A5032470201- Shoulder Injury and Treatment
- Knee injuries and reconstruction techniques
- Shoulder and Clavicle Injuries
- Spinal Fractures and Fixation Techniques
- Total Knee Arthroplasty Outcomes
- Anesthesia and Pain Management
- Sports injuries and prevention
- Spine and Intervertebral Disc Pathology
- Cardiac, Anesthesia and Surgical Outcomes
- Head and Neck Surgical Oncology
- Scoliosis diagnosis and treatment
- Injury Epidemiology and Prevention
- Trauma and Emergency Care Studies
- Nerve Injury and Rehabilitation
- Traffic and Road Safety
- Pelvic and Acetabular Injuries
- Orthopedic Surgery and Rehabilitation
- Meningioma and schwannoma management
- Surgical site infection prevention
- Hip and Femur Fractures
- Noise Effects and Management
- Orthopedic Infections and Treatments
- Urban Transport and Accessibility
- Medical Imaging and Analysis
- Pituitary Gland Disorders and Treatments
Sheffield Teaching Hospitals NHS Foundation Trust
2023
University of California, San Diego
2020-2022
Kent Hospital
2021
Nia Association
2020
Committee on Publication Ethics
2020
Clinical Orthopaedics and Related Research
2020
New York University Langone Orthopedic Hospital
2017-2020
Orthopaedic Hospital
2018-2020
NYU Langone Health
2017-2018
Rothman Institute
2017
Abstract Background In response to the coronavirus disease 2019 (COVID-19) pandemic, Centers for Medicare and Medicaid Services pledged payment telehealth visits duration of this public health emergency in an effort decrease COVID-19 transmission allow deployment residents attending physicians support critical-care services. Although pandemic has vastly expanded use, no studies our knowledge have analyzed implementation success orthopaedic trauma. This population is unique that patients who...
Objectives: This study highlights demographics and orthopaedic injuries of electric scooter–related trauma that presented to our institution over a 27-month period. Design: Retrospective review. Setting: Urban Level 1 center. Patients: Patients presenting the emergency department, bay, or outpatient clinic after scooter injury were identified from November 2017 through January 2020 using ICD-10 diagnosis codes. Main Outcomes: Patient charts reviewed for demographics, characteristics,...
While effective for the repair of large skull base defects, Hadad-Bassagasteguy nasoseptal flap increases operative time and can result in a several-week period postoperative crusting during re-mucosalization denuded nasal septum. Endoscopic transsphenoidal surgery pituitary adenoma resection is generally not associated with dural defects high-flow cerebrospinal fluid (CSF) leaks requiring extensive reconstruction. Here, we present posterior as novel technique closure following endoscopic...
Previous studies have suggested that suture tape-reinforced anterior cruciate ligament (ACL) grafts may higher ultimate failure loads without stress-shielding. In patients at high risk for graft failure, such as adolescents, the addition of tape could beneficial outcomes.Suture reinforcement (STR) ACL in adolescent would lead to fewer ruptures during early recovery, hindering subjective outcomes.Cohort study; Level evidence, 3.A retrospective review was performed on with a minimum 2-year...
Background: Chiari malformations type 1 (CM-1), a developmental anomaly of the posterior fossa, usually presents in adolescence or early adulthood. There are few studies on national incidence CM-1, taking into account outcomes based concurrent diagnoses. To quantify trends treatment and associated diagnoses, as retrospective review Kid's Inpatient Database (KID) from 2003-2012 was conducted. Methods: Patients aged 0–20 with primary diagnosis CM-1 KID database were identified. Demographics...
Background: Incompetence of the anterior cruciate ligament (ACL) confers knee laxity in sagittal and axial planes that is measurable with clinical examination diagnostic imaging. Hypothesis: An ACL-deficient will produce a more vertical orientation lateral collateral (LCL), allowing for entire length LCL to be visualized on single coronal slice (coronal sign) magnetic resonance Study Design: Cohort study (diagnosis); Level evidence, 3. Methods: Charts were retrospectively reviewed from April...
Superior humeral migration has been established as a component of rotator cuff disease, it disrupts normal glenohumeral kinematics. Decreased acromiohumeral interval (AHI) measured on radiographs used to indicate tendinopathy. Currently, the data are mixed regarding specific pathology that contributes most head migration.To determine relationship between severity tears (RCTs) and AHI via large sample magnetic resonance imaging (MRI) shoulder examinations.Cohort study; Level evidence, 3.A...
