Journal articleKnee Surg Sports Traumatol Arthrosc · June 2026
PURPOSE: To review adverse events and outcomes at least 1 year postoperatively from Bridge enhanced ACL restoration (BEAR) in the first 100 subjects of the Bridge registry, a postcommercialisation prospective cohort. METHODS: Consecutive BEAR patients were ...
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Journal articleKnee Surg Sports Traumatol Arthrosc · April 2026
PURPOSE: The purpose of this systematic review is to compare return-to-play and recurrence rates in collision and contact athletes who undergo open or arthroscopic Bankart repair. METHODS: The literature search was performed based on the preferred reportin ...
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Journal articleArthroscopy · October 2025
The purpose of this article is to provide a clinically oriented classification system for superior labral injuries based on etiology, pathoanatomy, and associated biceps-labrum anchor complex injuries. The proposed classification system is based primarily ...
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Journal articleAm J Sports Med · March 2025
BACKGROUND: Superior labral tears are common shoulder injuries among athletes, and for athletes undergoing surgical intervention, one of the main priorities is to return to preinjury levels of activity in a timely manner. However, the literature surroundin ...
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Journal articleArthroscopy · February 2025
PURPOSE: To establish consensus statements on the diagnosis, nonoperative management, and labral repair for posterior shoulder instability. METHODS: A consensus process on the treatment of posterior shoulder instability was conducted, with 71 shoulder/spor ...
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Journal articleArthroscopy · February 2025
PURPOSE: To establish consensus statements on glenoid bone grafting, glenoid osteotomy, rehabilitation, return to play, and follow-up for posterior shoulder instability. METHODS: A consensus process on the treatment of posterior shoulder instability was co ...
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Journal articleAm J Sports Med · November 2024
BACKGROUND: Value-based decision-making regarding nonoperative management versus early surgical stabilization for first-time anterior shoulder instability (ASI) events remains understudied. PURPOSE: To perform (1) a systematic review of the current literat ...
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Journal articleJournal of Cartilage and Joint Preservation · September 1, 2024
Introduction: Articular cartilage injuries of the knee are a complex and challenging clinical pathology. Objectives: The purpose of this study was to establish consensus statements via a Delphi process on cartilage fixation techniques and indications. Meth ...
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Journal articleOrthop J Sports Med · September 2024
BACKGROUND: Hill-Sachs lesions are common after shoulder instability, and treatment options vary but include remplissage or implantation of structural bone graft. Large Hill-Sachs lesions not addressed by remplissage are challenging to manage and may frequ ...
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Journal articleJ Shoulder Elbow Surg · August 2024
BACKGROUND: The purpose of this study is to systematically review the evidence in the literature to ascertain the functional outcomes, recurrence rates, and subsequent revision rates following type V superior labrum anterior to posterior (SLAP) repair. MET ...
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Journal articleArthroscopy · March 2024
PURPOSE: To analyze the quality and readability of information regarding shoulder stabilization surgery available using an online AI software (ChatGPT), using standardized scoring systems, as well as to report on the given answers by the AI. METHODS: An op ...
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Journal articleArthroscopy · 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 ...
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Journal articleJ ISAKOS · February 2024
OBJECTIVES: The purpose of this study is to systematically review the comparative studies in the literature to ascertain if biceps tenodesis or superior-labrum anterior to posterior (SLAP) repair results in superior clinical outcomes in the treatment of ty ...
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Journal articleJBJS Essent Surg Tech · 2024
BACKGROUND: Anterior shoulder dislocations are a common injury, especially in the young, active, male population1. Soft-tissue treatment options for shoulder instability include arthroscopic or open Bankart repair, with open Bankart repair historically hav ...
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Journal articleJ ISAKOS · December 2023
This classic discusses the original publication by Burkhart and DeBeer "Traumatic Glenohumeral Bone Defects and Their Relationship to Failure of Arthroscopic Bankart Repair" published in 2000 in Arthroscopy. At that time, the authors sought to understand t ...
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Journal articleAm 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 ...
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Journal articleMil Med · March 20, 2023
INTRODUCTION: Increasingly, physicians find themselves in demanding leadership positions. However, leadership education for medical trainees remains lacking with most physicians reporting that they are ill-equipped to tackle the challenges of leadership. H ...
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Journal articleJ 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 ...
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Journal articleArthrosc 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 ...
