- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Sports injuries and prevention
- Knee injuries and reconstruction techniques
- Total Knee Arthroplasty Outcomes
- Orthopedic Surgery and Rehabilitation
- Musculoskeletal pain and rehabilitation
- Nerve Injury and Rehabilitation
- Pediatric Pain Management Techniques
- Lower Extremity Biomechanics and Pathologies
- Anesthesia and Pain Management
- Pain Management and Placebo Effect
- Sports Performance and Training
- Hip disorders and treatments
- Orthopaedic implants and arthroplasty
- Pain Mechanisms and Treatments
- Osteoarthritis Treatment and Mechanisms
- Mechanics and Biomechanics Studies
- Elbow and Forearm Trauma Treatment
- Traumatic Brain Injury Research
- Hip and Femur Fractures
- Cardiac Arrhythmias and Treatments
- Musculoskeletal synovial abnormalities and treatments
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Medical Education and Admissions
University of Florida
2011-2024
Florida Orthopaedic Institute
2024
Pain and Rehabilitation Medicine
2015
National Center for Advancing Translational Sciences
2015
Rex Medical (United States)
2015
Indiana State University
2015
Pain Management Institute
2015
Foundation for the National Institutes of Health
2015
Christie's
2015
Vanderbilt University
2015
Background: Fear of reinjury and lack confidence influence return-to-sport outcomes after anterior cruciate ligament (ACL) reconstruction. The physical, psychosocial, functional recovery patients reporting fear or as their primary barrier to resuming sports participation is unknown. Purpose: To compare physical impairment, functional, psychosocial measures between subgroups based on status reinjury/lack in the stage determine association impairment with function for each subgroup at 6 months...
Study Design Cross-sectional cohort. Objectives (1) To examine differences in clinical variables (demographics, knee impairments, and self-report measures) between those who return to preinjury level of sports participation do not at 1 year following anterior cruciate ligament reconstruction, (2) determine the factors most strongly associated with return-to-sport status a multivariate model, (3) explore discriminatory value sport postsurgery. Background Demographic, physical impairment,...
The experience of pain is believed to be influenced by social, cultural, environmental, psychological, and genetic factors. Despite this assertion, few studies have included clinically relevant phenotypes when investigating interactions among these variables. This study investigated whether psychological variables specific fear-avoidance models catechol-O-methyltransferase (COMT) genotype ratings for a cohort patients receiving operative treatment shoulder pain. Patients (n = 58) completed...
BackgroundEvidence in the musculoskeletal rehabilitation literature suggests that psychosocial factors can influence pain levels and functional outcome.
Background: Many individuals do not resume unrestricted, preinjury sports participation after anterior cruciate ligament reconstruction, thus a better understanding of factors associated with function is needed. The purpose this study was to investigate the association knee impairment and psychological variables in subjects reconstruction. Hypothesis: After controlling for demographic variables, contribute Study Design: Cross-sectional study; Level evidence, 4a. Methods: Fifty-eight...
Plyometric exercise is used during rehabilitation after anterior cruciate ligament (ACL) reconstruction to facilitate the return sports participation. However, clinical outcomes have not been examined, and high loads on lower extremity could be detrimental knee articular cartilage.To compare immediate effect of low- high-intensity plyometric ACL function, cartilage metabolism, other clinically relevant measures.Randomized controlled trial; Level evidence, 2.Twenty-four patients who underwent...
Cross-sectional study.To examine the effect of different normalization methods on unilateral seated shot put test results.The could assist clinical decision making in upper extremity rehabilitation, but results must be normalized to compare across patients. The based body size and upper-limb dominance is unknown.One hundred twenty-five collegiate athletes (63 males) performed with each extremity. Anthropometric measures (height, mass, arm length) distance thrown were recorded. Normalization...
In Brief Tailored treatment based on individual risk factors is an area with promise to improve options for pain relief. Musculoskeletal has a biopsychosocial nature, and multiple should be considered when determining chronic pain. This study investigated whether subgroups comprised genetic psychological predicted outcomes in preclinical clinical models of shoulder Classification regression tree analysis was performed exercise-induced injury cohort (n = 190) identify high-risk subgroups,...
