Search Our Scientific Publications & Authors

Cureus 2023 Aug 22;15(8):e43942. Epub 2023 Aug 22.

Department of Pediatric Orthopaedic Surgery, ProMedica Toledo Hospital, Toledo, USA.

We present the case of a six-year-old male patient, status post fall with elbow dislocation, successfully reduced. At the time of injury, he had normal appearing x-rays, signs of a mildly discrete chip, and possible epicondyle ossification, but no definitive fracture. A medial condyle fracture with dislocation was missed at the original time of injury. Read More

Knee Surg Sports Traumatol Arthrosc 2023 Sep 22. Epub 2023 Sep 22.

Department of Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland.

Purpose: Acromioclavicular joint (ACJ) dislocations are usually graded radiographically according to Rockwood, but differentiation between Rockwood types III and V may be ambiguous. The potentially clinically relevant horizontal instability is barely addressed in coronal radiographs. It was hypothesized that a new radiologic parameter (V angle) would complement ACJ diagnostics on anteroposterior radiographs by differentiating between cases of Rockwood III and V while also considering the aspect of dynamic horizontal translation (DHT). Read More

JSES Int 2023 Sep 24;7(5):868-871. Epub 2023 May 24.

Department for Trauma and Orthopedic Surgery, BG Klinik Ludwigshafen, Ludwigshafen, Germany.

Background: The purpose of this study was to analyze the correlation of the Subjective Elbow Value (SEV) with 2 widely used elbow scoring systems: Mayo Elbow Performance Score (MEPS) and Oxford Elbow Score (OES) in patients following elbow dislocation.

Methods: In this retrospective single-center study, patients who sustained an elbow dislocation between January 2008 and December 2019 and were at least 2 years out from injury were included. SEV, OES and MEPS were assessed and statistical correlation was calculated using Pearson's correlation coefficient. Read More

JSES Int 2023 Sep 27;7(5):730-736. Epub 2023 May 27.

Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA.

Background: The purpose of this study was to investigate the impact of high body mass index on the 1-year minimal outcome following arthroscopic shoulder stabilization.

Methods: Patients who underwent arthroscopic Bankart repair (ABR) between 2017 and 2021 were identified and assigned to 1 of 3 cohorts based on their preoperative body mass index: normal (18-25), overweight (25-30), and obese (>30). The primary outcomes assessed were postoperative shoulder instability and revision rates. Read More

J Pediatr Orthop 2023 Sep 13. Epub 2023 Sep 13.

Division of Orthopaedic Surgery, Rady Children's Hospital, San Diego.

Background: The aim of this study was to assess the patient demographics, epidemiology, mechanism of injury, and natural history of sublime tubercle avulsion injuries.

Methods: A multicenter retrospective study was performed in which sublime tubercle avulsion injuries were identified by surgeon records and database query of radiology reports. Demographic data and imaging were reviewed for each case, and injuries were classified as type 1 (isolated injuries with a simple bony avulsion or periosteal stripping) or type 2 (complex injuries with an associated elbow fracture or dislocation). Read More

Shoulder Elbow 2023 Sep 22;15(1 Suppl):71-79. Epub 2022 May 22.

Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.

Background: Tobacco carcinogens have adverse effects on bone health and are associated with inferior outcomes following orthopedic procedures. The purpose of this study was to assess the impact tobacco use has on readmission and complication rates following shoulder arthroplasty.

Methods: The 2016-2018 National Readmissions Database was queried to identify patients who underwent anatomical, reverse, and hemi-shoulder arthroplasty. Read More

Cureus 2023 Aug 10;15(8):e43297. Epub 2023 Aug 10.

Department of Orthopaedic Surgery, University of Rochester, Rochester, USA.

Introduction: The purpose of our study is to analyze the outcomes of traumatic posterolateral elbow dislocations using patient-reported outcomes measurement information system (PROMIS). We hypothesized that physical function (PF) and upper extremity (UE) scores in PROMIS will significantly improve over six months of follow-up and correlate with a positive change in the patient-acceptable symptom state (PASS).

Methods: This is a seven-year retrospective study of 165 consecutive adult patients with traumatic posterolateral elbow dislocations. Read More

J Shoulder Elbow Surg 2023 Sep 7. Epub 2023 Sep 7.

Gold Coast University Hospital, Southport, QLD, Australia.

