A5021783688- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Knee injuries and reconstruction techniques
- Sports injuries and prevention
- Total Knee Arthroplasty Outcomes
- Orthopedic Surgery and Rehabilitation
- Tendon Structure and Treatment
- Nerve Injury and Rehabilitation
- Foot and Ankle Surgery
- Lower Extremity Biomechanics and Pathologies
- Innovations in Medical Education
- Trauma Management and Diagnosis
- Sports Performance and Training
- Osteoarthritis Treatment and Mechanisms
- Empathy and Medical Education
- Adventure Sports and Sensation Seeking
- Health and Medical Research Impacts
- Diversity and Career in Medicine
- Cardiovascular Effects of Exercise
- Occupational Health and Performance
- Musculoskeletal synovial abnormalities and treatments
- Patient Satisfaction in Healthcare
- Clinical Reasoning and Diagnostic Skills
- Aerospace Engineering and Energy Systems
- Musculoskeletal pain and rehabilitation
Duke Medical Center
2016-2025
Duke University
2013-2025
Duke University Hospital
2013-2024
University of Southampton
2022-2023
Hunter Water
2023
Duke University Health System
2012-2022
University of Rochester Medical Center
2022
University Medical Center
2014
Durham VA Medical Center
2013
United States Military Academy
1995-2009
The incidence of noncontact anterior cruciate ligament injuries in young to middle-aged athletes remains high. Despite early diagnosis and appropriate operative nonoperative treatments, posttraumatic degenerative arthritis may develop. In a meeting Atlanta, Georgia (January 2005), sponsored by the American Orthopaedic Society for Sports Medicine, group physicians, physical therapists, athletic trainers, biomechanists, epidemiologists, other scientists interested this area research met review...
The purpose of this study was to examine a young athletic population update the data regarding epidemiology and disability associated with ankle injuries. At United States Military Academy, all cadets presenting injuries during 2-month period were included in prospective observational study. initial evaluation an extensive questionnaire, physical examination, radiographs. Ankle sprain treatment supervised rehabilitation program. Subjects reevaluated at 6 weeks months subjective assessment,...
Most muscle stretching studies have focused on defining the biomechanical properties of isolated elements muscle-tendon unit or comparing different techniques. We developed an experimental model that was designed to evaluate clinically relevant in entire unit. Our objectives were characterize viscoelastic behavior and consider clinical applications these properties. Rabbit extensor digitorum longus tibialis anterior units evaluated using methods simulate widely used Additionally, effects...
The causes of noncontact anterior cruciate ligament injury remain an enigma.To prospectively evaluate risk factors for injuries in a large population young athletic people.Prospective cohort study.In 1995, 1198 new United States Military Academy cadets underwent detailed testing and many parameters were documented. During their 4-year tenure, all that occurred identified. Statistical analyses used to identify the may have predisposed injuries.Among 895 who completed entire study, there 24...
The purpose of this study was to determine the correlation between Single Assessment Numeric Evaluation method and Rowe American Shoulder Elbow Surgeons scores. Between April 1993 December 1996, 209 follow-up examinations were performed on 163 United States Military Academy cadets after shoulder surgery. These divided into five categories: 3 months, 6 1 year, 2 years, greater than years. scores from each subject's questionnaire correlated with his or her rating, which is determined by...
This prospective observational study was performed on young patients, less than 24 years old, with first-time, traumatic anterior shoulder dislocations. These patients were offered either arthroscopic or nonoperative treatment. Fifty-three chose Sixty-three elected to have procedures. The average patient age 19.6 years. There 59 men and 4 women. All procedures within 10 days of dislocation. 63 had hemarthrosis. Sixty-one (97%) treated surgically complete detachment the capsuloligamentous...
The literature provides little information detailing the incidence of traumatic shoulder instability in young, healthy athletes.Shoulder is common young athletes.Descriptive epidemiologic study.We prospectively captured all events at United States Military Academy between September 1, 2004, and May 31, 2005. Throughout this period, new were evaluated with physical examination, plain radiographs, magnetic resonance imaging. Instability classified according to direction, chronicity, type...
