Scholars@Duke
Jocelyn Ross Wittstein

Jocelyn Ross Wittstein

Associate Professor of Orthopaedic Surgery
Orthopaedic Surgery
jocelyn.wittstein@duke.edu
3000 Rogers Road, Wake Forest, NC 27587
3000 Rogers Rd, Wake Forest NC, NC 27587

Selected Publications

Does Tibial Plateau Slope and Depth Influence ACL Strain In Vivo?

Journal Article Orthop J Sports Med · December 2024 BACKGROUND: The anterior cruciate ligament (ACL) is loaded under tension when the tibia translates anteriorly relative to the femur. The shape of the articular surfaces of the tibiofemoral joint may influence the amount of anterior tibial translation under ... Full text Link to item Cite

A comparison of three methods for establishing an ACL reference length in vivo.

Journal Article J Biomech · November 2024 As anterior cruciate ligament (ACL) injuries are highly prevalent among active individuals, it is vital to better understand the loading conditions which lead to injury. One method for doing so is through measurement of dynamic, in vivo ACL strain. To meas ... Full text Link to item Cite

The musculoskeletal syndrome of menopause.

Journal Article Climacteric · October 2024 Fifty-one percent of humans are born with ovaries. As the ovarian production of estrogen diminishes in midlife and ultimately stops, it is estimated that more than 47 million women worldwide enter the menopause transition annually. More than 70% will exper ... Full text Link to item Cite

Chondrocyte-based approaches and scaffolds for knee cartilage injuries - an international Delphi consensus statement

Journal Article Journal 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 chondrocyte-based cartilage (CBC) approaches and sc ... Full text Cite

Comparing Access to Engaging Hill-Sachs Lesions Between the Modified Posterior Deltoid Split Approach and Standard Deltopectoral Approach for Bone Grafting.

Journal Article Orthop 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 ... Full text Link to item Cite

Shedding light on the effects of blood on meniscus tissue: the role of mononuclear leukocytes in mediating meniscus catabolism.

Journal Article Osteoarthritis Cartilage · August 2024 OBJECTIVE: Traumatic meniscal injuries can cause acute pain, hemarthrosis (bleeding into the joint), joint immobility, and post-traumatic osteoarthritis (PTOA). However, the exact mechanism(s) by which PTOA develops following meniscal injuries is unknown. ... Full text Link to item Cite

Posterior Shoulder Instability, Part I-Diagnosis, Nonoperative Management, and Labral Repair for Posterior Shoulder Instability-An International Expert Delphi Consensus Statement.

Journal Article Arthroscopy · May 11, 2024 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 ... Full text Link to item Cite

Posterior Shoulder Instability, Part II-Glenoid Bone Grafting, Glenoid Osteotomy, and Rehabilitation/Return to Play-An International Expert Delphi Consensus Statement.

Journal Article Arthroscopy · May 11, 2024 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 ... Full text Link to item Cite

Sex-differences in psychological readiness for return-to-sport following anterior cruciate ligament reconstruction.

Journal Article PLoS One · 2024 Females are at greatest risk for reinjury after return to sport (RTS) following anterior cruciate ligament (ACL) reconstruction (ACLR). The reasons for these sex differences, however, remain unclear. Psychological factors such as kinesiophobia have been id ... Full text Link to item Cite

A modified Delphi consensus statement on patellar instability: part I.

Journal Article Bone Joint J · December 1, 2023 AIMS: The aim of this study was to establish consensus statements on the diagnosis, nonoperative management, and indications, if any, for medial patellofemoral complex (MPFC) repair in patients with patellar instability, using the modified Delphi approach. ... Full text Link to item Cite

A modified Delphi consensus statement on patellar instability: part II.

Journal Article Bone Joint J · December 1, 2023 AIMS: The aim of this study was to establish consensus statements on medial patellofemoral ligament (MPFL) reconstruction, anteromedialization tibial tubercle osteotomy, trochleoplasty, and rehabilitation and return to sporting activity in patients with pa ... 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

Midshaft Clavicle Fractures: When Is Surgical Management Indicated and Which Fixation Method Should Be Used?