Background: Total elbow replacement (TER) is an accepted treatment for complex intra-articular distal humerus fractures in elderly patients. Distal humeral hemiarthroplasty (HA) is also a potential surgical option for unreconstructable fractures and avoids the concerns regarding mechanical wear and functional restrictions associated with TER. In the current literature, there are limited data available to compare the revision rates of HA and TER for the treatment of fracture. Read More

Front Pediatr 2023 23;11:1223615. Epub 2023 Aug 23.

Department of Otorhinolaryngology, Dalian Women and Children's Medical Group, Dalian, China.

Objective: In the past, obviously displaced lateral condyle fractures of the humerus in children were treated satisfactorily with open reduction and internal fixation (ORIF). However, in recent years, more studies have mentioned closed reduction and percutaneous pinning (CRPP) of these fractures.

Methods: In this retrospective investigation, the radiographic and clinical results of patients with these fractures that were initially managed with CRPP were newly classified. Read More

Acta Orthop Traumatol Turc 2023 Jul;57(4):154-160

Department of Orthopaedic Surgery, The Affiliated Hospital of Guizhou Medical University, Guizhou, China.

Objective: This systematic review aimed to determine whether obesity has a negative impact on the incidence of complications and functional scores of all types of shoulder arthroplasty.

Methods: Electronic databases such as PubMed, Embase, Web of Science, and Cochrane were systematically searched for publications concerning obesity and shoulder arthroplasty. The Newcastle-Ottawa scale criteria were used to evaluate the study's quality. Read More

Skeletal Radiol 2023 Sep 5. Epub 2023 Sep 5.

Department of Radiology, Division of Pediatric Radiology, Columbia University Irving Medical Center, 630 West 168th Street, MC-28, New York, NY, 10032, USA.

Objective: The main objective of this study was to understand the role of skeletal maturity in the different patterns of osteochondral and ligamentous injuries after an acute lateral patellar dislocation.

Materials And Methods: Two radiologists independently reviewed MRIs of 212 knees performed after an acute lateral patellar dislocation to evaluate the presence of high-grade patellar osteochondral injury, femoral osteochondral injury, and medial patellofemoral ligament injury. The association of skeletal maturity (indicated by a closed distal femoral physis), age, sex, and first-time versus recurrent dislocation with each of these various lesions was analyzed using Chi-square or T test, and multivariable logistic regression with estimation of odds ratios (OR). Read More

J Surg Orthop Adv 2023 ;32(2):88-91

Mayo Clinic, Department of Orthopedic Surgery, Rochester, Minnesota.

All-terrain vehicles (ATVs) have become popular with respect to recreational activities. Multiple orthopaedic and pediatric organizations currently recommend limiting use of ATVs to older age groups of children with supervision. These recommendations have not generally been adhered to, resulting in a disproportionate number of pediatric orthopaedic trauma, specifically of the upper extremities. Read More

Orthop J Sports Med 2023 Aug 25;11(8):23259671231190411. Epub 2023 Aug 25.

Department of Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Charitè University Hospital, Berlin, Germany.

Background: Evidence for the superiority of surgical versus nonsurgical treatment of Rockwood type 3 acromioclavicular joint (ACJ) dislocation is still lacking.

Hypothesis: It was hypothesized that surgical treatment will outperform nonsurgical treatment.

Study Design: Randomized controlled trial; Level of evidence, 1. Read More

J Orthop Case Rep 2023 Aug;13(8):24-27

Department of Orthopaedics, VIMSAR Burla, Sambalpur, Odisha, India.

Introduction: Anterior elbow dislocation is a rare occurrence, mostly produced by direct trauma to elbow in flexion attitude following fall from height. Posterior dislocation is the commoner entity at the elbow joint, thus rarity of this case incites reporting.

Case Report: A 53-year-old male presented to our outpatient department with complaints of pain, swelling, and inability to move his right upper limb, following fall from height. Read More

Medicine (Baltimore) 2023 Aug;102(34):e34855

Department of Orthopaedics, Provincial Children's Hospital of Anhui Medical University, Hefei, Anhui Province, China.

Elbow fracture is one of the most common fractures in preschool children, and the secondary ossification center appears regularly with age increasing. Transphyseal separation of the distal humerus, medial humeral condyle fracture, lateral humeral condyle fracture, radial head osteochondral separation, and Monteggia fracture (minimal ulnar bow type) are difficult to diagnose based on X-ray films alone because of the unossified secondary ossification center or a suspicious non-alignment of the anatomical cartilage of the elbow joint in preschool children. These 5 fractures above are defined as The Radiographic Appearance Seemed Harmless fractures in preschool children (TRASH-PS). Read More

J Shoulder Elbow Surg 2023 Aug 28. Epub 2023 Aug 28.

