- Orthopedic Surgery and Rehabilitation
- Elbow and Forearm Trauma Treatment
- Shoulder Injury and Treatment
- Bone fractures and treatments
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Reconstructive Surgery and Microvascular Techniques
- Medical Malpractice and Liability Issues
- Peripheral Nerve Disorders
- Musculoskeletal synovial abnormalities and treatments
- Congenital limb and hand anomalies
- Musculoskeletal pain and rehabilitation
- Opioid Use Disorder Treatment
- Muscle and Compartmental Disorders
- Parathyroid Disorders and Treatments
- Anesthesia and Pain Management
- Shoulder and Clavicle Injuries
- Neurofibromatosis and Schwannoma Cases
- Sarcoidosis and Beryllium Toxicity Research
- Sports injuries and prevention
- Dupuytren's Contracture and Treatments
- Tendon Structure and Treatment
- Dermatological and Skeletal Disorders
- Orthopaedic implants and arthroplasty
- Orthopedic Infections and Treatments
- Soft tissue tumors and treatment
Lahey Medical Center
2016-2022
Lahey Hospital and Medical Center
2009-2022
KK Women's and Children's Hospital
2018
Massachusetts General Hospital
2006-2016
Harvard University
2016
Brown University
2008-2013
Providence College
2010
Rhode Island Hospital
2010
AO Foundation
2007
Columbia University Irving Medical Center
2006
Background: Flexor tendon injury is a recognized complication of volar plate fixation distal radial fractures. A suspected contributing factor implant prominence at the watershed line, where flexor tendons lie closest to plate. Methods: Two parallel series patients who underwent locked plating fractures from 2005 2008 and with least six months follow-up were retrospectively reviewed. Group 1 included seventy-three that treated by three orthopaedic hand surgeons use single design one...
Open trigger finger release is generally considered a simple low-risk procedure. Reported complication rates vary widely from 1 to 43 %, mostly based on small studies. Our goal was determine the incidence of complications in large consecutive series, while also identifying potential risk factors.All open releases performed 2006 2009 by four fellowship-trained hand surgeons at single institution were retrospectively reviewed. There 795 digits released 543 patients. Complications defined as...
Objective: To describe the clinical features and outcome of a series patients with complete motor sensory ulnar nerve palsy associated fracture distal radius. Design: Retrospective case series. Setting: Level 1 trauma center. Patients/Participants: Five adults acute radius were treated during 2 year period. There 3 men women, an average age 42 years (range, 33 to 56 years). All 5 fractures high energy widely displaced. Three had ulna (2 styloid, styloid diaphysis), triangular fibrocartilage...
Prior to volar locked plating and early motion protocols, ligamentous injuries incidentally associated with distal radius fractures may have been indirectly treated immobilization. Our goal was determine the prevalence of scapholunate instability in our population, while identifying those who had progression instability.We retrospectively reviewed 221 a locking plate during 6-year period. Average patient age 59 years. Standard posteroanterior lateral radiographs from first last postoperative...
The ideal method of irrigation and débridement for severe extremity wounds has yet to be determined. This report demonstrates the use hydrosurgical in treatment highly contaminated acute forearm fractures a 22-year-old man ejected during motor vehicle crash farm area. result was rapid, selective, effective deeply embedded material, which allowed expeditious reconstruction with internal fixation, tendon transfers, groin flap coverage while avoiding infection injury vital structures. technique...
Scapholunate dissociation is well-known to result from acute wrist trauma [9], or in some cases chronic crystalline synovitis [1, 6]. The etiology of Kienbock’s disease, osteonecrosis the lunate bone, remains unclear, and likely multifactorial. Trauma may be contributory, although variations radial morphology, ulnar-negative variance, vascular pattern, disruption venous outflow, systemic conditions such as autoimmune disease sickle cell anemia have all been associated [5, 12]. Both studied...
High-resolution ultrasound (HRU) has recently demonstrated the potential to facilitate diagnosis and treatment of upper extremity compression neuropathy. The authors hypothesized that HRU can improve preoperative evaluation ulnar neuropathy at elbow (UNE) changes in nerve cross-sectional area (CSA) after cubital tunnel release may correlate with outcomes. Nineteen adult patients diagnosed UNE who were scheduled for surgical decompression by a single hand surgeon enrolled. Electrodiagnostic...
1Lahey Clinic, 41 Mall Road, Burlington, MA 01805. E-mail address: [email protected] 2University Orthopedics, 1405 South County Trail, East Greenwich, RI 02818
Large segmental bone defects of the phalanges reportedly have been treated with free vascularized grafts from hand, foot, or knee, nonvascularized iliac crest. A structural corticocancellous graft a local site would be advantageous. The olecranon has used as source both cancellous and graft. authors describe unique case use for purposes in mutilating thumb injury. patient injured left miter saw, resulting large degloving wound over severely comminuted fracture proximal phalanx, loss between...
Neurofibromatosis is well known to orthopedic surgeons for causing spinal curvature and tibial bowing. However, skeletal abnormalities of the hand related this condition have rarely been reported. We present a unique case neurofibromatosis bony changes possibly contributing carpometacarpal instability. A 29-year-old man with type 1 presented right pain after striking wall. Swelling was difficult assess as deformed due large plexiform neurofibroma over ulnar side hand. Radiographs showed...