Scholars@Duke
Jonathan F Dickens

Jonathan F Dickens

Professor of Orthopaedic Surgery
Orthopaedic Surgery

Selected Publications

Bone block options for treating glenoid bone loss and glenohumeral instability: A systematic review.

Journal Article Shoulder Elbow · November 3, 2024 BACKGROUND: To systematically review the literature assessing glenoid bone loss restoration by different bone block options and compare their dimensions. METHODS: Systematic examination of articles in PubMed and EMBASE databases was performed per the Prefe ... Full text Link to item Cite

Risk factors for recurrence following arthroscopic Bankart repair: a systematic review.

Journal Article J Shoulder Elbow Surg · November 2024 BACKGROUND: Recurrent instability remains a major source of morbidity following arthroscopic Bankart repair. Many risk factors and predictive tools have been described, but there remains a lack of consensus surrounding individual risk factors and their con ... Full text Link to item Cite

Editorial Commentary: Latarjet for Anterior Shoulder Instability Literature Shows Limited Reporting of Outcomes in Female Patients: Female Patients Show Similar Outcomes but Greater Rate of Emergency Department Visits and Possible Greater of Complications.

Journal Article Arthroscopy · November 2024 It has been reported that use of the Latarjet procedure for anterior shoulder instability increased 250% from 2008 to 2019. With this increase in use, it is imperative to minimize complications. At present, most literature focuses on male patients, with sc ... Full text Link to item Cite

Minimal important clinical difference values are not uniformly valid in the active duty military population recovering from shoulder surgery.

Journal Article J Shoulder Elbow Surg · November 2024 BACKGROUND: There are multiple methods for calculating the minimal clinically important difference (MCID) threshold, and previous reports highlight heterogeneity and limitations of anchor-based and distribution-based analyses. The Warfighter Readiness Surv ... Full text Link to item Cite

Arthroscopic Bone Block Stabilization for Anterior Shoulder Instability with Subcritical Glenohumeral Bone Loss.

Journal Article Curr Rev Musculoskelet Med · November 2024 PURPOSE OF REVIEW: The management options for anterior shoulder instability with minimal bone loss or with critical bone loss are well established. However, there is less clear evidence to guide management for patients with subcritical bone loss, the spect ... Full text Link to item Cite

Outcomes of arthroscopic stabilization for posterior shoulder instability: a systematic review.

Journal Article J Shoulder Elbow Surg · November 2024 BACKGROUND: Posterior shoulder instability makes up approximately 10% of all shoulder instability cases and its diagnosis and treatment is less well understood. Recently, however, there has been increased recognition of posterior instability and posterior ... Full text Link to item Cite

Concomitant Arthroscopic Superior Labral and Rotator Cuff Repair: A Systematic Review.

Journal Article JBJS Rev · November 1, 2024 BACKGROUND: The aim of this study was to systematically review the literature on concomitant repair of superior labral and rotator cuff tears, in light of the paucity of published clinical evidence. METHODS: A Preferred Reporting Items for Systematic Revie ... Full text Link to item Cite

Nonoperative Treatment of Isolated Posterior Glenohumeral Instability in an Active Military Population: Effect of Glenoid and Acromial Morphology.

Journal Article Am J Sports Med · November 2024 BACKGROUND: Nonoperative management of posterior shoulder instability is common. However, limited data are available to assess the pathomorphologic factors associated with its failure. PURPOSE/HYPOTHESIS: The purpose of this study was 2-fold: (1) to determ ... Full text Link to item Cite

Reverse shoulder arthroplasty following failed rotator cuff repair: A systematic review and meta-analysis.

Journal Article Shoulder Elbow · October 2024 BACKGROUND: Reverse shoulder arthroplasty (RSA) is an established operative treatment for failed rotator cuff repair (RCR) that may not be amenable to revision repair. The purpose of this meta-analysis is to evaluate the clinical outcomes for patients unde ... Full text Link to item Cite

Bone Marrow Stimulation for Arthroscopic Rotator Cuff Repair: A Meta-analysis of Randomized Controlled Trials.

Journal Article Am J Sports Med · October 2024 BACKGROUND: Bone marrow stimulation (BMS) has been proposed to augment healing at the time of arthroscopic rotator cuff repair (ARCR) by creating several bone marrow vents in the footprint of the rotator cuff, allowing mesenchymal stem cells, platelets, an ... Full text Link to item Cite

The Athlete's Shoulder.

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

Most Systematic Reviews and Meta-analyses Reporting Clinical Outcomes of the Remplissage Procedure Have at Least 1 Form of Spin.

Journal Article Arthrosc Sports Med Rehabil · October 2024 PURPOSE: To determine the prevalence of spin in systematic reviews (SRs) and meta-analyses of clinical studies of the remplissage procedure. METHODS: Two reviewers independently performed a literature search of the PubMed, Scopus, and Embase databases usin ... Full text Link to item Cite

Clinical outcomes in prospective versus retrospective studies on arthroscopic Bankart repair: a systematic review.

Journal Article J Shoulder Elbow Surg · October 2024 BACKGROUND: The majority of the current literature on arthroscopic Bankart repair is retrospective, and discrepancies exist regarding clinical outcomes including recurrent instability and return to play among studies of different levels of evidence. PURPOS ... Full text Link to item Cite

Bioinductive Collagen Implant Has Potential to Improve Rotator Cuff Healing: A Systematic Review.

Journal Article Arthroscopy · September 24, 2024 PURPOSE: To systematically review the literature to evaluate the clinical studies on bioinductive collagen implant (BCI) for the treatment of rotator cuff tears. METHODS: A literature search of MEDLINE, Embase, and the Cochrane Library was performed based ... Full text Link to item Cite

Treatment of Anterior Shoulder Instability: A Comprehensive Review.

Journal Article J Hand Surg Glob Online · September 2024 Anterior shoulder instability is a complex spectrum of pathology characterized by excessive translation of the humeral head across the glenoid, leading to apprehension, subluxation, and dislocation. Diagnosis and classification require a thorough clinical ... Full text Link to item Cite

Concomitant procedures 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 concomitant procedures for knee cartilage injuries. ... 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

Type V superior labrum anterior to posterior repair: a systematic review.

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

High Variability in Standardized Outcome Thresholds of Clinically Important Changes in Shoulder Instability Surgery: A Systematic Review.

Journal Article Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association · August 2024 PurposeTo examine reported minimal clinically important difference (MCID) and patient-acceptable satisfactory state (PASS) values for patient-reported outcome measures (PROMs) after shoulder instability surgery and assess variability in published ... Full text Cite

Editorial Commentary: At Present, ChatGPT Cannot Be Relied Upon to Answer Patient Questions and Requires Physician Expertise to Interpret Answers for Patients.

Journal Article Arthroscopy · July 2024 ChatGPT is designed to provide accurate and reliable information to the best of its abilities based on the data input and knowledge available. Thus, ChatGPT is being studied as a patient information tool. This artificial intelligence (AI) tool has been sho ... Full text Link to item Cite

Acute Anterior Cruciate Ligament Reconstruction Performed Within 10 Days of Injury Does Not Increase Risk of Postoperative Arthrofibrosis: A Systematic Review and Meta-analysis.