Shoulder, Elbow and Orthopaedic Sports Medicine, Sonnenhof Oprthoppaedics, Bern, Switzerland; Shoulder, Elbow Unit, Sportsclinicnumber1, Bern, Switzerland.

Background: The popularity of team handball is increasing with over 10 million children playing this overhead, throwing and collision sport with highest demands on the shoulder joint. Due to the risk for recurrent instability, the Latarjet-Patte (LP) procedure has been recommended to treat young competitive players. This is the first LP outcome study in professional handball. Read More

J Shoulder Elb Arthroplast 2023 25;7:24715492231196622. Epub 2023 Aug 25.

Department of Orthopaedics, School of Medicine, University Hospital of Patras, Patras, Greece.

Introduction: Monteggia-like lesions are rare injuries in adults that include a wide spectrum of complex fracture-dislocations of the proximal ulna and radius. In this retrospective study, we performed a modified Boyd approach and a standard surgical protocol for the treatment of these lesions. Our aim was to evaluate the results of the operative treatment for patients with Monteggia-like lesions, using a modified Boyd approach. Read More

Bull Hosp Jt Dis (2013) 2023 Sep;81(3):208-211

Purpose: Radial head subluxation (RHS), also called nursemaid's elbow, is a common injury in young children treated by various health care providers. The diagnosis typically does not require radiographs, but they are often ordered in the emergency room. This study aimed to determine if there was a difference in the efficacy, cost, and amount of radiographs taken in RHS treatment according to the provider, specifically between orthopedic surgeons and pediatricians. Read More

Medicina (Kaunas) 2023 Aug 16;59(8). Epub 2023 Aug 16.

Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University of Rome, 00185 Rome, Italy.

On March 2020, our country became a protected area due to the COVID-19 pandemic. The consequences of COVID-19 on trauma surgery were great. We aimed to evaluate the activity of the Trauma Centre of a highly populated suburban area over 30 days starting from the first day of restrictions, to compare it with the same period of 2019 and 2022 and to evaluate whether a progressive return to normality has taken place. Read More

J Bone Joint Surg Am 2023 Aug 24. Epub 2023 Aug 24.

Department of Trauma and Orthopaedic Surgery, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, England.

Background: We have previously reported on the midterm outcomes after a nonoperative protocol to treat simple dislocations of the elbow that included a short period of splinting followed by early movement. We have now performed extended follow-up of the original patient group from the prior study to determine whether the excellent results that previously had been reported were maintained in the long term and also to determine the rate of and need for any late surgical intervention.

Methods: We attempted to contact all of the patients from the original study group. Read More

J Shoulder Elbow Surg 2023 Aug 18. Epub 2023 Aug 18.

Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.

Background: Dislocation is a major complication of reverse total shoulder arthroplasty (RSA). Humeral liner may be changed to the constrained type when stability doesn't improve by increasing glenosphere size or lateralization with implants, and patients, particularly women with obesity, have risks of periprosthetic instability that may be secondary to hinge adduction on the thorax, but there are few reports on its impact on the range of motion (ROM). This study aimed to determine the influence of humeral liner constraint on impingement-free ROM and impingement type utilizing an RSA computer simulation model. Read More

Arthroscopy 2023 Aug 18. Epub 2023 Aug 18.

Amsterdam Shoulder and Elbow Centre of Expertise (ASECE), Amsterdam, the Netherlands; Department of Orthopedic Surgery, Medical Center Jan van Goyen, Amsterdam, the Netherlands; Department of Orthopedic Surgery, Shoulder and Elbow unit, OLVG, Amsterdam, the Netherlands; Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands.

Up to 60% of patients experience recurrence after a first traumatic anterior shoulder dislocation (FTASD), which is often defined as having experienced either dislocation or subluxation. Thus surgical intervention after FTASD is worthy of consideration and is guided by the number of patients who need to receive surgical intervention to prevent 1 redislocation (i.e. Read More

J Vis Exp 2023 Aug 4(198). Epub 2023 Aug 4.

Department of Neurology, Atrium Health Wake Forest Baptist.