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Journal articleInt J Sports Phys Ther · 2022
PURPOSE: There is a high rate of second anterior cruciate ligament (ACL) injury (ipsilateral graft or contralateral ACL) upon return-to-sport (RTS) following ACL reconstruction (ACLR). While a significant amount of epidemiological data exists demonstrating ...
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Journal articleInt J Sports Phys Ther · 2022
BACKGROUND: Anterior cruciate ligament (ACL) injury is extremely common among athletes. Rate of second ACL injury due to surgical graft rupture or contralateral limb ACL injury is approximately 15-32%. Psychological readiness to return to sport (RTS) may b ...
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Journal articleOrthop J Sports Med · December 2021
BACKGROUND: Mentorship is a key aspect of leadership development for orthopaedic surgeons, but there are few formalized mentorship programs in medical training. The individualized development plan (IDP) is a tool that potentially improves mentorship opport ...
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Journal articleHealthc Manage Forum · September 2021
The purpose of this study was to assess the effectiveness of the Feagin Leadership Program (FLP) in teaching leadership domains and emotional intelligence. An anonymous survey of 178 graduates of FLP (2011-2019) including the Trait Emotional Intelligence Q ...
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Journal articleOrthop 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 ...
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Journal articleOrthop 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 ...
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Journal articleCurr Sports Med Rep · March 2020
Physician leadership of the interdisciplinary sports medicine team depends on fundamental leadership skills that often are overlooked in medical school. These leadership skills include effective communication, emotional intelligence, teamwork, selfless ser ...
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Journal articleJ Athl Train · August 2019
CONTEXT: Anatomic differences of the knee in first-time patellar dislocators have not been clearly elucidated. OBJECTIVE: To compare structural differences of the knee in those who have sustained an acute first-time patellar dislocation resulting in a medi ...
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Journal articleThe American journal of sports medicine · May 2019
BackgroundSurgical management of rotator cuff tears is controversial and complex, ranging from nonoperative management to reverse shoulder arthroplasty.PurposeTo systematically review and evaluate the outcomes of graft augmentation or int ...
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Journal articleMed Decis Making · April 2019
BACKGROUND: First-time anterior shoulder dislocations (FTASD) provide an opportunity to examine the value of integrating stated-preference data with decision modeling to differentiate between patients whose preferred management strategy involves operative ...
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Journal articleJ Bone Joint Surg Am · January 16, 2019
BACKGROUND: The dissemination of evidence-based information into medical practice is essential to provide patients with optimal care and realize society's substantial investments in medical research. Effective information delivery and treatment utilization ...
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Journal articleArthroscopy · November 2018
PURPOSE: (1) To systematically assess the clinical outcomes of arthroscopic rotator interval closure (RIC) procedures for shoulder instability and (2) to report the different technical descriptions and surgical indications for this procedure. METHODS: Two ...
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Journal articleOrthop J Sports Med · November 2018
BACKGROUND: Revision anterior cruciate ligament (ACL) reconstruction can be potentially devastating for a patient. As such, it is important to identify prognostic factors that place patients at an increased risk for graft failure. There are no data on the ...
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Journal articleOrthop J Sports Med · July 2018
BACKGROUND: The human shoulder joint is the most mobile joint in the body. While in vivo shoulder kinematics under minimally loaded conditions have been studied, it is unclear how glenohumeral cartilage responds to high-demand loaded exercise. HYPOTHESIS: ...
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Journal articlePlast Reconstr Surg · July 2018
BACKGROUND: Soft-tissue complications often dictate the success of limb salvage and the overall outcome of open fractures. Based on prior work at the R Adams Cowley Shock Trauma Center, the authors hypothesize that wounds larger than 200 cm are associated ...
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Journal articleKnee Surg Sports Traumatol Arthrosc · August 2017
PURPOSE: To evaluate the safety for neurovascular structures and accuracy for tunnel placement of the posterolateral portal tibial tunnel drilling technique in posterior cruciate ligament (PCL) reconstruction. METHODS: Fifteen fresh-frozen human cadaveric ...
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Journal articleSkeletal Radiol · August 2017
OBJECTIVE: Displaced flaps of glenoid labral tissue are an uncommonly encountered finding on MRI of the shoulder, and are of unclear clinical significance. The purpose of this study is to describe the imaging characteristics of displaced glenoid labral fla ...