Journal Article Am J Sports Med · June 2024 BACKGROUND: The optimal timing of anterior cruciate ligament (ACL) reconstruction (ACLR) remains a controversial topic. Previous reviews have demonstrated that there are no differences between early and delayed ACLR; however, these studies have been limite ... Full text Link to item Cite

Glenohumeral morphological predictors of recurrent shoulder instability following arthroscopic Bankart repair.

Journal Article Knee Surg Sports Traumatol Arthrosc · June 2024 PURPOSE: The purpose of this study was to evaluate glenohumeral morphological features on a magnetic resonance arthrogram (MRA) to determine risk factors for recurrence of anterior shoulder instability following arthroscopic Bankart repair (ABR). METHODS: ... Full text Link to item Cite

Creating a Three-Dimensional Reconstruction of the Glenohumeral Joint From Magnetic Resonance Imaging to Assist in Surgical Decision-Making.

Journal Article Arthrosc Tech · June 2024 Understanding the anatomical structure of a patient's shoulder joint is essential in surgical decision-making, especially regarding glenohumeral bone loss. The use of various imaging techniques, such as magnetic resonance imaging (MRI) and computed tomogra ... Full text Link to item Cite

Lack of Consensus on the Management of Medial Collateral Ligament Tears in the Setting of Concomitant Anterior Cruciate Ligament Injury: A Critical Analysis.

Journal Article JBJS Rev · June 1, 2024 » There is no clear agreement on the optimal timing or superior type of fixation for medial collateral ligament (MCL) tears in the setting of anterior cruciate ligament (ACL) injury.» Anatomic healing of medial knee structures is critical to maintain nativ ... 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

Return to Duty in Military Servicemembers After High Tibial Osteotomy Not Associated With Preoperative Radiographic Parameters : A Retrospective Analysis.

Journal Article Orthop J Sports Med · May 2024 BACKGROUND: Evidence on return to sports/work after high tibial osteotomy (HTO) is limited, especially in a young, high-demand population. PURPOSE: To (1) identify whether preoperative knee pathology or intraoperative correction was associated with success ... Full text Link to item Cite

Young Collision Athletes Have High Rate of Return to Play and Good Clinical Outcomes Following Open Latarjet Procedure.

Journal Article Arthroscopy · April 2024 PURPOSE: To evaluate return to play (RTP), clinical outcomes, and recurrence rates in collision athletes 20 years of age and younger who underwent open Latarjet for anterior shoulder instability. METHODS: A retrospective review of collision athletes 20 yea ... Full text Link to item Cite

Evaluation High-Quality of Information from ChatGPT (Artificial Intelligence-Large Language Model) Artificial Intelligence on Shoulder Stabilization Surgery.

Journal Article Arthroscopy · 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 ... Full text Open Access Link to item Cite

Surgical Treatment of Focal Chondral Lesions of the Knee in the Military Population: Current and Future Therapies.

Journal Article Mil Med · February 27, 2024 INTRODUCTION: Chondral and osteochondral defects of the knee are common injuries in the military population that have a significant impact on readiness. Definitive treatment of these injuries is challenging since cartilage has a limited capacity for self-r ... 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 : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association · February 2024 PurposeTo 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.MethodsA literature s ... Full text Cite

Similar outcomes between biceps tenodesis and SLAP repair for SLAP tears in younger patients - A meta-analysis.

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

Complications following arthroscopic Bankart repair: a systematic review.

Journal Article J Shoulder Elbow Surg · February 2024 BACKGROUND: Complications are rare after arthroscopic Bankart repair, and as a result, there is a lack of guidance over rates of complications that can be used to consent patients. The purpose of this study is to systematically review the literature to ass ... Full text Link to item Cite

No Difference in Recurrent Instability Between Knotted and Knotless Repair Techniques in Arthroscopic Treatment of Isolated Posterior Labral Tears: A Systematic Review.

Journal Article Arthrosc Sports Med Rehabil · February 2024 PURPOSE: To compare clinical failure, recurrent instability, patient-reported outcome measures (PROMs), and return to sport (RTS) between knotted and knotless fixation methods in arthroscopic posterior labral repair for isolated posterior shoulder instabil ... Full text Link to item Cite

Screw fixation versus suture-button fixation for the Latarjet procedure-a systematic review and meta-analysis.

Journal Article Shoulder Elbow · January 30, 2024 OBJECTIVE: To perform a systematic review and meta-analysis to compare the results of the Latarjet procedure performed using screws (S) or suture-button for coracoid graft fixation. METHODS: A systematic search in Pubmed, EMBASE, and The Cochrane Library d ... Full text Link to item Cite

Return to sports following arthroscopic Bankart repair in collision athletes: A systematic review

Journal Article Shoulder and Elbow · January 1, 2024 Background: The purpose of this study was to systematically review the rate and time frame to return to sports in collision athletes following arthroscopic Bankart repair. Methods: A systematic literature search based on Preferred Reporting Items for Syste ... Full text Cite

SHOULDER INSTABILITY IN THE ATHLETE: Management and Surgical Techniques for Optimized Return to Play

Book · January 1, 2024 Shoulder Instability in the Athlete: Management and Surgical Techniques for Optimized Return to Play is a groundbreaking text that covers all aspects of care for athletes with shoulder instability-from on-the-field management and treatment to successful re ... Full text Cite

PREFACE

Journal Article Shoulder Instability in the Athlete: Management and Surgical Techniques for Optimized Return to Play · January 1, 2024 Cite

Management of In-Season Anterior Instability and Return-to-Play Outcomes

Chapter · January 1, 2024 Glenohumeral instability in young athletes is common and may lead to prolonged absence from sports participation. 1 Anterior dislocation of the glenohumeral joint most commonly occurs with the arm in a forward flexed, abducted, and externally rotated posit ... Full text Cite

Evolving concepts in the treatment of posterior shoulder instability with glenohumeral bone loss.

Journal Article Ann Jt · 2024 Posterior shoulder instability is an increasingly recognized phenomenon and comprises approximately 5% of all shoulder instability cases. Posterior shoulder instability presents a complex clinical challenge, particularly when associated with bone loss. Bon ... Full text Link to item Cite

Open Bankart Repair with Subscapularis Split.

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

Complex Foot and Ankle Injuries

Chapter · January 1, 2024 Ground-based blasts have proven common in the current conflicts in Iraq and Afghanistan, producing frequent injuries to the foot and ankle. Both the magnitude and severity of foot and ankle blast injuries are profound. Unlike civilian trauma correlates, ba ... Full text Cite

Treatment of Failed Posterior Instability Repair With Free Bone Block

Journal Article Operative Techniques in Sports Medicine · January 1, 2024 This chapter addresses the treatment and rehabilitation of recurrent posterior instability of the glenohumeral joint with free bone block transfer. With the increasing recognition of posterior instability in military and athletic populations, this techniqu ... Full text Cite

Primary Latarjet procedure versus Latarjet in the setting of previously failed Bankart repair: a systematic review.

Journal Article J ISAKOS · December 2023 OBJECTIVES: The purpose of this study is to systematically review the comparative studies in the literature to compare the outcomes of the Latarjet procedure in the setting of a previously failed Bankart repair versus those undergoing the Latarjet procedur ... Full text Link to item Cite

Review of Burkhart and DeBeer's (2000) article on traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repair: Where have we taken the concept of glenoid bone loss in 2023?

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

Favorable short-term outcomes of micronized allogenic cartilage scaffold for glenoid cartilage defects associated with posterior glenohumeral instability.

