92 results match your criteria Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association[Journal]


Occupation-related Cervical Spine Disease in Orthopaedic Surgeons.

J Am Acad Orthop Surg 2020 May 4. Epub 2020 May 4.

From The Permanente Medical Group, Oakland, CA (Dr. Wyatt), the NYU Langone Orthopedic Hospital, New York, NY (Dr. Lin), the Southern California Permanente Medical Group, Pasadena, CA (Dr. Norheim, Dr. Navarro), and the California Orthopaedic Association, Sacramento, CA (Ms. Przepiorski).

Introduction: Musculoskeletal injury can substantially affect orthopaedic surgeons and productivity. The objective of this study was to assess occupation-related neck pain and cervical radiculopathy/myelopathy among orthopaedic surgeons and to identify the potential risk factors for injury.

Methods: An online survey was sent to orthopaedic surgeons via their state orthopaedic society. Read More

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http://dx.doi.org/10.5435/JAAOS-D-19-00834DOI Listing

Improvement and Retention of Arthroscopic Skills in Novice Subjects Using Fundamentals of Arthroscopic Surgery Training (FAST) Module.

J Am Acad Orthop Surg 2020 Feb 17. Epub 2020 Feb 17.

From the Department of Orthopaedic Surgery (Dr. Meeks, Dr. Kiskaddon, Dr. Froehle, Shroyer), Wright State University, Dayton, OH, the Boonshoft School of Medicine (Sirois), Wright State University, Dayton, OH, and the Department of Orthopaedic Surgery (Dr. Laughlin), University of Cincinnati, Cincinnati, OH.

Introduction: Analysis of the Fundamentals of Arthroscopy Surgery Training (FAST) workstation regarding increased proficiency and retention of basic arthroscopy skills in novice subjects.

Methods: First-year medical students from a single allopathic medical school performed weekly standardized FAST workstation modules for a consecutive 6 weeks. Primary outcomes evaluated were time to task completion and error rate on specific modules. Read More

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http://dx.doi.org/10.5435/JAAOS-D-19-00336DOI Listing
February 2020

Complications of Arthroscopic Versus Open Biceps Tenodesis in the Setting of Arthroscopic Rotator Cuff Repairs: An Analysis of the American Board of Orthopaedic Surgery Database.

J Am Acad Orthop Surg 2020 Feb;28(3):113-120

From the Department of Sports Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA.

Introduction: The purpose of this study was to compare complication rates between arthroscopic versus open biceps tenodesis in the setting of arthroscopic rotator cuff repair and to determine the effect of fellowship training on complication rates.

Methods: The American Board of Orthopaedic Surgery database was used to identify cases of arthroscopic and open biceps tenodesis in the setting of rotator cuff repair between 2012 and 2016. Surgical, medical, and anesthetic complications, location, fellowship training, surgery year, and patient demographic data were recorded. Read More

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http://dx.doi.org/10.5435/JAAOS-D-19-00252DOI Listing
February 2020

Analyzing Spin in Abstracts of Orthopaedic Randomized Controlled Trials with Statistically Insignificant Primary Endpoints.

Arthroscopy 2020 Jan 16:1443-1450.e1. Epub 2020 Jan 16.

Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma, U.S.A.

Purpose: Our primary aim of our study is to evaluate the prevalence of spin among abstracts in orthopaedic randomized controlled trials (RCTs) with nonsignificant primary endpoints.

Methods: This study was conducted in accordance with a previously written protocol publicly available via the Open Science Framework. PubMed (which includes Medline) was searched for RCTs in orthopaedic surgery. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.12.025DOI Listing
January 2020

All About the Ligamentum Teres: From Biomechanical Role to Surgical Reconstruction.

J Am Acad Orthop Surg 2020 Apr;28(8):e328-e339

From the American Hip Institute, Des Plaines, IL.

Intriguing anatomists and surgeons for centuries, the exact function and biomechanical significance of the ligamentum teres (LT) remains incompletely understood. The LT, also described as the ligamentum femoris capitis, is an intra-articular extrasynovial ligament extending from the cotyloid fossa of the acetabulum to the fovea on the femoral head. Some studies have described it as a vestigial structure in the adult hip. Read More

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http://dx.doi.org/10.5435/JAAOS-D-19-00352DOI Listing

Minimum Five-year Outcomes and Clinical Survivorship for Arthroscopic Transosseous-equivalent Double-row Rotator Cuff Repair.

J Am Acad Orthop Surg 2019 Dec;27(24):e1093-e1101

From the Steadman Philippon Research Institute (Dr. Pogorzelski, Dr. Fritz, Ms. Horan, Dr. Katthagen, Dr. Hussain, Dr. Godin, and Dr. Millett), and the The Steadman Clinic (Dr. Godin and Dr. Millett), Vail, CO.

Introduction: Despite the widespread use of arthroscopic double-row transosseous-equivalent (TOE) rotator cuff repair (RCR) techniques, midterm outcome data are limited. The purpose of this article was to assess midterm clinical outcomes of patients following arthroscopic TOE RCR using either a knotless tape bridge (TB) repair or knotted suture bridge (SB) repair technique. We hypothesized that there would be significant improvements in patient-reported outcomes with TOE RCR that would be durable over time. Read More

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http://dx.doi.org/10.5435/JAAOS-D-18-00519DOI Listing
December 2019

Complications of Arthroscopic Versus Open Biceps Tenodesis in the Setting of Arthroscopic Rotator Cuff Repairs: An Analysis of the American Board of Orthopaedic Surgery Database.

J Am Acad Orthop Surg 2019 Nov 5. Epub 2019 Nov 5.