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Journal articleJ Bone Joint Surg Am · June 7, 2017
BACKGROUND: Anterior cruciate ligament (ACL) graft failure and contralateral ACL tears are more frequent in children and adolescents than adults. The reasons for higher subsequent injury rates in this population are incompletely understood. METHODS: We ana ...
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Journal articleAm J Sports Med · March 2017
BACKGROUND: Autologous cartilage tissue implants, including the NeoCart implant, are intended to repair focal articular cartilage lesions. Short-term results from United States Food and Drug Administration (FDA) phase I and phase II clinical trials indicat ...
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Journal articleOrthop J Sports Med · March 2017
BACKGROUND: Although surgical management of a first-time anterior shoulder dislocation (FTASD) can reduce the risk of recurrent dislocation, other treatment characteristics, costs, and outcomes are important to patients considering treatment options. While ...
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Journal articleOrthop J Sports Med · March 2017
BACKGROUND: Isolated chondral fractures of the knee are a rare and challenging problem, typically occurring with an acute traumatic event such as dislocation of the patella or ligamentous injury. Historically, repair of unstable chondral fragments without ...
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Journal articleConnect Tissue Res · 2017
PURPOSE: Meniscus tears are a common knee injury and are associated with the development of post-traumatic osteoarthritis (OA). The purpose of this study is to evaluate potential OA mediators in the synovial fluid and serum of meniscus tear subjects compar ...
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Journal articleJ Healthc Leadersh · 2017
PURPOSE: Despite increasing awareness of the importance of leadership in healthcare, our understanding of the competencies of effective leadership remains limited. We used a concept mapping approach (a blend of qualitative and quantitative analysis of grou ...
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Journal articleJ Knee Surg · October 2016
The purpose was to evaluate which meniscal repair technique for radial tears of the midbody of the lateral meniscus demonstrates the best biomechanical properties. An electronic literature search was conducted using PubMed, EMBASE, CINAHL, and ScienceDirec ...
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Journal articleClin Sports Med · October 2016
Medial collateral ligament injuries are common in the athletic population. Partial injuries are treated nonoperatively with excellent outcomes. Complete ruptures may be treated nonoperatively, although some will require surgery. A comprehensive rehabilitat ...
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Journal articleJ Healthc Leadersh · 2016
The medical community has recognized the importance of leadership skills among its members. While numerous leadership assessment tools exist at present, few are specifically tailored to the unique health care environment. The study team designed a 24-item ...
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Journal articleOrthopaedic Journal of Sports Medicine · December 29, 2015
Biomechanical studies have shown that repair or plication of rotator interval (RI) ligamentous and capsular structures decreases glenohumeral joint laxity in various directions. Clinical outcomes studies have reported successful outcomes after repair or pl ...
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Journal articleJ Shoulder Elbow Surg · November 2015
BACKGROUND: The purpose of this study was to conduct a systematic review of the literature to evaluate the characteristics of injury and treatment outcomes of rotator cuff tears in young patients. METHODS: A systematic electronic search was performed for c ...
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Journal articleArthrosc Tech · October 2015
Posterior cruciate ligament (PCL) reconstruction using the transtibial drilling or arthroscopic tibial-inlay technique has a risk of injury to the popliteal neurovascular bundle because a pin is drilled anterior to posterior. Intraoperative fluoroscopy is ...
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Journal articleAm J Sports Med · July 2015
BACKGROUND: No standardized return-to-activity or sport guidelines currently exist after anterior cruciate ligament (ACL) reconstruction. Isokinetic testing and unilateral hop testing, which have construct validity, are often used to make the determination ...
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Journal articleJ Biomech · June 1, 2015
Meniscal tears are common injuries, and while partial meniscectomy is a frequent treatment option, general meniscus loss is a risk factor for the development of osteoarthritis. The goal of this study was to measure the in vivo tibiofemoral cartilage contac ...
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Journal articleSports Med Arthrosc Rev · June 2015
Medial-sided knee injuries are very common, the medial collateral ligament being the most commonly injured ligament of the knee. Injuries to the medial side of the knee can occur in isolation or concomitant with other knee ligament injuries. Isolated grade ...
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Journal articleOrthop J Sports Med · May 2015
BACKGROUND: Numerous clinical examination maneuvers have been developed to identify meniscus tears of the knee. While meniscus injuries vary significantly in type and severity, no maneuvers have been developed that help to distinguish particular tear chara ...