Background: Anterior cruciate ligament (ACL) graft failure and contralateral ACL tears are more frequent in children adolescents than adults. The reasons for higher subsequent injury rates this population incompletely understood. Methods: We analyzed a continuous cohort of patients who were <18 years age. Subjects underwent isolated, primary reconstruction with autograft between 2006 January 1, 2014, had minimum 2-year follow-up. Return-to-sport characteristics described, multivariable...
The purpose of this study was to compare the effect a dynamic warm up (DWU) with static-stretching (SWU) on selected measures power and agility. Thirty cadets at United States Military Academy completed (14 women 16 men, ages 18-24 years). On 3 consecutive days, subjects performed 1 2 routines (DWU or SWU) no (NWU). protocols lasted 10 minutes each were counterbalanced avoid carryover effects. After 1-2 recovery, tests order performance (T-shuttle run, underhand medicine ball throw for...
A retrospective study of 50 syndesmosis sprains in 44 football players was performed. Five patients (6 ankles) were lost to follow-up, allowing review injuries. Average follow-up 47 months. The evaluated for recurrent injury, overall ankle function, and persistent symptoms, including stiffness, pain, limping, swelling. Follow-up radiographs the injured obtained 22 patients. average return time full activity 31 days. Pain with pushing-off a major factor preventing activity. At final followup,...
There has been increasing interest within the European sports medicine community regarding etiology and treatment of groin pain in athlete. Groin is most commonly caused by musculotendinous strains adductors other muscles crossing hip joint, but may also be related to abdominal wall abnormalities. Cases termed "pubalgia" if physical examination does not reveal inguinal hernia there an absence for pain. We present nine cases patients who underwent herniorrhaphies Two had without evidence a...
Little is known of the long-term results acute arthroscopic Bankart repair for first-time traumatic anterior glenohumeral dislocations.Acute dislocations will provide good at follow-up.Case series; Level evidence, 4.The authors evaluated a cohort young patients who sustained and were acutely treated with using bioabsorbable tacks. Subjective outcome measures obtained mean follow-up 11.7 years (range, 9.1-13.9 years).Thirty-nine (40 shoulders) available original 49 shoulders (82%). Two 9 lost...
Previous studies have shown that women involved in similar activities as men are at increased risk for anterior cruciate ligament injuries.The incidence rate of complete tears and our athletic, college-aged population is similar.Descriptive epidemiology study.Students graduating class years 1994 to 2003 institution who sustained were assessed mechanism injury type sport played time injury. We calculated the proportion, an estimation risk, by gender year, proportion ratio comparing year. also...
Relative to dislocations, glenohumeral subluxation events have received little attention in the literature, despite a high incidence young athletes. The pathoanatomy of first-time, traumatic, anterior has not been defined, our knowledge.As part prospective evaluation all cases shoulder instability sustained during one academic year closed cohort military academy cadets, total thirty-eight were documented. Clinical defined as incomplete that did require manual reduction maneuver. Twenty-seven...
Symptomatic, traumatic posterior shoulder instability is often the result of a posteriorly directed blow to an adducted, internally rotated, and forward-flexed upper extremity. Operative repair has been shown provide favorable results. Current arthroscopic techniques with suture anchors ability plicate capsule using nonabsorbable may outcomes reduced morbidity.To evaluate results operative stabilization in patients instability.Case series; Level evidence, 4.A consecutive series who underwent...
Background Recent studies have questioned the ability of transtibial technique to place anterior cruciate ligament graft within footprint on femur. There are limited data directly comparing abilities and tibial tunnel—independent techniques anatomically at femoral attachment site in patients. Hypothesis Because placement with tunnel–independent is unconstrained by tunnel, it would allow for more anatomic tunnel compared technique. Study Design Cross-sectional study; Level evidence, 3....
Despite increasing awareness of the importance leadership in healthcare, our understanding competencies effective remains limited. We used a concept mapping approach (a blend qualitative and quantitative analysis group processes to produce visual composite group's ideas) identify stakeholders' mental model healthcare leadership, clarifying underlying structure competencies.Literature review, focus groups, consensus meetings were derive representative set competency statements. Study...