $49.99. The taskbar is organized into four sections.  The “patients” tab allows the user to add patient records and includes information such as facility, date/time, patient info, assistant, and comments.  That record can then be associated with the second section: CPT.  CPT codes are organized by body region and separated by the usual CPT categories.  A search function is available, and the user can identify favorite codes to save time during future entries.  The codes themselves include options to include modifiers and the interface is easy to navigate.  The third tab is a patient history section, and the fourth tab is a configuration tab where the user can enter facilities and surgical assistants.  The program includes help alerts for every screen that are initially informative, but must be turned off in the configuration tab because they quickly become bothersome.  Overall, the app is one of many coding apps available and will appeal to many surgeons, however there does not appear to be support for ICD-9 codes if that is an important feature to you.

 

iPhone Free* Download
iPad Free* Download
Android

Paley Growth

Dec 27, 2011   //   by Orrin Franko   //   All Apps, Clinical, Clinicians, Free, iPad Apps, iPhone Apps, Lower, Pediatrics, Residents, Spine, Trauma, Upper  // 
Overall: 3+
Functionality: 4
Coolness: 3

 

This app is a useful utility for any orthopaedic surgeon or physician who treats limb-length discrepencies or needs a limb-length, trunk-height, or total height prediction tool.  Based on the publications and equations developed by Dr. Paley, and produced by Dr. Paley himself, the app is organized into 6 sections: discrepancy, bone length, fetal, height, sitting height, achondroplasia, and “other charts” which includes supporting tables, charts, and diagrams.  Each main section is organized into sub-categories to help a provider identify the appropriate equation.  Once the proper function as been selected, the app is as easy as entering the patients age, gender, and relevant values (limb length, current height, discrepancy, etc.).  Overall, the app provides  a free and invaluable tool for physicians who use the multiplier method in their clinical practice.

 

iPhone Free Download
iPad Free Download
Android

 

 

ShoulderDecide

Nov 14, 2011   //   by Orrin Franko   //   All Apps, Clinical, Clinicians, iPad Apps, iPhone Apps, Patients, Sports, Top, Trauma, Under $10, Under $5, Upper  // 
Overall: 5
Functionality: 5
Coolness: 5

ShoulderDecide is part of the Orca Health collection of apps that provides information for patients about various orthopaedic conditions.  Like the entire “decide” series, the user interface, graphics, and interactive anatomy modules are superb and allow the user to learn about shoulder anatomy while rotating, flexing, and zooming in on the images.  The conditions covered in this app include rotator cuff tear, bursitis, impingement, calcific tendinitis, glenohumeral arthritis, acromioclavicular arthritis, instability, proximal humeral fractures, clavicle fractures, AC separation, frozen shoulder, and biceps tendon tears & tendinitis.  Consistent with the entire line of apps, each disease includes a plethora of xray, MRI, and CT imaging with appropriate annotations demonstrating normal and pathologic conditions.  Audio recordings are also included to narrate the text as well. Like the other apps in this series, users can search for medical providers that treat these conditions.  Overall, ShoulderDecide is a very impressive addition to the Orca Health “decide” series and has the potential to greatly improve patient education and comprehension about orthopaedic conditions.

iPhone $1.99 Download
iPad $4.99 Download
Android

ShoulderDoc

Nov 1, 2011   //   by Orrin Franko   //   All Apps, Clinical, Clinicians, Free, iPhone Apps, Patients, Upper  // 
Overall: 3+
Functionality: 3+
Coolness: 3

ShoulderDoc is an app created by Dr. Len Funk, who manages shoulderdoc.co.uk.  The app reflects the website and includes an impressive amount of information designed to educate patients about shoulder conditions, pathology, and surgery using a combination of images, text, animations, and video.  Like its website counterpart, the user can browse topics, learn about undergoing surgery, watch videos, and can even answer a few questions to obtain their diagnosis.  Each section includes text descriptions that align with visually appealing images.  Overall, the app can serve as a useful educational tool for patients who have shoulder pathology and would like to learn more about their disease.