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Journal articleCurrent Orthopaedic Practice · March 19, 2015
Background: The purpose of this study was to survey the members of the Anterior Cruciate Ligament (ACL) Study Group to assess surgeons' minimum acceptable size for a hamstring autograft, identify their solutions to this problem, and determine the frequency ...
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Journal articleKnee Surg Sports Traumatol Arthrosc · January 2015
PURPOSE: To provide a systematic review of the literature regarding five topics in meniscal allograft transplantation (MAT): optimal timing for transplantation, outcomes, return to competition, associated procedures, and prevention of osteoarthritis. METHO ...
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Journal articleKnee Surg Sports Traumatol Arthrosc · January 2015
PURPOSE: To provide a systematic review of the literature regarding five topics in meniscal allograft transplantation: graft biology, shrinkage, extrusion, sizing, and fixation. METHODS: A systematic literature search was conducted using the PubMed (MEDLIN ...
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Journal articleOrthop J Sports Med · January 2015
BACKGROUND: Most of the literature on shoulder instability focuses on patients experiencing anterior glenohumeral dislocation, with little known about the treatment of anterior subluxation events. PURPOSE: To determine the outcomes of surgical stabilizatio ...
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Journal articleAcad Med · November 2014
PURPOSE: To characterize leadership curricula in undergraduate medical education as a first step toward understanding best practices in leadership education. METHOD: The authors systematically searched the PubMed, Education Resources Information Center, Ac ...
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Journal articleJ Biomech · January 3, 2014
Altered joint motion has been thought to be a contributing factor in the long-term development of osteoarthritis after ACL reconstruction. While many studies have quantified knee kinematics after ACL injury and reconstruction, there is limited in vivo data ...
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Journal articleJ Athl Train · 2014
CONTEXT: Upper quarter injuries have a higher incidence in female swimmers; however, to date, there are few ways to assess the basic functional ability of this region. The upper quarter Y balance test (YBT-UQ) may assist in this process because it was deve ...
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Journal articleSports Med Arthrosc Rev · September 2013
Decision making in health care has evolved substantially over the last century. Up until the late 1970s, medical decision making was predominantly intuitive and anecdotal. It was based on trial and error and involved high levels of problem solving. The 198 ...
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Journal articleJ Shoulder Elbow Surg · June 2013
PURPOSE: Anterior shoulder anatomy is as complex and variable as its descriptive terminology. A detailed understanding of normal anatomic variability is critical to accurate performance, description, and evaluation of the procedures involving the rotator i ...
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Journal articleAnn Biomed Eng · January 2013
There are conflicting data regarding what motions increase ACL injury risk. More specifically, the mechanical role of valgus collapse positions during ACL injury remains controversial. Our objective was to evaluate ACL elongation in a model that mimics kne ...
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Journal articleAJR Am J Roentgenol · September 2012
OBJECTIVE: MRI has proven to be a helpful tool in the detection and description of pathologic changes of the rotator cuff, biceps tendon, and glenoid labrum and has thus become a mainstay in the evaluation of patients with shoulder pain. This review seeks ...
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Journal articleSkeletal Radiol · August 2012
OBJECTIVES: To describe a type of meniscus flap tear resembling a bucket-handle tear, named a "hemi-bucket-handle" tear; to compare its imaging features with those of a typical bucket-handle tear; and to discuss the potential therapeutic implications of di ...
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Journal articleSports Medicine Arthroscopy Rehabilitation Therapy and Technology · June 14, 2012
Background: Between 5 and 20% of patients undergoing ACL reconstruction fail and require revision. Animal studies have demonstrated slower incorporation of allograft tissue, which may affect the mechanism of graft failure. The purpose of this study is to d ...
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Journal articleArthroscopy · April 2012
PURPOSE: To evaluate whether decreased hamstring autograft size and decreased patient age are predictors of early graft revision. METHODS: Of 338 consecutive patients undergoing primary anterior cruciate ligament (ACL) reconstruction with hamstring autogra ...
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Journal articleOsteoarthritis Cartilage · April 2012
OBJECTIVE: To evaluate the clinical effectiveness of intraarticular IL-1 receptor antagonist (IL-1Ra) for anterior cruciate ligament (ACL) tear. METHODS: Eleven patients with acute ACL tear confirmed by magnetic resonance imaging (MRI) were randomized to r ...