Journal Article Clin Sports Med · October 2023 For displaced midshaft clavicle fractures, operative treatment either with open reduction and plate fixation or with intramedullary fixation has been shown to provide earlier return to work and sport, improved functional outcomes, greater patient-reported ... Full text Link to item Cite

Achilles Tendon Injuries in the Pediatric Population.

Journal Article J Pediatr Orthop · August 1, 2023 BACKGROUND: Achilles tendon injuries are common in adults, and there is extensive literature describing the injury characteristics and treatment of these adult injuries. However, Achilles injuries are rare in the pediatric population and as a result, there ... Full text Link to item Cite

Representation of Female Speakers at the American Academy of Orthopaedic Surgeons Annual Meetings Over Time.

Journal Article J Am Acad Orthop Surg · March 15, 2023 BACKGROUND: In the United States, women comprise 16% of orthopaedic surgery residents, 4% of fellows, and 6% of practicing orthopaedic surgeons. The underrepresentation of women in surgical subspecialties may be because of lack of early exposure to female ... Full text Open Access Link to item Cite

Orthopaedic Knowldege Update 14: Chapter 45 (pgs 571-578): Meniscal Pathology, Repair, and Transplant.

Chapter · March 9, 2023 Orthopaedic Knowledge Update® 14, edited by Leesa M. Galatz, MD, MBA, FAAOS, and Frederick M. Azar, MD, FAAOS, brings you a comprehensive synthesis of the latest clinical thinking and best practices across all orthopaedic specialty areas. ... Cite

The Interplay of Biomechanical and Biological Changes Following Meniscus Injury.

Journal Article Curr Rheumatol Rep · February 2023 PURPOSE OF REVIEW: Meniscus injury often leads to joint degeneration and post-traumatic osteoarthritis (PTOA) development. Therefore, the purpose of this review is to outline the current understanding of biomechanical and biological repercussions following ... Full text Link to item Cite

Elevated In Vivo ACL Strain Is Associated With a Straight Knee in Both the Sagittal and the Coronal Planes.

Journal Article Am J Sports Med · February 2023 BACKGROUND: Noncontact anterior cruciate ligament (ACL) injuries typically occur during deceleration movements such as landing or cutting. However, conflicting data have left the kinematic mechanisms leading to these injuries unclear. Quantifying the influ ... Full text Link to item Cite

The Predicted Position of the Knee Near the Time of ACL Rupture Is Similar Between 2 Commonly Observed Patterns of Bone Bruising on MRI.

Journal Article Am J Sports Med · January 2023 BACKGROUND: Bone bruises observed on magnetic resonance imaging (MRI) can provide insight into the mechanisms of noncontact anterior cruciate ligament (ACL) injury. However, it remains unclear whether the position of the knee near the time of injury differ ... Full text Link to item Cite

2023

Journal Article Journal of Surgical Orthopaedic Advances · 2023 Full text 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

Use of a Novel Multimodal Imaging Technique to Model In Vivo Quadriceps Force and ACL Strain During Dynamic Activity.

Journal Article Am J Sports Med · August 2022 BACKGROUND: Quadriceps loading of the anterior cruciate ligament (ACL) may play a role in the noncontact mechanism of ACL injury. Musculoskeletal modeling techniques are used to estimate the intrinsic force of the quadriceps acting at the knee joint. PURPO ... Full text Link to item Cite

Venous Thromboembolism Prophylaxis and Hormonal Contraceptive Management Practice Patterns in the Perioperative Period for Anterior Cruciate Ligament Reconstruction.

Journal Article Arthrosc Sports Med Rehabil · April 2022 PURPOSE: To evaluate the venous thromboembolism (VTE) prophylaxis practices of surgeons performing anterior cruciate ligament reconstruction (ACLR) in female patients using hormonal contraceptives. METHODS: Our research team designed an investigational sur ... Full text Open Access Link to item Cite

Overuse Elbow Injuries in Youth Gymnasts.

Journal Article Am J Sports Med · February 2022 BACKGROUND: Gymnastics is a unique sport that places significant loads across the growing elbow, resulting in unique overuse injuries, some of which are poorly described in the current literature. PURPOSE: To provide a comprehensive review of the unique ov ... Full text Link to item Cite

Altered lower extremity biomechanics following anterior cruciate ligament reconstruction during single-leg and double-leg stop-jump tasks: A bilateral total support moment analysis.