From the Department of Sports Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA.

Introduction: The purpose of this study was to compare complication rates between arthroscopic versus open biceps tenodesis in the setting of arthroscopic rotator cuff repair and to determine the effect of fellowship training on complication rates.

Methods: The American Board of Orthopaedic Surgery database was used to identify cases of arthroscopic and open biceps tenodesis in the setting of rotator cuff repair between 2012 and 2016. Surgical, medical, and anesthetic complications, location, fellowship training, surgery year, and patient demographic data were recorded. Read More

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http://dx.doi.org/10.5435/JAAOS-D-19-00252DOI Listing
November 2019
1 Read

MRI Assessment of Subspine Impingement: Features beyond the Anterior Inferior Iliac Spine Morphology.

Radiology 2019 11 24;293(2):412-421. Epub 2019 Sep 24.

From the Departments of Radiology (M.S., W.W., S.G.) and Orthopedic Surgery (L.P., T.Y.), NYU Langone Orthopedic Hospital, 301 E 17th St, Room 600, New York, NY 10003.

Background The MRI manifestations of subspine impingement (SSI) other than morphologic features of anterior inferior iliac spine (AIIS) have not been extensively explored and validated. Purpose To determine the MRI findings associated with SSI, including AIIS morphologic features, femoral distal cam, and associated soft-tissue injuries. Materials and Methods This is a retrospective study of symptomatic patients who underwent arthroscopic treatment for femoroacetabular impingement between December 2014 and March 2017, with preoperative MRI within 6 months before surgery. Read More

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http://dx.doi.org/10.1148/radiol.2019190581DOI Listing
November 2019
1 Read

Superior Trunk Block Provides Noninferior Analgesia Compared with Interscalene Brachial Plexus Block in Arthroscopic Shoulder Surgery.

Anesthesiology 2019 12;131(6):1316-1326

From the Departments of Anesthesiology and Pain Medicine (R.A.K., J.S.J., J.H.L., S.J.C., M.S.G., T.S.H., J.S.K.) of Orthopedics (J.C.Y.), Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea the Department of Anesthesia, Toronto Western Hospital, Toronto, Canada (K.J.C.).

Background: Interscalene brachial plexus block of the C5-C6 roots provides highly effective postoperative analgesia after shoulder surgery but usually results in hemidiaphragmatic paresis. Injection around the superior trunk of the brachial plexus is an alternative technique that may reduce this risk. The authors hypothesized that the superior trunk block would provide noninferior postoperative analgesia compared with the interscalene block and reduce hemidiaphragmatic paresis. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002919DOI Listing
December 2019
2 Reads

Thumb Metacarpophalangeal Joint Arthritis.

J Am Acad Orthop Surg 2019 Dec;27(23):e1029-e1039

From the Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA.

Arthritis of the thumb metacarpophalangeal joint can be debilitating whether in isolation or in conjunction with degenerative disease at the adjacent joints. Despite its crucial role in fluid and dexterous motion of the thumb axis, little is known about the isolated incidence of pathology at this joint. Etiologies include primary, posttraumatic, and inflammatory arthritis. Read More

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http://dx.doi.org/10.5435/JAAOS-D-18-00683DOI Listing
December 2019
3 Reads

Teaching simulated arthroscopic Bankart repair: residents’ assessment at the Annual Shoulder Course

Can J Surg 2019 08;62(4):227-234

From the Department of Surgery, Hôpital du Sacré-Coeur de Montréal, Montreal, Que. (Rouleau, Canet, Petit); and the Department of Surgery, Université de Montréal, Montréal, Que. (Bédard).

Background: This study’s aim was to evaluate the performance of senior orthopedic residents during simulated arthroscopic anterior stabilization (Bankart repair) before and after a national shoulder review course.

Methods: Participants were assessed before and after the Annual Shoulder Review Course over a 3-day period, using a multiple-choice examination and surgery performance assessment. The surgical evaluation was completed by fellowship-trained surgeons using a standardized procedure checklist and a global rating scale. Read More

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http://dx.doi.org/10.1503/cjs.004618DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6660270PMC

Superior Trunk Block: A Phrenic-sparing Alternative to the Interscalene Block: A Randomized Controlled Trial.

Anesthesiology 2019 09;131(3):521-533

From the Departments of Anesthesiology (D.H.K., Y.L., J.C.B., J.L., J.A.O., S.C.H., M.C.H., D.S.W., L.W., C.G., S.G.M.) Orthopedic Surgery (A.A.A.), Hospital for Special Surgery, New York, New York.

Background: Interscalene nerve blockade remains one of the most commonly used anesthetic and analgesic approaches for shoulder surgery. The high incidence of hemidiaphragmatic paralysis associated with the block, however, precludes its use among patients with compromised pulmonary function. To address this issue, recent studies have investigated phrenic-sparing alternatives that provide analgesia. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002841DOI Listing
September 2019
9 Reads

Influence of Anxiety and Depression, Self-Rated Return-to-Work Problems, and Unemployment on the Outcome of Outpatient Rehabilitation After Shoulder Arthroscopy.

Am J Phys Med Rehabil 2019 12;98(12):1118-1124

From the University Hospital Jena, Campus Waldkliniken Eisenberg, Klinik für Orthopädie, Eisenberg, Germany (PS, AH, SB, GM, TKZ); and MEDIAN Ambulantes Gesundheitszentrum Leipzig, Leipzig, Germany (TS).

Objective: The aim of this study was to research the influence of psychosocial confounders on outpatient rehabilitation after arthroscopic shoulder surgery.

