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From the President

Recalling Our History as We Look Toward the Future… Cynthia M. Gonzalez

s International Orthopaedic Nurses’ His prosthesis has been redesigned over the ADay approaches, I would like to take years, and the procedure has been mod- you back in history to reflect on the origin ified, but the Austin-Moore prosthesis con- of different orthopaedic terms and prac- tinues to exist and be used today. tices and the people who were instrumen- Sir Robert Jones was an important fig- tal in advancing orthopaedic practice and ure in orthopaedic history at the turn of orthopaedics as a specialty. the century. He was a nephew of the “fa- Orthopaedics comes from the Greek ther of British Orthopaedics,” Hugh Owen words for “straight” and “child.” In fact, Thomas. Robert Jones is credited with one of the earliest uses of this word was by publishing the first report of the clinical the “father of Orthopaedics,” the famous use of x-ray to locate a bullet in a wrist Professor Nicholas Andry in 1741. He used (Orthoteers.co.uk, 2005). He founded many this term to describe skeletal deformities, hospitals and orthopaedic associations, Cynthia M. Gonzalez, which he regarded as occurring due to most notably the Robert Jones and Agnes MSN, RN, APN, ONC faults of posture and shortness of muscles. Hunt Hospital near Oswestry, England, NAON PRESIDENT, He was also the illustrator of postural and was an advocate of tendon transplan- 2005–2006 defects using his famous “Tree of Andry.” tation, bone grafting, and other conserva- Much of the work of the orthopaedists tive restorative procedures. of old occurred during the 19th and early Dame Agnes Hunt is considered the 20th centuries, where fractures and surgi- founder of orthopaedic nursing. Crippled cal procedures were named after the peo- as a child due to osteomyelitis, she grew ple who identified them. The Tinel sign so up to be a visionary nurse who opened her frequently used in evaluations of the upper own convalescent home for crippled chil- extremity was first described by Jules Tinel, dren and used the concepts of open-air a neurologist in the first World War who treatment in caring for the children left in percussed the nerve below the site of a her care. This treatment, though helpful nerve injury. “Formication,” as he described for respiratory diseases, was never proven it, was elicited if nerve fibers were degen- to be beneficial in orthopaedic care. Her erating; poor prognoses were noted if this small home in Baschurch, England was re- was absent. nowned for influencing changes in health Thomas Porter McMurray, originally for those with long-standing disease. from Belfast, Northern Ireland, worked Dame Agnes met Robert Jones in 1903 for Robert Jones, a groundbreaking ortho- when she consulted him for her own hip paedist. His surgical precision was unpar- deterioration. He visited her at the conva- alleled, and in 1928, he published a paper lescent home and the rest, as they say, is on internal derangements of the knee where history. He began seeing patients there he introduced his assessment sign for a monthly and eventually began operating torn meniscus, the McMurray’s sign. on children first, military patients later. He Friedrich Trendelenburg, of German evaluated everything from rickets and tu- descent, is credited with identifying the berculosis of the bone to congenital flat- Trendelenburg sign and the Trendelenburg foot deformities. The average length of stay gait, which was described in association was 13 weeks, 4 days. with coxofemoral incompetence in 1895. In addition to being a caregiver, Dame Austin T. Moore performed the first Agnes was also a teacher. She began metallic hip replacement in 1942. He re- teaching well-rounded girls in the care of placed the entire upper portion of the fe- “crippling diseases.” After a year, these mur with a vitallium prosthesis a foot long! pupils went on to a “proper” hospital to

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gain official nursing certification. Massage was a main- As you can tell, there is a fascinating history to our stay in the care of patients who were crippled. In 1910, specialty area. My wish is that this historical overview Hunt contacted the Incorporated Society of Trained has inspired you to not only want to learn more about it Masseuses and registered her home as a school of massage but also realize that it only takes only one person to cre- and Swedish remedial exercises. By 1911, the first two ate change and achieve greatness within the position. nursing pupils obtained diplomas in what is known as Look around you, identify those who can help you to cre- physiotherapy. Dame Agnes’ efforts led to schools being ate change and to showcase all that orthopaedic nursing created for both nursing and physiotherapy. can offer. See what you can do to assist others to partner As World War I began, the home eventually became a with you for continued orthopaedic nursing growth. military hospital, but they continued to treat children as Happy International Orthopaedic Nurse’s Day! well, becoming one of the first institutions to use x-rays for diagnostic purposes. In recognition of her work dur- ing the war, Dame Agnes received the insignia of the Red REFERENCE Cross; by 1919, the home closed for military patients. Her Carter, M. (2000). The early days of orthopaedic nursing in efforts and the need for a newer building led to the now- the United Kingdom: Agnes Hunt and Baschurch. Ortho- known Robert Jones and Agnes Hunt Orthopaedic Hos- paedic Nursing, 19(5). pital, originally known as the “Shropshire Orthopaedic Hospital” (Carter, 2000).