Journal Article Arthrosc Sports Med Rehabil · December 2023 PURPOSE: To determine clinical outcomes associated with micronized allogenic cartilage scaffold use for treatment of posterior glenoid cartilage defects at 2 years. STUDY DESIGN: Case series. METHODS: A retrospective analysis of prospectively collected dat ... Full text Link to item Cite

Beach-Chair Versus Lateral Decubitus Positioning for Primary Arthroscopic Anterior Shoulder Stabilization: A Consecutive Series of 641 Shoulders.

Journal Article Am J Sports Med · November 2023 BACKGROUND: There are limited data comparing the beach-chair (BC) versus lateral decubitus (LD) position for arthroscopic anterior shoulder stabilization. PURPOSE: To identify predictors of instability recurrence and revision after anterior shoulder stabil ... Full text Link to item Cite

Posterior Shoulder Instability but Not Anterior Shoulder Instability Is Related to Glenoid Version.

Journal Article Arthrosc Sports Med Rehabil · October 2023 PURPOSE: To assess and compare glenoid version in patients with anterior shoulder instability (ASI), posterior shoulder instability (PSI), and a control group. METHODS: The operative notes of all patients that had undergone arthroscopic shoulder instabilit ... Full text Link to item Cite

Acromion morphology is associated with glenoid bone loss in posterior glenohumeral instability.

Journal Article J Shoulder Elbow Surg · September 2023 BACKGROUND: The acromion morphology in a shoulder with posterior instability differs from that of a shoulder without glenohumeral instability. Specifically, the acromion with a flatter sagittal tilt, greater posterior acromial height, and less posterior co ... Full text Link to item Cite

Re-envisaging professional curiosity and challenge: Messages for child protection practice from reviews of serious cases in England

Journal Article Children and Youth Services Review · September 1, 2023 Learning lessons from cases where children have been killed or seriously harmed from abuse or neglect is important for child protection policy and practice around the world. In England there is a long-established system of locally based, multi-agency revie ... Full text Cite

Survival of anterior cruciate ligament reconstructions in active-duty military populations.

Journal Article Knee Surg Sports Traumatol Arthrosc · August 2023 PURPOSE: Anterior cruciate ligament tears and anterior cruciate ligament reconstruction (ACLR) are common in young athletes. The modifiable and non-modifiable factors contributing to ACLR failure and reoperation are incompletely understood. The purpose of ... Full text Link to item Cite

Open versus arthroscopic elbow arthrolysis for primary osteoarthritis: A comparison of demographics and complications at two years.

Journal Article J Orthop · August 2023 INTRODUCTION: Open techniques have traditionally been utilized in the surgical management of elbow osteoarthritis (OA). However, advances in elbow arthroscopy, in conjunction with the movement towards minimally invasive surgery, have led to an increase in ... Full text Link to item Cite

Transosseous Equivalent Technique for Bony Bankart Repair.

Journal Article Arthrosc Tech · June 2023 Bony Bankart lesions of the anterior glenoid arise from traumatic glenohumeral instability events and can predispose persons to recurrent instability if not surgically stabilized. Large osseous fragments, when repaired anatomically, have excellent stabilit ... Full text Link to item Cite

Outcomes of Revision Arthroscopic Posterior Labral Repair and Capsulorrhaphy: A Systematic Review.

Journal Article Orthop J Sports Med · June 2023 BACKGROUND: Failure rates up to 14% have been reported after arthroscopic posterior capsulolabral repair. It is unknown if revision arthroscopic posterior capsulolabral stabilization has inferior restoration of stability and return to sport when compared w ... Full text Link to item Cite

Posterior Glenoid Bone Loss and Instability: An Evidence-based Approach to Diagnosis and Management.

Journal Article J Am Acad Orthop Surg · May 1, 2023 Posterior glenohumeral instability is an underappreciated cause of disability that may necessitate surgical intervention to allow functional glenoid restoration. However, posterior glenoid bone abnormalities, when sufficiently severe, may contribute to per ... Full text Link to item Cite

Revision Arthroscopic Bankart Repair Results in High Failure Rates and a Low Return to Duty Rate Without Recurrent Instability.

Conference Arthroscopy · April 2023 PURPOSE: The purpose of this study was to determine, in a military population without critical bone loss, the rate of recurrent instability after revision arthroscopic stabilization for failed primary arthroscopic Bankart repair. METHODS: Forty-one revisio ... Full text Link to item Cite

The Glenoid Track Paradigm Does Not Reliably Affect Military Surgeons' Approach to Managing Shoulder Instability.

Journal Article Arthrosc Sports Med Rehabil · April 2023 PURPOSE: To report the frequencies of surgical stabilization procedures performed by military shoulder surgeons and to use decision tree analysis to describe how bipolar bone loss affects surgeons' decision to perform arthroscopic versus open stabilization ... 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

An Exploratory Factor Analysis of the National Institutes of Health Patient-Reported Outcomes Measurement Information System and the Single Assessment Numeric Evaluation in Knee Surgery Patients.

Journal Article Mil Med · March 20, 2023 INTRODUCTION: Patient-Reported Outcomes (PROs) have been suggested for use in measuring treatment effectiveness. To minimize patient burden, two approaches have been proposed: An orthopedic-specific Single Assessment Numeric Evaluation (SANE) or computer a ... Full text Link to item Cite

Improving professional practice in the investigation and management of intrafamilial child sexual abuse: Qualitative analysis of serious child protection reviews.

Journal Article Child Abuse Negl · March 2023 BACKGROUND: Local multi-agency case reviews are regularly held in England when children have suffered significant harm from abuse or neglect, including from child sexual abuse (CSA). Most CSA takes place within families, is common but under-reported and ca ... Full text Link to item Cite

Glenoid Bone Loss Pattern in Patients With Posterior Instability Versus Anterior Instability: A Matched Cohort Study.

Journal Article Orthop J Sports Med · February 2023 BACKGROUND: The pattern of glenoid bone loss (GBL) in anterior glenohumeral instability is well described. It was recognized recently that posterior GBL after instability has a posteroinferior pattern. PURPOSE/HYPOTHESIS: The purpose of this study was to c ... Full text Link to item Cite

Racial and Gender Diversity of Physicians Accepted to American Military Orthopaedic and Surgical Residencies: An 18-Year Analysis.

Journal Article JB JS Open Access · 2023 UNLABELLED: Orthopaedic surgery ranks among the least racially and gender diverse medical/surgical specialties. United States military surgeons train in military or military-funded residency positions to care for a markedly diverse population; however, the ... 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

Prospective Evaluation of Posterior Glenoid Bone Loss After First-time and Recurrent Posterior Glenohumeral Instability Events.

Journal Article Am J Sports Med · September 2022 BACKGROUND: Although posterior glenohumeral instability is becoming an increasingly recognized cause of shoulder pain, the role of posterior glenoid bone loss on outcomes remains incompletely understood. PURPOSES: To prospectively determine the amount of b ... Full text Link to item Cite

Characterization of Cartilage Injury and Associated Treatment at the Time of Primary Anterior Cruciate Ligament Reconstruction.

Journal Article J Knee Surg · September 2022 Anterior cruciate ligament (ACL) tears with concomitant cartilage injuries resulting in ACL reconstruction (ACLR) with cartilaginous procedures are common in the young, high-demand population. The purpose of this study was to report and characterize cartil ... Full text Link to item Cite

Acute Intervention With Selective Interleukin-1 Inhibitor Therapy May Reduce the Progression of Posttraumatic Osteoarthritis of the Knee: A Systematic Review of Current Evidence.