Design: This retrospective study included patients who underwent such rehabilitation in a single center between January 2014 and October 2016. Shoulder function (Constant Shoulder Score) and pain (visual analog scale), improvements in these scores, and patient satisfaction were evaluated with regard to anxiety and depression (Hospital Anxiety and Depression Scale), self-rated return-to-work problems (Würzburg screening), and employment status. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001260DOI Listing
December 2019
1 Read

Obstructive Sleep Apnea and Arthroscopic Rotator Cuff Repair-Are Complication Rates Really Increased?

J Am Acad Orthop Surg 2019 Jul;27(13):486-492

From the Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA.

Background: A few investigations exist which evaluate the influence of obstructive sleep apnea (OSA) on complications after arthroscopic rotator cuff repair.

Methods: A database was queried for patients undergoing rotator cuff repair with and without OSA and further subdivided into those with and without a billing code for a continuous positive airway pressure (CPAP) device. Thirty-day and 6-month adverse events were assessed. Read More

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http://dx.doi.org/10.5435/JAAOS-D-18-00069DOI Listing
July 2019
12 Reads

Best Practice Guidelines for Hip Arthroscopy in Femoroacetabular Impingement: Results of a Delphi Process.

J Am Acad Orthop Surg 2020 Jan;28(2):81-89

From the Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York City, NY (Dr. Lynch), Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH (Dr. Minkara, Dr. Rosneck), Department of Orthopedics, University of Utah, Salt Lake City, UT (Dr. Aoki), Department of Orthopedics, University of Michigan, Ann Arbor, MI (Dr. Bedi), Department of Orthopaedics, Lenox Hill Hospital, New York, NY (Dr. Bharam), Washington University Orthopedics, Chesterfield, MO (Dr. Clohisy), Department of Orthopedics, Houston Methodist Hospital, Houston, TX (Dr. Harris), Twin Cities Orthopedics, Minneapolis, MN (Dr. Larson), Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO (Dr. Nepple), Midwest Orthopaedics at Rush, Chicago, IL (Dr. Nho), Steadman Clinic, Vail, CO (Dr. Philippon), Department of Orthopaedic Surgery, Stanford University, Stanford, CA (Dr. Safran), Department of Orthopaedics, Wake Forrest University School of Medicine, Winston-Salem, NC (Dr. Stubbs), Department of Orthopedics, University of Iowa Hospital, Iowa City, IA (Dr. Westermann), Nashville Hip Institute, Nashville, TN (Dr. Byrd).

Background: Treatment algorithms for the arthroscopic management of femoroacetabular impingement (FAI) syndrome remain controversial because of a paucity of evidence-based guidance. Consequently, notable variability in clinical practice exists between different practitioners, necessitating expert consensus. The purpose of this study is to establish best practice guidelines (BPG) using formal techniques of consensus building among a group of experienced hip arthroscopists driven by the results of a systematic review and meta-analysis. Read More

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http://dx.doi.org/10.5435/JAAOS-D-18-00041DOI Listing
January 2020
5 Reads

Analgesic Benefit of Pectoral Nerve Block II Blockade for Open Subpectoral Biceps Tenodesis: A Randomized, Prospective, Double-Blinded, Controlled Trial.

Anesth Analg 2019 08;129(2):536-542

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan.

Background: Axillary pain is common after arthroscopic shoulder surgery with an open subpectoral biceps tenodesis. We hypothesized that adding a pectoral nerve block II (Pecs II) to an interscalene block (ISB) would improve postoperative analgesia in this surgical population.

Methods: Forty patients were enrolled in this prospective, randomized, observer and patient-blinded, single-institution trial. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004233DOI Listing
August 2019
8 Reads

Validation of a Novel Surgical Data Capturing System After Hip Arthroscopy.

J Am Acad Orthop Surg 2019 Nov;27(22):e1009-e1015

From the Case Western Reserve University School of Medicine, Cleveland, OH (Brown), the University of Iowa Orthopedics and Sports Medicine, Iowa City, IA (Dr. Westermann), the University of Washington Orthopaedics and Sports Medicine, Seattle, WA (Dr. Hagen), the Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH (Dr. Rosneck and Dr. Spindler), the Cleveland Clinic Sports Health, Cleveland Clinic, Cleveland, OH (Mr. Strnad, Dr. Rosneck, and Dr. Spindler), and the Columbia University Vagelos College of Physicians and Surgeons, New York, NY (Dr. Lynch).

Introduction: The purpose of this study is to compare the utility and validity of the OrthoMiDaS (Orthopaedic Minimal Data Set) Episode of Care (OME) database with the current benchmark for recording procedural details, the operative note (OpNote), with regard to disease severity and risk factors for hip arthroscopy cases.

Methods: A convenience sample of the first 100 hip arthroscopy cases for labral tears done at our institution between February and August 2015 were selected for this study. Surgeons recorded procedural details within OME after each case. Read More

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http://dx.doi.org/10.5435/JAAOS-D-18-00550DOI Listing
November 2019
1 Read

Pain Management for Ambulatory Arthroscopic Anterior Cruciate Ligament Reconstruction: Evidence-Based Recommendations From the Society for Ambulatory Anesthesia.

Anesth Analg 2019 04;128(4):631-640

Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas.

Ambulatory arthroscopic anterior cruciate ligament reconstruction is associated with moderate pain, even when nonopioid oral analgesics such as acetaminophen and nonsteroidal anti-inflammatory drugs are used. Regional analgesia can supplement nonopioid oral analgesics and reduce postoperative opioid requirements, but the choice of regional analgesia technique for anterior cruciate ligament reconstruction remains controversial. Femoral nerve block, adductor canal block, and local instillation analgesia have all been proposed and are supported by some evidence from randomized controlled trials. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003976DOI Listing
April 2019
29 Reads

Treatment of Adhesive Capsulitis of the Shoulder.

