- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Nerve Injury and Rehabilitation
- Sports injuries and prevention
- Orthopedic Surgery and Rehabilitation
- Trauma Management and Diagnosis
- Knee injuries and reconstruction techniques
- Cardiovascular Syncope and Autonomic Disorders
- Tendon Structure and Treatment
- Musculoskeletal pain and rehabilitation
- Total Knee Arthroplasty Outcomes
- Cardiac Valve Diseases and Treatments
- Hip and Femur Fractures
- Pelvic and Acetabular Injuries
- Peripheral Nerve Disorders
- Spinal Fractures and Fixation Techniques
- Lower Extremity Biomechanics and Pathologies
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma and Emergency Care Studies
- Occupational Health and Performance
- Elbow and Forearm Trauma Treatment
- Health and Medical Research Impacts
- Vascular Procedures and Complications
- Myofascial pain diagnosis and treatment
- Cerebral Venous Sinus Thrombosis
University of Iowa Hospitals and Clinics
2024-2025
Madigan Army Medical Center
2014-2024
University of Iowa
2024
University of Iowa Health Care
2024
Community Hospital
2023
University of Washington Tacoma
2022
Defense Health Agency
2021
Military Health System
2021
Joint Base San Antonio
2021
Massachusetts General Hospital
2019-2021
Posterior shoulder instability is less common and potentially more difficult to diagnose clinically radiographically compared with anterior instability. Radiographic findings including posterior labral tears, increased retroversion, presence of glenoid dysplasia, capsular area are associated symptomatic recurrent instability.This study aimed determine the prevalence severity radiographic parameters found on magnetic resonance arthrograms (MRAs) in patients arthroscopically confirmed isolated...
Neer type V distal clavicle fractures are challenging injuries to treat. The fracture morphology includes a small fragment attached the acromion by acromioclavicular ligaments and separate inferior coracoclavicular ligaments. This pattern is functionally equivalent complete joint dislocation. Plate fixation not an ideal operative strategy, as too obtain adequate screw fixation; therefore, suture button or anchor alternative that has been described used. These techniques use coracoid reduce...
Muscle tendon transfers (MTTs) are effective surgical procedures for reducing pain and improving active shoulder range of motion patient-reported outcomes a wide pathologies, including serratus anterior trapezius muscle palsy, irreparable subscapularis tears, posterosuperior rotator cuff posterior tears in the setting reverse arthroplasty, symptomatic complete deltoid deficiency.The principles MTT include ensuring that transferred is expendable, unit has similar excursion, line pull...
Shoulder arthroplasty procedures are increasingly being performed in older patients despite an increased perioperative risk. The purpose of this study is to determine the complications and 30-day readmission rates elderly population after shoulder hemiarthroplasty.Total arthroplasty, reverse total hemiarthroplasty cases were collected from National Surgical Quality Improvement Program database 2006 2015. complication rates, surgical time, discharge destination, hospital length stay...
Rotator cuff repair (RCR) is an effective procedure to relieve shoulder pain and dysfunction. Postoperative physical therapy (PT) plays integral role in the overall success of RCR. Insurance status has been shown be important predictor postoperative PT utilization. This study evaluated effect insurance on access services following One hundred thirty-eight clinics were contacted Greater Boston metropolitan area. Clinics two separate occasions presented with a fictitious acutely RCR patient...
BackgroundThe treatment of severe proximal humeral bone loss (PHBL) secondary to tumor resection or failed arthroplasty is challenging. We evaluated the outcomes and complications reconstruction with reverse shoulder–allograft prosthesis composite (RS-APC), performed without tendon transfer.MethodsAn RS-APC procedure was in 25 consecutive patients PHBL (>4 cm): 12 after shoulder arthroplasty, 5 hemiarthroplasty for fracture, 6 mega-tumor placement, 2 resection. The median length 8 cm (range,...
Chronic quadriceps tendon (QT) ruptures are uncommon injuries that present treatment challenges due to their complex nature and the limited evidence guide management.Timely diagnosis surgical management of acute QT injury imperative optimize patient outcomes as delayed leads poorer results regardless modality.Elements chronic may complicate include age, comorbidity, scar-tissue formation, amount muscle/ retraction, distalmigration patella with contraction tendon.Treatment options for primary...
There is a paucity of data on how racial disparities may affect early outcomes following shoulder arthroplasty. The purpose this study was to evaluate differences in 30-day complications and readmission rates after arthroplasty based race. White black patients who underwent hemiarthroplasty, anatomic or reverse total (Current Procedural Terminology codes 23470 23472) between 2006 2015 were identified the American College Surgeons National Surgical Quality Improvement Program database. Black...
A biorepository, also referred to as a “biobank,” is collection of biologic samples that are stored for laboratory research. With the emergence precision medicine, importance leveraging individual patient biomolecular signatures improve diagnosis, prognosis, and treatment becoming increasingly recognized. Successful development sustainment biorepository provides potential transformative preclinical Establishing biobank requires team approach with involvement institutions' research regulatory...
The purpose of this study is to evaluate the trends in surgical management for anterior shoulder instability U.S. Military.A retrospective analysis military service members undergoing arthroscopic or open stabilization from 2012 2015 within Military Health System was conducted. Demographic and variables were extracted medical record. Chi-square linear regression performed identify temporal by procedures concomitant surgery. Associations between demographic procedure evaluated using logistic...