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Newsletter Articles
Guides Newsletter (2018) 23 (1): 14–16.
Published: 01 January 2018
...Jay Blaisdell; James Talmage, MD Workers who kneel for major portions of their workday (eg, floor and roof installers) may be prone to inflammation of the knee bursae and patellofemoral pain. In the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), range-of-motion (ROM...
Newsletter Articles
Guides Newsletter (2013) 18 (5): 1–10.
Published: 01 September 2013
...Charles N. Brooks, MD; James B. Talmage, MD Meniscal tears and osteoarthritis (osteoarthrosis, degenerative arthritis, or degenerative joint disease) are two of the most common conditions involving the knee. This article includes definitions of apportionment and causes; presents a case report...
Newsletter Articles
Guides Newsletter (1999) 4 (1): 1–3.
Published: 01 January 1999
...William S. Shaw, MD; Charles N. Brooks, MD The process of assessing lower extremity impairment described in the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Fourth Edition, differs from that in previous editions. This article addresses common questions that arise in knee...
Newsletter Articles
Guides Newsletter (2005) 10 (2): 1–3, 7, 12.
Published: 01 March 2005
...Christopher R. Brigham, MD; Charles N. Brooks, MD; James B. Talmage, MD More than 20 million Americans have osteoarthritis (OA), which affects the knee more often than any other joint and is the most common cause of long-term disability in persons older than 65 years. Knee OA is common...
Newsletter Articles
Guides Newsletter (2011) 16 (2): 9–11.
Published: 01 March 2011
...Craig Uejo, MD, MPH; Charles N. Brooks, MD Injuries to a specific region can result in more than one diagnosis. The AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Sixth Edition, states that, in most cases, only one diagnosis in a region (eg, hip, knee, or foot/ankle...
Newsletter Articles
Guides Newsletter (2000) 5 (6): 13–14.
Published: 01 November 2000
...James B. Talmage, MD, FAADEP; Robert H. Haralson, III, MD, FAADEP The AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Fourth Edition, provides methods to rate knee injuries treated by partial or total menisectomy and also provides methods to rate knee injuries treated...
Newsletter Articles
Guides Newsletter (2019) 24 (6): 3–11.
Published: 01 November 2019
... are associated with injury and/or repetitive motion. Thus, apportionment is indicated, but deciding which came first, the imaging abnormality or the injury, requires consummate skill on behalf of the rating physician. OA also occurs in the knees and hips of older individuals. Diffuse idiopathic skeletal...
Newsletter Articles
Guides Newsletter (1998) 3 (2): 6.
Published: 01 March 1998
...Christopher R. Brigham, MD © 1998 American Medical Association. All Rights Reserved. 1998 American Medical Association Question: How should I rate the impairment of a knee that has had an anterior cruciate ligament reconstruction with good stability on post-operative examination...
Newsletter Articles
Guides Newsletter (1998) 3 (2): 5.
Published: 01 March 1998
... musculoskeletal conditions and provides guidelines for referral. The initial discussion of general orthopedics is followed by sections on each anatomical region (eg, knee and lower leg), concluding with a section on pediatric orthopedics. A brief overview with a pictorial summary of physical tests prefaces each...
Newsletter Articles
Guides Newsletter (2002) 7 (5): 10–11.
Published: 01 September 2002
... circumferences 15 cm superior and inferior to the medial joint line of the knee, respectively. One could argue that no goniometer should be included in Figure 17-1a, Using a Goniometer to Measure Flexion of the Right Hip; in Figure 17-1b, the goniometer should be placed with its axis at the center of rotation...
Newsletter Articles
Guides Newsletter (1999) 4 (6): 16.
Published: 01 November 1999
... (optical illusion) of a 0 mm joint space by overlapping the femur when the fragment is not in contact with the articular surface of the femur. If the cartilage interval is “otherwise normal” then the knee has little or no degenerative change, and thus both the fragment (now healed to the patella...
Newsletter Articles
Guides Newsletter (1997) 2 (4): 5.
Published: 01 July 1997
... the example of Nebraska and to require physicians to obtain training and demonstrate competency in impairment rating. © 1997 American Medical Association. All Rights Reserved. 1997 American Medical Association Question: I have only rated a few people with total knee replacement. I have...
Newsletter Articles
Guides Newsletter (2008) 13 (5): 7–8.
Published: 01 September 2008
..., but values are not provided to define a specific grade modifier. Most lower extremity impairments are based on Diagnosis-related impairments, and an impairment example case demonstrates the use of the Knee Regional Grid to asses a partial meniscus repair. An associated table illustrates the resulting whole...
Newsletter Articles
Guides Newsletter (1998) 3 (4): 6.
Published: 01 July 1998
...Marc T. Taylor, MD This article discusses two important cases that involve the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ). First, in Vargas v Industrial Com’n of Arizona, a claimant had a pre-existing non–work-related injury to his right knee as well as a work-related...
Newsletter Articles
Guides Newsletter (2003) 8 (6): 7.
Published: 01 November 2003
... © 2003 American Medical Association. All Rights Reserved. 2003 American Medical Association Question One of our evaluating physicians informed me that an organization involved in the disability evaluation field has indicated that osteochondral lesions of the knee qualify for a 5...
Newsletter Articles
Guides Newsletter (1997) 2 (6): 7.
Published: 01 November 1997
... officers. The section on clinical evaluation and patient care emphasizes the low back, wrist, and hand. The sections on the upper extremity, hip, knee, ankle, and foot are also excellent. The editors divide each clinical section into chapters on epidemiology, biomechanics, evaluation methods, treatment...
Newsletter Articles
Guides Newsletter (2022) 27 (2): 13.
Published: 01 March 2022
...Charles N. Brooks, MD; James B. Talmage, MD; Christopher R. Brigham, MD QUESTION: In the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, is there a difference in rating a partial vs total knee replacement? Table 16-3, Knee Regional Grid—Lower Extremity...
Newsletter Articles
Guides Newsletter (2021) 26 (4): 14.
Published: 01 July 2021
... the degree of preoperative coronal plane deformity. Correcting alignment in knees with severe valgus deformity is challenging. In a situation where different examiners provided different post-TKA impairment ratings, the trier of fact may lend greater credibility to the examiner adhering to the KSS...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 3–6.
Published: 01 January 2021
... a specific impairment value for a partial meniscectomy, repeat meniscectomies may result in further impairment not to exceed the maximum value assigned for a total meniscectomy. © 2021 American Medical Association. All Rights Reserved. 2021 American Medical Association Knee Lower Extremity...
Newsletter Articles
Guides Newsletter (2005) 10 (3): 4–5.
Published: 01 May 2005
... TAR. The AMA Guides to the Evaluation of Permanent Impairment, ( AMA Guides ) is silent about rating ankle impairment following arthroplasty but does provide a two-step method to rate the results of total hip and knee replacements. Using tables in the AMA Guides, examiners can rate disability...