- Sports injuries and prevention
- Knee injuries and reconstruction techniques
- Shoulder Injury and Treatment
- Bone fractures and treatments
- Total Knee Arthroplasty Outcomes
- Lower Extremity Biomechanics and Pathologies
- Orthopedic Surgery and Rehabilitation
- Hip disorders and treatments
- Foot and Ankle Surgery
- Shoulder and Clavicle Injuries
- Cardiovascular Effects of Exercise
- Diversity and Career in Medicine
- Tendon Structure and Treatment
- Elbow and Forearm Trauma Treatment
- Pediatric Pain Management Techniques
- Anesthesia and Pain Management
- Medical Education and Admissions
- Opioid Use Disorder Treatment
- Healthcare Policy and Management
- Social Media in Health Education
- Connective tissue disorders research
- Musculoskeletal Disorders and Rehabilitation
- Osteoarthritis Treatment and Mechanisms
- Injury Epidemiology and Prevention
- Muscle and Compartmental Disorders
Orthopaedic Institute for Children
2015-2025
University of California, Los Angeles
2017-2025
Hospital for Special Surgery
2024
Boston Children's Hospital
2016-2024
Orthopedic Institute
2016-2023
Children's Center
2022-2023
Texas Scottish Rite Hospital for Children
2023
The University of Texas Southwestern Medical Center
2023
Rady Children's Hospital-San Diego
2023
Children's National
2023
Rotator cuff tears are common injuries that often treated with surgical repair. Because of the high concentration growth factors within platelets, platelet-rich plasma (PRP) has potential to enhance healing in rotator repairs.Platelet-rich would alter biomechanical and histologic properties repair during an acute injury response.Controlled laboratory study.Platelet-rich was produced from inbred donor rats. A tendon-from-bone supraspinatus tear created surgically immediate transosseous...
Graft choice for pediatric anterior cruciate ligament reconstruction (ACLR) is determined by several factors. There limited information on the use and outcomes of allograft ACLR in patients. The purpose this systematic review meta-analysis was to quantify reported failure rates versus autograft patients ≤19 years age with ≥2 follow-up. We hypothesized that there would be higher compared population.PubMed/MEDLINE Embase databases were systematically searched literature regarding...
Abstract Objective —To evaluate risk factors associated with death and development of perioperative complications in dogs undergoing surgery for treatment gastric dilatation-volvulus (GDV). Design —Retrospective case series. Animals —166 dogs. Procedures —Records confirmed GDV that underwent were reviewed. Logistic regression was performed to identify (ie, hypotension, arrhythmias, necrosis necessitating gastrectomy, disseminated intravascular coagulation, peritonitis, sepsis, postoperative...
The discoid lateral meniscus (DLM) is one of the most common congenital anomalies knee. pathomorphology DLM varies. Current classification systems are inadequate to describe spectrum abnormality.A study group pediatric orthopaedic surgeons from 20 academic North American institutions developed and tested reliability a new system.Cohort (diagnosis); Level evidence, 3.After reviewing existing classifications, we comprehensive system. Four features were evaluated: meniscal width, height,...
The incidence of meniscus tears and ACL in pediatric patients continues to rise, bringing question the risk factors associated with these injuries. As are commonly repaired populations, epidemiology repairable is an important for consideration surgeons evaluating treatment options.To describe meniscal tear patterns adolescent who underwent repair across multiple institutions surgeons, as well evaluate relationship between age, sex, body mass index (BMI) their effect on prevalence, type,...
Background: The creation of a bone bridge between the residual tibia and fibula is controversial surgical technique used in performance transtibial amputation. Methods: Twenty consecutive patients who underwent unilateral amputation, as consequence traumatic injury, had distal tibiofibular bone-bridging performed by single surgeon. Eight completed Prosthesis Evaluation Questionnaire (PEQ), validated outcomes instrument designed to measure patient self-reported health-related quality life...
Background: Discoid lateral meniscus (DLM) has a varied and complex morphology that can be challenging to assess treat. Preoperative magnetic resonance imaging (MRI) is frequently used for diagnosis surgical planning; however, it not known whether surgeons are reliable accurate in their interpretation of MRI findings when defining the pathomorphology DLM. Hypothesis: Surgeons experienced treating DLM able reliably interpret pathology using MRI. Study Design: Cohort study (diagnosis); Level...
Background: As a subset of symptomatic discoid lateral meniscal (DLM) tears, anterior horn (AH) tears are not well studied in the pediatric population. There even fewer studies reporting patient-reported outcomes after surgical treatment AH DLM. Purpose: To compare reported DLM involving versus other locations patients. Study Design: Cohort study; Level evidence, 3. Methods: A retrospective review prospectively collected patient data between 2013 and 2020 was conducted. Patients aged <18...
Chronic exertional compartment syndrome (CECS) is a cause of leg pain in running athletes and treated with fasciotomy after failure nonoperative management. CECS being seen increased frequency younger patients. The demographics outcomes for pediatric patients, including risk factors treatment failure, have not been described.To describe characteristics patients determine surgical the condition this population.Case series; Level evidence, 4.A retrospective review was performed 18 years...
The discoid meniscus is a congenital abnormality, with the vast majority occurring in lateral meniscus. More commonly seen pediatric populations, patients present acute or chronic knee symptoms such as joint line pain, audible palpable mechanical symptoms, and inability to achieve terminal extension. classic classification system by Watanabe excludes anterior horizontal instability tearing that occur this pathology. A comprehensive classification, Pediatric Research Sports Medicine (PRiSM)...
Introduction . Concern regarding ability of autologous chondrocyte implantation (ACI) to correct for the bone and cartilage pathology knee juvenile osteochondritis dissecans (JOCD) exists. The purpose this study was determine long-term, patient-based outcomes ACI treatment JOCD in young patients. Authors hypothesized long-term are comparable reported mid-term outcomes. Methods A single institution, longitudinal cohort design combining medical record review outcome surveys used. Inclusion...
Background: Discoid meniscus, a congenital meniscus variant, may have greater incidence in Asian populations. No US population-based studies examined the discoid ethnic/racial distribution. In pediatric patients undergoing surgery, it is hypothesized that variability exists with and this different than medial tears. Methods: The Pediatric Health Information System was queried from 48 hospitals to examine 18 years of age younger between 2015 2019, using International Classification Diseases,...
Background: Increased participation of adolescents in organized sports has led to an increase pediatric injury. Limited health literacy puts patients at risk for worse outcomes through decreased compliance. We aim evaluate the extent disparities medicine populations. Methods: Patients aged 10 17 years and their consenting guardians visiting clinic treatment a sports-related injury completed unique questionnaire including self-reported measures direct assessment knowledge regarding care...
Background: Increased enrollment in government-based insurance plans has been reported. With youth sports injuries on the rise, increased ordering of advanced imaging such as magnetic resonance (MRI) occurred. This study sought to report impact type access and results knee MRI pediatric medicine patients. Methods: A retrospective review 178 consecutive clinics was completed. Inclusion criteria: patients younger than 18 years, routine ordered, diagnosis, insurance. Data included basic...
Background: Rates of anterior cruciate ligament (ACL) reconstruction among pediatric and adolescent patients are increasing. Limited knowledge exists about population-level rates concomitant meniscal surgery in this age group. Purpose/Hypothesis: This study sought to examine trends procedures describe short-term complications undergoing ACL reconstruction. We hypothesized that overall increasing the likelihood performing repair or meniscectomy is associated with patient- surgeon-specific...