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Journal articleJ Shoulder Elbow Surg · March 2012
BACKGROUND: Variants of the origin of the long head of the biceps have been described intraoperatively. It is unclear whether these variants contribute to shoulder pathology. Our purpose was to describe an anatomic variation of the origin of the long head ...
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Journal articleJ Am Acad Orthop Surg · December 2011
Multidirectional shoulder instability is defined as symptomatic instability in two or more directions. Instability occurs when static and dynamic shoulder stabilizers become incompetent due to congenital or acquired means. Nonspecific activity-related pain ...
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Journal articleJ Biomech · July 7, 2011
Anatomically placed grafts are believed to more closely restore the function of the ACL. This study measured the effect of femoral tunnel placement on graft orientation and length during weight-bearing flexion. Both knees of twelve patients where the graft ...
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Journal articleAm J Sports Med · June 2011
Injury to the posteromedial corner (PMC) of the knee differs anatomically and biomechanically from isolated injury to the medial collateral ligament. Newer anatomic and biomechanical studies are refining the field's understanding of the medial side of the ...
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Journal articleAm J Sports Med · May 2011
The medial collateral ligament complex is a primary stabilizer that combines static and dynamic resistance to direct valgus stress while contributing significant restraints to rotatory motion and anterior-posterior translation. Varying opinions exist among ...
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Journal articleJ Biomech · March 15, 2011
Achieving anatomical graft placement remains a concern in Anterior Cruciate Ligament (ACL) reconstruction. The purpose of this study was to quantify the effect of femoral graft placement on the ability of ACL reconstruction to restore normal knee kinematic ...
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Journal articleJ Shoulder Elbow Surg · March 2011
INTRODUCTION: Management of a first-time anterior shoulder dislocation (FTASD) involves important clinical and policy decisions. Predictive disease modeling can improve the quality of information disseminated in treatment discussions. In this paper, we des ...
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Journal articleOperative Techniques in Sports Medicine · December 1, 2010
Multiple-ligament knee injuries are increasingly recognized and require a multidisciplinary approach to treatment. Emergency department evaluation should focus on life- and limb-threatening issues with a high degree of suspicion for associated neurovascula ...
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Journal articleJ Bone Joint Surg Am · July 7, 2010
BACKGROUND: Relative to dislocations, glenohumeral subluxation events have received little attention in the literature, despite a high incidence in young athletes. The pathoanatomy of first-time, traumatic, anterior subluxation events has not been defined, ...
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Journal articleCurrent Orthopaedic Practice · January 1, 2010
We provide a review of the recent literature of management of posterior instability of the shoulder. Clarification in defining this problem and an overview of the ever-expanding anatomical injuries associated with increased posterior translation of the hum ...
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Journal articleAm J Sports Med · October 2009
BACKGROUND: Recent studies have questioned the ability of the transtibial technique to place the anterior cruciate ligament graft within the footprint of the anterior cruciate ligament on the femur. There are limited data directly comparing the abilities o ...
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Journal articleAm J Sports Med · October 2009
BACKGROUND: Controversy remains over the most appropriate graft for anterior cruciate ligament reconstruction. HYPOTHESIS: There is no significant difference in outcomes after 4-strand hamstring and patellar tendon autograft anterior cruciate ligament reco ...
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Journal articleAm J Sports Med · April 2009
BACKGROUND: Little is known of the long-term results of acute arthroscopic Bankart repair for first-time traumatic anterior glenohumeral dislocations. HYPOTHESIS: Acute arthroscopic Bankart repair for first-time traumatic anterior glenohumeral dislocations ...
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Journal articleInstr Course Lect · 2009
Adolescent participation in sports is at an all-time high. Younger patients also are competing with a greater intensity level, frequently playing organized sports throughout the year. Players are putting greater demands on their shoulders, making them more ...
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Journal articleAm J Sports Med · January 2009
BACKGROUND: Over 30 years ago, Feagin and Curl reported on the diagnosis and treatment of "isolated" injuries of the anterior cruciate ligament (ACL). The purpose of this study was to evaluate the long-term results of the patients initially diagnosed with ...
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Journal articleAm J Sports Med · November 2007
BACKGROUND: Anterior instability of the shoulder is a frequently encountered clinical problem that is seen after avulsion of the capsulolabral complex from the glenoid rim (Bankart lesion). Recently, it has been determined that avulsion of the glenohumeral ...