J Am Acad Orthop Surg 2019 Jun;27(12):e544-e554

From the Columbia University Medical Center, Department of Orthopedics, Center for Shoulder Elbow and Sports Medicine, New York, NY.

Adhesive capsulitis presents clinically as limited, active and passive range of motion caused by the formation of adhesions of the glenohumeral joint capsule. Radiographically, it is thickening of the capsule and rotator interval. The pathology of the disease, and its classification, relates to inflammation and formation of extensive scar tissue. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00606DOI Listing
June 2019
17 Reads

The Importance of a Standardized Screening Tool to Identify Thromboembolic Risk Factors in Pediatric Lower Extremity Arthroscopy Patients.

J Am Acad Orthop Surg 2019 May;27(9):335-343

From the Department of Orthopaedics (Dr. Ellis, Ms. Sabatino, Mr. Clarke, Mr. Dennis, Ms. Fletcher, Mr. Wyatt, and Dr. Wilson), Texas Scottish Rite Hospital for Children, and the Department of Orthopaedic Surgery (Dr. Ellis, and Dr. Wilson), and Department of Pediatrics-Hematology-Oncology (Dr. Zia), University of Texas Southwestern, Dallas, TX.

Introduction: Deep vein thrombosis and pulmonary embolism are major complications that can occur in common orthopaedic procedures such as knee arthroscopy. The purpose of this study is to determine the incidence of venous thromboembolism (VTE) risk factors in adolescent patients undergoing elective lower extremity arthroscopy. A second objective is to determine whether a targeted, standardized screening tool is both cost- and clinically effective in the identification of VTE risk factors in adolescents. Read More

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http://Insights.ovid.com/crossref?an=00124635-900000000-9943
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http://dx.doi.org/10.5435/JAAOS-D-18-00390DOI Listing
May 2019
10 Reads

Predictors of 5-Year Citation Rate in the Orthopaedic Sports Medicine Literature.

Am J Sports Med 2019 01 27;47(1):206-211. Epub 2018 Nov 27.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.

Background: The citation rate of a research published article is an indicator of its quality and impact and contributes to the journal's impact factor. Within the orthopaedic sports medicine literature, predictors of citation rates have not been previously described.

Purpose: To identify characteristics of published articles that predict 5-year citation rates of studies in the orthopaedic sports medicine literature. Read More

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http://dx.doi.org/10.1177/0363546518810504DOI Listing
January 2019

Reducing Lateral Femoral Cutaneous Nerve Palsy in Obese Patients in the Beach Chair Position: Effect of a Standardized Positioning and Padding Protocol.

J Am Acad Orthop Surg 2019 Jun;27(12):437-443

From the Department of Orthopaedic Surgery, Albert Einstein College of Medicine, Bronx, NY.

Introduction: To report on the effectiveness of a standardized patient positioning and padding protocol in reducing lateral femoral cutaneous nerve (LFCN) palsy in obese patients who have undergone shoulder surgery in the beach chair position.

Methods: We retrospectively reviewed the medical records of 400 consecutive patients with a body mass index (BMI) of ≥30 kg/m who underwent either open or arthroscopic shoulder surgery in the beach chair position by a single surgeon. Before June 2013, all patients were placed in standard beach chair positioning with no extra padding. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00624DOI Listing
June 2019
5 Reads

Force measurement metrics for simulated elbow arthroscopy training.

J Exp Orthop 2018 Oct 11;5(1):45. Epub 2018 Oct 11.

Department of Orthopaedic Surgery, Amsterdam University Medical Centres, University of Amsterdam, Amsterdam Movement Sciences, Meibergdreef 9, 1105 AZ, Amsterdam, the Netherlands.

Background: Elbow arthroscopy is a difficult surgical technique. Objective metrics can be used to improve safe and effective training in elbow arthroscopy. Force exerted on the elbow tissue during arthroscopy can be a measure of safe tissue manipulation. Read More

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https://jeo-esska.springeropen.com/articles/10.1186/s40634-0
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http://dx.doi.org/10.1186/s40634-018-0157-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6185876PMC
October 2018
7 Reads

Glenohumeral Dislocation Arthropathy: Etiology, Diagnosis, and Management.

J Am Acad Orthop Surg 2019 Apr;27(7):227-235

From the Department of Orthopaedic Surgery, University of California, Los Angeles (UCLA), Los Angeles, CA.

Dislocation arthropathy describes the development of progressive degenerative changes of the glenohumeral joint in the setting of instability. Although the specific etiology remains unclear, the trauma of a single dislocation, repetitive injury associated with recurrent dislocations, changes in shoulder biomechanics, and complications associated with instability surgery have all been implicated in its development. Pain and restricted range of motion are the most common patient complaints. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00056DOI Listing
April 2019
4 Reads

Patient-related Risk Factors for Postoperative Stiffness Requiring Surgical Intervention After Arthroscopic Rotator Cuff Repair.

J Am Acad Orthop Surg 2019 Apr;27(7):e319-e323

From the Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA.

Introduction: Risk factors for stiffness after arthroscopic rotator cuff repair (RCR) have been limited to studies with small patient numbers. The objective is to determine patient-related risk factors for stiffness after RCR.

Methods: The PearlDiver database was queried from 2007 to 2015 for patients undergoing isolated arthroscopic RCR. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00929DOI Listing
April 2019
8 Reads

Arthroscopic Management of Glenohumeral Arthritis: A Joint Preservation Approach.

