About this course

  • Released: 11/3/2017
  • Expires: 11/2/2019

You must read everything on this page as part of the CME activity

About CME in the BJJ

In order to participate in the online CME activities of The Bone & Joint Journal (BJJ), you must be an active individual subscriber or be affiliated to a subscribing institution of the Journal.

Each CME course in the BJJ consists of a self-study test based on an original article from the BJJ and an evaluation of the activity. Each course expires after two years to ensure that the CME activities contain up-to-date orthopaedic knowledge. Each course is estimated to take one hour to complete.

You must answer 80% of the test questions correctly in order to pass the test. You are able to attempt incorrectly answered questions once. Achievement of that score opens links to the correct answers in context within the CME designated article. After passing the text and viewing the correct answers in context, you must then complete an evaluation of the CME activity. After answering all of the evaluation questions, the CME activity is complete and is recorded in your ‘My Courses’ tab. From there you can review completed Courses, download a certificate of completion which can be viewed, stored locally or printed. You will also receive an email confirming completion of the Course containing a link to the electronic version of your certificate.

Hardware/Software Requirements

This CME is available online only with the following browsers:

Firefox, Chrome, Safari and Internet Explorer. Current browser versions are supported along with the previous version. Mobile users can access and complete CME Courses on devices that use iOS or Android operating systems.

Software: Adobe Acrobat Reader 5.0 or above. Download the free Adobe Acrobat Reader at: http://www.adobe.com/products/acrobat/readstep2.html


In support of improving patient care, this activity is planned and implemented by Mayo Clinic College of Medicine and Science and The British Editorial Society of Bone & Joint Surgery. Mayo Clinic College of Medicine and Science is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.



Mayo Clinic College of Medicine and Science designates this journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Intended Audience

The intended audience is for all grades of Orthopaedic Surgeons. The Courses are suitable for both Surgeons and surgeons in training and are applicable worldwide.


The questions are designed to affirm the learner’s knowledge and understanding of the topic studied. On completion of the activity, participants should be able to evaluation the appropriateness of the clinical information as it applies to the provision of patient care.

Disclosure and Conflict of Interest

BJJ requires authors of CME designated articles and authors of CME Courses to disclose any conflict(s) of interest. Each author must reveal any financial interests or relationships, direct or indirect, or other situations that might raise the question of bias in the work reported, or the conclusions, implications, or opinions stated, including pertinent commercial or other sources of funding for the individual author(s) or for the associated department(s) or organisation(s), personal relationships, or direct academic competition. Any such conflicts declared will be included in the published articles and in the online CME activity. If no conflicts are declared, this will be stated.

Relevant financial relationship(s) with industry: 

Professor Fares S. Haddad        Consultant - Smith&Nephew, Stryker

                                                Speaker's Bureau - Smith&Nephew, Stryker, Zimmer-Biomet

Grant/Research - Smith&Nephew, Corin, MatOrtho, NIHR

Royalties - Smith&Nephew, Stryker, MatOrtho, Corin


Mark W. Pagnano, M.D.             Consultant - Stryker, DePuy, Pacira          

Matthew P. Abdel, M.D.              Consultant – Stryker

Mohit Bhandari                          Consultant - Smith & Nephew, Stryker, Amgen, Zimmer, Moximed, Bioventus, Merck, Eli Lilly,                                                        Sanofi, Ferring, ConMed

                                                Grant/Research - Stryker, DePuy, Smith & Nephew, Bioventus, Zimmer, Amgen

Jason Busse                             Grant/Research – Smith&Nephew

No relevant financial relationship(s) with industry: 

Matthew Costa

Sujith Konan

Jean-Eric Tarride
Robert Hopkins
Gord Blackhouse
Natasha Burke
Herman Johal
Gordon Guyatt

References to off-label/investigational usage(s) of pharmaceuticals or instruments: 

Mohit Bhandari has indicated that this mentions off-label/investigational use of:  Bioventus, Exogen Bone Stimulator

Privacy Statement
The BJJ is committed to protecting the privacy of those who utilise its website. The BJJ will not release individual information about use of its site, including visitor email addresses, to any third party. We do not rent or sell names and addresses to any third party.

The BJJ may report general information about activity on its e-learning platform to third parties which may include advertisers and sponsors. We will only report aggregate statistics such as total number of page views, overall duration of visits or other such data.

The BJJ may use ‘cookie’ technology to obtain information from online visitors. (Cookies are bits of information on individual computers that help websites recognise visitors such as username and password recognition). We will not contact you based on information in your cookie field.

The BJJ maintains its e-learning platform in conjunction with Rievent Technologies. The Rievent system issues the CME certificate on behalf of the BJJ. The person-identifiable information from this CME activity is stored securely within the Rievent system and is only accessible to employees who prepare documents for the CME recipient, maintain records and/or solve user queries. Such user personal data is confidential and will not be disclosed to third parties.

Subscription Information

To subscribe to The Bone & Joint Journal, or for subscription queries please visit:



All CME articles published in The Bone & Joint Journal and CME activities are copyrighted by The British Editorial Society of Bone & Joint Surgery.

Learning Objectives

After reading this article the learner should be able to:

Critically appraise the new literature surrounding the  use of pulsed ultrasound for tibial fractures; ultimately promoting evidence based clinical choice and patient counselling.