Scholars@Duke
Richard Charles Mather III

Richard Charles Mather III

Clinical Faculty in the Department of Orthopaedic Surgery
Orthopaedic Surgery
mathe016@duke.edu
DUMC Box 3639, Dssi, Durham, NC 27710
3475 Erwin Road, Dssi, Durham, NC 27710
Office hours

Selected Publications

Elevated body mass index and obesity are associated with pain-associated psychological distress in patients with hip pain.

Journal Article Arch Orthop Trauma Surg · December 12, 2024 INTRODUCTION: Little research has investigated the relationship between musculoskeletal pain and body mass index (BMI) in the context of pain-associated psychological distress. This study aims to determine if independent associations exist between BMI, obe ... Full text Link to item Cite

Referral, enrollment, and health care use in a comprehensive patient-centered management program for osteoarthritis of the hip and knee.

Journal Article Osteoarthritis and cartilage open · December 2024 ObjectiveOsteoarthritis management programs (OAMPs) have become a more common way to deliver patient-centered care. However, there is limited information on real-world use of these programs to guide implementation, payment policy, accessibility, a ... Full text Cite

Decision-making in borderline hip dysplasia and concomitant femoracetabular impingement syndrome: using a discrete choice experiment to explore patient preferences.

Journal Article J Hip Preserv Surg · July 2024 Decision-making regarding surgical treatment of patients showing radiographic evidence of femoroacetabular impingement syndrome (FAIS) in the setting of borderline hip dysplasia (BHD) remains a challenge as there is no consensus on treatment in current lit ... Full text Link to item Cite

Treatment of Hip Cartilage Defects in Athletes.

Journal Article Sports Med Arthrosc Rev · June 1, 2024 Chondral defects in the athlete's hip are a relatively common occurrence, often presenting with debilitating pain and activity limitation. Preoperative identification of cartilage defects is challenging and there are many different modalities for treatment ... Full text Link to item Cite

Time-Driven Activity-Based Costing Analysis Identifies Use of Consumables and Operating Room Time as Factors Associated With Increased Cost of Outpatient Primary Hip Arthroscopic Labral Repair.

Journal Article Arthroscopy · May 2024 PURPOSE: To use time-driven, activity-based costing (TDABC) methodology to investigate drivers of cost variation and to elucidate preoperative and intraoperative factors associated with increased cost of outpatient arthroscopic hip labral repair. METHODS: ... Full text Link to item Cite

Does psychological distress predict risk of orthopaedic surgery and postoperative opioid prescribing in patients with hip pain? A retrospective study.

Journal Article BMC Musculoskelet Disord · April 20, 2024 BACKGROUND: Clinicians and public health professionals have allocated resources to curb opioid over-prescription and address psychological needs among patients with musculoskeletal pain. However, associations between psychological distress, risk of surgery ... Full text Link to item Cite

Association between sleep dysfunction and Patient-Reported Outcomes Measurement Information System scores in patients with rotator cuff tears.

Journal Article J ISAKOS · April 2024 OBJECTIVES: The purpose of this study was to utilize Patient-Reported Outcomes Measurement Information System (PROMIS) sleep scores to determine the prevalence of sleep dysfunction and its association with other PROMIS scores in patients with rotator cuff ... Full text Link to item Cite

What Are the Underlying Mental Health Constructs Associated With Level of Capability in People With Knee and Hip Osteoarthritis?

Journal Article Clin Orthop Relat Res · April 1, 2024 BACKGROUND: Mental health characteristics such as negative mood, fear avoidance, unhelpful thoughts regarding pain, and low self-efficacy are associated with symptom intensity and capability among patients with hip and knee osteoarthritis (OA). Knowledge g ... Full text Link to item Cite

Pain-Associated Psychological Distress Is of High Prevalence in Patients With Hip Pain: Characterizing Psychological Distress and Phenotypes.

Journal Article Arthrosc Sports Med Rehabil · February 2024 PURPOSE: To identify common pain-related psychological factors among patients seeking care for athletic hip pain, as well as characterize psychological distress phenotypes and compare hip-specific quality-of-life measures across those phenotypes. METHODS: ... Full text Link to item Cite

A High Incidence of Perineal Post-Related Complications After Hip Arthroscopy Is Self-Reported by Patients in Anonymous Online Forums.

Journal Article Arthrosc Sports Med Rehabil · February 2024 PURPOSE: To evaluate online, self-reported pudendal nerve or perineal injuries related to the use of a perineal post during hip arthroscopy. METHODS: Public posts on Reddit and the Health Organization for Pudendal Education were searched to identify anonym ... Full text Link to item Cite

The Air-Lift Technique for Improving Ease and Safety When Establishing the Modified Midanterior Portal in Hip Arthroscopy.