J Am Acad Orthop Surg 2018 Nov;26(21):745-752

From the Steadman Philippon Research Institiute (Dr. Millett and Dr. Fritz), and the Steadman Clinic, Steadman Philippon Research Institute (Dr. Frangiamore and Dr. Mannava), Vail, CO.

Treatment of young, active patients with primary glenohumeral osteoarthritis (GHOA) is challenging because shoulder arthroplasty may not be ideal in this population. In the past two decades, joint-preserving arthroscopic management options for GHOA, including débridement, have been used to treat different pathologies related to GHOA to reduce pain, to improve function, and to delay or even avoid arthroplasty. Key aspects of comprehensively addressing GHOA arthroscopically include chondroplasty, synovectomy, loose body removal, humeral osteoplasty with excision of the goat's beard osteophyte, capsular release, subacromial and subcoracoid decompression, axillary nerve decompression, and biceps tenodesis. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00214DOI Listing
November 2018
11 Reads

Symptomatic, Unstable Os Acromiale.

J Am Acad Orthop Surg 2018 Nov;26(22):789-797

From the Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD.

Management of a persistently symptomatic, unstable os acromiale remains controversial. An unstable os acromiale is an easy diagnosis to miss and should be specifically evaluated for in patients with shoulder pain and a high degree of clinical suspicion. Surgical options include open or arthroscopic excision and open reduction and internal fixation. Read More

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http://Insights.ovid.com/crossref?an=00124635-201811150-0000
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http://dx.doi.org/10.5435/JAAOS-D-17-00011DOI Listing
November 2018
10 Reads

Glenohumeral Osteoarthritis in the Young Patient.

J Am Acad Orthop Surg 2018 Sep;26(17):e361-e370

From the Department of Orthopedic Surgery, OrthoCarolina, Charlotte, NC (Dr. Saltzman), the Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada (Dr. Leroux), and the Rush University Medical Center, Chicago, IL (Dr. Verma and Dr. Romeo).

Glenohumeral osteoarthritis in the young patient (aged <60 years) is a difficult condition, given both age and functional demands. Primary osteoarthritis is the most common etiology in this patient demographic, but secondary causes include osteonecrosis, previous trauma (eg, fracture-dislocation), previous infection (eg, septic arthritis), previous capsulorrhaphy, previous arthroscopic surgery (eg, chondrolysis), and glenoid dysplasia. Nonsurgical modalities, including activity modification, pharmacotherapy, physical therapy, and intra-articular injections, are the mainstay of management; however, in young patients who have exhausted nonsurgical management, surgical options include arthroscopic débridement, humeral head replacement with or without glenoid treatment (ie, biologic glenoid resurfacing, glenoid reaming), and total or reverse total shoulder arthroplasty. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00657DOI Listing
September 2018
48 Reads

Preoperative Fascia Iliaca Block Does Not Improve Analgesia after Arthroscopic Hip Surgery, but Causes Quadriceps Muscles Weakness: A Randomized, Double-blind Trial.

Anesthesiology 2018 09;129(3):536-543

From the Departments of Anesthesia and Perioperative Care (M.B., E.N.Y., K.K., S.K., M.W.H., P.A.) Orthopedic Surgery (A.L.Z.) University of California at San Francisco, San Francisco, California.

What We Already Know About This Topic: WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Ambulatory hip arthroscopy is associated with postoperative pain routinely requiring opioid analgesia. The potential role of peripheral nerve blocks for pain control after hip arthroscopy is controversial. This trial investigated whether a preoperative fascia iliaca block improves postoperative analgesia. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002321DOI Listing
September 2018
39 Reads

Arthroscopic Management of Tibial Spine Avulsion Fractures: Principles and Techniques.

J Am Acad Orthop Surg 2018 May;26(10):360-367

From the Department of Orthopaedic Surgery, New York University Langone Medical Center, New York, NY.

Tibial spine fractures are uncommon injuries affecting the insertion of the anterior cruciate ligament on the tibia. They typically occur in skeletally immature patients aged 8 to 14 years and result from hyperextension of the knee with a valgus or rotational force. Diagnosis is based on history, physical examination, and standard radiographs. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00117DOI Listing
May 2018
47 Reads

Comparison of Anterior Suprascapular, Supraclavicular, and Interscalene Nerve Block Approaches for Major Outpatient Arthroscopic Shoulder Surgery: A Randomized, Double-blind, Noninferiority Trial.

Anesthesiology 2018 07;129(1):47-57

From the Virginia Mason Medical Center, Seattle, Washington (D.B.A., N.A.H., R.S.J., S.C.Y.) the Washington Permanente Medical Group, Seattle, Washington (B.E.S.) Axio Research, Seattle, Washington (A.E.S.).

Background: The interscalene nerve block provides analgesia for shoulder surgery, but is associated with diaphragm paralysis. One solution may be performing brachial plexus blocks more distally. This noninferiority study evaluated analgesia for blocks at the supraclavicular and anterior suprascapular levels, comparing them individually to the interscalene approach. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002208DOI Listing
July 2018
23 Reads

Assessment of Low-Grade Meniscal and Cartilage Damage of the Knee at 7 T: A Comparison to 3 T Imaging With Arthroscopic Correlation.

Invest Radiol 2018 07;53(7):390-396

From the Departments of Radiology and Nuclear Medicine, and.

Objectives: The aim of this study was to compare the assessment of low-grade meniscal tears and cartilage damage in ultrahigh-field magnetic resonance imaging (MRI) at 7 T to routine clinical MRI at 3 T.

