A5041114105- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Bone health and osteoporosis research
- Bone fractures and treatments
- Orthopedic Surgery and Rehabilitation
- Total Knee Arthroplasty Outcomes
- Hip and Femur Fractures
- Bone health and treatments
- Radiation Dose and Imaging
- Orthopaedic implants and arthroplasty
- Heterotopic Ossification and Related Conditions
- Cervical and Thoracic Myelopathy
- Pediatric Pain Management Techniques
- Elbow and Forearm Trauma Treatment
- Bone Metabolism and Diseases
- Pain Management and Opioid Use
- Radiomics and Machine Learning in Medical Imaging
- Management of metastatic bone disease
- Musculoskeletal pain and rehabilitation
- Colorectal Cancer Screening and Detection
- Inflammatory mediators and NSAID effects
- Anesthesia and Pain Management
- Cardiac Arrhythmias and Treatments
- Orthopedic Infections and Treatments
- Sleep and Wakefulness Research
Walter Reed National Military Medical Center
2015-2022
Uniformed Services University of the Health Sciences
2018-2021
Clinical Orthopaedics and Related Research
2018
Congressionally Directed Medical Research Programs
2018
Committee on Publication Ethics
2018
Zimmer Biomet (United States)
2018
Heterotopic ossification (HO) is common after combat-related amputations and surgical excision remains the only definitive treatment for persistently symptomatic HO. There no consensus in literature regarding timing of surgery, recurrence frequency, reexcision, complications have not been reported large numbers patients.(1) What are rates resulting reexcision other reoperation patients with HO? (2) Is either radiographic or dependent on type initial experience surgeon performing procedure,...
Background: Posterior glenohumeral instability is an increasingly recognized cause of shoulder instability, but little known about the incidence or effect posterior glenoid bone loss. Purpose: To determine incidence, characteristics, and failure rate deficiency in shoulders undergoing isolated arthroscopic stabilization. Study Design: Cohort study; Level evidence, 3. Methods: All patients labral repair glenoid-based capsulorrhaphy with suture anchors between 2008 2016 at a single institution...
Quantifying bone mineral density (BMD) on CT using commercial software demonstrates good-to-excellent correlations with dual-energy x-ray absorptiometry (DEXA) results. However, previous techniques to measure Hounsfield units (HUs) within the proximal femur demonstrate less successful correlation DEXA An effective method of measuring HUs from colonoscopy might allow for opportunistic osteoporosis screening.(1) Do HU measurements correlate results? (2) How is our single measurement technique...
Abstract Background High-energy open forearm fractures are unique injuries frequently complicated by neurovascular and soft tissue injuries. Few studies have evaluated the factors associated with nonunion loss of motion after these injuries, particularly in setting blast Questions/purposes (1) In military service members high-energy fractures, what proportion achieved primary or secondary union? (2) What is pronation-supination arc as stratified presence absence heterotopic ossification (HO)...
Case: A 21-year-old man sustained a closed glenohumeral fracture/dislocation as pedestrian struck by motor vehicle. He was treated nonoperatively and developed severe post-traumatic heterotopic ossification (HO) with near-complete shoulder ankylosis. We present our technique for safe surgical excision. Conclusions: Excision led to improvements in motion quality of life at 1 year postoperatively. Recommendations successful HO excision around the include after least 180 days, appropriate...
Background: Previous studies have looked at body mass index (BMI) and its effects on acetabular cup malpositioning with differing results. In the present study, we sought to add literature by examining for a correlation between obesity malposition in military population. Methods: We reviewed radiographs clinical notes of 200 patients undergoing primary total hip arthroplasty (THA) from November 2011 April 2014. Acetabular component position was determined standing postoperative...
Objectives: Posterior glenohumeral instability accounts for 10-40% of repairs yet the degree posterior bone deficiency contributing to labral repair failure is unclear. The purpose this study determine incidence, characteristics, and clinical impact in patients undergoing shoulder stabilization. Methods: All consecutive isolated soft tissue only from 2008-2016 at our institution were identified via review surgical case logs. was calculated using best fit circle method along inferior 2/3 s...
Background Dorsal wrist ganglia (DWG) are a common pathology that affects the military population. This study prospectively evaluates push-up performance, functional measures, and patient-reported outcomes 6 months after open DWG excision in active-duty patients. Methods Twenty-seven patients were enrolled 18 had complete follow-up. Included diagnosis, unilateral involvement, no previous surgery. The number of push-ups performed within 2 minutes was measured preoperatively at months. Range...