Journal Article Clin Biomech (Bristol) · January 2022 BACKGROUND: Injury to the anterior cruciate ligament (ACL) can lead to long-lasting biomechanical alterations that put individuals at risk of a second ACL injury. Examining the total support moment may reveal between- and within-limb compensatory strategie ... Full text Link to item Cite

Females have Lower Knee Strength and Vertical Ground Reaction Forces During Landing than Males Following Anterior Cruciate Ligament Reconstruction at the Time of Return to Sport.

Journal Article Int 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 ... Open Access Link to item Cite

Isometric Knee Strength is Greater in Individuals Who Score Higher on Psychological Readiness to Return to Sport After Primary Anterior Cruciate Ligament Reconstruction.

Journal Article Int 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 ... Full text Open Access Link to item Cite

Five Recommendations to Address the Limitations of Patient-Reported Outcome Measures.

Journal Article J Orthop Sports Phys Ther · December 2021 Patient-reported outcome measures (PROMs) are reported by the patient and designed to capture patients' unique perspectives of their symptoms, quality of life, function, disability, and overall health status. Despite their important role in the health care ... Full text Link to item Cite

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

Journal Article Arthritis research & therapy · November 2021 BackgroundAnterior 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 characterize ... Full text Open Access Cite

Imaging of Patellofemoral Instability.

Journal Article Clin Sports Med · October 2021 Patellar instability is a broad term that encompasses patellar dislocation, patellar subluxation, and patellar instability. Although both functional and anatomic considerations contribute to symptoms of patellar instability, the most important are thought ... Full text Link to item Cite

Comparison of the accuracy of telehealth examination versus clinical examination in the detection of shoulder pathology.

Journal Article J Shoulder Elbow Surg · May 2021 HYPOTHESIS/BACKGROUND: In 2017, the American Orthopaedic Association advocated for the increased use of telehealth as an assessment and treatment platform, and demand has significantly increased during the coronavirus disease 2019 pandemic. Diagnostic effe ... Full text Link to item Cite

Blood in the joint: effects of hemarthrosis on meniscus health and repair techniques.

Journal Article Osteoarthritis Cartilage · April 2021 Injury to the meniscus is common and frequently leads to the development of post-traumatic osteoarthritis (PTOA). Many times meniscus injuries occur coincident with anterior cruciate ligament (ACL) injuries and lead to a bloody joint effusion. Hemarthrosis ... Full text 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

Effect of walking on in vivo tibiofemoral cartilage strain in ACL-deficient versus intact knees.

Journal Article J Biomech · February 12, 2021 Anterior cruciate ligament (ACL) rupture alters knee kinematics and contributes to premature development of osteoarthritis. However, there is limited data regarding the in vivo biomechanical response of tibiofemoral cartilage to activities of daily living ... Full text Link to item Cite

Distribution of Bone Contusion Patterns in Acute Noncontact Anterior Cruciate Ligament-Torn Knees.

Journal Article Am J Sports Med · February 2021 BACKGROUND: Bone contusions are commonly observed on magnetic resonance imaging (MRI) in individuals who have sustained a noncontact anterior cruciate ligament (ACL) injury. Time from injury to image acquisition affects the ability to visualize these bone ... 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

Reconsidering Reciprocal Length Patterns of the Anteromedial and Posterolateral Bundles of the Anterior Cruciate Ligament During In Vivo Gait.

Journal Article Am J Sports Med · July 2020 BACKGROUND: Some cadaveric studies have indicated that the anterior cruciate ligament (ACL) consists of anteromedial and posterolateral bundles that display reciprocal function with regard to knee flexion. However, several in vivo imaging studies have sugg ... Full text 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

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

Meniscus-Derived Matrix Bioscaffolds: Effects of Concentration and Cross-Linking on Meniscus Cellular Responses and Tissue Repair.

Journal Article Int J Mol Sci · December 19, 2019 Meniscal injuries, particularly in the avascular zone, have a low propensity for healing and are associated with the development of osteoarthritis. Current meniscal repair techniques are limited to specific tear types and have significant risk for failure. ... Full text Open Access Link to item Cite

Biceps tenotomy has earlier pain relief compared to biceps tenodesis: a randomized prospective study.