Materials And Methods: This study was approved by the local ethics committee, and written informed consent was obtained from each patient. Forty-one patients with suspected meniscal damage or mild osteoarthritis (Kellgren-Lawrence score, 0-2) received 7 T as well as routine clinical 3 T consecutively. Read More

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http://dx.doi.org/10.1097/RLI.0000000000000456DOI Listing
July 2018
5 Reads

Surgical Procedures for Chronic Lateral Ankle Instability.

J Am Acad Orthop Surg 2018 Apr;26(7):223-230

From the Department of Orthopaedic Surgery, Teikyo University School of Medicine, Tokyo, Japan (Dr. Yasui) and the Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY (Dr. Shimozono and Dr. Kennedy).

Surgical procedures for managing chronic lateral ankle instability include anatomic direct repair, anatomic reconstruction with an autograft or allograft, and arthroscopic repair. Open direct repair is commonly used for patients with sufficient ligament quality. Reconstruction incorporating either an autograft or an allograft is another promising option in the short term, although the longevity of this procedure remains unclear. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00623DOI Listing

Effect of Facility Ownership on Utilization of Arthroscopic Shoulder Surgery.

J Am Acad Orthop Surg 2018 Mar;26(5):177-185

From the Rothman Institute at Jefferson, Philadelphia, PA.

Introduction: We examined practice patterns and surgical indications in the management of common shoulder procedures by surgeons practicing at physician-owned facilities.

Methods: This study was a retrospective analysis of 501 patients who underwent arthroscopic shoulder procedures performed by five surgeons in our practice at one of five facilities during an 18-month period. Two of the facilities were physician-owned, and three of the five surgeons were shareholders. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00782DOI Listing
March 2018
14 Reads
2.530 Impact Factor

Surgical Management of Simultaneous Anterior Cruciate Ligament and Patellar Tendon Ruptures: A Systematic Review.

J Knee Surg 2018 Oct 28;31(9):875-883. Epub 2017 Dec 28.

Department of Orthopedics & Sports Medicine, Houston Methodist Hospital, Houston, Texas.

This study performs a systematic review to determine (1) if a significant difference exists in return to preinjury activity level between one- and two-stage treatment of combined anterior cruciate ligament (ACL) and patellar tendon (PT) tears; and (2) if a significant difference exists in the number of postoperative complications between the two differing surgical treatment approaches. A systematic review was performed using Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines and registered on PROSPERO. MEDLINE, Cochrane Central Register of Controlled Trials, SCOPUS, and Sport Discus were searched for English language level I-IV evidence studies on either one- (simultaneous) or two-stage (sequential) surgical treatment of simultaneously sustained ipsilateral ACL and PT tears. Read More

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http://dx.doi.org/10.1055/s-0037-1615814DOI Listing
October 2018
4 Reads

Evidence Basis for Regional Anesthesia in Ambulatory Arthroscopic Knee Surgery and Anterior Cruciate Ligament Reconstruction: Part II: Adductor Canal Nerve Block-A Systematic Review and Meta-analysis.

Anesth Analg 2019 02;128(2):223-238

Department of Anesthesia, University of Toronto, Toronto, Ontario, Canada.

Background: Adductor canal block (ACB) has emerged as an effective analgesic regional technique for major knee surgeries in the last decade. Its motor-sparing properties make it particularly attractive for ambulatory knee surgery, but evidence supporting its use in ambulatory arthroscopic knee surgery is conflicting. This systematic review and meta-analysis evaluates the analgesic effects of ACB for ambulatory arthroscopic knee surgeries. Read More

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http://dx.doi.org/10.1213/ANE.0000000000002570DOI Listing
February 2019
38 Reads

Discoid Lateral Meniscus in Children: Diagnosis, Management, and Outcomes.

J Am Acad Orthop Surg 2017 Nov;25(11):736-743

From the Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA (Dr. Kocher and Dr. Kramer) and the Steadman Philippon Research Institute, Vail, CO (Dr. Logan).

Discoid meniscus is a congenital variant of the knee joint that typically involves abnormal morphology and potential instability of the lateral meniscus. Some discoid menisci have abnormal peripheral attachments and are unstable. Discoid menisci are prone to tearing secondary to increased thickness, poor tissue quality, and instability. Read More

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http://dx.doi.org/10.5435/JAAOS-D-15-00491DOI Listing
November 2017
9 Reads

Arthroscopic Versus Open Treatment for Acute Septic Arthritis of the Knee in Children.

Pediatr Infect Dis J 2018 05;37(5):413-418

From the The Bone and Joint Institute.

Background: Acute septic arthritis of the knee in children may be treated by arthroscopic or open methods; however, pediatric data comparing these methods is limited regarding both short- and long-term outcomes. This study aimed to compare outcomes after arthroscopic versus open surgery for acute pediatric septic knee arthritis.

Methods: Pediatric patients with acute knee septic arthritis treated at our institution from 1996 to 2016 were retrospectively assessed. Read More

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http://dx.doi.org/10.1097/INF.0000000000001795DOI Listing
May 2018
5 Reads

Septic Arthritis of the Shoulder: A Comparison of Treatment Methods.

J Am Acad Orthop Surg 2017 Aug;25(8):e175-e184

From the University of Chicago Medical Center, Chicago, IL (Dr. Jiang, Dr. Mass, Dr. Angeles, and Dr. Shi), and the University of Illinois at Chicago College of Medicine, Chicago (Dr. Piponov).

Introduction: In-hospital outcomes were compared among patients with shoulder septic arthritis treated with arthrocentesis, open irrigation and débridement, or arthroscopic irrigation and débridement.