Journal Article Arthroscopy · August 2022 PURPOSE: To evaluate the efficacy of selective interleukin (IL)-1 inhibitor therapy in the reduction of posttraumatic osteoarthritis (PTOA) progression following knee ligament or meniscal injury. METHODS: A systematic review was conducted evaluating the di ... Full text Link to item Cite

Latent Factor Analysis of the PROMIS and Single Assessment Numeric Evaluation in Patients Undergoing Shoulder Surgery.

Journal Article Mil Med · July 1, 2022 INTRODUCTION: Patient-reported outcomes (PROs) are reporting tools that quantify patients' perceptions of their mental and physical health. Many PROs may inadvertently measure the same or overlapping theoretical constructs (e.g., pain, function, depression ... Full text Link to item Cite

High Incidence of Combined and Posterior Labral Tears in Military Patients With Operative Shoulder Instability.

Journal Article Am J Sports Med · May 2022 BACKGROUND: Anterior shoulder instability is the pattern most commonly reported in the civilian population, but military servicemembers may represent a unique population. At 1.7 per 1000 person-years, servicemembers not only have a higher incidence of inst ... Full text Link to item Cite

The Military Orthopedics Tracking Injuries and Outcomes Network: A Solution for Improving Musculoskeletal Care in the Military Health System.

Journal Article Mil Med · March 28, 2022 INTRODUCTION: Musculoskeletal injuries are an endemic amongst U.S. Military Service Members and significantly strain the Department of Defense's Military Health System. The Military Health System aims to provide Service Members, military retirees, and thei ... Full text Link to item Cite

Utilization of the Department of Defense Peer-Reviewed Orthopaedic Research Program (PRORP): Combating Musculoskeletal Disease With PRORP.

Journal Article J Am Acad Orthop Surg · March 1, 2022 INTRODUCTION: Established in 2009, the Department of Defense (DoD) Peer-Reviewed Orthopaedic Research Program (PRORP) is an annual funding program for orthopaedic research that seeks to develop evidence for new clinical practice guidelines, procedures, tec ... Full text Link to item Cite

Extremity War Injury Symposium XV: Sports and Readiness Symposium Summary.

Journal Article J Am Acad Orthop Surg · March 1, 2022 Despite the recent decrease in high tempo combat operations, threats to the medical readiness of Service Members remain a persistent issue. In fact, recent research efforts have demonstrated that musculoskeletal disease nonbattle injury represents perhaps ... Full text Link to item Cite

Open repair of posterior shoulder instability

Chapter · January 1, 2022 Posterior shoulder instability is an uncommon isolated finding that can result in functionally limiting shoulder pain and weakness. While arthroscopy is the mainstay of current management, an open approach may be utilized, either alone or in combination wi ... Full text Cite

Analgesia in Athletes: A Review of Commonly Used Oral and Injectable Modalities.

Journal Article Sports Med Arthrosc Rev · December 1, 2021 Pain is common among athletes at all levels and the treatment of pain can be a challenging and frustrating task. The team physician needs a fundamental knowledge of analgesic strategies as it relates to athletes. It is important to understand the mechanism ... Full text Link to item Cite

Unicompartmental Knee Arthroplasty: More Conversions, Fewer Complications Than Proximal Tibial Osteotomy in a Young Population.

Journal Article J Arthroplasty · December 2021 BACKGROUND: Patients with isolated medial compartment osteoarthritis requiring surgical intervention generally have two surgical options: unicompartmental knee arthroplasty (UKA) and proximal tibial osteotomy (PTO). Outcomes of reoperation rates and surviv ... Full text Link to item Cite

A High-Sensitivity International Knee Documentation Committee Survey Index From the PROMIS System: The Next-Generation Patient-Reported Outcome for a Knee Injury Population.

Journal Article Am J Sports Med · November 2021 BACKGROUND: Patient-reported outcomes (PROs) measure progression and quality of care. While legacy PROs such as the International Knee Documentation Committee (IKDC) survey are well-validated, a lengthy PRO creates a time burden on patients, decreasing adh ... Full text Link to item Cite

Are We Able to Determine Differences in Outcomes Between Male and Female Servicemembers Undergoing Hip Arthroscopy? A Systematic Review.

Journal Article Orthop J Sports Med · November 2021 BACKGROUND: Female servicemembers sustain higher rates of lower extremity injuries as compared with their male counterparts. This can include intra-articular pathology in the hip. Female patients are considered to have worse outcomes after hip arthroscopy ... Full text Link to item Cite

Latarjet After Failed Arthroscopic Bankart Repair Results in Twice the Rate of Recurrent Instability Compared With Primary Latarjet.

Journal Article Arthroscopy · November 2021 PURPOSE: To assess recurrent instability of the shoulder following open Latarjet performed as the primary stabilization procedure or as a salvage procedure. METHODS: A retrospective, comparative cohort study was performed for a consecutive series of patien ... Full text Link to item Cite

Coracoid or Clavicle Fractures Associated With Coracoclavicular Ligament Reconstruction.

Journal Article Am J Sports Med · October 2021 BACKGROUND: Coracoclavicular (CC) ligament reconstruction is a commonly performed procedure for high-grade acromioclavicular (AC) joint separations. Although distal clavicle and coracoid process fractures represent potential complications, they have been d ... Full text Link to item Cite

Femoral Neck Over-Resection After Hip Arthroscopy Treated with Vascularized Fibula Autograft: A Case Report.

Journal Article JBJS Case Connect · September 2, 2021 CASE: We describe a case of femoroacetabular impingement syndrome treated with labral repair and arthroscopic femoral osteoplasty in a 30-year-old man. The case was complicated by resection of 50% of the femoral neck resulting in high risk of an impending ... Full text Link to item Cite

Incidence and Risk Factors of Acute Patellar Tendon Rupture, Repair Failure, and Return to Activity in the Active-Duty Military Population.

Journal Article Am J Sports Med · September 2021 BACKGROUND: Patellar tendon ruptures have a reported incidence of 0.68 per 100,000 person-years in the general population. The epidemiology of surgically treated patellar tendon ruptures in the US military has yet to be reported, which would provide opport ... Full text Link to item Cite

Anchored Minimal Clinically Important Difference Metrics: Considerations for Bias and Regression to the Mean.

Journal Article J Athl Train · September 1, 2021 Minimal clinically important differences (MCIDs) are used to understand clinical relevance. However, repeated observations produce biased analyses unless one accounts for baseline observation, known as regression to the mean (RTM). Using an International K ... Full text Link to item Cite

Degenerative Joint Disease After Meniscectomy.

Journal Article Sports Med Arthrosc Rev · September 1, 2021 The meniscus has an important role in stabilizing the knee joint and protecting the articular cartilage from shear forces. Meniscus tears are common injuries and can disrupt these protective properties, leading to an increased risk of articular cartilage d ... Full text Link to item Cite

Meniscal Salvage: Where We Are Today.

Journal Article J Am Acad Orthop Surg · July 15, 2021 The menisci are fibrocartilaginous semilunar structures in the knee that provide load support. Injury to the meniscus alters its load sharing and biomechanical profile. Knee arthroscopy with meniscus débridement is the most common orthopaedic surgical proc ... Full text Link to item Cite

The Pericapsular Nerve Group Block for Perioperative Pain Management for Hip Arthroscopy.

