A5007392774- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Orthopedic Infections and Treatments
- Cardiac Valve Diseases and Treatments
- Nerve Injury and Rehabilitation
- Orthopedic Surgery and Rehabilitation
- Surgical site infection prevention
- Total Knee Arthroplasty Outcomes
- Streptococcal Infections and Treatments
- Elbow and Forearm Trauma Treatment
- Orthopaedic implants and arthroplasty
- Sports injuries and prevention
- Infectious Diseases and Tuberculosis
- Cardiac, Anesthesia and Surgical Outcomes
- Knee injuries and reconstruction techniques
- Cardiovascular Syncope and Autonomic Disorders
- Surgical Simulation and Training
- Musculoskeletal synovial abnormalities and treatments
- Trauma Management and Diagnosis
- Vascular Procedures and Complications
- Spine and Intervertebral Disc Pathology
- Scoliosis diagnosis and treatment
- Spinal Fractures and Fixation Techniques
- Digital Imaging in Medicine
- Social Media in Health Education
Cleveland Clinic
2016-2025
American Academy of Orthopaedic Surgeons
2020-2023
University of Missouri
2023
University of Washington
2023
Cleveland Clinic Lerner College of Medicine
2016-2021
Case Western Reserve University
2016-2021
Northwell Health
2020
Lenox Hill Hospital
2020
Campbell Clinic
2019
Jefferson University Hospitals
2019
Background: Preoperative quantitative assessment of glenoid bone loss, selection the component, and definition its desired location can be challenging. Placement component in at time surgery is difficult, especially with severe pathological conditions. Methods: Forty-six patients were randomly assigned to three-dimensional computed tomographic preoperative templating either standard instrumentation or patient-specific compared a nonrandomized group seventeen two-dimensional imaging used as...
Background: We hypothesized that a novel surgical method, in which three-dimensional (3-D) preoperative planning software is generated to create patient-specific model used with reusable and adjustable tool, could substantially improve the positioning accuracy of glenoid guide pin total shoulder arthroplasty. tested this method using bone models from patients pathology compared results those achieved methods representing current standard care. Methods: Three surgeons variety experience...
Propionibacterium acnes is recognized as a pathogenic organism associated with periprosthetic joint infection following shoulder arthroplasty. The goal of our study was to determine the relationship between time P. growth in culture and likelihood result being true positive versus false based on proportion cultures other perioperative findings cases revision arthroplasty.We retrospectively reviewed forty-six acnes-positive among patients who underwent arthroplasty May 2010 October 2014....
Background: Propionibacterium acnes is a clinically relevant pathogen with total shoulder arthroplasty. The purpose of this study was to determine the sensitivity frozen section histology in identifying patients infection during revision arthroplasty and investigate various diagnostic thresholds acute inflammation that may improve performance. Methods: We reviewed results forty-five who underwent Patients were divided into non-infection group (n = 15), 18), other 12). Routine preoperative...
Background: Diagnosis of periprosthetic joint infection (PJI) in patients undergoing revision shoulder arthroplasty is challenging because the low virulence most common infecting organisms. The goal this study was to evaluate diagnostic utility measuring synovial fluid interleukin-6 (IL-6) levels for identifying PJI shoulder. Methods: Thirty-two consecutive evaluated pain at site a were prospectively enrolled from November 2012 September 2013 and underwent surgery (thirty-five procedures...
Background: Use of 3-dimensional (3D) computed tomography (CT) preoperative planning and patient-specific instrumentation has been demonstrated to improve the accuracy glenoid implant placement in total shoulder arthroplasty (TSA). The purpose this study was compare primary TSA among different types used with 3D CT planning. Methods: One hundred seventy-three patients end-stage glenohumeral arthritis were enrolled 3 prospective studies evaluating All underwent determine optimal component...
Background: Ten to seventy percent of rotator cuff repairs form a recurrent defect after surgery. The relationship between retraction the repaired tendon and formation is not well defined. Purpose/Hypotheses: To measure prevalence, timing, magnitude repair correlate these outcomes with full-thickness on magnetic resonance imaging, as clinical outcomes. We hypothesized that (1) common phenomenon, although always associated defect; (2) correlates timing retraction; (3) outcome at 52 weeks...
The primary objectives of this study were to evaluate the ability a posteriorly stepped augmented glenoid component, used in patients with glenohumeral osteoarthritis B2 or B3 morphology, correct preoperative retroversion and humeral head subluxation identify factors associated radiographic radiolucency patient-reported clinical outcomes.We identified 71 shoulders morphology that underwent anatomic total shoulder arthroplasty use component 3-dimensional computed tomography (3D-CT) scan...
Background: Osteoarthritis of the glenohumeral joint has typical patterns deformity as described by Walch et al. However, more severe glenoid pathology may be difficult to classify. The purpose this study was use 3-dimensional computed tomography (3-D CT) imaging analysis define common pathologic subtypes that can differentiated from current classification. Methods: We performed quantitative measurements premorbid and anatomy using preoperative 3-D CT scans 155 cases advanced osteoarthritis...
Walch defined the pathologic characteristics of glenohumeral osteoarthritis on basis patterns glenoid morphology and humeral head subluxation. However, it is unclear how changes evolve over time. The purpose this study was to determine whether there are common progression based classification in primary if bone-loss correlate with rotator cuff fatty infiltration.A retrospective chart review identified 65 shoulders for which at least 2 computed tomography (CT) scans had been performed 24...
Background: Glenoid morphology and rotator cuff muscle quality are important anatomic factors that can impact longevity of the glenoid component following total shoulder arthroplasty (TSA). We hypothesized fatty infiltration is associated with increased pathologic bone loss in glenohumeral osteoarthritis (OA). Methods: retrospectively reviewed 190 preoperative computed tomography (CT) scans 175 patients (mean age, 66 years; range, 44 to 90 years) who underwent TSA for treatment primary OA....