Scholars@Duke
Brian Chei-Fai Lau

Brian Chei-Fai Lau

Assistant Professor of Orthopaedic Surgery
Orthopaedic Surgery
Office hours

Selected Publications

The Athlete's Shoulder.

Journal Article Clin Sports Med · October 2024 Full text Link to item Cite

Nonoperative Management, Repair, or Reconstruction of the Medial Collateral Ligament in Combined Anterior Cruciate and Medial Collateral Ligament Injuries-Which Is Best? A Systematic Review and Meta-analysis.

Journal Article Am J Sports Med · February 2024 BACKGROUND: Combined injury of the anterior cruciate ligament (ACL) and the medial collateral ligament (MCL) is a common injury pattern and accounts for 20% of all ligamentous knee injuries. Despite advancements in surgical technique, there is no up-to-dat ... Full text Link to item Cite

Majority of Studies Show Similar Rates of Return to Play After Arthroscopic Bankart Repair or Latarjet Procedure: A Systematic Review.

Journal Article Arthroscopy · February 2024 PURPOSE: To systematically review the current evidence in the literature to compare return to play following arthroscopic Bankart repair versus open Latarjet procedure for the treatment of anterior shoulder instability. METHODS: A literature search was per ... Full text Link to item Cite

Injury prevention strategies at the 2019 FIFA Women's World Cup display a multifactorial approach and highlight subjective wellness measurements.

Journal Article J ISAKOS · October 2023 OBJECTIVE: To report the injury prevention programs utilised by top-level female footballers competing internationally. METHODS: An online survey was administered to physicians of the 24 competing national teams at the 2019 Federation Internationale de Foo ... Full text Link to item Cite

Early clinical and patient-reported outcomes for arthroscopic and mini-open superior capsular reconstruction are similar for irreparable rotator cuff tears.

Journal Article J ISAKOS · October 2023 OBJECTIVES: The purpose of this study was to report and compare postoperative range of motion (ROM), patient-reported outcomes, and failure rates following superior capsular reconstruction (SCR) and to compare outcomes between arthroscopic and mini-open te ... Full text Link to item Cite

Trends in the surgical treatment of posterior shoulder instability in the United States from 2016 to 2020.

Journal Article Shoulder Elbow · August 2023 BACKGROUND: The purpose of this study was to describe trends in the incidence of open versus arthroscopic management of posterior shoulder instability (PSI) as well as the patients undergoing these procedures in the United States over time. METHODS: The Pe ... Full text Link to item Cite

Distal Clavicle Autograft Versus Traditional and Congruent Arc Latarjet Procedures: A Comparison of Surface Area and Glenoid Apposition With 3-Dimensional Computed Tomography and 3-Dimensional Magnetic Resonance Imaging.

Journal Article Am J Sports Med · April 2023 BACKGROUND: Limited studies have compared graft-glenoid apposition and glenoid augmentation area between the Latarjet procedure and distal clavicle graft in glenohumeral stabilization. Additionally, preoperative planning is typically performed using comput ... Full text Link to item Cite

Association Between Preoperative Multidimensional Psychological Distress and Physical Function After Surgery for Sports-Related Injury.

Journal Article Orthop J Sports Med · April 2023 BACKGROUND: Psychological distress after orthopaedic surgery can lead to worse outcomes, including higher levels of disability and pain and lower quality of life. The 10-item Optimal Screening for Prediction for Referral and Outcome-Yellow Flag (OSPRO-YF) ... Full text Link to item Cite

Shoulder instability in lacrosse players

Journal Article Journal of Cartilage and Joint Preservation · December 1, 2022 Introduction: Lacrosse has become an increasingly popular sport in recent decades with more players competing at the high school and collegiate levels. Along with the rise in popularity, lacrosse has also seen an increase in and evolution of common injurie ... Full text Cite

Comparison of computed tomography and 3D magnetic resonance imaging in evaluating glenohumeral instability bone loss.

Journal Article J Shoulder Elbow Surg · November 2022 BACKGROUND: To determine whether the addition of 3-dimensional (3D) magnetic resonance imaging (MRI) to standard MRI sequences is comparable to 3D computed tomographic (CT) scan evaluation of glenoid and humeral bone loss in glenohumeral instability. METHO ... Full text Link to item Cite

Number of Months of Baseball in the Previous Year and Preseason Olecranon Tenderness: Risk Factors for Shoulder and Elbow Injuries in High-School Baseball Players.