iPhone Free Download
iPad
Android

Forearm Goniometer

Nov 1, 2011   //   by Orrin Franko   //   All Apps, Clinical, Clinicians, iPhone Apps, Under $10, Under $5, Upper  // 
Overall: 3+
Functionality: 3+
Coolness: 3

Part of the goniometer series developed by Ockendon.net, forearm goniometer expands upon the functionality of simple goniometer to use the iPhone’s internal accelerometer for measuring forearm pronation/supination.  Although no instructions are provided, it seems that the user should be holding the iPhone in their right or left hand. When ready, the user selects the proper hand on the screen, and then proceeds to fully supinate/pronate one direction, and then the other direction.  The app records the limits of each motion and saves the data on the screen.  Although accuracy depends on the calibration of your devices internal electronics, the app does include the ability to calibrate itself on a level surface.  In addition, motion within the hand or wrist could account for subjective variation between subjects.  Overall, the app does what it says and allows for precise and objective measurements when a standard goniometer is unavailable.

iPhone $4.99 Download
iPad
Android

HandDecide

Nov 1, 2011   //   by Orrin Franko   //   All Apps, Clinical, Clinicians, iPad Apps, iPhone Apps, Patients, Top, Trauma, Under $10, Under $5, Upper  // 
Overall: 5
Functionality: 5
Coolness: 5

HandDecide is part of the Orca Health collection of apps that provides information for patients about various orthopaedic conditions.  Like the entire “decide” series, the user interface, graphics, and interactive anatomy modules are superb and allow the user to learn about hand anatomy in different regions of the hand and wrist while rotating, flexing, and zooming in on the images.  The conditions covered in this app include carpal tunnel syndrome, wrist injury, TFCC, thumb base arthritis, de Quervain’s tendonitis, skier’s thumb, ganglion cyst, mallet finger, dupuytren’s contracture, trigger finger, and flexor tendon injury.  Consistent with the entire line of apps, each disease includes a plethora of xray, MRI, and CT imaging with appropriate annotations demonstrating normal and pathologic conditions.  Video and audio recordings are also included to narrate the text and demonstrate surgical procedures. Like the other apps in this series, users can search for medical providers that treat these conditions and this particular app expands the selection to include a physical therapist, plastic surgeon, and manicurist.  Overall, HandDecide is a very impressive addition to the Orca Health “decide” series and has the potential to greatly improve patient education and comprehension about orthopaedic hand conditions.  At only $1.99 this application is a great value for the amount of information included.

iPhone $1.99 Download
iPad $4.99 Download
Android

Synthes

Oct 16, 2011   //   by Orrin Franko   //   Academic, All Apps, Clinical, Clinicians, Free, General Ortho, iPad Apps, iPhone Apps, Lower, Products, Reference, Residents, Trauma, Upper  // 

Overall: 4+
Functionality: 4+
Coolness: 4

Like many other device company apps, the Synthes app can serve as a library and educational resource for surgeons and trainees with regards to Synthes products.  The app is not exclusively for orthopaedic surgeons, and also includes CMF and Vet products, in addition to their Trauma and Spine product lines.  The app comes in both iPad and iPhone versions, which each have navigation interfaces designed specifically for the size of each device. On the iPhone, navigation is simple and consistent with other Synthes product websites by allowing the user to view Key Technologies, Browse by Anatomy, Synthes Solutions, Clinical Resources, and General Resources.  As the user advances through the drill-down navigation screens, more information and more options are provided including images, AO classification systems for the relevant body part, and case studies demonstrating use of their products.  The app is clearly designed for providers, not patients, and hosts a wealth of information that ranges from general tips and techniques to useful images and guides for specific products.  Useful features include in-app links to the Synthes Resident program, Synthes Surgeon.com, and the ability to search the app for a particular product. One limitation of the app is that it requires updates on a weekly basis, which can be frustrating when trying to access information quickly.  Otherwise, the app is well-made, complete, and provides useful information to any surgeon who uses Synthes products.