Journal Article Knee Surg Sports Traumatol Arthrosc · December 2019 PURPOSE:  Surgical management for long head of the biceps (LHB) tendinopathy with either biceps tenotomy or tenodesis is a reliable, but debated treatment option. The aim of this prospective, randomized, single-blinded study is to evaluate differences in p ... Full text Link to item 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

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

Clinical and Radiographic Outcomes of the Simpliciti Canal-Sparing Shoulder Arthroplasty System: A Prospective Two-Year Multicenter Study.

Journal Article J Bone Joint Surg Am · April 6, 2016 BACKGROUND: Stemmed humeral components have been used since the 1950s; canal-sparing (also known as stemless) humeral components became commercially available in Europe in 2004. The Simpliciti total shoulder system (Wright Medical, formerly Tornier) is a p ... Full text Link to item Cite

Comparison Between Sexes of Bone Contusions and Meniscal Tear Patterns in Noncontact Anterior Cruciate Ligament Injuries.

Journal Article Am J Sports Med · June 2014 BACKGROUND: Valgus load has been linked to female predominance and mechanism for noncontact anterior cruciate ligament (ACL) injuries. Magnetic resonance imaging (MRI) studies reporting frequent medial contusions in noncontact ACL injuries suggest anterior ... Full text Link to item Cite

Evaluation of skill level between trainees and community orthopaedic surgeons using a virtual reality arthroscopic knee simulator.

Journal Article J Bone Joint Surg Am · April 2, 2014 BACKGROUND: Several virtual reality simulators have been developed to assist orthopaedic surgeons in acquiring the skills necessary to perform arthroscopic surgery. The purpose of this study was to assess the construct validity of the ArthroSim virtual rea ... Full text Link to item Cite

Time to get rid of the clock: intraobserver and interobserver reliability in determination of the o'clock position of the femoral tunnel in ACL reconstruction.

Journal Article J Knee Surg · February 2014 This study evaluates intraobserver and interobserver agreement in reporting the o'clock position of the femoral tunnel during anterior cruciate ligament (ACL) reconstruction. Four PGY2 residents, four PGY5 residents, and four sports medicine orthopedic sur ... Full text Link to item Cite

Distal femoral locking plates and the posterolateral corner.

Journal Article J Knee Surg · December 2013 The purpose of this study was to evaluate the effect of minimally invasive submuscular placement of a distal femoral locking plate on the posterolateral structures of the knee. Eight fresh-frozen cadaveric knees were dissected after application of a latera ... Full text Link to item Cite

Aberrant origin of the long head of the biceps.

Journal Article J Shoulder Elbow Surg · November 2012 Full text Link to item Cite

MRI of selected abnormalities at the anterior superior aspect of the shoulder: potential pitfalls and subtle diagnoses.

Journal Article AJR 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 ... Full text Link to item Cite

Magnetic resonance imaging features of osteochondral lesions of the talus.

Journal Article Foot Ankle Int · July 2012 BACKGROUND: Osteochondral lesions of the talus (OLT) traditionally have been thought to occur anterolaterally or posteromedially. Recent studies utilizing magnetic resonance imaging (MRI) have questioned this teaching. The purpose of this study was to use ... Full text Link to item Cite

Aberrant origin of the long head of the biceps: a case series.

Journal Article J 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 ... Full text Link to item Cite

Chronic tears of the reflected head of the rectus femoris: results of operative treatment.

Journal Article Am J Sports Med · September 2011 BACKGROUND: While the majority of quadriceps muscle strains can be managed nonoperatively, rare cases remain symptomatic despite nonoperative treatment. PURPOSE: The purpose of this study is to report on results of surgical treatment of a limited number of ... Full text Link to item Cite

Isokinetic strength, endurance, and subjective outcomes after biceps tenotomy versus tenodesis: a postoperative study.

Journal Article Am J Sports Med · April 2011 BACKGROUND: Similar subjective outcomes have been reported for tenotomy or tenodesis of the long head of the biceps. Few studies have reported on postoperative strength and endurance. HYPOTHESIS: Biceps tenodesis results in superior subjective outcomes, st ... Full text Link to item Cite

Hamstring graft preparation using a needleless suture loop.