Background: The coronal lateral collateral ligament (LCL) sign is the presence of full length LCL visualized on a single magnetic resonance imaging (MRI) slice at posterolateral corner knee. has been shown to be associated with elevated measures anterior tibial translation and internal rotation in setting cruciate (ACL) tear. Hypothesis: (with greater translation, rotation, posterior slope tibia) will indicate risk for graft failure after ACL reconstructive surgery. Study Design: Cohort...
Multidirectional shoulder instability (MDI) refractory to rehabilitation can be treated with arthroscopic capsulolabral reconstruction suture anchors. To the best of our knowledge, no studies have reported on outcomes or examined risk factors that contribute poor in adolescent athletes.To identify for surgical failure by comparing anatomic, clinical, and demographic variables adolescents who underwent intervention MDI.Case series; Level evidence, 4.All patients 20 years younger surgery at a...
The axillary nerve (AXN) is one of the more commonly injured nerves during shoulder surgery. Prior anatomic studies AXN in adults were performed using cadaveric specimens with small sample sizes. Our research observes a larger cohort magnetic resonance imaging (MRI) order to gain representative course and aid surgeons intraoperatively.High-resolution 3T MRI at our institution from January 2010 June 2019 reviewed. Four blinded reviewers musculoskeletal radiology or orthopedic surgery training...
Opioid consumption and patient satisfaction are influenced by a surgeon's pain-management protocol as well the use of adjunctive pain mediators. Two commonly utilized modifiers for anterior cruciate ligament (ACL) reconstruction femoral nerve blockade intra-articular injection; however, debate remains regarding more efficacious methodology.We hypothesized that injection with ropivacaine morphine would be found to block postoperative management in first 24 hours after bone-patellar...
The study objective is to characterize the impact of COVID-19 related hospital administrative restrictions on patient demographics, surgical care, logistics, and outcomes in spine surgery. This was a retrospective 331 surgery patients at UCSD conducted during 1 March 2019–31 May 2019 (pre-COVID-19) 2020–31 2020 (first surge). All variables were collected through RedCap compared between pre- during-COVID groups. There no significant differences operating room duration, skin-to-skin time....
<h3>Introduction</h3> Pleural infections are associated with high morbidity and mortality, considerable healthcare resource use. Despite the use of BACTEC blood culture bottles, microbiological yield is poor, often mandating broad-spectrum antibiotics, which contributes to antimicrobial resistance. Moreover, TORPIDS study recently showed that microbiology in pleural infection predicts clinical outcomes can rationalise more aggressive management these patients.<sup>1</sup> <h3>Objectives</h3>...
Introduction: Because of the dearth literature in orthopaedic trauma population, we aimed to analyze how a multimodal pain protocol after outpatient surgery affects opioid consumption, scores, and patient satisfaction. Methods: This was cohort study with historical control at an urban level 1 center. Forty consecutive outpatients were given peripheral nerve block between September 2019 March 2020 compared 70 preprotocol patients who received hydrocodone-acetaminophen. The primary outcome...
Single-center retrospective review.The cervicothoracic junction (CTJ) is typically difficult to visualize using traditional radiographs. Whole-body stereoradiography (EOS) allows for imaging of the entire axial skeleton in a weightbearing position without parallax error and with lower radiation doses. In this study we sought compare visibility vertebra CTJ on lateral EOS images that conventional cervical radiographs.Two fellowship-trained spine surgeons evaluated 50 patients who had both...
Abstract Purpose Proximal fibula fractures are often associated with tibial plateau fractures, but their relationship is poorly characterized. The purpose of this study was to better define the between injury severity and presence soft tissue injuries. Methods A retrospective review performed on all operatively treated at a Level 1 trauma center over 5-year period. Patient demographics, radiographs, CT scans, operative reports follow-up were reviewed. Results Queried from 2014 2019 totaled...
Purpose: While demonstrated to be effective for the repair of large skull base defects, Hadad-Bassagasteguy nasoseptal flap increases operative time and results in postoperative crusting along denuded nasal septum. Endoscopic transsphenoidal surgery resection pituitary adenomas is generally not associated with dural defects high-flow cerebrospinal fluid (CSF) leaks requiring extensive reconstruction. Here, we present posterior flap, which harvested from only septal mucoperiosteum otherwise...