Cost: Free
Download Synthes Here

FlipChart

Oct 3, 2011   //   by Orrin Franko   //   All Apps, Arthroplasty, Clinical, Clinicians, Free, iPad Apps, Lower, Patients, Products, Upper  // 

Overall: 3+
Functionality: 3
Coolness: 4

This app is created by Stryker as a patient education tool for surgeons using Stryker total hip, total shoulder, and total knee replacement systems.  The app is organized into charts, my charts, and “create a chart.”  The create a chart feature allows the user to add “pins” to the educational image-based slide show to add commentary within the chart.  A pen is also available to mark the background or highlight particular areas of the image.  Once complete, the chart appears in the “my charts” tab for later reference.  Thus, a surgeon could spend some time creating a personalized chart for his/her surgeries and then use that chart to education patients in clinic about what the procedure will entail.  Overall, the user interface is very simple and easy to navigate and the app is well-made.  As a patient education tool, this may be useful for surgeons who have time to explain the details of surgery to patients accompanied by images.

Cost:Free
Download FlipChart Here

 

OpTech Live

Oct 3, 2011   //   by Orrin Franko   //   Academic, All Apps, Arthroplasty, Clinical, Clinicians, Free, General Ortho, iPad Apps, Lower, Products, Reference, Residents, Sports, Trauma, Upper  // 

Overall: 4
Functionality: 4
Coolness: 2+

This app is part of Stryker’s library of applications and, like other device company apps, provides the user with a library of device and implant user guides.  The interface is well-organized by topic and lists PDF guides according to specialty or body part.  Selecting an item quickly downloads the PDF surgical technique guide which can then be saved in a library on the device (for referencing later) or a link to the document can be emailed.  Browsing for topics is very easy with essentially no delay.  For access to Stryker’s line of technique guides, this app does everything it should.

Cost: Free
Download OpTech Live Here

DrawMD Orthopedics

Oct 3, 2011   //   by Orrin Franko   //   All Apps, Arthroplasty, Clinical, Clinicians, Free, General Ortho, iPad Apps, Lower, Residents, Spine, Sports, Top, Trauma, Upper  // 

Overall: 4+
Functionality: 4
Coolness: 4+

Part of the DrawMD line of apps, these developers have created a novel platform for teaching patients about their medical conditions.  The app is essentially a “scratch pad” for showing patients their disease, demonstrating surgical techniques, and explaining anatomy.  The advantage of the Orthopedics version is that in addition to being able to use a patient’s xrays as your background, the app comes pre-loaded with orthopaedic body parts and orthopaedic “stamps.”  For example, the current version includes images of the knee, shoulder, hip, hands, feet, ankles, forearm, etc.,  as well as stamps that demonstrate cartilage, fractures, plates, screws, and arthroplasty implants (and many more).  The user can mark the image with a pen and make text comments as well.  Once complete, the image can be saved or emailed to a patient with your office information.  This app is a free and novel way to teach patients about their pathology and treatment options in a visual format.

Cost: Free
Download Here

ASSH 2011

Oct 1, 2011   //   by Orrin Franko   //   Academic, All Apps, Clinicians, Free, iPad Apps, iPhone Apps, News, Upper  // 

Overall: 4+
Functionality: 4
Coolness: 5

The American Society for Surgery of the Hand has demonstrated they are leading the pack with regards to technological integration in their annual conference.  At the 2011 ASSH meeting they introduced a fully-functional meeting-integrated app that was available (and continues to be) available for free.  The app includes a plethora of resources such as viewing the conference schedule, a personal calendar, program, maps, speakers, presentations, ePosters, share contact information, and search for interesting topics.  Even more impressive was the integration among the different functionalities.  For example, you can select a presentation to attend and the app will remind you the presentation is coming up, will show you on a map where to go, presents you with the abstract and notes for the presentation, and allows you to search for other talks by the same author/presenter.  All of these features are well integrated and make the conference experience much more interactive and interesting.  It is my hope that other specialty societies will notice this app and integrate similar features into their annual meetings.

