- Shoulder Injury and Treatment
- Elbow and Forearm Trauma Treatment
- Orthopedic Surgery and Rehabilitation
- Sports injuries and prevention
- Hip disorders and treatments
- Shoulder and Clavicle Injuries
- Knee injuries and reconstruction techniques
- Total Knee Arthroplasty Outcomes
- Trauma Management and Diagnosis
- Hernia repair and management
- Musculoskeletal pain and rehabilitation
- Advanced Fiber Laser Technologies
- Older Adults Driving Studies
- Traffic and Road Safety
- Tendon Structure and Treatment
- Pelvic and Acetabular Injuries
- Nerve Injury and Rehabilitation
- Trauma and Emergency Care Studies
- Orthopaedic implants and arthroplasty
- Cardiac Valve Diseases and Treatments
- Vehicle emissions and performance
- Cardiovascular Syncope and Autonomic Disorders
American Sports Medicine Institute
2015-2025
Orthopaedic Center
2014-2025
Andrews Institute for Orthopaedics & Sports Medicine
2022-2023
University of Alabama at Birmingham
2017
Saint Vincent Health System
2015
Background: There has been a renewed interest in ulnar collateral ligament (UCL) repair overhead athletes because of greater understanding UCL injuries, an improvement fixation technology, and the extensive rehabilitation time to return play. Purpose/Hypothesis: To evaluate clinical outcomes novel technique with internal brace augmentation throwers. Study Design: Case series; Level evidence, 4. Methods: Patients undergoing were prospectively followed for minimum 1 year. Potential candidates...
Background: The increasing prevalence of ulnar collateral ligament (UCL) injuries, particularly in young athletes, necessitates optimization treatment options. introduction UCL repair with internal bracing offers an exciting alternative to traditional reconstruction. Purpose: To compare midterm outcomes between and reconstruction competitive athletes. Study Design: Cohort study; Level evidence, 3. Methods: authors identified athletes who underwent primary or 2013 2021 were at least 2 years...
Background: Long-term outcomes for isolated anterior cruciate ligament (ACL) reconstructions in competitive American football athletes are well reported the literature, but little data currently exist regarding multiligament knee injury (MLKI) reconstruction outcomes. Purpose: To examine patient-reported and return-to-sport of who underwent primary, single-staged, reconstruction. Study Design: Case series; Level evidence, 4 Methods: We identified patients from our institution’s prospectively...
Background: Rotator cuff tears are rare injuries in adolescents but cause significant morbidity if unrecognized. Previous literature on rotator repairs is limited to small case series, with few data guide treatment. Hypothesis: Adolescent patients would have excellent functional outcome scores and return the same level of sports participation after repair some difficulty returning overhead sports. Study Design: Case series; Level evidence 4. Methods: A retrospective search practice’s billing...
Recent innovative techniques have led to renewed interest in ulnar collateral ligament (UCL) repair. Although early outcome data regarding the clinical of overhead athletes undergoing UCL repair with augmentation been encouraging, long-term are still needed evaluate both appropriate indications and success rate for this procedure.To describe acute complications seen a large cohort patients who underwent internal brace at single institution.Case series; Level evidence, 4.We performed...
A rectus abdominis-adductor longus (RA-AL) aponeurotic plate injury, commonly associated with athletic pubalgia, sports hernia, or a core muscle causes significant dysfunction in athletes. Increased recognition of this specific injury distinct from inguinal hernia abnormalities has led to better management debilitating condition.Surgical repair RA-AL injuries will result decreased symptoms and high rates return play.Case series; Level evidence, 4.Using our billing clinical database, patients...
Background: In recent years, innovation in arthroscopic glenoid labral repair techniques has included the development of all-suture anchors. There are multiple potential advantages anchors, including decreased bone removal, anchor migration, synovitis/chondral injury, and reaction. Despite these advantages, few studies have examined clinical outcomes with Purpose: To evaluate patient-reported return-to-sport repairs using Study Design: Case series; Level evidence, 4. Methods: All patients...
Background: The preponderance of literature on the repair proximal hamstring tendon tears focuses acute phase (<4 weeks). As such, there is a paucity data reporting outcomes chronic tears. Purpose: To report minimum 2-year postoperative patient-reported outcome (PRO) scores, visual analog scale (VAS) for pain, and patient satisfaction from patients who underwent open or endoscopic partial- full-thickness Study Design: Case series study; Level evidence, 4. Methods: Between April 2002 May...
Metacarpal fractures are common in football players and lead to time away from competition, but current operative treatment data is limited. The purpose of this study was examine demographics outcomes who underwent fixation for metacarpal fractures.Retrospective review 2009 2012 any player surgically treated at one institution a fracture. Charts were reviewed position, level mechanism injury, return play, postoperative bracing, re-fracture event. Current information obtained via phone...
Ulnar collateral ligament (UCL) surgery continues to demonstrate excellent clinical outcomes and a high return-to-play (RTP) rate with low complication rate. Recent studies have demonstrated similar for baseball players who undergone either UCL reconstruction or repair. In comparison, few assessed the of nonthrowing athletes.The primary objective this study is provide performed in athletes at single institution minimum 2-year follow-up. Our hypothesis was that these patients would outcomes,...