Nurses Pass Certification Examination ONCB congratulates the following nurses who passed the certification exami- nation at test centers throughout the country in spring 2005.

Wendy Adler John Deshotel Jr. Susan Jafar Carol Nati Monica Smith Beverly Alderson Debra Disbrow Violet Jenkins Charisse Navalle Shauna Soria Sara Alferez Catherine Donovan Bonnie Jenniges Rachel Nelson Judy Spaulding Lorraine Allen Mary Doome Chanel Johns Paige Nevins Carol Stanley Carolyn Allen Janet Dorrwachter Pamela Johnson Deborah Newall Lisa Stewart Lynette Alley Krista Dresbach Michaela Johnson Crystal Nielson Jean Stewart Kimeshia Allison Christina Dziuk Jean Jorgenson Ann Noll Melissa Stock Susan Anderson Sonya Elizondo Mary Keane Dunn Patricia Nunemaker Nancy Sturgeon Ariel Aquino Nancy Faillace Debra Kelley Allen Oakley Nadine Surey Cynthia Armstrong James Fischoff Kathryn Kolseth Marcia Ohlinger Jean Swinton Linda Ashenfelter Bethani Flesher Toni Kristensen Katherine Oliver Gwendolyn Tabak Sabrina Barbee Christina Fox Victoria Kroll Marge Olmsted Cheryl Terpak Robert Barone Linda Friday Debra Kufahl Virginia Oppenheim Janet Theisen Paulette Barrier Deborah Garcia Baljinder Kullar Marianne Panico Karla Timms Julia Beran Stephan Gartner Marie LaChapelle Susan Parent Kelly Townsend Kelly Berndt Ann Garton Stacy Lamb Catherine Patrone Marjorie Tricerri Tracy Betz Carol Gathright Linda Lamendola Cassandra Paulen John Tripenfeldas Michelle Blakeley Ann Gatto Florida Laquian Phyllis Peltier Suzanne Trotta Barbara Block Melissa Gatz Cynthia Larson Laura Petersen Jennifer Utz Frances Boberg Krisana Gesuwan Deborah Lauer Kimberly Petersen Elena Van Gelder Laura Bushman Maureen Gorman Ann Laughlin Terri Pomorski Sue Van Woerkom Cathy Busse Heather Greenawalt Sydna Lefebvre Rachel Pompey Judith Vane Lauren Byron-Rawding Rhonda Grifka Lora Lenahan Stephanie Potter Jacquelyn Vaughan Katherine Cabrera Wuntanee Gruzen Amy Leopard Maria Psillides Mark Vazana Patricia Cady Bridget Hannan Nancy Linder Sharon Puffer Patty Verdugo Jennifer Canchola Janet Harp Renee Llido Stephanie Raasch Cindy Walker Lynn Carlson Brendy Hartman Ellen Lockwood Jan Rasmussen Kathleen Walker Derrick Carriere Beverly Heatley Rene Long Alice Rees Sue Wallen Louis Cavalluzzi Jody Heavelow Richard Loy Joanne Richendollar Elaine Walsh Jane Christner Sarah Heeter Marjory Lybarger Louise Ricker Mary Ward Leslie Church Kristen Heinig Lori Markee Kathryn Robertson Patricia Washatko Kelly Church Colleen Hendrick Daniel Masar Maureen Rosario Jody Webster Mary Ann Cipolla Marilyn Herman Dorothy Mathews Margaret Runco Susan Weis Brian Cooley Jocelyn Hernandez Amy McCarthy Shawn Ryan Cara Wielgus Tracy Curtis Kristy Hildebrand Pat McCune Penny Saulog Jane Williams Linda Curtis Catherine Hinsch Raymond McCune Christine Schaeffer Lee Ann Williams Linda Cushman Julie Hirman Angela McFarland Rebecca Schmeltzer Tonya Wills Pamela Dassel Tricia Hollister Cheridee McIntyre Kathleen Schomer Christy Wilson Teresa DeLa Torre Stacey Holtorf Sharon McLean Susan Schulte Heidi Wincentsen April Delia Noreen Howie Debra McLeod Emily Schultz Cristina Yanof Tricia DeMaio Margaret Hubert Patricia McNay Michele Seese Jackie Yates Diana Dender Pamela Hudson-Poates Angela Michalicek Barbara Seevers Darin Yoder Patricia Ricie Denney Debra Huiner Erica Miller Lynn Shabi Jim Denoncourt Maureen Hummel Pauline Mora Nancy Short Rhonda DePriest Marie Indahl Janet Napolitano Patrice Silkaitis

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