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Journal articleAm J Sports Med · November 2007
BACKGROUND: Grade III syndesmosis sprains are usually treated with internal fixation. Limited information is available on early weightbearing and early return to activity after operative treatment for grade III syndesmosis sprains. HYPOTHESIS: Treatment of ...
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Journal articleAm J Sports Med · October 2007
BACKGROUND: Previous studies have shown that women involved in similar activities as men are at increased risk for anterior cruciate ligament injuries. HYPOTHESIS: The incidence rate of complete anterior cruciate ligament tears for men and women in our ath ...
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Journal articleAm J Sports Med · July 2007
BACKGROUND: The literature provides little information detailing the incidence of traumatic shoulder instability in young, healthy athletes. HYPOTHESIS: Shoulder instability is common in young athletes. STUDY DESIGN: Descriptive epidemiologic study. METHOD ...
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Journal articleMil Med · January 2007
Although some studies have reported an increased incidence of anterior cruciate ligament (ACL) injuries in women athletes, little is known about the gender differences in injury patterns in the U.S. military. Using the Defense Medical Epidemiology Database ...
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Journal articleFoot Ankle Int · December 2006
BACKGROUND: The relationship between pes planus and injuries of the lower extremity is controversial. However, few studies have used standardized means of evaluating and defining pes planus, and none have had a controlled patient population. The objective ...
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Journal articleAm J Sports Med · September 2006
The incidence of noncontact anterior cruciate ligament injuries in young to middle-aged athletes remains high. Despite early diagnosis and appropriate operative and nonoperative treatments, posttraumatic degenerative arthritis may develop. In a meeting in ...
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Journal articleJ Strength Cond Res · August 2006
The purpose of this study was to compare the effect of a dynamic warm up (DWU) with a static-stretching warm up (SWU) on selected measures of power and agility. Thirty cadets at the United States Military Academy completed the study (14 women and 16 men, a ...
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Journal articleAm J Sports Med · July 2005
BACKGROUND: Symptomatic, traumatic posterior shoulder instability is often the result of a posteriorly directed blow to an adducted, internally rotated, and forward-flexed upper extremity. Operative repair has been shown to provide favorable results. Curre ...
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Journal articleClin J Sport Med · May 2005
OBJECTIVE: To evaluate the interobserver agreement between physicians regarding a abnormal cardiovascular assessment on athletic preparticipation examinations. DESIGN: Cross-sectional clinical survey. SETTING: Outpatient Clinic, United States Military Acad ...
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Journal articleArthroscopy · February 2005
A 21-year-old West Point cadet presented to our institution with a history of chronic left lateral ankle instability. The initial injury occurred 5 years earlier. Physical examination results and stress radiographs were consistent with lateral instability. ...
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Journal articleJ Orthop Sports Phys Ther · February 2005
STUDY DESIGN: Nonexperimental, retrospective design. OBJECTIVES: This study was designed to compare clinical diagnostic accuracy (CDA) between physical therapists (PTs), orthopaedic surgeons (OSs), and nonorthopaedic providers (NOPs) at Keller Army Communi ...
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Journal articleAm J Sports Med · December 2004
BACKGROUND: Bracing after anterior cruciate ligament reconstruction is expensive and is not proven to prevent injuries or influence outcomes. PURPOSE: To determine whether postoperative functional knee bracing influences outcomes. STUDY DESIGN: Prospective ...
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Journal articleJ Comput Assist Tomogr · 2004
OBJECTIVE: To review the radiologic findings of a rarely reported focal area of acquired cartilage thinning located at the center of the glenoid fossa. METHODS: We retrospectively reviewed the medical records of 3 patients, each possessing a bare area of t ...
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Journal articleClin Imaging · 2004
We report a case of bizarre parosteal osteochondromatous proliferation (BPOP) in which radiologic examinations showed temporal development of BPOP following a traumatic event. This evidence supports the theory that BPOP is caused by trauma. ...
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Journal articleFoot Ankle Int · March 2003
The purpose of this paper is to introduce the Sports Ankle Rating System and provide the initial validation for its use. As its name implies, this outcomes measurement system is intended for use in assessing the functional outcomes of athletes with ankle i ...
