Research
Regional Variation of Medicare Payments for Hand Surgery Procedures in the United States
Background: Medicare reimbursement payments for inpatient orthopedic surgeries, such as total joint arthroplasty and spinal fusion, have been shown to exhibit geographic variation. We seek to evaluate whether similar geographic variations exist in Medicare reimbursement payments for outpatient hand surgeries.
Dislocation of the Upper Extremity: Diagnosis and Management
Shoulder dislocations are common and account for 50% of all joint dislocations.l Elbow dislocations are the second most prevalent major joint dislocation in adults. Effective treatment of these injuries requires a thorough understanding of the anatomy and imaging techniques as well as how to safely and effectively perform timely reductions.
Critical Findings on Magnetic Resonance Arthrograms in Posterior Shoulder Instability Compared With an Age-Matched Controlled Cohort
Background: Posterior shoulder instability is less common and potentially more difficult to diagnose clinically and radiographically compared with anterior shoulder instability. Radiographic findings including posterior labral tears, increased retroversion, presence of glenoid dysplasia, and increased capsular area are associated with...
The risk of nerve injury during anatomical and reverse total shoulder arthroplasty: An intraoperative neuromonitoring study
Background: This study compared the incidence and pattern of potential nerve injuries between reverse shoulder (RSA) and total shoulder arthroplasty (TSA) using intraoperative neuromonitoring. Our hypothesis was that RSA has a greater risk of nerve injury than TSA due to arm lengthening. Methods: We reviewed 36 consecutive...
Allograft tissue irradiation and failure rate after anterior cruciate ligament reconstruction: A systematic review
Aim: To evaluate whether anterior cruciate ligament (ACL) allograft irradiation is effective for sterility without compromising graft integrity and increasing failure rate. Methods: A literature search was conducted using PubMed, Cochrane, and Google. The following search terms were used: "Gamma irradiation AND anterior...
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.