Journal Article Arthrosc Tech · February 2024 Hip arthroscopy continues to increase in popularity and has an ever-expanding range of indications; however, the steep learning curve introduces significant risk of iatrogenic chondrolabral injury when accessing the joint and establishing arthroscopic port ... Full text Open Access Link to item Cite

A Layered Approach to Patient Evaluation With Prearthritic Hip Pain: History and Physical Examination

Chapter · January 1, 2024 Due to the myriad etiologies of prearthritic hip pain, the history may be equally varied in regard to symptom onset, duration, and severity. In general, a history of a significant traumatic event is a good prognostic indicator of a potentially correctable ... Full text Cite

Governmental Regulation and Availability and Accessibility to Patients

Chapter · January 1, 2024 To better understand the regulation of cartilage repair products, one must first be familiar with the myriad terms and specifics of the drug, device, and biologic regulatory pathways. ... Full text Cite

Implementation of Patient-Reported Outcome Measures for Your Practice Needs

Journal Article Journal of the American Academy of Orthopaedic Surgeons · October 15, 2023 Patient-reported outcome (PRO) measures offer a unique opportunity to systematically incorporate patient perspectives of their health and wellbeing into treatment, view progress over time, and develop opportunities related to clinical decision support, sha ... Full text Cite

Cast or Nail? Using a Preference-Based Tool for Shared Decision-Making in Pediatric Femoral Shaft Fracture Treatment.

Journal Article J Pediatr Orthop · September 1, 2023 BACKGROUND: Femoral shaft fractures are common injuries in children 2 to 7 years of age, with treatments ranging from casting to flexible intramedullary nails (FIN). Each treatment has unique attributes and outcomes are overall similar. Given equivalent ou ... Full text Link to item Cite

MRI Does Not Improve Inter- or Intrarater Reliability for Hip Arthritis Grading Systems.

Journal Article Am J Sports Med · June 2023 BACKGROUND: Magnetic resonance imaging (MRI) scans and radiographs are often utilized in assessing for preoperative osteoarthritis in patients undergoing hip preservation surgery. PURPOSE: To determine if MRI scans improve inter- or intrarater reliabilitie ... Full text Link to item Cite

The safe zones for endoscopic proximal hamstring repair: a cadaveric assessment of standard portal placement and their relationship to major neurovascular structures.

Journal Article Hip Int · May 2023 PURPOSE: To define the anatomical relationship of the major neurovascular structures to the standard endoscopic portals used in endoscopic hamstring repair. A secondary outcome was to determine the safest angle of insertion from each standard portal. METHO ... Full text Link to item Cite

Effects of Opioid-Limiting Legislation and Increased Provider Awareness on Postoperative Opioid Use and Complications After Hip Arthroscopy.

Journal Article Orthop J Sports Med · May 2023 BACKGROUND: On August 31, 2017, Ohio passed legislation that regulates how opioids can be prescribed postoperatively. Studies have shown that such legislation is successful in reducing the morphine milligram equivalents (MMEs) prescribed after certain orth ... Full text Link to item Cite

Patient-Preference Diagnostics: Adapting Stated-Preference Methods to Inform Effective Shared Decision Making.

Journal Article Med Decis Making · February 2023 BACKGROUND: While clinical practice guidelines underscore the need to incorporate patient preferences in clinical decision making, incorporating meaningful assessment of patient preferences in clinical encounters is challenging. Structured approaches that ... Full text Open Access Link to item Cite

The Reliability of the Tönnis Grading System in Patients Undergoing Hip Preservation.

Journal Article Am J Sports Med · February 2023 BACKGROUND: The presence of pre-existing osteoarthritis (OA) has been associated with poor results after hip arthroscopic surgery. There is limited evidence validating the currently available grading systems of hip OA in patients undergoing hip preservatio ... Full text Link to item Cite

Proximal Anterolateral Accessory Portal Use Improves Peripheral Compartment Access and Capsular Management with T-Capsulotomy.

Journal Article Arthrosc Tech · February 2023 One of the primary goals of hip arthroscopy for femoroacetabular impingement (FAI) syndrome is precise removal of pathologic FAI morphology while protecting and restoring the normal soft tissue anatomy. Adequate visualization is a key foundation of precise ... Full text Link to item Cite

Influence of limb positioning during image acquisition on femoral torsion measurements: implications for surgical planning

Journal Article Computer Methods in Biomechanics and Biomedical Engineering: Imaging and Visualization · January 1, 2023 Femoral torsion is an important parameter to accurately quantify when planning for the correction of structural pathomorphology. The purpose of this study was to quantify the influence of limb positioning during image acquisition and of alignment technique ... Full text Cite

Is Advanced Imaging to Assess Rotator Cuff Integrity Before Shoulder Arthroplasty Cost-effective? A Decision Modeling Study.