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Journal articleAm J Sports Med · 2003
BACKGROUND: The causes of noncontact anterior cruciate ligament injury remain an enigma. PURPOSE: To prospectively evaluate risk factors for noncontact anterior cruciate ligament injuries in a large population of young athletic people. STUDY DESIGN: Prospe ...
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Journal articleAJR Am J Roentgenol · September 2002
OBJECTIVE: We describe the radiologic findings of the humeral avulsion of the glenohumeral ligament (HAGL lesion) and its commonly associated injuries. MATERIALS AND METHODS: A retrospective review of six cases of HAGL lesion diagnosed at our institution f ...
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Journal articleAm J Sports Med · 2001
From March 1992 to November 1998, 57 patients sustained 58 acute, initial, traumatic anterior shoulder dislocations at the United States Military Academy. Six patients selected nonoperative treatment. Three patients underwent primary open repair after diag ...
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Journal articleFoot Ankle Int · May 2000
Injury to the lateral ligaments of the ankle is one of the most common sports-related injuries. Although these injures generally resolve with non-operative treatment reconstruction of the lateral ligaments of the ankle is occasionally necessary. We report ...
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Journal articleClin Orthop Relat Res · April 2000
The purpose of this study was to determine the correlation between the Lysholm knee score and the Single Assessment Numeric Evaluation method. Between March 1995 and December 1996, 201 followup examinations were performed on 130 college age patients who ha ...
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Journal articleAm J Sports Med · 2000
The purpose of this study was to evaluate the incidence of recurrent instability in a group of young athletes who underwent open shoulder stabilization with a modified Bankart repair and anterior capsulorrhaphy. Recurrent dislocation was defined as an inst ...
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Journal articleAm J Sports Med · 2000
To determine the necessity of ankle and foot radiographs, we used modified Ottawa Ankle Rules to evaluate all cadets seen with an acute ankle or midfoot injury at the United States Military Academy. This scoring system determines the need for radiographs. ...
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Journal articleConn Med · November 1999
Women have been enrolled at the United States Military Academy (USMA) since 1976. All cadets are required to participate in a rigorous physical training curriculum with few differences for male and female cadets. The effect this physical training has on th ...
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Journal articleSports Med · September 1999
In the young athlete, anterior shoulder dislocations are common injuries that usually result in recurrent instability, and often require surgical treatment. Non-operative treatment remains the initial recommended course for most conditions. Operative treat ...
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Journal articleAm J Sports Med · 1999
The purpose of this study was to determine the correlation between the Single Assessment Numeric Evaluation method and the Rowe and American Shoulder and Elbow Surgeons scores. Between April 1993 and December 1996, 209 follow-up examinations were performed ...
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Journal articleAm J Sports Med · 1999
Although the use of anabolic agents in athletics has generated extensive publicity and controversy, the potential therapeutic benefits of these drugs have not been fully investigated. This randomized, blinded experimental study investigated whether short-t ...
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Journal articleFoot Ankle Int · October 1998
The purpose of this study was to examine a young athletic population to update the data regarding epidemiology and disability associated with ankle injuries. At the United States Military Academy, all cadets presenting with ankle injuries during a 2-month ...
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Journal articleJ Trauma · September 1998
BACKGROUND: Ankle injuries account for 30 to 60% of all parachuting injuries. This study was designed to determine if outside-the-boot ankle braces could reduce ankle sprains during Army paratrooper training. METHODS: The randomized trial involved 777 volu ...
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Journal articleMed Sci Sports Exerc · December 1997
This study compared the effects of repeated contractions and repeated passive stretches on the viscoelastic properties of muscle. The tibialis anterior (TA) muscles of eight anesthetized male New Zealand white rabbits were studied. In each rabbit, one hind ...
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Journal articleArthroscopy · August 1997
Sixty ankle arthroscopies were performed on patients with chronic soft-tissue impingement of the ankle after an ankle sprain between January 1989 and January 1994. Preoperative examination findings featured tenderness localized to the anterolateral aspect ...
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Journal articleJ Orthop Sports Phys Ther · March 1997
The dynamic muscle stabilizers of the shoulder are critical to high performance in the overhead athlete. Previous evaluations of shoulder strength have focused on the concentric strength of the rotator cuff. Functionally, the rotator cuff muscles interact ...
