Research
Critical Findings on MR-Arthrogram in Posterior Shoulder Instability Compared to an Age-Matched Controlled Cohort
Introduction: Hill-Sachs reduction represents a potential alternative treatment method to remplissage. The purpose of this study is to biomechanically compare the stabilizing effects of a Hills-Sachs reduction technique and remplissage procedure, in a complex instability model.
Glenoid Dysplasia: Pathophysiology, Diagnosis, and Management
Subtle forms of glenoid dysplasia may be more common than previously thought and likely predispose some patients to symptomatic posterior shoulder instability. Severe glenoid dysplasia is a rare condition with characteristic radiographic findings involving the posteroinferior aspect of the glenoid that often remains...
Unusual Presentation of Anterior Knee Pain in Elite Female Athletes: Report of Two Cases
Two elite female athletes presented with anterior knee pain with range of motion and reproducible tenderness to palpation. Diagnostic arthroscopy was performed in both cases resulting in excision of a nodular pigmented villonodular synovitis (PVNS) in the first patient and scar tissue in the second patient. Correct diagnosis of...
Using a Posterior Compartment Fasciotomy and Paratenon Closure in Acute Achilles Tendon Repair
Soft tissue management, dissection, and handling are of paramount importance during Achilles tendon repair. Although surgical repairs of Achilles tendons have predictably excellent outcomes, complications including wound infection and stiffness are not uncommon. The authors' surgical technique for Achilles tendon repair...
Total Elbow Arthroplasty in the United States: Evaluation of Cost, Patient Demographics, and Complication Rates
Total elbow arthroplasty (TEA) is utilized in the treatment of rheumatoid and post-traumatic elbow arthritis. TEA is a relatively low volume surgery in comparison to other types of arthroplasty and therefore little is known about current surgical utilization, patient demographics and complication rates in the United States.
Long-term Clinical Results after Iloprost Treatment for Bone Marrow Edema and Avascular Necrosis
The treatments of avascular osteonecrosis (AVN) include both conservative and surgical methods which are dependent on the stage and progression of the disease. The vasoactive- prostaglandin-analogue iloprost (PGI2) has been utilized in several areas of medicine and recently has been used for the treatment of AVN.
Arthroscopic ACL Reconstruction with Bone Patellar Bone Graft using Anteromedial Technique
There are approximately 200,000 anterior cruciate ligament (ACL) injuries per year in the United States and more than half will undergo ACL reconstruction. Diagnosis is made by physical exam supplemented by radiographs and an MRI scan. Successful ACL reconstruction returns most athletes back to pre injury activity, however, outcome is dependent on appropriate preoperative evaluation, surgical timing, surgical technique, graft choice and an effective postoperative physical therapy program.
In-Patient Trends and Complications After Total Ankle Arthroplasty in the United States
The number of total ankle arthroplasties (TAAs) performed annually in the United States has increased. The purpose of this study was to evaluate the in-patient demographics, complications, and readmission rates of patients after TAA at academic medical centers in the United States. The University Health Systems Consortium...
Evaluation of satisfaction and durability after hemiarthroplasty and total shoulder arthroplasty in a cohort of patients aged 50 years or younger: An analysis of discordance of patient satisfaction and implant survival
Background: Shoulder arthroplasty in individuals aged 50 years or younger reportedly leads to worse outcomes than in older patients. Current methods of determining survivorship may be inadequate and may not reflect actual patient definitions of satisfaction. The purpose of this study is to evaluate and contrast the survival of...
Evaluation of Hip Internal and External Rotation Range of Motion as an Injury Risk Factor for Hip, Abdominal and Groin Injuries in Professional Baseball Players
Normal hip range of motion (ROM) is essential in running and transfer of energy from lower to upper extremities during overhead throwing. Dysfunctional hip ROM may alter lower extremity kinematics and predispose athletes to hip and groin injuries. The purpose of this study is characterize hip internal/external ROM (Arc) and its effect...