Journal Article Clin Orthop Relat Res · June 1, 2022 BACKGROUND: Shoulder arthroplasty is increasingly performed for patients with symptoms of glenohumeral arthritis. Advanced imaging may be used to assess the integrity of the rotator cuff preoperatively because a deficient rotator cuff may be an indication ... Full text Link to item Cite

High Prevalence of Sleep Disturbance Is Associated with Femoroacetabular Impingement Syndrome.

Journal Article Arthrosc Sports Med Rehabil · April 2022 PURPOSE: The purpose of this study was to identify an association between Patient-Reported Outcomes Measurement Information System (PROMIS) sleep scores and other PROMIS domains in patients with femoroacetabular impingement syndrome (FAIS). METHODS: Patien ... Full text Open Access Link to item Cite

The Value Added of Advanced Imaging in the Diagnosis and Treatment of Triangular Fibrocartilage Complex Pathology.

Journal Article J Hand Surg Am · January 2022 PURPOSE: Pathology of the triangular fibrocartilage complex is a prevalent cause of ulnar-sided wrist pain that presents a diagnostic challenge. We hypothesized that a history and physical examination (H&P) would be more cost-effective alone or with diagno ... Full text Link to item Cite

Hip Arthroscopy: Peripheral Compartment Access

Chapter · January 1, 2022 Femoroacetabular impingement (FAI) has recently been recognized as a source of hip pain and motion restriction. Femoral morphology contributes to both cam and pincer FAI and is surgically addressed by accessing the peripheral compartment to restore normal ... Full text Cite

Hip Arthroscopy and Hip Joint Preservation Surgery: Second Edition

Book · January 1, 2022 The field of hip preservation surgery has evolved over the past decade as our understanding of hip pathomechanics and pathomorphology has expanded. The published literature on non-arthritic hip pathology, for example, has grown exponentially. The topics of ... Full text Cite

Surgical Technique: Free Vascularized Fibular Graft for Avascular Necrosis

Chapter · January 1, 2022 Avascular necrosis (AVN) or osteonecrosis of the femoral head (ONFH) is a common cause of hip pain and disability affecting a young patient demographic with an average age of mid-30s. If left untreated, approximately 80% of cases of ONFH will result in fem ... Full text Cite

Surgical Technique: ProChondrix

Chapter · January 1, 2022 Acetabular cartilage defects are commonly found along the chondrolabral junction, particularly in the presence of severe CAM deformities. Large defects, when left untreated, can lead to significant pain and progressive joint deterioration. We have develope ... Full text Cite

Surgical Technique: Arthroscopic Posterior Lesser Trochanterplasty for Ischiofemoral Impingement

Chapter · January 1, 2022 Ischiofemoral impingement (IFI), defined as a decreased interval between the medial lesser trochanter (LT) and the lateral ischium leading to mechanical impingement, represents a rare cause of posterior deep gluteal pain and snapping. Patients often presen ... Full text Cite

Surgical Technique: Bone Graft for Avascular Necrosis of the Hip

Chapter · January 1, 2022 Avascular necrosis of the hip is a debilitating disease process that results from a compromise of blood supply to the femoral head. The progression of this disease has been extensively studied, yet improper treatment and failed recognition of the disease c ... Full text Cite

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

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

Hip Instability in Ballet Dancers: A Narrative Review.

Journal Article J Dance Med Sci · September 15, 2021 Dancers possess a large degree of hip range of motion that results from a combination of innate and acquired osseous morphology and permissive soft tissues. Generalized hypermobility in dancers may predispose them to a spectrum of hip instability. The obje ... Full text Link to item Cite

Electronic health record-integrated approach for collection of patient-reported outcome measures: a retrospective evaluation.

Journal Article BMC Health Serv Res · June 30, 2021 BACKGROUND: The integration of Patient Reported Outcome Measures (PROMs) into clinical care presents many challenges for health systems. PROMs provide quantitative data regarding patient-reported health status. However, the most effective model for collect ... Full text Link to item Cite

Deep learning-based algorithm for assessment of knee osteoarthritis severity in radiographs matches performance of radiologists.

Journal Article Comput Biol Med · June 2021 UNLABELLED: A fully-automated deep learning algorithm matched performance of radiologists in assessment of knee osteoarthritis severity in radiographs using the Kellgren-Lawrence grading system. PURPOSE: To develop an automated deep learning-based algorith ... 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

Proximal Hamstring Injuries.

Journal Article Clin Sports Med · April 2021 Proximal hamstring injuries can present as chronic tendinosis, acute strain, partial tendinous avulsions, or complete 3-tendon rupture. Nonoperative management for chronic insertional tendinosis and low-grade tears includes activity modification, anti-infl ... Full text Link to item Cite

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

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

Surgical Treatment of Labral Tears: Debridement, Repair, and Reconstruction.