Methods: The Nationwide Inpatient Sample database was queried for all cases of native shoulder septic arthritis between 2002 and 2011. Patient demographics, comorbidities, and hospitalization complications were compared for the shoulder arthrocentesis (nonsurgical) and open or arthroscopic irrigation and débridement (surgical) groups. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00103DOI Listing
August 2017
48 Reads

Hospital-Based Acute Care Within 7 Days of Discharge After Outpatient Arthroscopic Shoulder Surgery.

Anesth Analg 2018 02;126(2):600-605

From the Department of Anesthesiology & Critical Care, the University of Pennsylvania, Philadelphia, Pennsylvania.

Background: The rate of hospital-based acute care (defined as hospital transfer at discharge, emergency department [ED] visit, or subsequent inpatient hospital [IP] admission) after outpatient procedure is gaining momentum as a quality metric for ambulatory surgery. However, the incidence and reasons for hospital-based acute care after arthroscopic shoulder surgery are poorly understood.

Methods: We studied adult patients who underwent outpatient arthroscopic shoulder procedures in New York State between 2011 and 2013 using the Healthcare Cost and Utilization Project database. Read More

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http://dx.doi.org/10.1213/ANE.0000000000002188DOI Listing
February 2018
48 Reads
3.472 Impact Factor

Anterior Suprascapular Nerve Block Versus Interscalene Brachial Plexus Block for Shoulder Surgery in the Outpatient Setting: A Randomized Controlled Patient- and Assessor-Blinded Trial.

Reg Anesth Pain Med 2017 May/Jun;42(3):310-318

From the *Department of Anesthesiology, ACQUA Clinic, Leipzig, Germany; †Department of Anatomy, Histology and Embryology, Division of Clinical and Functional Anatomy, Innsbruck Medical University, Innsbruck, Austria; ‡Department of Anesthesiology, Intensive Care Medicine, Pain Therapy and Palliative Medicine, Sana Hospital, Borna, Germany; §Clinical Trial Centre, University of Leipzig, Leipzig, Germany; ∥Department of Anesthesiology and Intensive Care Medicine, University Hospital Leipzig, Leipzig, Germany; and **Department of Anesthesiology and Intensive Care Medicine, Heinrich-Braun-Hospital Zwickau, Zwickau, Germany.

Background And Objectives: The interscalene brachial plexus block (ISB), a potent option to control pain after shoulder surgery, has notable adverse effects. The anterior suprascapular nerve block (SSNB) might provide comparable analgesia and cause less grip-strength impairment. These characteristics were studied in this randomized controlled patient- and assessor-blinded trial. Read More

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http://dx.doi.org/10.1097/AAP.0000000000000573DOI Listing
September 2018
7 Reads

Arthroscopic Hip Surgery: Frequency of Postoperative MR Arthrographic Findings in Asymptomatic and Symptomatic Patients.

Radiology 2017 06 7;283(3):779-788. Epub 2016 Dec 7.

From the Departments of Radiology (C.H.O.K., T.J.D., C.W.A.P., R.S.) and Orthopedic Surgery (P.O.Z., C.D.), Orthopedic University Hospital Balgrist, Forchstrasse 340, 8008 Zurich, Switzerland; and Faculty of Medicine, University of Zurich, Zurich, Switzerland (C.H.O.K., T.J.D., P.O.Z., C.D., C.W.A.P., R.S.).

Purpose To determine and compare the frequency of imaging abnormalities in asymptomatic and symptomatic patients after arthroscopic hip surgery. Materials and Methods This study was approved by the institutional review board. Informed consent was obtained from all patients. Read More

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http://dx.doi.org/10.1148/radiol.2016161078DOI Listing
June 2017
14 Reads

Construct Validity for a Cost-effective Arthroscopic Surgery Simulator for Resident Education.

J Am Acad Orthop Surg 2016 Dec;24(12):886-894

From Rush University, Chicago, IL (Dr. Lopez), Wake Forest University School of Medicine, Winston-Salem, NC (Dr. Martin and Dr. Bracey), the Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO (Dr. Wright), and the Department of Orthopaedics, University of California Irvine, Irvine, CA (Dr. Jung, Dr. Hahn, Dr. Jain, and Dr. Gupta).

Introduction: Arthroscopy is one of the most challenging surgical skills to assess and teach. Although basic psychomotor arthroscopic skills, such as triangulation and object manipulation, are incorporated into many simulation exercises, they are not always individually taught or objectively evaluated. In addition, arthroscopic instruments, arthroscopy cameras, and the cadaver or joint models necessary for practice are costly. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00191DOI Listing
December 2016
15 Reads

Posterior Root Meniscal Tears: Preoperative, Intraoperative, and Postoperative Imaging for Transtibial Pullout Repair.

Radiographics 2016 Oct;36(6):1792-1806

From the Departments of Radiology (A.R.P., R.R.W., M.H.W., C.D.B.) and Orthopedic Surgery (T.B.S.), Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030.

The menisci play an important biomechanical role in axial load distribution of the knees by means of hoop strength, which is contingent on intact circumferentially oriented collagen fibers and meniscal root attachments. Disruption of the meniscal root attachments leads to altered biomechanics, resulting in progressive cartilage loss, osteoarthritis, and subchondral edema, with the potential for development of a subchondral insufficiency fracture. Identification of meniscal root tears at magnetic resonance (MR) imaging is crucial because new arthroscopic surgical techniques (transtibial pullout repair) have been developed to repair meniscal root tears and preserve the tibiofemoral cartilage of the knee. Read More

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http://dx.doi.org/10.1148/rg.2016160026DOI Listing
October 2016
9 Reads

Hip labral repair: options and outcomes.