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Journal articleAm J Sports Med · 1997
This prospective observational study was performed on young patients, less than 24 years old, with first-time, traumatic anterior shoulder dislocations. These patients were offered either arthroscopic or nonoperative treatment. Fifty-three patients chose n ...
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Journal articleArthroscopy · December 1996
The first 100 consecutive shoulder arthroscopic procedures performed under interscalene anesthesia at a small community-sized military hospital are the basis of this report. This method of anesthesia was compared with 100 shoulder arthroscopies performed i ...
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Journal articleMil Med · December 1996
The authors report their experience using the Russell-Taylor reconstruction intramedullary interlocking nail in five comminuted subtrochanteric fractures in young paratroopers. The retrospective case series presented demonstrates the usefulness of this dev ...
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Journal articleJ Orthop Res · September 1996
The tensile failures of extensor digitorum longus muscle tendon units from 16 male New Zealand White rabbits were studied in the fresh state (less than 30 minutes after death) and in the frozen/thawed state (frozen at -80 degrees C for 28 days and then war ...
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Journal articleArthroscopy · August 1996
The purpose of this study was to compare single (endoscopic) versus two-incision arthroscopic anterior cruciate ligament reconstruction using bone-patellar tendon-bone in a population of young athletes. All patients followed a similar postoperative rehabil ...
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Journal articleMil Med · February 1996
The purpose of this paper is to discuss parachuting variables as they affect support and planning. The authors retrospectively analyzed an operation in which a Ranger battalion parachuted onto an airfield drop zone. Leaders weighed Rangers to estimate the ...
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Journal articleJ South Orthop Assoc · 1996
Arthroscopic stabilization for acute initial shoulder dislocation has been the subject of thorough investigation at West Point over the past decade in an attempt to improve on the natural history of shoulder instability in our young athletic population. Fr ...
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Journal articleArthroscopy · August 1995
Twenty-six consecutive cadet athletes sustained an acute, initial anterior shoulder dislocation. All dislocations required a manual reduction for initial treatment. Arthroscopy was performed within 10 days in all patients. The Beach chair position and inte ...
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Journal articleMil Med · June 1995
Fast-roping is a modified rappelling technique used by civilian and military special operations forces that frequently produces injuries. Highly classified until recently, fast-roping is poorly understood from a medical perspective. This paper presents a b ...
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Journal articleOperative Techniques in Orthopaedics · January 1, 1995
Repair of meniscus tears help to preserve its significant load-bearing function and maintain its role in joint stability. Both functions of the meniscus are necessary to avoid early degenerative changes frequently observed after meniscectomy. The inside-ou ...
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Journal articleTechniques in Orthopaedics · January 1, 1995
The lessons learned from recent wars about the treatment of extremity wounds reflect both the fundamentals of basic wound treatment and improvements in general medical care, support, surgical techniques, and communication. As a result of these improvements ...
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Journal articleAm J Sports Med · 1993
The structural and functional strength of a muscle immediately after an experimentally created strain injury was examined to provide clinically relevant information for the early treatment of muscle strain injuries. The extensor digitorum longus muscles of ...
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Journal articleAm J Sports Med · 1992
A retrospective study of 50 syndesmosis sprains in 44 football players was performed. Five patients (6 ankles) were lost to follow-up, allowing review of 44 injuries. Average follow-up was 47 months. The patients were evaluated for recurrent injury, overal ...
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Journal articleClin Orthop Relat Res · November 1991
In a randomized, blind study, percutaneous tenotomy was performed on the right Achilles tendon complex of 32 male, New Zealand rabbits. The rabbits were placed in long-leg casts to approximate the tendon. Sixteen rabbits received oral therapeutic doses (1. ...
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Journal articleAm J Sports Med · 1991
There has been increasing interest within the European sports medicine community regarding the etiology and treatment of groin pain in the athlete. Groin pain is most commonly caused by musculotendinous strains of the adductors and other muscles crossing t ...
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Journal articleAm J Sports Med · 1990
Most muscle stretching studies have focused on defining the biomechanical properties of isolated elements of the muscle-tendon unit or on comparing different stretching techniques. We developed an experimental model that was designed to evaluate clinically ...
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Journal articleClin Orthop Relat Res · 1985
Nocardia asteroides as an infecting agent has been an increasingly identified pathogen in humans, especially in immunosuppressed hosts. The Nocardia organisms as a cause of septic arthritis have been very unusual and in all previously reported cases have o ...
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