Cost: Free
Download Here

OrthoFind

Sep 28, 2011   //   by Orrin Franko   //   All Apps, Clinical, Clinicians, Free, General Ortho, iPhone Apps, Lower, Patients, Products, Upper  // 

Overall: 3
Functionality: 3
Coolness: 3

This app is essentially a very clear and well-designed product guide for Breg, Inc.; maker of orthopedic braces.  The interface is visual and can be helpful to both physicians and patients looking to explore their catalog and purchase their products.  The user is first prompted to select a body region and is then presented with images and descriptions of their available products with additional information and high-resolutions available to read and view.  Each page provides the opportunity for “more information” which connects you with a Breg representative, provides a brochure, or directs you to a product page.  The app has additional resources including links to various orthopaedic websites and an FAQ section with questions, answers, and explanations about common orthopaedic conditions.  For a surgeon or a patient who is looking to have more information at their fingertips about Breg products, this app is very well made and can be quite useful.

 Cost: Free
Download Here

Ortho Scores

Sep 28, 2011   //   by Orrin Franko   //   Academic, All Apps, Arthroplasty, Clinical, Clinicians, Free, General Ortho, iPhone Apps, Lower, Spine, Sports, Trauma, Upper, Utilities  // 

Overall: 3-
Functionality: 2
Coolness: 3

This app is ideal for orthopaedic surgeons who routinely keep track of patient outcomes using assessment scores.  The app allows the user to organize a list of patients, contacts, and surgeons – but the “patients” function is clearly the emphasis.  Once entering a patient, the user can then walk through many of the most popular outcomes assessments for the hip, knee, shoulder, elbow, wrist, foot, ankle, and spine.  These include, but are not limited to, Harris Hip Score, Oxford Hip Score, WOMAC, SF-12, Knee Society Score, Constant Score, DASH, Quick-DASH, and the Oswestry Low Back Pain assessment.  The free version limits the number of patients that can be scored, and the full version allows for unlimited patients, unlimited contacts, and the ability to email the scores. Overall, this can be a very useful tool for both surgeons and patients to monitor outcomes.  Unfortunately, during testing the app was quite “buggy” and frequently crashed when running from my device.  Hopefully future updates will be more stable.

Cost: Free for Lite version, $99.99 for full version.  Spine Scores only for $19.99.
Download the Full Version Here
Download the Lite Version Here
Download Spine Scores Here

 

Ortho Traumapedia

Sep 28, 2011   //   by Orrin Franko   //   All Apps, Android Apps, Clinical, Clinicians, General Ortho, iPhone Apps, Lower, Reference, Residents, Students, Study/Review, Top, Trauma, Under $10, Upper  // 

Quick reference for on-call trauma related to fractures and dislocations
 

Overall: 4
Functionality: 4+
Coolness: 3

This app is the ideal complement to any student, resident, fellow, or attending taking general orthopaedic trauma call.  The app has a simple and intuitive user interface separated into either dislocations or fractures and organized by bone, joint, or region.  Each topic is then divided into the same four sub-topics: facts, image, classify, and treat.  With an easy-to-read bullet format, the user can quickly glean the most critical facts about a particular fracture, answer common “pimp” questions, understand how to interpret the radiology, and review various classification systems for a particular injury.  One of the most useful features are the images which include very clear lines, arrows, and circles overlying normal and injury radiographs to teach the user how to evaluate and interpret injury films.  Overall, the material appears to be consistent with most other orthopaedic trauma texts, although no references are provided.

