Research
Return to Sport After Surgical Treatment for Anterior Shoulder Instability
Background: For athletes, a return to preinjury activity levels with minimal time away is a metric indicative of successful recovery. The knowledge of this metric would be helpful for the sports medicine specialist to advise patients on appropriate expectations after surgery.
Medicaid Health Insurance Status Limits Patient Accessibility to Rehabilitation Services Following ACL Reconstruction Surgery
Background In the senior author’s (X.L.) orthopaedic sports medicine clinic in the United States (US), patients appear to have difficulty finding physical therapy (PT) practices that accept Medicaid insurance for postoperative rehabilitation. Purpose To determine access to PT services for privately insured patients versus those with...
Patient-Reported Outcomes in Orthopaedics
Patient-reported outcomes (PROs) assess a patient’s perspective of health, function, and quality of life associated with health conditions and medical interventions. Health-care value is the ratio of health outcomes achieved relative to the total cost of care for a medical condition. Common PRO designs assess general quality of life, system or region-specific conditions, disease-specific conditions, or mixed outcome measure...
Ultrasonography as a Diagnostic, Therapeutic, and Research Tool in Orthopaedic Surgery
Ultrasonography is an imaging modality that facilitates the diagnosis of pathology and injection therapy without exposing the patient to radiation. In addition, ultrasonography has become popular because of its portability, low cost, and production of real-time tomographic images that provide a cross-sectional view of anatomic ...
Insurance Status Affects In-Hospital Complication Rates After Total Knee Arthroplasty
Insurance status has been shown to be a predictor of patient morbidity and mortality. The purpose of this study was to evaluate the effect of patient insurance status on the in-hospital complication rates following total knee arthroplasty. Data were obtained from the Nationwide Inpatient Sample (2004 through 2011).
Patellofemoral pain syndrome in female athletes: A review of diagnoses, etiology and treatment options
Patellofemoral pain syndrome (PFPS) is one of the most common causes of knee pain and is present in females disproportionately more relative to males. PFPS causes tend to be multifactorial in nature and are described in this review. From a review of the current literature, it is clear that there needs to be further research on PFPS in...
Latissimus Dorsi Tendon Transfer With Acromial Osteotomy for Massive Irreparable Rotator Cuff Tear
Latissimus dorsi tendon transfer is an effective option for young and active patients with massive irreparable posterosuperior rotator cuff tears and intact subscapularis tendon. This approach has been shown to relieve pain and improve shoulder function in both the short and long term. We describe a surgical technique using an...
Commentary & Perspective Total Hip Arthroplasty: What Is the Best Perioperative Analgesic Modality?
Total joint replacement is projected to become the most common elective surgical procedure in the United States in the coming decade. The prevalence of total hip arthroplasty in the U.S. in 2010 was 0.8% of the entire population, which equates to 2.5 million individuals 1. Recent innovations in joint replacement surgery include minimally invasive techniques, computer-assisted surgery, advanced rehabilitation protocols...
Regional Variations of Medicare Physician Payments for Hand Surgery Procedures in the United States
Background: Medicare reimbursement is known to exhibit geographic variation for inpatient orthopedic procedures. This study determined whether US geographic variations also exist for commonly performed hand surgeries. Methods: Using the Medicare Provider Utilization and Payment Data (2012-2013) from Centers for...
Management of Complex Anterior Shoulder Instability: a Case-Based Approach
Purpose of the review: The goal of this review is to provide a guide on surgical decision-making options for complex anterior shoulder instability using a case-based approach. Recent findings: Arthroscopic Bankart repair is well documented for having successful outcomes in patients with isolated labral tear involvement with...