Authors:
Joshua D Harris

Curr Rev Musculoskelet Med 2016 Dec;9(4):361-367

Houston Methodist Orthopedics & Sports Medicine, 6550 Fannin Street, Smith Tower, Suite 2500, Houston, TX, 77030, USA.

The importance of the acetabular labrum has been increasingly recognized, playing a critical role in both normal anatomy and abnormal pathology of the hip joint. The labrum increases acetabular surface area and volume, providing a stable and durable articulation. The fibrocartilaginous composition affords a tissue capable of a lifetime of normal function in the absence of significant osseous pathology. Read More

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http://dx.doi.org/10.1007/s12178-016-9360-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127940PMC
December 2016
63 Reads

A Review of Databases Used in Orthopaedic Surgery Research and an Analysis of Database Use in Arthroscopy: The Journal of Arthroscopic and Related Surgery.

Arthroscopy 2017 Jan 24;33(1):225-231. Epub 2016 Aug 24.

Department of Orthopaedic Surgery, University of Connecticut Health Center, Farmington, Connecticut, U.S.A.. Electronic address:

Purpose: The purpose of this study was to evaluate how database use has changed over time in Arthroscopy: The Journal of Arthroscopic and Related Surgery and to inform readers about available databases used in orthopaedic literature.

Methods: An extensive literature search was conducted to identify databases used in Arthroscopy and other orthopaedic literature. All articles published in Arthroscopy between January 1, 2006, and December 31, 2015, were reviewed. Read More

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http://dx.doi.org/10.1016/j.arthro.2016.06.014DOI Listing
January 2017
20 Reads

A Comparison of Combined Suprascapular and Axillary Nerve Blocks to Interscalene Nerve Block for Analgesia in Arthroscopic Shoulder Surgery: An Equivalence Study.

Reg Anesth Pain Med 2016 Sep-Oct;41(5):564-71

From the *Department of Anesthesiology and Perioperative Medicine, St Joseph's Health Care, Western University, London, Ontario; and †Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada; ‡Department of Anesthesia, Royal Hobart Hospital, Hobart, Tasmania, Australia; and §Department of Orthopedics, St Joseph's Health Care, Western University, London, Ontario, Canada.

Background And Objectives: The primary objective of this study was to compare the analgesic efficacy of combined suprascapular and axillary nerve block (SSAX) with interscalene block (ISB) after arthroscopic shoulder surgery. Our hypothesis was that ultrasound-guided SSAX would provide postoperative analgesia equivalent to ISB.

Methods: Sixty adult patients undergoing arthroscopic shoulder surgery received either SSAX or ISB prior to general anesthesia, in a randomized fashion. Read More

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http://pdfs.journals.lww.com/rapm/2016/09000/A_Comparison_of
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http://dx.doi.org/10.1097/AAP.0000000000000436DOI Listing
March 2017
15 Reads

Neurologic Outcomes After Low-Volume, Ultrasound-Guided Interscalene Block and Ambulatory Shoulder Surgery.

Reg Anesth Pain Med 2016 Jul-Aug;41(4):477-81

From the *Acute Interventional Perioperative Pain Service, Department of Anesthesiology, School of Medicine, †Clinical and Translational Science Institute, and ‡Department of Physical Medicine and Rehabilitation, School of Medicine, University of Pittsburgh, Pittsburgh, PA.

Background And Objectives: Postoperative neurologic symptoms after interscalene block and shoulder surgery have been reported to be relatively frequent. Reports of such symptoms after ultrasound-guided block have been variable. We evaluated 300 patients for neurologic symptoms after low-volume, ultrasound-guided interscalene block and arthroscopic shoulder surgery. Read More

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http://dx.doi.org/10.1097/AAP.0000000000000425DOI Listing
March 2017
7 Reads

Fragmentation of the Medial Coronoid Process in Toy and Small Breed Dogs: 13 Elbows (2000-2012).

J Am Anim Hosp Assoc 2016 Jul-Aug;52(4):234-41. Epub 2016 Jun 3.

From the Department of Veterinary Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX (W.B.S., D.A.H., E.C.H.); Capital Area Veterinary Specialists, Austin, TX (D.A.H.); and Gulf Coast Veterinary Specialists, Houston, TX (B.S.B.).

Fragmentation of the medial coronoid process (FCP) is an uncommon cause of thoracic limb lameness in toy and small breed dogs. Arthroscopic findings and treatment remains poorly described. The objective of this study was to describe the arthroscopic findings and short-term outcome following arthroscopic treatment in toy and small breed dogs with FCP. Read More

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http://dx.doi.org/10.5326/JAAHA-MS-6295DOI Listing
September 2018
16 Reads

Potential Utility of a Combined Approach with US and MR Arthrography to Image Medial Elbow Pain in Baseball Players.

Radiology 2016 Jun 27;279(3):827-37. Epub 2016 Jan 27.

From the Department of Radiology, Thomas Jefferson University Hospital, Jefferson Medical College, 132 S 10th St, Philadelphia, PA 19107 (J.B.R., F.M.G., A.C.Z., W.B.M., M.T.N., L.N.N.); and Division of Sports Medicine, Department of Orthopedic Surgery, Thomas Jefferson University Hospital, Rothman Institute, Jefferson Medical College, Philadelphia, Pa (M.G.C.).

Purpose To evaluate a combined imaging approach with both ultrasonography (US; conventional US and valgus stress US) and magnetic resonance (MR) arthrography in baseball players with medial elbow pain. Materials and Methods Institutional review board approval was obtained and the requirement for informed consent was waived. The study is compliant with HIPAA. Read More

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http://dx.doi.org/10.1148/radiol.2015151256DOI Listing
June 2016
24 Reads