Journal Article Arthrosc Tech · July 2021 Perioperative pain control for hip arthroscopy procedures represents a significant challenge for both surgeons and anesthetists. In light of the opioid crisis, greater emphasis has been placed on multimodal pain control techniques. There is considerable de ... Full text Link to item Cite

The west point view: An intra-articular 50-yard line view with dynamic arthroscopic load shift

Journal Article Techniques in Orthopaedics · June 1, 2021 Traumatic anterior shoulder instability may present as a transient instability event (subluxation) or complete glenohumeral disassociation (dislocation). History and physical examination can determine the degree and direction of instability, and associated ... Full text Cite

Review of a Role 2 in Afghanistan: Understanding the Data on Medical and Surgical Volumes in a Deployed Setting.

Journal Article Mil Med · May 3, 2021 INTRODUCTION: The U.S. forward military surgical assets have deployed throughout the Iraq and Afghanistan theaters of operations to maintain surgical support for injured service members in compliance with the "golden hour" as specified in the Gates Memoran ... Full text Link to item Cite

Chondral Lesions of the Knee: An Evidence-Based Approach.

Journal Article J Bone Joint Surg Am · April 7, 2021 ➤: Management of chondral lesions of the knee is challenging and requires assessment of several factors including the size and location of the lesion, limb alignment and rotation, and the physical and mental health of the individual patient. ➤: There are a ... Full text Link to item Cite

Recurrent Instability and Surgery Are Common After Nonoperative Treatment of Posterior Glenohumeral Instability in NCAA Division I FBS Football Players.

Journal Article Clin Orthop Relat Res · April 1, 2021 BACKGROUND: In-season return to play after anterior glenohumeral instability is associated with high rates of recurrent instability and the need for surgical stabilization. We are not aware of previous studies that have investigated in-season return to pla ... Full text Link to item Cite

Factors Associated With Progression to Surgical Intervention for Lumbar Disc Herniation in the Military Health System.

Journal Article Spine (Phila Pa 1976) · March 15, 2021 STUDY DESIGN: Retrospective cohort. OBJECTIVE: To determine surgery-free survival of patients receiving conservative management of lumbar disc herniation (LDH) in the military healthcare system (MHS) and risk factors for surgical intervention. SUMMARY OF B ... Full text Link to item Cite

Generating the American Shoulder and Elbow Surgeons Score Using Multivariable Predictive Models and Computer Adaptive Testing to Reduce Survey Burden.

Journal Article Am J Sports Med · March 2021 BACKGROUND: The preferred patient-reported outcome measure for the assessment of shoulder conditions continues to evolve. Previous studies correlating the Patient-Reported Outcomes Measurement Information System (PROMIS) computer adaptive tests (CATs) to t ... Full text Link to item Cite

Editorial Commentary: Osteochondral Lesions of the Talus: All, Nothing, or Something in Between.

Journal Article Arthroscopy · March 2021 Osteochondral lesions of the talus occur with relatively frequency, often as the sequelae of benign ankle sprains, and are only surpassed by the knee and elbow as more common locations. While microfracture of the talus is the most common first-line surgica ... Full text Link to item Cite

Meniscal Repair Techniques for Middle- and Posterior-Third Tears.

Journal Article Arthroscopy · March 2021 Technical advancements in meniscal repairs have greatly contributed to the ability to repair a variety of meniscal tears that were once thought untreatable. The gold-standard treatment for arthroscopic meniscal body repair remains an inside-out technique. ... Full text Link to item Cite

A Longitudinal Comparison of Patient-Reported Outcomes Measurement Information System to Legacy Scales in Knee and Shoulder Arthroscopy Patients.

Journal Article Arthroscopy · January 2021 PURPOSE: The purpose of this prospective correlational study was to compare the psychometric properties of the Defense and Veterans Pain Rating Scale (DVPRS) and Patient-Reported Outcomes Measurement Information System (PROMIS) scales with those of traditi ... Full text Link to item Cite

In-Season Management of Anterior Shoulder Instability.

Journal Article Sports Med Arthrosc Rev · December 2020 Anterior shoulder instability commonly occurs in young and active individuals, particularly those participating in contact or collision sports. At the intercollegiate level, rates of anterior instability have been reported to be 0.12 events per 1000 athlet ... Full text Link to item Cite

Current Practice Patterns in Anterior Cruciate Ligament Reconstruction Among Fellowship-Trained Military Orthopaedic Surgeons.

Journal Article Arthrosc Sports Med Rehabil · October 2020 PURPOSE: To evaluate current practice patterns in anterior cruciate ligament reconstruction (ACLR) surgery among fellowship-trained military surgeons. METHODS: The MOTION database is a prospectively collected dataset of intraoperative variables across the ... Full text Link to item Cite

Risk Factors for Failure of Nonoperative Treatment of Posterior Shoulder Labral Tears on Magnetic Resonance Imaging.

Journal Article Mil Med · September 18, 2020 INTRODUCTION: There are no reports in the literature describing risk factors for failure of nonoperative treatment of patients with posterior labral tears on magnetic resonance imaging (MRI). The purpose of this study is to identify risk factors for failur ... Full text Link to item Cite

Predictors of Failure of Arthroscopic Bankart Repair

Journal Article Operative Techniques in Orthopaedics · September 1, 2020 Arthroscopic Bankart repair is increasingly used as the primary option for recurrent anterior shoulder instability. Improved techniques, technologies, and patient selection have resulted in high rates of success after these operations. Despite these improv ... Full text Cite

Effect of Posterior Glenoid Bone Loss and Retroversion on Arthroscopic Posterior Glenohumeral Stabilization.

Journal Article Am J Sports Med · September 2020 BACKGROUND: Posterior glenohumeral instability is an increasingly recognized cause of shoulder instability, but little is known about the incidence or effect of posterior glenoid bone loss. PURPOSE: To determine the incidence, characteristics, and failure ... Full text Link to item Cite

Total Joint Arthroplasty Volume in the Military Health System.

Journal Article Mil Med · August 14, 2020 INTRODUCTION: The relationship between volume and outcome of total knee arthroplasties is a concern in both the civilian and military patient populations. We sought to compare surgeons and hospital procedure volumes performed on military service members an ... Full text Link to item Cite

Can Predictive Modeling Tools Identify Patients at High Risk of Prolonged Opioid Use After ACL Reconstruction?

Journal Article Clin Orthop Relat Res · July 2020 BACKGROUND: Machine-learning methods such as the Bayesian belief network, random forest, gradient boosting machine, and decision trees have been used to develop decision-support tools in other clinical settings. Opioid abuse is a problem among civilians an ... Full text Link to item Cite

Prescription Patterns and Risk Factors for Prolonged Opioid Dependence in Elective Anterior Cruciate Ligament Reconstruction in a Military Population.

Journal Article Orthop J Sports Med · June 2020 BACKGROUND: Limited data are available regarding excessive opioid prescribing in the perioperative period after routine orthopaedic procedures in US military personnel. PURPOSE: To examine the demographic profile of the patients receiving these medications ... Full text Link to item Cite

Orthopedic Surgeon Decision-Making Processes for Postsurgical Opioid Prescribing.

