- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Sports injuries and prevention
- Total Knee Arthroplasty Outcomes
- Nerve Injury and Rehabilitation
- Knee injuries and reconstruction techniques
- Orthopedic Surgery and Rehabilitation
- Tendon Structure and Treatment
- Hip and Femur Fractures
- Diversity and Career in Medicine
- Orthopedic Infections and Treatments
- Orthopaedic implants and arthroplasty
- Cardiovascular Syncope and Autonomic Disorders
- Healthcare Policy and Management
- Innovations in Medical Education
- Lower Extremity Biomechanics and Pathologies
- Cardiac Arrhythmias and Treatments
- Hip disorders and treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Hemoglobinopathies and Related Disorders
- Social Media in Health Education
- Medical Education and Admissions
- Healthcare Systems and Technology
- Viral Infections and Vectors
- Meta-analysis and systematic reviews
Boston University
2016-2024
Boston Medical Center
2016-2024
McGill University
2022
Tufts University
2015-2020
University Medical Center
2019
Brigham and Women's Hospital
2013-2018
Harvard University
2015-2018
Johns Hopkins Medicine
2018
Johns Hopkins University
2018
Conformis (United States)
2018
Prior studies in other specialties have shown that social networking and Internet usage has become an increasingly important means of patient communication referral. The purpose this study is to evaluate the prevalence or media new patients referred a major academic orthopedics center identify avenues optimize recruitment communication. New were surveyed (n=752) between December 2012 January 2013 orthopedic complete 15-item questionnaire including information. Data was collected for all...
Financial, personal, and structural barriers affect access to all aspects of orthopaedic specialty care.Disparities in care are present across subspecialties surgery the United States.Improving timely is crucial for both health equity optimizing patient outcomes.Options improving include increasing Medicaid/Medicare payments physicians, providing secondary resources assist patients with limited finances, reducing language clinical education.
Intra-articular corticosteroid injections are often used for short-term pain relief in patients with knee osteoarthritis (OA). This study investigates the efficacy of intra-articular symptomatic OA and factors that affect treatment response.This prospective, multicentered cohort had 100 participants radiographic evidence enrolled. Participants received one injection into affected were evaluated before (baseline) at 3 weeks, 6 months, months after injection.Participants' Visual Numeric Scale...
In the senior author's (X.L.) orthopaedic sports medicine clinic in United States (US), patients appear to have difficulty finding physical therapy (PT) practices that accept Medicaid insurance for postoperative rehabilitation.To determine access PT services privately insured versus those with who underwent anterior cruciate ligament (ACL) reconstruction largest metropolitan area state of Massachusetts, which expansion as part Affordable Care Act.Cross-sectional study.Locations offering were...
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...
Arthroscopic rotator cuff repair is an effective treatment for patients with symptomatic tears. Ensuring timely and appropriate postoperative access to physical therapy (PT) paramount the achievement of optimal patient outcomes. Extended immobility due a lack formal rehabilitation can lead decreased range motion, continued pain, potential reoperation stiffness. The purpose this study evaluate national disparities in PT services after between private vs. Medicaid insurance. This will further...
Structural characteristics of rotator cuff tears are used in surgical decision making. However, data on the association tear size with patient-reported pain and function sparse.To assess size, fatty infiltration, muscle atrophy shoulder pain/function patients undergoing operative nonoperative treatment.Cross-sectional study; Level evidence, 3.A total 67 were recruited for this longitudinal cohort study. Patients determined to have a using clinical assessment blinded magnetic resonance...
The female athlete triad (Triad) is a serious condition with lifelong consequences seen in physically active females. Prior studies assessing Triad knowledge among coaches/athletic trainers reported surprisingly low awareness results. Our aims were to (1) determine the percentage of physicians across multiple specialties who had heard phrase "female triad" and (2) can properly diagnose or have high comfort level appropriately referring these patients.Via electronic survey, we recruited...
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...
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...
PurposeEvidenced-based decision-making is rooted in comparative clinical studies; however, a small number of outcome event reversals have the potential to change study significance. The purpose this was determine utility applying fragility analysis studies published orthopaedic shoulder literature.MethodsComparative research reporting 1:1 dichotomous categorical data were analyzed 6 leading journals between 2006 and 2016. Statistical significance defined as P value less than .05. index (FI)...
Medicare reimbursement is known to exhibit geographic variation for inpatient orthopedic procedures. This study determined whether US variations also exist commonly performed hand surgeries.Using the Provider Utilization and Payment Data (2012-2013) from Centers & Medicaid Services, we analyzed regional physician charges/payments common outpatient surgeries.The most procedures in United States were open carpal tunnel release (n = 21 944), trigger finger 15 345), endoscopic 7106), basal joint...