Ulnar neuropathy at the elbow is commonly encountered in clinical practice and is the second most common entrapment neuropathy. Left untreated, ulnar neuropathy at the elbow can result in significant disability due to loss of dexterity and grip strength secondary to the weakness of intrinsic hand muscles. Precisely localizing a lesion in ulnar neuropathy can be challenging with electrodiagnostic testing alone. Read More

JSES Rev Rep Tech 2023 May 4;3(2):166-180. Epub 2023 Feb 4.

Beaumont Hospital, Dublin, Ireland.

Background: Anterior shoulder instability causes considerable patient morbidity and the volume of shoulder stabilization surgery being performed annually is rising. Despite stabilization surgery, instability arthropathy in the long-term may arise requiring consideration of shoulder arthroplasty. This study evaluated the outcomes of shoulder arthroplasty following previous stabilization surgery with their associated changes in bony anatomy or soft tissue structure. Read More

JSES Rev Rep Tech 2023 Feb 27;3(1):120-124. Epub 2022 Sep 27.

Greater Michigan Orthopedics, Grand Blanc, MI, USA.

Am J Sports Med 2023 Sep 16;51(11):2850-2857. Epub 2023 Aug 16.

North Country Orthopaedics, Clayton, New York, USA.

Background: Patient-reported outcome measures (PROMs) have transitioned from primarily being used as research instruments to becoming increasingly used in the clinical setting to assess recovery and inform shared decision-making. However, there is a need to develop validated short-form PROM instruments to decrease patient burden and ease incorporation into clinical practice.

Purpose: To assess the validity and responsiveness of a shortened version of the Western Ontario Shoulder Instability Index (Short-WOSI) when compared with the full WOSI and other shoulder-related PROM instruments. Read More

J Shoulder Elbow Surg 2023 Aug 11. Epub 2023 Aug 11.

Department of Orthopaedic Surgery and Rehabilitation, Carthage Area Hospital, Carthage, NY, USA.

Background: The purpose of this study is to assess the trends in operative management of geriatric (≥65 years) proximal humerus fractures during a six-year period (2015-2020) within an insurance claims database.

Methods: This retrospective database cohort study utilized data gathered from the 2015-2020 IBM Truven MarketScan Commercial and IBM Truven MarketScan Medicare Supplemental databases. The ICD10 data was correlated to the CPT code for shoulder arthroplasty [proximal humeral prosthetic replacement (23616), shoulder hemiarthroplasty (HA)(23470), reverse total shoulder arthroplasty (rTSA)(23472)] or open reduction internal fixation (ORIF) [open treatment of proximal humerus fracture with internal fixation (23615), open treatment of proximal humerus fracture-dislocation with internal fixation (23680)] We investigated the number of proximal humerus fracture operative cases per year, percent arthroplasty used per year, rTSA and HA per year, hospital cost information as well as percent arthroplasty per US geographic region. Read More

J Shoulder Elbow Surg 2023 Aug 11. Epub 2023 Aug 11.

Norwegian Arthroplasty Register, Department of orthopedic surgery, Haukeland University Hospital, Bergen, Norway; Department of Clinical Medicine, University of Bergen, Bergen, Norway.

Background: The Delta reverse shoulder arthroplasty (RSA) is commonly used worldwide and is the most frequently used RSA in Norway. The aim of this registry-based study was to report 10- and 20-year implant survival, risk of revision, and reasons for revision in two consecutive time periods for Delta III (1994-2010) and Delta Xtend (2007-2020) prostheses.

Patients And Methods: We included 3,650 primary RSAs reported to the Norwegian Arthroplasty Register; 315 Delta III (42% cemented stems) and 3,335 Delta Xtend (88% cemented stems). Read More

J Shoulder Elbow Surg 2023 Aug 11. Epub 2023 Aug 11.

Center for Outcomes-based Orthopaedic Research, Steadman Philippon Research Institute; Vail, CO, USA; The Steadman Clinic; Vail, CO, USA. Electronic address:

Background: Patients with a history of anterior shoulder instability (ASI) commonly progress to glenohumeral arthritis or even "dislocation arthropathy" and often require total shoulder arthroplasty (TSA). The purposes of this study were to 1) report patient reported outcomes (PROs) after TSA in patients with a history of ASI, 2) compare TSA outcomes of those whose ASI was managed operatively versus those managed nonoperatively, and 3) report PROs of TSA in patients who previously underwent arthroscopic versus open ASI management.

Methods: Patients were included if they had a history of ASI and were at least 5 years out from TSA performed by a single surgeon between 10/2005 and 01/2017. Read More