Journal Article Clin J Sport Med · November 1, 2022 OBJECTIVE: To identify risk factors for shoulder and elbow injuries in high-school baseball position players and pitchers in the preseason history and physical examination. DESIGN: Retrospective cohort study. SETTING: Community high-school baseball. PARTIC ... Full text Link to item Cite

Early clinical and radiographic outcomes of anatomic total shoulder arthroplasty with a biconvex posterior augmented glenoid for patients with posterior glenoid erosion: minimum 2-year follow-up.

Journal Article J Shoulder Elbow Surg · August 2022 BACKGROUND: Glenoid bone loss in anatomic total shoulder arthroplasty (aTSA) remains a controversial and challenging clinical problem. Previous studies have shown high rates of glenoid loosening for aTSA in shoulders with retroversion, posterior bone loss, ... Full text Link to item Cite

MOntelukast as a potential CHondroprotective treatment following Anterior cruciate ligament reconstruction (MOCHA Trial): study protocol for a double-blind, randomized, placebo-controlled clinical trial.

Journal Article Trials · January 31, 2022 BACKGROUND: After anterior cruciate ligament (ACL) reconstruction, patient-reported outcomes are improved 10 years post-surgery; however, cytokine concentrations remain elevated years after surgery with over 80% of those with combined ACL and meniscus inju ... Full text Open Access Link to item Cite

Return to Sport After Shoulder Stabilization Procedures: A Criteria-Based Testing Continuum to Guide Rehabilitation and Inform Return-to-Play Decision Making.

Journal Article Arthrosc Sports Med Rehabil · January 2022 UNLABELLED: The athlete with shoulder instability poses a unique challenge to the sports medicine team. Clinical studies support surgical intervention followed by a phased approach to rehabilitation. In the latter phases, it is important to tailor this pro ... Full text Open Access Link to item Cite

Immune cell profiles in synovial fluid after anterior cruciate ligament and meniscus injuries.

Journal Article Arthritis Res Ther · November 4, 2021 BACKGROUND: Anterior cruciate ligament (ACL) and meniscus tears are common knee injuries. Despite the high rate of post-traumatic osteoarthritis (PTOA) following these injuries, the contributing factors remain unclear. In this study, we characterized the i ... Full text Open Access Link to item Cite

Endoscopic Proximal Hamstring Repair Is Safe and Efficacious With High Patient Satisfaction at a Minimum of 2-Year Follow-Up.

Journal Article Arthroscopy · November 2021 PURPOSE: To evaluate the short-term outcomes of endoscopic proximal hamstring repair including clinical outcomes, patient-reported outcomes, and complications. METHODS: A retrospective analysis was performed on consecutive patients who underwent endoscopic ... Full text Link to item Cite

Demographic and radiographic predictors of patient reported outcomes and revision surgery after stemless total shoulder arthroplasty

Journal Article Seminars in Arthroplasty JSES · November 1, 2021 Background: Stemless total shoulder arthroplasty (TSA) is aimed at better re-creating native anatomy, facilitating revision, and preserving bone. The purpose of this study is to determine which pre-operative patient characteristics or radiographic paramete ... Full text Cite

Impact of Early Weightbearing After Ankle Arthroscopy and Bone Marrow Stimulation for Osteochondral Lesions of the Talus.

Journal Article Orthop J Sports Med · September 2021 BACKGROUND: Osteochondral lesion of the talus (OLT) may be caused by osteochondritis dissecans, osteochondral fractures, avascular necrosis, or focal arthritic changes. For certain focal cartilage defects, bone marrow stimulation (BMS) has been a widely us ... Full text Open Access Link to item Cite

Cost utility analysis of intramedullary nailing and skeletal traction treatment for patients with femoral shaft fractures in Malawi.

Journal Article Acta orthopaedica · August 2021 Background and purpose - In Malawi, both skeletal traction (ST) and intramedullary nailing (IMN) are used in the treatment of femoral shaft fractures, ST being the mainstay treatment. Previous studies have found that IMN has improved outcomes and is less e ... Full text Open Access Cite

Osteochondral Lesions of the Distal Tibial Plafond: A Systematic Review of Lesion Locations and Treatment Outcomes

Journal Article Orthopaedic Journal of Sports Medicine · April 1, 2021 Background: Osteochondral lesions of the tibial plafond (OLTPs) remain less common than osteochondral lesions of the talus (OLTs), but recognition of the condition has increased. Full text Cite

Are Weightbearing Restrictions Required After Microfracture for Isolated Chondral Lesions of the Knee? A Review of the Basic Science and Clinical Literature.