Laboratory study, cross-sectional.To determine if the magnitude of frontal plane knee angle, as determined with a 3-D motion-capture system (knee abduction angle [KAA]) or digital video (frontal projection [FPPA]), varies among groups individuals different position, by observational ratings.Performing functional tasks positioned medial to foot may increase risk for injury. The KAA and FPPA are commonly used in research settings injury risk. However, ratings position easier perform clinical...
We report the second-known case of subacromial-subdeltoid bursitis with rice bodies after rotator cuff repair a Smith + Nephew REGENETEN bovine-derived bioinductive collagen scaffold implant. After removal and portion implant that had not incorporated, patient recovered well made full return to work recreational activities.This demonstrates persistent pain, swelling, or decreased range motion for several months use may warrant relatively early magnetic resonance imaging evaluate underlying...
To identify novel combinations of genetic and psychological factors that predicted 12-month postoperative pain disability outcomes following arthroscopic shoulder surgery.A prospective presurgical cohort (n = 150) was recruited to complete validated questionnaires have their DNA collected from saliva. genotyped for a priori selected genes involved with modulation (ADRB2, OPRM1, AVPR1A, GCH1, KCNS1) inflammation (IL1B, TNF/LTA, IL6). The outcome measures interest were the Brief Pain Inventory...
Studies to date comparing biceps tenodesis methods in the setting of concomitant rotator cuff repair (RCR) have demonstrated relatively equivalent pain and functional outcomes.To compare constructs, locations, techniques patients who underwent RCR using a large multicenter database.Cohort study; Level evidence, 3.A global outcome database was queried for with medium- large-sized tears between 2015 2021. Patients ≥18 years age minimum follow-up 1 year were included. The American Shoulder...
The discoid menisci is a common abnormalitiy of the knee seen by pediatric and general orthopaedists. This aberration fibrocartilaginous meniscus can occur medially, but most on lateral side. Because unusual biomechanical stresses, all are at increased risk for meniscal tears. Types I II variations have disc-shaped meniscus, which cover more tibial plateau than normal may be thickness. Both attach ment to do not require treatment when asymptomatic. Wrisberg or Type III variant abnormal in...
Shoulder pain and surgery are common among older adults. However, the extent to which age affects recovery after shoulder is not well understood.To assess influence of on postoperative factors 3 6 months arthroscopy.Prospective cohort study.University-affiliated outpatient orthopedic surgical center.A convenience sample 139 persons between 20 79 years who experienced pain, had musculoskeletal dysfunction based imaging physician assessment, were scheduled for an arthroscopic...
Studies to date evaluating biceps tenotomy versus tenodesis in the setting of concomitant rotator cuff repair (RCR) have demonstrated relatively equivalent pain and functional outcomes.It was hypothesized that a significant difference could be for outcome scores comparing RCR if study adequately powered.Cohort study; Level evidence, 3.The Arthrex Surgical Outcomes System database queried patients who underwent arthroscopic or between 2013 2021; included had minimum 2 years follow-up....
The need for capsular closure during arthroscopic hip labral repair is debated.
To examine whether anchors used in arthroscopic Bankart repair increased the risk of subsequent fracture, six intact polyurethane scapulae and with three 3.0-mm suture placed along anteroinferior glenoid were compared. An axial load 1 mm/s was applied to glenohumeral joint a prosthetic humeral head. Outcome measures force needed for initial fracture catastrophic failure, percent anterior bone loss, length. With numbers available, no significant differences could be detected between groups...
Study the influence of concomitant arthroscopic procedures and rotator cuff tear (RCT) severity on daily pain intensity disability after shoulder arthroscopy.A sample 145 patients (mean age, 42.66±17.6; number males=96) completed measures before arthroscopy. RCT was assessed a 7-point scale based operative report. Operative were categorized anatomic location invasiveness to calculate weighted procedure estimate. Postoperative 3 months, 6 1 year status surgery.Only associated with 3-month...