Journal Article Sports Med Arthrosc Rev · March 1, 2021 Advances in hip preservation surgery have to lead to increased utilization of hip arthroscopy. With this, there has also been a growth in the understanding of various hip conditions, therefore, leading to an increase in hip conditions amenable to arthrosco ... Full text Link to item Cite

Patient Preferences for Surgical Treatment of Knee Osteoarthritis: A Discrete-Choice Experiment Evaluating Total and Unicompartmental Knee Arthroplasty.

Journal Article J Bone Joint Surg Am · December 2, 2020 BACKGROUND: Total knee arthroplasty (TKA) is a common treatment for end-stage knee osteoarthritis but is associated with increased complication rates compared with unicompartmental knee arthroplasty (UKA). UKA offers better functional outcomes but is assoc ... Full text Link to item Cite

What General and Pain-associated Psychological Distress Phenotypes Exist Among Patients with Hip and Knee Osteoarthritis?

Journal Article Clin Orthop Relat Res · December 2020 BACKGROUND: Psychological distress can negatively influence disability, quality of life, and treatment outcomes for individuals with hip and knee osteoarthritis (OA). Clinical practice guidelines recommend a comprehensive disease management approach to OA ... Full text Link to item Cite

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

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

Implementing video visits into an orthopedic hip arthroscopy practice: a case study.

Journal Article J Hip Preserv Surg · December 2020 Telehealth videoconferencing has been shown to be feasible, cost-effective and safe in numerous fields of medicine. In an effort to increase access and improve the quality of care offered to patients we implemented a telehealth initiative allowing for remo ... Full text Link to item Cite

Sham Surgery Studies in Orthopaedic Surgery May Just Be a Sham: A Systematic Review of Randomized Placebo-Controlled Trials.

Journal Article Arthroscopy · October 2020 PURPOSE: To determine the limitations of randomized sham surgery-controlled trials in orthopaedic sports medicine and fidelity of the trials' conclusions. METHODS: Randomized placebo surgery-controlled trials in orthopaedic sports medicine were included in ... Full text Link to item Cite

The Association of Prescriber Awareness of Opioid Consumption Trends with Postoperative Opioid Prescription Volume in Hip Arthroscopy: Prescriber Awareness of Opioid Consumption.

Journal Article Arthrosc Sports Med Rehabil · October 2020 PURPOSE: To evaluate the impact of prescriber knowledge of 6-week postoperative opioid usage trends on postoperative opioid prescribing in hip arthroscopy for femoroacetabular impingement syndrome. METHODS: Two groups of patients undergoing hip arthroscopy ... Full text Link to item Cite

Is There a Role for Ultrasound in Hip Arthroscopy? A Systematic Review.

Journal Article Arthrosc Sports Med Rehabil · October 2020 PURPOSE: The purpose of this study is to identify and summarize the current utility of intraoperative ultrasound (US) during hip arthroscopy. METHODS: A systematic database query of the Cochrane Database of Systematic Reviews, the Cochrane Central Register ... Full text Link to item Cite

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

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

Disparity of health services in patients with knee osteoarthritis before total knee arthroplasty.

Journal Article Arthroplast Today · March 2020 BACKGROUND: Recent evidence describes which interventions are driving insurance payments in the management of osteoarthritis (OA) before total knee arthroplasty (TKA); however, relatively little is known about how these costs are distributed among patients ... Full text Link to item Cite

Development of a Comprehensive, Nonsurgical Joint Health Program for People With Osteoarthritis: A Case Report.

Journal Article Phys Ther · January 23, 2020 BACKGROUND AND PURPOSE: Existing osteoarthritis (OA) care models often fall short in addressing the many biological, psychological, social, and behavioral characteristics that contribute to disability. As US health care shifts towards value-based payment, ... Full text Link to item Cite

Effects of Virtual Exercise Rehabilitation In-Home Therapy Compared with Traditional Care After Total Knee Arthroplasty: VERITAS, a Randomized Controlled Trial.

Journal Article J Bone Joint Surg Am · January 15, 2020 BACKGROUND: Financial burden for patients, providers, and payers can reduce access to physical therapy (PT) after total knee arthroplasty (TKA). The purpose of the present study was to examine the effect of a virtual PT program on health-care costs and cli ... Full text Link to item Cite

Reliability of hip range of motion measurement among experienced arthroscopic hip preservation surgeons.

Journal Article J Hip Preserv Surg · January 2020 The aim of this study was to determine (i) the reliability of hip range of motion measurement among experienced arthroscopic hip preservation surgeons and (ii) the magnitude of hip flexion change with posterior pelvic tilt. Five experienced arthroscopic hi ... Full text Link to item Cite

Unplanned Admissions Following Hip Arthroscopy: Incidence and Risk Factors.