iPhone $9.99 Download
iPad
Android $9.99 Download

Hand Feed

Sep 26, 2011   //   by Orrin Franko   //   Academic, All Apps, Android Apps, Clinical, Clinicians, Free, iPad Apps, iPhone Apps, Journals/Books, News, Upper  // 
Overall: 3
Functionality: 3+
Coolness: 1

Similar to its close relatives, BoneFeed and SportsMed, this app is an RSS reader for orthopaedic hand-related publications.  The user can customize the feeds that are presented, including JHS American, JHS European, Hand Clinics, Techniques in Hand, JBJS Br Upper Extremity, HAND, and others.  The feeds allow the user to review an abstract, view the full text article directly from the journal website (if you have online access), post comments, or share the paper via Twitter, Facebook, or email.  Overall, this app is a simple and intuitive way for hand surgeons to keep up-to-date with the latest publications 24-hours a day.

iPhone Free Download
iPad
Android Free Download

OrthoEvent

Sep 24, 2011   //   by Orrin Franko   //   Academic, All Apps, Arthroplasty, Clinicians, Free, General Ortho, iPhone Apps, Lower, Pediatrics, Reference, Residents, Spine, Sports, Top, Trauma, Upper  // 

Overall: 3+
Functionality: 4
Coolness: 3+

This free app is useful for any orthopaedic practitioner who attends or is planning to attend any orthopaedic-related conference. The app is designed to compile information regarding nearly all professional orthopaedic conferences worldwide, as well as organize conferences according to specialty. Once a conference is selected, the app provides dates, locations, abstract deadlines, and links to meeting websites. The app is limited by the fact that information is inconsistent, and that the majority of the app text is in French with no other languages available. Overall, the application is a creative and very helpful way to search for conferences that you might not otherwise be aware of.

Cost: Free
Download Here

AO Muller Classification

Sep 23, 2011   //   by Orrin Franko   //   All Apps, Android Apps, Clinical, Clinicians, Free, General Ortho, iPad Apps, iPhone Apps, Lower, Reference, Residents, Trauma, Upper  // 

Overall: 3
Functionality: 3-
Coolness: 3

Created by the AO Foundation, this classification app allows a user to determine the Muller classification of long-bone fractures by selecting the bone, the segment, and the fracture morphology. In addition, radiographs are included to demonstrate true images of fracture patterns as a supplement to the figures provided. Once a particular fracture is selected, the user can save cases as “favorites” with a memo, a tool that could be valuable for a resident needing to keep track of fracture types while seen on call. The app also includes a “glossary” section that offers supplemental notes such as classification terminology and instructions for identifying fractures. Lastly, all data lives on the device thereby allowing for rapid access and use even without a data access signal.

Cost: Free
Download Here

AO Surgery Reference

Sep 23, 2011   //   by Orrin Franko   //   All Apps, Android Apps, Clinical, Clinicians, Free, General Ortho, iPad Apps, iPhone Apps, Journals/Books, Lower, Reference, Residents, Students, Top, Trauma, Upper  // 

Overall: 4+
Functionality: 4
Coolness: 3+

Created by AO and released in No­vember 2010, the AO Surgery Refer­ence app has set the bar for orthopae­dic reference apps. The data mirrors information which has been previ­ously existed at www.aosurgery.org but is formatted specifically for the smartphone. The app has an intuitive interface that walks the user through the diagnosis, decision process, prepa­ration, surgical approach, reduction, fixation, and aftercare of fractures. Additional information can be found by selecting the “info” icon next to an option, and reference articles are provided on every page. Some of the most valuable aspects, in addition to the text, are the abundance of images demonstrating fracture patterns, pa­tient positioning, and anatomy/surgi­cal approaches. Ideally, this app can serve as a quick reference while treat­ing a patient or prior to a surgery when no other references are available for review. The greatest limitation to this app is that all data is pulled from the internet in real-time, and thus a data connection (3G or WiFi) is required for the app to function. In addition, some fractures are still not available, but the app suggests that future updates will be included.

Cost: Free
Download Here

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