Journal Article Mil Med · March 2, 2020 INTRODUCTION: Acute pain and chronic pain are significant burdens in the Department of Defense, compounded by the ongoing opioid crisis. Given the ubiquity of (leftover) opioid prescriptions following orthopedic surgery, it is essential to identify feasibl ... Full text Link to item Cite

The Nonoperative Instability Severity Index Score (NISIS): A Simple Tool to Guide Operative Versus Nonoperative Treatment of the Unstable Shoulder.

Journal Article Sports Health · 2020 BACKGROUND: The management of the adolescent athlete after initial shoulder instability remains controversial. HYPOTHESIS: Individual risk factors in athletes with shoulder instability who are managed nonoperatively can be integrated into a scoring system ... Full text Link to item Cite

Hip Arthroscopy Technique for Acetabular Osteochondral Loose Bodies after Combined Lower Extremity Trauma

Journal Article Techniques in Orthopaedics · January 1, 2020 The postoperative rehabilitation of acetabular fractures after fixation may be complicated by osteochondral loose bodies in the hip joint and resultant mechanical or instability symptoms. There are multiple surgical options to address these lesions, howeve ... Full text Cite

Courts, care proceedings and outcomes uncertainty: The challenges of achieving and assessing “good outcomes” for children after child protection proceedings

Journal Article Child and Family Social Work · November 1, 2019 The professed aim of any social welfare or legal intervention in family life is often to bring about “better outcomes for the children.” But there is considerable ambiguity about “outcomes,” and the term is far too often used in far too simplistic a way. T ... Full text Cite

Fascia Iliaca Blockade With the Addition of Liposomal Bupivacaine Versus Plain Bupivacaine for Perioperative Pain Management During Hip Arthroscopy: A Double-Blinded Prospective Randomized Control Trial.

Journal Article Arthroscopy · September 2019 PURPOSE: To determine in a prospective, randomized fashion whether liposomal bupivacaine extends the effectiveness of decreased pain scores and reduces narcotic requirements following hip arthroscopy when used in addition to a fascia iliaca blockade with p ... Full text Link to item Cite

Blood Flow Restriction Therapy: From Development to Applications.

Journal Article Sports Med Arthrosc Rev · September 2019 Blood flow restriction (BFR) has been shown to produce beneficial adaptations to skeletal muscle. These adaptations have been documented in the civilian and military populations. BFR therapy may provide patients a safe method to begin strength training at ... Full text Link to item Cite

Multiligamentous Knee Injuries in the Military Tactical Athlete.

Journal Article Sports Med Arthrosc Rev · September 2019 Multiligament knee injuries pose a significant challenge to military service members looking to return to active duty service. They represent a diverse injury pattern and recovery is often complicated by other ipsilateral extremity trauma and systemic inju ... Full text Link to item Cite

The Warrior Athlete Part 2: Return to Duty in the US Military.

Journal Article Sports Med Arthrosc Rev · September 2019 Full text Link to item Cite

Pathoanatomy of Shoulder Instability in Collegiate Female Athletes.

Journal Article Am J Sports Med · July 2019 BACKGROUND: Shoulder instability has been well described in young men; however, few studies have specifically evaluated the pathoanatomy and unique spectrum of injuries in women with shoulder instability. PURPOSE: To describe the pathoanatomy of operative ... Full text Link to item Cite

Factors Influencing Resident Satisfaction and Fellowship Selection in Orthopaedic Training Programs: An American Orthopaedic Association North American Traveling Fellowship Project.

Journal Article J Bone Joint Surg Am · May 15, 2019 BACKGROUND: There is limited literature available about educational satisfaction and fellowship selection among orthopaedic surgery residents. The purpose of this study was to identify factors that influence resident subspecialty career choice, fellowship ... Full text Link to item Cite

Evaluation of the Instability Severity Index score in predicting failure following arthroscopic Bankart surgery in an active military population.

Journal Article J Shoulder Elbow Surg · May 2019 BACKGROUND: The Instability Severity Index (ISI) score is a preoperative risk stratification tool used to identify patients at heightened risk of recurrent anterior instability after an arthroscopic Bankart procedure. The primary objective of this study wa ... Full text Link to item Cite

Prospective Evaluation of Glenoid Bone Loss After First-time and Recurrent Anterior Glenohumeral Instability Events.

Journal Article Am J Sports Med · April 2019 BACKGROUND: Determining the amount of glenoid bone loss in patients after anterior glenohumeral instability events is critical to guiding appropriate treatment. One of the challenges in treating the shoulder instability of young athletes is the absence of ... Full text Link to item Cite

Incidence and Characteristics of Humeral Shaft Fractures After Subpectoral Biceps Tenodesis.

Journal Article Orthop J Sports Med · March 2019 BACKGROUND: Biceps tenodesis is a procedure that can address biceps and labral pathology. While there is an increased risk of humeral fracture after biceps tenodesis, it has been described only in case reports. PURPOSE: To identify the incidence, demograph ... Full text Link to item Cite

A Guide to Understanding Reimbursement and Value-Based Care in the Military Health System.

Journal Article Mil Med · March 1, 2019 INTRODUCTION: With the continued rise in the cost of U.S. health care, there is an increased emphasis on value-based care methodologies. Value is defined as health outcomes achieved per dollar spent. Few studies have evaluated the role of value-based care ... Full text Link to item Cite

Primary and Posttraumatic Knee Osteoarthritis in the Military.

Journal Article J Knee Surg · February 2019 Osteoarthritis is a particularly burdensome and career-limiting condition for military service members. The daily demands of military service place the service members at a baseline increased risk of developing primary OA as well as increased risk of acute ... Full text Link to item Cite

Cross-Sectional Survey Results on Mental Health Among Orthopedic Surgery Residents Across North America.

Journal Article J Surg Educ · 2019 OBJECTIVE: With recent increasing rates of medical student and physician suicide, there has been a focus on examining depression in medical providers and trainees, particularly surgical residents. However, there is a paucity of data specific to orthopedic ... Full text Link to item Cite

Optimizing Length-Tension Relationship Using Unicortical Button Fixation for Subpectoral Biceps Tenodesis

Journal Article Techniques in Orthopaedics · September 1, 2018 Many techniques for tenodesis of the long head of the biceps tendon have been described in the orthopedic literature. However, few focus on restoring the native length-Tension relationship of each patient's individual anatomy and instead recommend fixing t ... Full text Cite

Making a target work: Messages from a pilot of the 6-month time limit on care proceedings in England

Journal Article Child and Family Social Work · August 1, 2018 Since 2014, it has been a legal requirement in England and Wales for child care proceedings to be concluded, apart from “exceptional cases,” within 26 weeks. When this was first proposed, there were concerns that it might lead to poorer decision-making or ... Full text Cite

The West Point Knot: A Sliding-Locking Arthroscopic Knot.

Journal Article Arthrosc Tech · July 2018 Despite the advent of sutureless technology, knot tying remains an important skill for any arthroscopist. When one is choosing which knot to tie, there are a variety of options, with each possessing its own inherent strengths and weaknesses. The West Point ... Full text Link to item Cite

Biceps Tenodesis and Intra-articular Decompression for Treatment of Superior Labral Tear from Anterior to Posterior and Associated Paralabral Cyst in Active Duty Military.

Journal Article Mil Med · May 1, 2018 BACKGROUND: To examine the outcomes of combined biceps tenodesis and indirect, intra-articular arthroscopic paralabral cyst decompression for the treatment of active duty military patients with superior labral from anterior to posterior tears and associate ... Full text Link to item Cite

A History of Shoulder Instability in the Military: Where We Have Been and What We Have Learned.