The probability of returning to competition for injured baseball pitchers is similar after ulnar collateral ligament (UCL) repair as UCL reconstruction, but the time return significantly quicker repair. Previous research has found no differences in pitching biomechanics between with and without a history not been studied.There will be significant play injury history.Controlled laboratory study.A total 33 were tested shortly (9.8 ± 2.6 months) compared matched group uninjured pitchers. Each...
Objectives: Objective: Our purpose is to describe a novel surgical technique for Ulnar Collateral Ligament repair in the young adolescent, and present clinical results of retrospective cohort patients. We hypothesized that using an internal brace augment native ulnar collateral ligament would allow more aggressive physical therapy protocol ultimately facilitate both expeditious return sport high level patient satisfaction. Methods: After obtaining IRB approval this study, our institutional...
One cause of groin pain in highly active patients may be a core muscle injury, commonly referred to as sports hernia. When fail nonoperative management, there are number surgical options that pursued. Typically, they will involve the direct repair rectus abdominis back pubis. However, we believe this can further strengthened by appropriate lengthening adductor longus from conjoined tendon. Therefore, present technique involves both and those who show injury is refractory conservative...
Objectives: There has been a renewed interest in UCL repair overhead athletes. This is largely due to greater understanding of pathology, improvement fixation technology and the extensive rehab required return from reconstruction. Initial data regarding athletes was poor therefore abandoned favor However, recent literature examining with anchor only demonstrated an excellent rate play, reduced time play low complication rate. Based on this promising data, we have developed novel technique...
Background: The use of all-suture anchors for rotator cuff repair is increasing. Potential benefits include decreased bone loss and damage to the chondral surface. Minimal evidence exists comparing outcomes among medial-row anchor fixation methods in double-row suture bridge repair. Purpose: To compare clinical between solid Study Design: Case series; Level evidence, 4. Methods: A total 352 patients (mean age at surgery, 60.3 years) underwent our institution. Patients were separated into 2...
Objectives: The prevalence of ulnar collateral ligament (UCL) injuries and their surgical treatment has risen significantly since the first treated by Dr. Jobe in 1974. recent surgery, primarily amongst 15- to 25-year-olds involved overhead sports, is concerning necessitates refinement and/or development most effective options. traditional been UCL reconstruction, but more recently, repair techniques, particularly with use internal bracing, are an exciting potential alternative. Whereas...
Objective: The objective of this study was to evaluate patients' braking performance using a modern driving simulator after undergoing right hip arthroscopy. Design: This prospective included 5 total sessions at which measurements were taken. Setting: conducted an academic medical center. Patients: A 14 patients scheduled undergo arthroscopy enrolled and compared with control group 17 participants account for potential learning phenomenon. Interventions: Patients drove in the preoperatively...
To compare physical activity (PA) levels between individuals with femoroacetabular impingement syndrome (FAIS) and uninjured controls determine correlates of moderate to vigorous (MVPA).Cross-sectional, comparative study.University laboratory.A total number 25 FAIS (15 female; age, 31.0±9.2 years; symptom duration, 4.7±7.1 years) 14 (9 28.0±9.1 (N=39).Not applicable.All wore an accelerometer around the waist during waking hours for 7 days. We compared demographic, clinical data, PA groups...
Background: Few studies have examined the short-term clinical outcomes of rotator cuff repair (RCR) with all-suture anchors for medial row anchor fixation. Purpose: To evaluate double-row suture bridge RCR using a novel anchor. Study Design: Case series; Level evidence, 4. Methods: We enrolled 179 patients before (mean age at surgery, 60.0 years; 63% male patients) single institution. All underwent fixation and solid lateral row. Preoperative (baseline) follow-up (minimum time 2 mean, 2.5...
Abstract Accurate tunnel placement is important for a successful anterior cruciate ligament (ACL) reconstruction. Controversy exists concerning the preferred method of femoral preparation, with proponents both medial portal and transtibial drilling techniques. Current ACL literature suggests that attachment site posterior or “low” in footprint leads to more anatomically correct mechanics better rotational control. There limited focusing on graft displacement through knee range motion based...
Background: Proximal hamstring tendon avulsions are debilitating and commonly cause pain, weakness, functional limitations. Open surgical repair has been the standard, but improved endoscopic techniques have enabled proximal fixation with decreased risk of infection numbness, without morbidity a large incision. Purpose/Hypothesis: The purpose was to (1) describe pertinent anatomy surrounding origin in relation 4 portal sites (2) test for biomechanical differences between open repair. It...
There is limited literature regarding outcomes after operative treatment of displaced medial epicondyle avulsion fractures in adolescent athletes. Most studies have had a relatively small sample size and not assessed return to play the overhead athlete.To examine youth athletes who underwent open reduction internal fixation (ORIF) with screw fixation.Case series; Level evidence, 4.Charts radiographs were queried between January 2003 June 2018 for young (age, <17 years) ORIF fracture....