Journal Article Arthroscopy · December 2019 PURPOSE: To determine the rate of and risk factors for 30-day unplanned admissions following hip arthroscopy in a U.S. METHODS: Patients undergoing hip arthroscopy were identified in the American College of Surgeons National Surgical Quality Improvement Pr ... Full text Link to item Cite

Surgical Treatment of Labral Tears: Debridement, Repair, Reconstruction.

Journal Article Curr Rev Musculoskelet Med · September 2019 PURPOSE OF REVIEW: With the rapid growth of hip arthroscopy over the past decade, new treatment paradigms as well as recognition of new disease states have sprung forth. The ability to perform complex arthroscopic procedures of the hip such as labral augme ... Full text Link to item Cite

Small Social Incentives Did Not Improve the Survey Response Rate of Patients Who Underwent Orthopaedic Surgery: A Randomized Trial.

Journal Article Clin Orthop Relat Res · July 2019 BACKGROUND: The generalizability of data derived from patient-reported outcome measures (PROMs) depends largely on the proportion of the relevant population that completes PROM surveys. However, PROM survey responses remain low, despite efforts to increase ... Full text Link to item Cite

Indications and Outcomes of Arthroscopic Labral Reconstruction of the Hip: A Systematic Review.

Journal Article Arthroscopy · July 2019 PURPOSE: The primary purpose of this investigation was to systematically evaluate the literature for the current indications and outcomes of arthroscopic labral reconstruction of the hip. Our secondary purpose was to evaluate the role of arthroscopic labra ... Full text Link to item Cite

Survivorship and Outcome of Hip Arthroscopy for Femoroacetabular Impingement Syndrome Performed With Modern Surgical Techniques.

Journal Article Am J Sports Med · June 2019 BACKGROUND: Hip arthroscopy for femoroacetabular impingement syndrome (FAIS) is a rapidly growing field in sports surgery; however, factors associated with poor outcomes and identification of predictor models of inferior clinical outcomes is unclear. PURPO ... Full text Link to item Cite

Efficacy of a Preference-Based Decision Tool on Treatment Decisions for a First-Time Anterior Shoulder Dislocation: A Randomized Controlled Trial of At-Risk Patients.

Journal Article Med Decis Making · April 2019 BACKGROUND: First-time anterior shoulder dislocations (FTASD) provide an opportunity to examine the value of integrating stated-preference data with decision modeling to differentiate between patients whose preferred management strategy involves operative ... Full text Link to item Cite

Relationship Between PROMIS Computer Adaptive Tests and Legacy Hip Measures Among Patients Presenting to a Tertiary Care Hip Preservation Center.

Journal Article Am J Sports Med · March 2019 BACKGROUND: Legacy hip outcome measures may be burdensome to patients and sometimes yield floor or ceiling effects. Patient-Reported Outcomes Measurement Information System (PROMIS) computer adaptive tests (CATs) allow for low-burden data capture and limit ... Full text Link to item Cite

Prescription Opioid Use Before and After Hip Arthroscopy: A Caution to Prescribers.

Journal Article Arthroscopy · February 2019 PURPOSE: To determine pre- and postoperative opioid utilization while identifying risk factors for prolonged postoperative opioid use following hip arthroscopy. METHODS: All patients undergoing hip arthroscopy between 2007 and the second quarter of 2016 we ... Full text Link to item Cite

Assessing the Effectiveness of Evidence-Based Medicine in Practice: A Case Study of First-Time Anterior Shoulder Dislocations.

Journal Article J Bone Joint Surg Am · January 16, 2019 BACKGROUND: The dissemination of evidence-based information into medical practice is essential to provide patients with optimal care and realize society's substantial investments in medical research. Effective information delivery and treatment utilization ... Full text Link to item Cite

Cost-effectiveness analysis of total elbow arthroplasty versus open reduction-internal fixation for distal humeral fractures.

Journal Article J Shoulder Elbow Surg · January 2019 BACKGROUND: Total elbow arthroplasty (TEA) and open reduction-internal fixation (ORIF) are 2 viable surgical treatment options for acute, intra-articular distal humeral fractures in elderly patients. Whereas recent systematic reviews and randomized trials ... Full text Link to item Cite

Concurrent validity of a patient self-administered examination and a clinical examination for femoroacetabular impingement syndrome.

Journal Article BMJ Open Sport Exerc Med · 2019 OBJECTIVE: Telehealth has been established as a viable option for improved access and timeliness of care. Physician-guided patient self-evaluation may improve the viability of telehealth evaluation; however, there are little data evaluating the efficacy of ... Full text Link to item Cite

Characterizing Patient Preferences Surrounding Total Knee Arthroplasty.