Journal Article Sports Health · March 2021 CONTEXT: A strict rehabilitation protocol is traditionally followed after microfracture, including weightbearing restrictions for 2 to 6 weeks. However, such restrictions pose significant disability, especially in a patient population that is younger and m ... Full text Open Access Link to item Cite

Surgical treatment for recurrent shoulder instability: factors influencing surgeon decision making.

Journal Article J Shoulder Elbow Surg · March 2021 BACKGROUND: The optimal surgical approach for recurrent anterior shoulder instability remains controversial, particularly in the face of glenoid and/or humeral bone loss. The purpose of this study was to use a contingent-behavior questionnaire (CBQ) to det ... Full text Link to item Cite

Operative costs associated with arthroscopic assisted open reduction and internal fixation of acute ankle fractures.

Journal Article Foot (Edinb) · March 2021 BACKGROUND: Ankle fractures are a common orthopedic injury that frequently involves associated cartilage lesions, soft tissue damage, and a significant inflammatory burden. Despite studies revealing intra-articular pathology in up to 79% of ankle fractures ... Full text Link to item Cite

Return to Play After Revision Anterior Shoulder Stabilization: A Systematic Review.

Journal Article Orthop J Sports Med · March 2021 BACKGROUND: Revision shoulder stabilizations are becoming increasingly common. Returning to play after revision shoulder stabilizations is important to patients. PURPOSE: To evaluate the return-to-play rate after revision anterior shoulder stabilization us ... Full text Open Access Link to item Cite

Patellar Tendon Orientation and Strain Are Predictors of ACL Strain In Vivo During a Single-Leg Jump.

Journal Article Orthop J Sports Med · March 2021 BACKGROUND: There is little in vivo data that describe the relationships between patellar tendon orientation, patellar tendon strain, and anterior cruciate ligament (ACL) strain during dynamic activities. Quantifying how the quadriceps load the ACL via the ... Full text Open Access Link to item Cite

In Response to COVID-19: Current Trends in Orthopaedic Surgery Sports Medicine Fellowships.

Journal Article Orthop J Sports Med · February 2021 BACKGROUND: The COVID-19 (SARS-COV-2) pandemic has brought unprecedented challenges to the health care system and education models. The reduction in case volume, transition to remote learning, lack of sports coverage opportunities, and decreased clinical i ... Full text Open Access Link to item Cite

Evolution in Surgical Management of Ankle Instability in Athletes.

Journal Article J Am Acad Orthop Surg · January 1, 2021 Recent concepts are changing the management of ankle instability. These include concurrent medial and lateral instabilities, use of ankle arthroscopy, use of suture anchors, all-arthroscopic stabilization, synthetic augmentation, and early postoperative re ... Full text Link to item Cite

How Are Orthopaedic Sports Medicine Physicians Triaging Cases and Using Telehealth in Response to COVID-19? A Survey of AOSSM Membership

Journal Article Orthopaedic Journal of Sports Medicine · January 1, 2021 Background: The COVID-19 pandemic has changed the practice of orthopaedic sports medicine. The threat of COVID-19 persists, and future restrictions to elective procedures are possible. It is important to understand how sports surgeons are prioritizing surg ... Full text Cite

Osteochondral Lesions of the Ankle: Talus and Distal Tibia

Chapter · January 1, 2021 This chapter will review osteochondral lesions of the ankle. The anatomic characteristics of the lesions of both the talus and tibial plafond will be identified and reviewed. After exploring the anatomic aspects we will integrate and introduce treatment mo ... Full text Cite

Optimizing Return to Play for Common and Controversial Foot and Ankle Sports Injuries.

Journal Article JBJS Rev · December 18, 2020 »: Surgical decision-making should consider factors to help optimize return to play for athletes with foot and ankle injuries, including injuries to the syndesmosis, the Achilles tendon, the fifth metatarsal, and the Lisfranc complex. Understanding influen ... Full text Link to item Cite

Outcome at 1 year in patients with femoral shaft fractures treated with intramedullary nailing or skeletal traction in a low-income country: a prospective observational study of 187 patients in Malawi.

Journal Article Acta Orthop · December 2020 Background and purpose - Intramedullary nailing (IMN) is underutilized in low-income countries (LICs) where skeletal traction (ST) remains the standard of care for femoral shaft fractures. This prospective study compared patient-reported quality of life an ... Full text Open Access Link to item Cite

Surgeon Applications of Patient Preferences in Treatment Decision Making for First-Time Anterior Shoulder Dislocation.

Journal Article Orthop J Sports Med · December 2020 BACKGROUND: Treatment of a first-time anterior shoulder dislocation (FTASD) is sensitive to patient preferences. The operative or nonoperative management debate provides an excellent opportunity to learn how surgeons apply patient preferences in treatment ... Full text Open Access Link to item Cite

Patients with depression and anxiety symptoms from adjustment disorder related to their shoulder may be ideal patients for arthroscopic rotator cuff repair.

