Background: Femoral nerve block (FNB) is a commonly performed technique that has been proven to provide effective regional analgesia after anterior cruciate ligament (ACL) reconstruction. The adductor canal (ACB) uses similar sensory around the knee while avoiding motor blockade of quadriceps muscles. Purpose/Hypothesis: purpose our study was compare efficacy FNB versus ACB for pain control ACL It hypothesized there would be no difference in levels or opioid requirements between 2 groups....

Background: Early weightbearing protocols after Achilles tendon repair promote mobilization, yet little is known about their effect on lengthening. Purpose: To evaluate lengthening with accelerated rehabilitation. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: Patients undergoing primary for acute ruptures consented to have tantalum beads placed within the tendon. were randomized into either a traditional (weightbearing at 6 weeks) or (graduated 2 rehabilitation...

Challenges exist in routinely collecting patient-reported outcomes (PROs) from patients at a busy ambulatory clinic. A number of validated Patient-Reported Outcomes Measurement Information System (PROMIS) subdomains allow for efficient PRO administration.To determine the time to completion (TTC) 3 PROMIS computer adaptive test (CAT) scores. CAT questionnaires were administered clinic with following subdomains: Pain Interference (PI), Depression, and Physical Function lower extremity (PF) or...

Hip fractures are common orthopedic injuries and associated with significant morbidity/mortality. Intraoperative normothermia is recommended by national guidelines to minimize additional morbidity/mortality, but limited evidence exists regarding hypothermia's effect on patients. The purpose of this study was determine the incidence intraoperative hypothermia in patients operatively treated hip evaluate its complications outcomes. Retrospective chart review performed clinical records from...

Surgical repair of an Achilles tendon rupture has been shown to decrease rerupture rates. However, surgery also increases the risk complications, including infection.To determine factors for infection and after primary ruptures.Cohort study; Level evidence, 3.A retrospective review was performed on 423 patients who underwent operative treatment ruptures between years 2008 2014. The outcome interest total rate infection, secondary incidence within 2 operation.A were analyzed, with a mean age...

Background: Multimodal pain protocols have been effective for postsurgical control; however, no published protocol has in eliminating opioid consumption. Purpose: To compare a multimodal nonopioid versus traditional medication postoperative control patients undergoing anterior cruciate ligament reconstruction (ACLR). Study Design: Randomized controlled trial; Level of evidence, 1. Methods: A total 90 primary ACLR were assessed participation. We performed prospective, randomized trial...

Concussion injuries are common in professional hockey; however, their effect on player performance remains unclear.To quantify the of concussions position players National Hockey League (NHL).Cohort study; Level evidence, 3.Concussion data from NHL were collected using publicly available databases for seasons between 2009-2010 and 2015-2016, coinciding with new concussion rules. Age, body mass index, position, number during a player's career, games played, time ice recorded. Basic advanced...

Orthobiologics encompass numerous substances that are naturally found in the human body including platelet-rich plasma (PRP), isolated growth factors, and cell therapy approaches to theoretically optimize improve healing of cartilage, fractures, injured muscles, tendons, ligaments.PRP is an autologous derivative whole blood generated by centrifugation perhaps most widely used orthobiologic treatment modality. Despite a vast amount literature on its use osteoarthritis as well tendon ligament...

Musculoskeletal (MSK) disorders are one of the most common causes disability and emergency department physician visits in United States. However, there is very little consistency how physicians training prepared to treat MSK disorders. On basis published reports, medical school graduates have a relative lack cognitive mastery medicine, even with recent increase instruction. This study sought compare education at an allopathic that osteopathic school.An anonymous survey students graduate...

BackgroundMepivacaine as an intermediate-length spinal anesthetic for rapid recovery in total knee arthroplasty (TKA) has not been fully described. We compared mepivacaine vs bupivacaine postoperative neurologic function patients undergoing primary TKA.MethodsThirty-two TKA were enrolled. Primary outcome measure was return of motor and sensory function. Secondary measures included assessment urinary function, pain via visual analog scale (VAS) scores, opioid usage, distance walked with...

National Basketball Association (NBA) players who return to sport (RTS) after Achilles tendon rupture have been reported poor outcomes.To evaluate the effect of ruptures on player performance and career longevity in NBA athletes.Cohort study; Level evidence, 3.NBA sustained between 1970 2019 were identified using publicly available resources matched 1:1 a healthy control group by age, position, height, body mass index. Demographic characteristics, utilization (games minutes), efficiency...

Healthcare inequities exist across healthcare and have been shown to influence patient care outcomes. In the field of orthopaedic surgery, disparities manifest in realms postoperative pain management rehabilitation. Previous literature has demonstrated that socioeconomic status, sex, gender, race, ethnicity can precipitate a negative experience, manifesting as poorly managed undertreatment minorities patients lower status. A similar body revealed barriers rehabilitation, particularly with...

Quadriceps muscle atrophy remains a limiting factor in returning to activity after anterior cruciate ligament reconstruction (ACLR). Blood flow restriction (BFR) therapy may accelerate quadriceps strengthening the perioperative period.To evaluate postoperative isometric strength patients who underwent ACLR with BFR program.Randomized controlled trial; Level of evidence, 1.Patients indicated for were randomized into 2 groups, and control, at their initial clinic visit. All weeks...

A proposed mechanism for recurrent instability following anterior cruciate ligament (ACL) reconstruction is failure of the anterolateral (ALL). Presently, there are a number approaches to treating ALL pathology.To determine practice patterns among orthopaedic surgeons regarding during ACL reconstruction.Cross-sectional study.An online 7-question survey was sent all physicians registered with American Orthopaedic Society Sports Medicine between June and July 2017. Results were analyzed...