Journal Article JB JS Open Access · December 20, 2018 BACKGROUND: Episode-based bundled payments for total knee arthroplasty emphasize cost-effective patient-centered care. Understanding patients' perceptions of components of the total knee arthroplasty care episode is critical to achieving this care. This st ... Full text Link to item Cite

Vertical Extension of the T-Capsulotomy Incision in Hip Arthroscopic Surgery Does Not Affect the Force Required for Hip Distraction: Effect of Capsulotomy Size, Type, and Subsequent Repair.

Journal Article Am J Sports Med · November 2018 BACKGROUND: Interportal and T-capsulotomies are popular techniques for exposing femoroacetabular impingement deformities. The difference between techniques with regard to the force required to distract the hip is currently unknown. PURPOSE: To quantify how ... Full text Link to item Cite

Clinically Meaningful Improvements After Hip Arthroscopy for Femoroacetabular Impingement in Adolescent and Young Adult Patients Regardless of Gender.

Journal Article J Pediatr Orthop · October 2018 BACKGROUND: The objective of this study was to determine if adolescent and young adult patients undergoing hip arthroscopy for symptomatic femoroacetabular impingement (FAI) experience clinically meaningful improvements in functional outcome scores. METHOD ... Full text Link to item Cite

The Impact of Electronic Medical Record Implementation on Labor Cost and Productivity at an Outpatient Orthopaedic Clinic.

Journal Article J Bone Joint Surg Am · September 19, 2018 BACKGROUND: Widespread adoption of electronic medical record (EMR) systems is increasing. EMR implementation can be costly and typically requires workflow redesign. To our knowledge, no studies to date have examined the impact of EMR implementation using a ... Full text Link to item Cite

Femoroacetabular impingement surgery allows 74% of athletes to return to the same competitive level of sports participation but their level of performance remains unreported: a systematic review with meta-analysis.

Journal Article Br J Sports Med · August 2018 BACKGROUND: Femoroacetabular impingement (FAI) syndrome is one source of hip pain that can limit sport participation among athletes. OBJECTIVE: To summarise the return to sport (RTS) rate for athletes after surgery for FAI syndrome. METHODS: A computer-ass ... Full text Link to item Cite

Prospective, Observational Study of Opioid Use After Hip Arthroscopy for Femoroacetabular Impingement Syndrome.

Journal Article Arthroscopy · May 2018 PURPOSE: To provide estimates of postoperative opioid use after hip arthroscopy for femoroacetabular impingement (FAI) syndrome and to identify risk factors for increased postoperative opioid use. METHODS: All patients aged at least 18 years who were under ... Full text Link to item Cite

Effects of Arthroscopy for Femoroacetabular Impingement Syndrome on Quality of Life and Economic Outcomes.

Journal Article Am J Sports Med · April 2018 BACKGROUND: The diagnosis and treatment of femoroacetabular impingement (FAI) have increased steadily within the past decade, and research indicates clinically significant improvements after treatment of FAI with hip arthroscopy. PURPOSE: This study examin ... Full text Link to item Cite

Hip Arthroscopic Surgery for Femoroacetabular Impingement With Capsular Management: Factors Associated With Achieving Clinically Significant Outcomes.

Journal Article Am J Sports Med · February 2018 BACKGROUND: There has been increasing interest in defining clinically meaningful outcomes in patient reported outcomes following orthopaedic surgery. Little is known about the factors associated with clinically meaningful outcomes after hip arthroscopy for ... Full text Link to item Cite

Athletic hip injuries

Chapter · January 1, 2018 Indications for hip arthroscopy are rapidly expanding and include pathology in the central, peripheral, and peritrochanteric compartments. The anterolateral and anterior portals are the primary portals with several described accessory portals. The most com ... Cite

Effect of Facility on Operative Costs of Total Ankle Arthroplasties.

Journal Article J Surg Orthop Adv · 2018 Cost containment and bundled payments are becoming increasingly important in health care. The purpose of this study was to investigate if ambulatory surgery centers (ASCs) can deliver lower cost care and to identify sources of those cost savings in total a ... Link to item Cite

Advanced Imaging Adds Little Value in the Diagnosis of Femoroacetabular Impingement Syndrome.

Journal Article J Bone Joint Surg Am · December 20, 2017 BACKGROUND: Femoroacetabular impingement (FAI) syndrome is an increasingly recognized source of hip pain and disability in young active adults. In order to confirm the diagnosis, providers often supplement physical examination maneuvers and radiographs wit ... Full text Link to item Cite

Who Is Performing Hip Arthroscopy?: An Analysis of the American Board of Orthopaedic Surgery Part-II Database.

Journal Article J Bone Joint Surg Am · December 20, 2017 BACKGROUND: Hip arthroscopy utilization has increased dramatically over the last decade. However, the lack of a formal training curriculum raises concern that inconsistent technical performance may be an issue for early-career hip arthroscopists. The purpo ... Full text Link to item Cite

Early recovery after hip arthroscopy for femoroacetabular impingement syndrome: a prospective, observational study.