Journal Article J Shoulder Elbow Surg · July 2020 BACKGROUND: Mood symptoms may be due to shoulder-related depression or anxiety or clinical anxiety/depression. The objective of this study was to evaluate the relationship of shoulder-related and pre-existing diagnosis of depression or anxiety with changes ... Full text Link to item Cite

Outcomes After Revision Anterior Shoulder Stabilization: A Systematic Review.

Journal Article Orthop J Sports Med · May 2020 BACKGROUND: Primary shoulder stabilization is successful, but there continues to be a risk of recurrence after operative repair, particularly in the young athlete. It is important for surgeons to understand the outcomes after various revision stabilization ... Full text Open Access Link to item Cite

Endoscopic Proximal Hamstring Tendon Repair for Nonretracted Tears: An Anatomic Approach and Repair Technique.

Journal Article Arthrosc Tech · April 2020 Proximal hamstring injuries are common, and open surgical repair with suture anchors has been the gold standard when surgical intervention is warranted. Endoscopic techniques offer the opportunity of surgical repair with smaller incisions to limit complica ... Full text Link to item Cite

Single Assessment Numeric Evaluation (SANE) correlates with American Shoulder and Elbow Surgeons score and Western Ontario Rotator Cuff index in patients undergoing arthroscopic rotator cuff repair.

Journal Article J Shoulder Elbow Surg · February 2020 BACKGROUND: Patient-reported outcomes continue to grow in importance. This study compared the Single Assessment Numeric Evaluation (SANE) score with the American Shoulder and Elbow Surgeons (ASES) score and Western Ontario Rotator Cuff (WORC) index score i ... Full text Link to item Cite

Osteoarthritis in Basketball Players

Chapter · January 1, 2020 Osteoarthritis is the most common form of arthritis and is especially prevalent in basketball players. Due primarily to the high-intensity cyclic loading and regular occurrence of injuries that impact normal anatomic biomechanics, basketball players are at ... Full text Cite

The Effect of Preexisting and Shoulder-Specific Depression and Anxiety on Patient-Reported Outcomes After Arthroscopic Rotator Cuff Repair.

Journal Article Am J Sports Med · November 2019 BACKGROUND: Few studies have considered the potential effect of depression or anxiety on outcomes after rotator cuff repair. PURPOSE: To evaluate the effect of a preexisting diagnosis of depression or anxiety, as well as the feeling of depression and anxie ... Full text Link to item Cite

Surgical Anatomy of the Medial Cuneiform (Cotton) Osteotomy.

Journal Article Foot Ankle Orthop · October 2019 BACKGROUND: The Cotton osteotomy, or dorsal-opening wedge osteotomy of the medial cuneiform (MC), is used to address medial column alignment to restore the static-triangle of support. There are many described techniques regarding the incision and osteotomy ... Full text Open Access Link to item Cite

Correlation of Single Assessment Numerical Evaluation Score for Sport and Activities of Daily Living to Modified Harris Hip Score and Hip Outcome Score in Patients Undergoing Arthroscopic Hip Surgery.

Journal Article Am J Sports Med · September 2019 BACKGROUND: The Single Assessment Numerical Evaluation (SANE) is a single-question outcome score that has been shown to be a reliable measure of outcomes for shoulder and knee injuries but has not been compared with other validated outcome scores in hip pa ... Full text Link to item Cite

Validation of Chichewa Short Musculoskeletal Function Assessment (SMFA) questionnaire: A cross-sectional study.

Journal Article Malawi Med J · March 2019 BACKGROUND: The Short Musculoskeletal Function Assessment (SMFA) tool measures function and quality of life in patients with musculoskeletal conditions. OBJECTIVE: This study aimed to translate and adapt culturally the SMFA into Chichewa, and assess its cl ... Full text Open Access Link to item Cite

The Cost of Intramedullary Nailing Versus Skeletal Traction for Treatment of Femoral Shaft Fractures in Malawi: A Prospective Economic Analysis.

Journal Article World J Surg · January 2019 BACKGROUND: In many low- and middle-income countries, non-surgical management of femoral shaft fractures using skeletal traction is common because intramedullary (IM) nailing is perceived to be expensive. This study assessed the cost of IM nailing and skel ... Full text Link to item Cite

Brain Health Considerations in the Modern Lacrosse Athlete

Journal Article The Journal of Cartilage & Joint Preservation Open Access Cite