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orthopedics overuse and diagnostic errors

April 3, 2026Howard Luks MD, Nick Hoopes

Howard Luks MD spotlights atraumatic joint and tendon pain counseling and flags wrong-joint evaluation before knee replacement as a "never event," while Nick Hoopes questions whether chasing small ROM gains after TKR reflects clinician ego more than outcomes.

5 things I wish someone had told you before you walked into my office — in atraumatic joint and tendon pain.
This should be a never event.
Second opinion for knee replacement.
Rotate the femur folks.
more about clinician and surgeon ego than it is patient outcomes.
Howard Luks MD
Nick Hoopes
orthopedicspatient-safety

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