Journal Article Mil Med · May 1, 2018 INTRODUCTION: Shoulder instability is one of the most common pathologies seen by the orthopedic sports medicine surgeon. With a uniquely young, high-demand patient population in the U.S. Military, the incidence of shoulder instability is remarkably more co ... Full text Link to item Cite

Patient-Reported Outcomes in Orthopaedics.

Journal Article J Bone Joint Surg Am · March 7, 2018 Full text Link to item Cite

Return to Sports After Shoulder Stabilization Surgery for Anterior Shoulder Instability.

Journal Article Curr Rev Musculoskelet Med · December 2017 PURPOSE OF REVIEW: Young athletes continue to experience traumatic shoulder instability and are often plagued by recurrent instability, limiting their return to sport. The purpose of this paper was to review return to sport in athletes after shoulder stabi ... Full text Link to item Cite

Successful Return to Sport After Arthroscopic Shoulder Stabilization Versus Nonoperative Management in Contact Athletes With Anterior Shoulder Instability: A Prospective Multicenter Study.

Journal Article Am J Sports Med · September 2017 BACKGROUND: The debate continues regarding the optimal treatment of intercollegiate contact athletes with in-season anterior shoulder instability. PURPOSE: To examine return to sport and recurrent instability in the season after the index in-season anterio ... Full text Link to item Cite

Posterior Shoulder Instability.

Journal Article Sports Med Arthrosc Rev · September 2017 Posterior shoulder instability is a relatively uncommon condition, occurring in ∼10% of those with shoulder instability. Because of the rarity of the condition and the lack of knowledge in treatment, it is often misdiagnosed or patients experience a delay ... Full text Link to item Cite

Recurrent Shoulder Instability After Primary Bankart Repair.

Journal Article Sports Med Arthrosc Rev · September 2017 The glenohumeral joint is one of the most frequently dislocated joints and occurs with increasing frequency in collision and contact athletes, especially those in sports that repeatedly place the glenohumeral joint in a position of vulnerability. Nonoperat ... Full text Link to item Cite

The Effect of Subcritical Bone Loss and Exposure on Recurrent Instability After Arthroscopic Bankart Repair in Intercollegiate American Football.

Journal Article Am J Sports Med · July 2017 BACKGROUND: There is no consensus on the optimal method of stabilization (arthroscopic or open) in collision athletes with anterior shoulder instability. PURPOSE: To examine the effect of "subcritical" bone loss and football-specific exposure on the rate o ... Full text Link to item Cite

Morphological Distribution of the Anterior Inferior Iliac Spine in Patients With and Without Hip Impingement: Reliability, Validity, and Relationship to the Intraoperative Assessment.

Journal Article Am J Sports Med · April 2017 BACKGROUND: Subspinous impingement of the anterior inferior iliac spine (AIIS) on the femoral head-neck junction is increasingly recognized as a source of hip impingement. A classification system of AIIS morphology has previously been proposed that correla ... Full text Link to item Cite

The 2015 AOA North American Traveling Fellowship.

Journal Article J Bone Joint Surg Am · November 16, 2016 The North American Traveling Fellowship (NATF) is one of the flagship tours of the American Orthopaedic Association (AOA). NATF is geared toward advancing the careers of young orthopaedic surgeons through the promotion of clinical, scientific, and social e ... Full text Link to item Cite

Outcomes and complications of triceps tendon repair following acute rupture in American military personnel.

Journal Article Injury · October 2016 INTRODUCTION: Triceps tendon ruptures are uncommon injuries primarily occurring in young, active males or elderly individuals with various systemic diseases. Relatively little is known about the epidemiology of this injury, or the results of surgical manag ... Full text Link to item Cite

Return to Play Following Anterior Shoulder Dislocation and Stabilization Surgery.

Journal Article Clin Sports Med · October 2016 Anterior shoulder instability in athletes may lead to time lost from participation and decreases in level of play. Contact, collision, and overhead athletes are at a higher risk than others. Athletes may successfully be returned to play but operative stabi ... Full text Link to item Cite

Hybrid Tibia Fixation of Soft Tissue Grafts in Anterior Cruciate Ligament Reconstruction: A Systematic Review.

Journal Article Am J Sports Med · October 2016 BACKGROUND: Optimal fixation of soft tissue grafts in anterior cruciate ligament (ACL) reconstruction remains a controversial topic, and tibial-sided fixation is frequently cited as the "weak point" of the femur-graft-tibia construct. Some studies have rec ... Full text Link to item Cite

Incidence Rate and Results of the Surgical Treatment of Pectoralis Major Tendon Ruptures in Active-Duty Military Personnel.

Journal Article Am J Sports Med · July 2016 BACKGROUND: Pectoralis major tendon ruptures are commonly described as rare injuries affecting men between 20 and 40 years of age, with generally excellent results after surgical repair. However, this perception is based on a relatively small number of cas ... Full text Link to item Cite

Analysis of Orthopaedic Research Produced During the Wars in Iraq and Afghanistan.

Journal Article Clin Orthop Relat Res · September 2015 BACKGROUND: Military orthopaedic surgeons have published a substantial amount of original research based on our care of combat-wounded service members and related studies during the wars in Iraq and Afghanistan. However, to our knowledge, the influence of ... Full text Link to item Cite

Intraoperative measurement after excision of distal clavicle: Correlation with postoperative radiographs

Journal Article Current Orthopaedic Practice · July 9, 2015 Background: Injury to the acromioclavicular joint is a common diagnosis among the military population causing significant shoulder pain and disability. Once nonoperative modalities are exhausted excision of the distal clavicle is indicated. Arthroscopic te ... Full text Cite

Improved return to play in intercollegiate contact athletes following arthroscopic stabilization for anterior shoulder instability: A prospective multicenter study

Journal Article Orthopaedic Journal of Sports Medicine · July 1, 2015 Objectives: Debate continues regarding the optimal treatment of intercollegiate contact athletes with in-season anterior shoulder instability. Comparative evaluation of successful return to play (RTP) without recurrence in subsequent seasons after the inde ... Full text Cite

Epidemiology of isolated meniscus tears in young athletes

Journal Article Orthopaedic Journal of Sports Medicine · July 1, 2015 Objectives: Meniscus tears are common in athletic populations; however, there are few studies of the epidemiology of meniscal tears in a stable knee, and particularly tears in young populations. The purpose of this study was to define the incidence of isol ... Full text Cite

Risk factors for decreased range of motion and poor outcomes in open periarticular elbow fractures.

Journal Article Injury · April 2015 INTRODUCTION: The purpose of this study was to identify risk factors present at the time of injury that predict poor functional outcomes and heterotopic ossification (HO) in open periarticular elbow fractures. MATERIALS AND METHODS: We performed a retrospe ... Full text Link to item Cite

Tennis elbow in athletes: More than just tennis?

Chapter · January 1, 2015 From the earliest descriptions of lateral epicondylitis pathology, there has been an association with sport. These descriptions include a letter by Henry J. Morris published in Lancet in 1882 describing the condition of “lawn tennis arm.” Soon after, Major ... Full text Cite

Return to play and recurrent instability after in-season anterior shoulder instability: a prospective multicenter study.