Journal Article J Hip Preserv Surg · December 2017 The early post-operative course after hip arthroscopy for femoroacetabular impingement syndrome has not been thoroughly characterized or correlated to factors that may influence recovery. The aim of this study was to report on early pain, function and atti ... Full text Open Access Link to item Cite

Modeling the Potential Economic Impact of the Medicare Comprehensive Care for Joint Replacement Episode-Based Payment Model.

Journal Article J Arthroplasty · November 2017 BACKGROUND: The Medicare program has initiated Comprehensive Care for Joint Replacement (CJR), a bundled payment mandate for lower extremity joint replacements. We sought to determine the degree to which hospitals will invest in care redesign in response t ... Full text Link to item Cite

A Comparison of Clinical Outcomes After Unilateral or Bilateral Hip Arthroscopic Surgery: Age- and Sex-Matched Cohort Study.

Journal Article Am J Sports Med · November 2017 BACKGROUND: A significant number of patients undergoing hip arthroscopic surgery for femoroacetabular impingement (FAI) have bilateral deformities and may require surgery for both hips. PURPOSE: To compare outcomes between patients who underwent bilateral ... Full text Link to item Cite

The Influence of Body Mass Index on Outcomes After Hip Arthroscopic Surgery With Capsular Plication for the Treatment of Femoroacetabular Impingement.

Journal Article Am J Sports Med · August 2017 BACKGROUND: It remains unknown how variations in body mass index (BMI) influence outcomes after primary hip arthroscopic surgery with capsular plication for femoroacetabular impingement (FAI). PURPOSE: To evaluate the effect that abnormal BMI (namely, over ... Full text Link to item Cite

Do Patients With Borderline Dysplasia Have Inferior Outcomes After Hip Arthroscopic Surgery for Femoroacetabular Impingement Compared With Patients With Normal Acetabular Coverage?

Journal Article Am J Sports Med · July 2017 BACKGROUND: The literature contains conflicting reports regarding whether outcomes of hip arthroscopic surgery for patients with borderline dysplasia are inferior to outcomes in patients with normal acetabular coverage. PURPOSE: To assess differences in th ... Full text Link to item Cite

Complications of total hip arthroplasty following solid organ transplantation.

Journal Article J Orthop Sci · March 2017 PURPOSE: Solid organ transplants (SOT) continue to increase with recipients living longer than ever before. The lifelong immunosuppression in these patients also may place them at increased risk for postoperative complications. The efficacy of total hip ar ... Full text Link to item Cite

Understanding Preferences for Treatment After Hypothetical First-Time Anterior Shoulder Dislocation: Surveying an Online Panel Utilizing a Novel Shared Decision-Making Tool.

Journal Article Orthop J Sports Med · March 2017 BACKGROUND: Although surgical management of a first-time anterior shoulder dislocation (FTASD) can reduce the risk of recurrent dislocation, other treatment characteristics, costs, and outcomes are important to patients considering treatment options. While ... Full text Open Access Link to item Cite

Determining the Cost-Savings Threshold and Alignment Accuracy of Patient-Specific Instrumentation in Total Ankle Replacements.

Journal Article Foot Ankle Int · January 2017 BACKGROUND: Traditional intraoperative referencing for total ankle replacements (TARs) involves multiple steps and fluoroscopic guidance to determine mechanical alignment. Recent adoption of patient-specific instrumentation (PSI) allows for referencing to ... Full text Link to item Cite

Does the Hip Capsule Remain Closed After Hip Arthroscopy With Routine Capsular Closure for Femoroacetabular Impingement? A Magnetic Resonance Imaging Analysis in Symptomatic Postoperative Patients.

Journal Article Arthroscopy · January 2017 PURPOSE: The purpose of this study was to examine the hip capsule in a subset of symptomatic patients who underwent capsular closure during hip arthroscopy. METHODS: All patients undergoing primary hip arthroscopy for femoroacetabular impingement (FAI) wit ... Full text Link to item Cite

Arthroscopic hip preservation surgery practice patterns: an international survey.

Journal Article J Hip Preserv Surg · January 2017 To design and conduct a survey analyzing pre-, intra- and post- hip arthroscopy practice patterns among hip arthroscopists worldwide. A 21-question, IRB-exempt, HIPAA-compliant, cross-sectional survey was conducted via email using SurveyMonkey to examine p ... Full text Link to item Cite

Current Concepts in Labral Repair and Refixation: Anatomical Approach to Labral Management.