Journal Article J Surg Orthop Adv · 2011 Placement of running, locking stitches during the harvest and preparation of hamstring tendons can be time consuming and requires placement of suture in the most distal and proximal 2 to 3 cm of the tendons. The authors have regularly used a needleless sut ... Link to item Cite

Letter to the editor

Journal Article American Journal of Sports Medicine · December 1, 2010 Full text Cite

Isokinetic testing of biceps strength and endurance in dominant versus nondominant upper extremities.

Journal Article J Shoulder Elbow Surg · September 2010 BACKGROUND: The strength and endurance of the contralateral biceps muscle can serve as a useful comparison for the operative limb following distal biceps repairs, mid-substance repairs, or tenotomy or tenodesis of the long head. There are limited data avai ... Full text Link to item Cite

Endoscopic compartment release for chronic exertional compartment syndrome: surgical technique and results.

Journal Article Am J Sports Med · August 2010 BACKGROUND: Chronic exertional compartment syndrome is an entity that typically fails nonoperative management and requires operative treatment with fasciotomies for return to activity. Fasciotomies performed through single or multiple incisions may fail to ... Full text Link to item Cite

Traumatic subchondral fracture of the femoral head: a case report.

Journal Article J Surg Orthop Adv · 2010 Subchondral insufficiency fractures of the femoral head have been described in elderly, osteoporotic patients and most commonly occur at the superolateral aspect of the femoral head. This case report describes an insufficiency fracture that involves the po ... Link to item Cite

Incidence of the remnant femoral attachment of the ruptured ACL.

Journal Article Clin Orthop Relat Res · October 2009 The presence of remnant tibial and femoral attachments of the ruptured ACL has been described in the literature but the femoral remnant has not been well described as a landmark for tunnel placement during reconstruction. We reviewed operative reports, pic ... Full text Link to item Cite

MRI evaluation of anterior knee pain: predicting response to nonoperative treatment.

Journal Article Skeletal Radiol · September 2009 OBJECTIVE: Tibial tubercle lateral deviation and patellofemoral chondromalacia are associated with anterior knee pain (AKP). We hypothesized that increased tibial tubercle lateral deviation and patellofemoral chondromalacia on magnetic resonance imaging co ... Full text Link to item Cite

Endoscopic compartment release for chronic exertional compartment syndrome.

Journal Article J Surg Orthop Adv · 2008 Chronic exertional compartment syndrome is a condition that typically fails conservative management and requires a fasciotomy for the patient to return to activity. Fasciotomies performed through single or multiple incisions may fail to fully release the f ... Link to item Cite

Author's Reply

Journal Article Arthroscopy - Journal of Arthroscopic and Related Surgery · March 1, 2007 Full text Cite

Magnetic resonance imaging evaluation of patellofemoral malalignment.

Journal Article Arthroscopy · June 2006 PURPOSE: The purpose of this study was to determine the relationship between anterior knee pain secondary to suspected patellofemoral malalignment and tibial tubercle lateralization, patellar tilt, and patellar lateralization on magnetic resonance imaging. ... Full text Link to item Cite

Patella Fractures With Bone-Patella Tendon-Bone Autografts for Anterior Cruciate Ligament Reconstruction

Journal Article Operative Techniques in Sports Medicine · January 1, 2006 The bone-tendon-bone autograft currently is the most widely used graft for anterior cruciate ligament (ACL) reconstructions, although numerous other allograft and autograft choices are available. Patella fractures after ACL reconstructions using bone-tendo ... Full text Cite

Complications Related to Hamstring Tendon Harvest

Journal Article Operative Techniques in Sports Medicine · January 1, 2006 The semitendinosus, gracilis, and patellar tendons are the most commonly harvested grafts for anterior cruciate ligament reconstruction. The use of hamstring autografts offers the advantage of preserved quadriceps function, decreased anterior knee pain, an ... Full text Cite

Smoking and parents: What do they know?

Conference PEDIATRIC RESEARCH · April 1, 2002 Link to item Cite

Smoking and parents: Convincing parents to quit

Conference PEDIATRIC RESEARCH · April 1, 2002 Link to item Cite