Journal Article Am J Sports Med · December 2014 BACKGROUND: There is no consensus on the optimal treatment of in-season athletes with anterior shoulder instability, and limited data are available to guide return to play. PURPOSE: To examine the likelihood of return to sport and the recurrence of instabi ... Full text Link to item Cite

A model to predict limb salvage in severe combat-related open calcaneus fractures.

Journal Article Clin Orthop Relat Res · October 2014 BACKGROUND: Open calcaneus fractures can be limb threatening and almost universally result in some measure of long-term disability. A major goal of initial management in patients with these injuries is setting appropriate expectations and discussing the li ... Full text Link to item Cite

Reported Concussion Rates for Three Division I Football Programs: An Evaluation of the New NCAA Concussion Policy.

Journal Article Sports Health · September 2014 BACKGROUND: There has been increased interest in the number of concussions occurring in college football over the past year. In April 2010, the National Collegiate Athletic Association (NCAA) published new guidelines for the diagnosis and treatment of conc ... Full text Link to item Cite

Aircast Award for Basic Science - Return to Play Following In-season Anterior Shoulder Instability: A Prospective Multicenter Study

Journal Article Orthopaedic Journal of Sports Medicine · January 1, 2014 Objectives: There is no consensus on the optimal treatment of young in-season athletes with anterior shoulder instability and limited data are available to guide return to play and treatment. The purpose of this study was to examine the likelihood of retur ... Full text Cite

Bilateral combined discoid lateral menisci and lateral femoral condyle osteochondritis dissecans lesions in a division I varsity athlete: a case report.

Journal Article J Knee Surg · December 2013 Discoid menisci can be a source of pain for patients, and pose treatment challenges to the treating surgeon. Additional associated intra-articular pathology, specifically osteochondral defects, can further complicate the clinical picture. The incidence of ... Full text Link to item Cite

Risk factors for infection and amputation following open, combat-related calcaneal fractures.

Journal Article J Bone Joint Surg Am · March 6, 2013 BACKGROUND: High-energy open calcaneal fractures are severe injuries complicated by high rates of infection, uncertain functional outcomes, and frequent need for later amputation. METHODS: We conducted a retrospective review of 102 consecutive combat-relat ... Full text Link to item Cite

Tibial stress fractures in an active duty population: long-term outcomes.

Journal Article J Surg Orthop Adv · 2013 Tibial stress fractures are a common overuse injury among military recruits. The purpose of this study was to determine what, if any, long-term effects that tibial stress fractures have on military personnel with respect to physical activity level, complet ... Full text Link to item Cite

Heterotopic ossification resection after open periarticular combat-related elbow fractures.

Journal Article J Surg Orthop Adv · 2013 A retrospective review was performed to evaluate the outcomes and complications following heterotopic ossification (HO) resection and lysis of adhesion procedures for posttraumatic contracture, after combat-related open elbow fractures. From 2004 to 2011, ... Full text Link to item Cite

Subpectoral biceps tenodesis: an anatomic study and evaluation of at-risk structures.

Journal Article Am J Sports Med · October 2012 BACKGROUND: The neurovascular structures of the proximal arm may be at risk for iatrogenic injury during open subpectoral biceps tenodesis (OSPBT). PURPOSE: To define the anatomic relationships and at-risk structures during OSPBT and to quantify the effect ... Full text Link to item Cite

Management of mid-season traumatic anterior shoulder instability in athletes.

Journal Article J Am Acad Orthop Surg · August 2012 Shoulder dislocation and subluxation injuries are common in young athletes and most frequently occur during the competitive season. Controversy exists regarding optimal treatment of an athlete with an in-season shoulder dislocation, and limited data are av ... Full text Link to item Cite

Predisposing risk factors for non-contact ACL injuries in military subjects.

Journal Article Knee Surg Sports Traumatol Arthrosc · August 2012 PURPOSE: The goal of this study was to document the incidence of anterior cruciate ligament (ACL) tears and possible risk factors for these injuries in a large population of young, athletic subjects. METHODS: The authors retrospectively reviewed the US Nav ... Full text Link to item Cite

Epidemiology of meniscal injury associated with ACL tears in young athletes.

Journal Article Orthopedics · March 2012 The epidemiologic characteristics of concomitant meniscal tears that occur at the time of anterior cruciate ligament (ACL) injury have been variably reported. The purpose of this study was to assess the epidemiology of meniscal tears that occur in the ACL- ... Full text Link to item Cite

Combined lesions of the glenoid labrum.

Journal Article Phys Sportsmed · February 2012 Advances in shoulder arthroscopy and improved understanding of the pathoanatomy following shoulder instability have led to increased recognition of combined lesions of the glenoid labrum. Although the diagnosis of combined labral tears is often made with p ... Full text Link to item Cite

Ligamentous knee injuries in amputees.

Journal Article J Surg Orthop Adv · 2012 Combat-related musculoskeletal injuries occur commonly during military conflicts, as in Iraq and Afghanistan, and are caused by high-energy blasts. Ligamentous knee injuries resulting from these blasts are often associated with lower extremity fractures or ... Link to item Cite

Outcome of Grade I and II Hamstring Injuries in Intercollegiate Athletes: A Novel Rehabilitation Protocol.

Journal Article Sports Health · November 2011 BACKGROUND: Hamstring muscle strains represent a common and disabling athletic injury with variable recurrence rates and prolonged recovery times. OBJECTIVES: To present the outcomes of a novel rehabilitation protocol for the treatment of proximal hamstrin ... Full text Link to item Cite

Diagnosis and treatment of injuries to the posterolateral ligament complex.

Journal Article J Knee Surg · September 2011 Posterolateral corner (PLC) injuries are an often unrecognized and disabling injury that frequently accompanies other ligamentous disruptions. The spectrum of injury severity and heterogeneity of treatment options have made comparison of outcomes difficult ... Full text Link to item Cite

The posterolateral corner: surgical approach and technique overview.

Journal Article J Knee Surg · September 2011 Injuries to the posterolateral corner (PLC) of the knee can lead to profound knee instability, especially when combined with anterior cruciate or posterior cruciate ligament injury. With increased recognition of this injury, as well as improved understandi ... Full text Link to item Cite

Osteomyelitis and septic arthritis of the hand and wrist

Journal Article Current Orthopaedic Practice · November 1, 2010 Osteomyelitis and septic arthritis of the hand and wrist require prompt recognition and early treatment to minimize adverse sequelae. A rational treatment approach assesses the pathogenesis, microbiology, medical and surgical treatment options. Direct inoc ... Full text Cite

Joint space narrowing after partial medial meniscectomy in the anterior cruciate ligament-intact knee.

Journal Article J Am Acad Orthop Surg · September 2007 Osteoarthritis of the knee is common after total medial meniscectomy. In anterior cruciate ligament-intact knees, the reported outcomes of partial medial meniscectomy are variable. Radiographic assessment using a posteroanterior weight-bearing view is a re ... Full text Link to item Cite

Digital radiographic evaluation of medial joint space narrowing after partial meniscectomy of bucket-handle medial meniscus tears in anterior cruciate ligament-intact knees.

Journal Article Am J Sports Med · October 2006 BACKGROUND: Few studies exist that evaluate the effect of partial medial meniscectomy in knees with intact anterior cruciate ligaments. HYPOTHESIS: Partial meniscectomy of bucket-handle medial meniscus tears will cause joint space narrowing. STUDY DESIGN: ... Full text Link to item Cite