Journal Article Am J Orthop (Belle Mead NJ) · 2017 Arthroscopic labral repair and refixation have garnered much attention over the past several years. Restoration of suction seal and native labral function has been an evolving focus for achieving excellent results in hip preservation surgery. Authors have ... Link to item Cite

Ability to return to work without restrictions in workers compensation patients undergoing hip arthroscopy.

Journal Article J Hip Preserv Surg · January 2017 The purpose of this study was to investigate the ability of worker's compensation (WC) patients to return to work without restrictions after hip arthroscopy. Twenty-nine WC patients along with age and gender matched controls who underwent hip arthroscopy w ... Full text Link to item Cite

Acetabular rim length: an anatomical study to determine reasonable graft sizes for labral reconstruction.

Journal Article J Hip Preserv Surg · January 2017 The purpose of this article is to determine normative values for the length of the acetabular rim and detect differences between gender, age, ethnicity, height and leg length. Six measurements were taken on the acetabular rim of 143 cadaveric skeleton spec ... Full text Link to item Cite

Estimating the Societal Benefits of THA After Accounting for Work Status and Productivity: A Markov Model Approach.

Journal Article Clin Orthop Relat Res · December 2016 BACKGROUND: Demand for total hip arthroplasty (THA) is high and expected to continue to grow during the next decade. Although much of this growth includes working-aged patients, cost-effectiveness studies on THA have not fully incorporated the productivity ... Full text Link to item Cite

The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement.

Journal Article Br J Sports Med · October 2016 The 2016 Warwick Agreement on femoroacetabular impingement (FAI) syndrome was convened to build an international, multidisciplinary consensus on the diagnosis and management of patients with FAI syndrome. 22 panel members and 1 patient from 9 countries and ... Full text Link to item Cite

Cost-Effectiveness of Reverse Total Shoulder Arthroplasty Versus Arthroscopic Rotator Cuff Repair for Symptomatic Large and Massive Rotator Cuff Tears.

Journal Article Arthroscopy · September 2016 PURPOSE: To compare the cost-effectiveness within the United States health care system of arthroscopic rotator cuff repair versus reverse total shoulder arthroplasty in patients with symptomatic large and massive rotator cuff tears without cuff-tear arthro ... Full text Link to item Cite

Capsulotomy Size Affects Hip Joint Kinematic Stability.

Journal Article Arthroscopy · August 2016 PURPOSE: To evaluate the effect of capsulotomy size and subsequent repair on the biomechanical stability of hip joint kinematics through external rotation of a cadaveric hip in neutral flexion. METHODS: Eight fresh-frozen cadaveric hip specimens were used ... Full text Link to item Cite

Computer-Navigated Total Knee Arthroplasty Utilization.

Journal Article J Knee Surg · July 2016 Computer-navigated total knee arthroplasty (CN-TKA) has been used to improve component alignment, though the evidence is currently mixed on whether there are clinically significant differences in long-term outcomes. Given the established increased costs an ... Full text Link to item Cite

Hip Dislocation or Subluxation After Hip Arthroscopy: A Systematic Review.

Journal Article Arthroscopy · July 2016 PURPOSE: To determine patient- and surgery-specific characteristics of patients sustaining postarthroscopic hip dislocation or subluxation. METHODS: A systematic review of multiple medical databases was registered with PROSPERO and performed using Preferre ... Full text Link to item Cite

Hip Arthroscopy Surgical Volume Trends and 30-Day Postoperative Complications.

Journal Article Arthroscopy · July 2016 PURPOSE: To determine hip arthroscopy surgical volume trends from 2006 to 2013 using the National Surgical Quality Improvement Program (NSQIP) database, the incidence of 30-day complications of hip arthroscopy, and patient and surgical risk factors for com ... Full text Link to item Cite

Labral tears about the hip

Chapter · June 17, 2016 Cite

Internet Versus DVD Decision Aids for Hip and Knee Osteoarthritis.

Journal Article Musculoskeletal Care · June 2016 INTRODUCTION: Decision aids (DAs) can improve multiple decision-making outcomes, but it is not known whether different formats of delivery differ in their effectiveness or acceptability. The present study compared the effectiveness and acceptability of int ... Full text Link to item Cite

Diagnosis, Evaluation, and Endoscopic Repair of Partial Articular Gluteus Tendon Avulsion.

Journal Article Arthrosc Tech · June 2016 In addition to trochanteric bursitis, gluteus medius and minimus tears (GMMTs) can be a common source of insidious lateral hip pain and dysfunction. Partial-thickness GMMTs are much more common than full-thickness GMMTs but are frequently overlooked by bot ... Full text Link to item Cite

Outcomes for Hip Arthroscopy According to Sex and Age: A Comparative Matched-Group Analysis.

Journal Article J Bone Joint Surg Am · May 18, 2016 BACKGROUND: Factors such as age and sex are postulated to play a role in outcomes following arthroscopy for femoroacetabular impingement; however, to our knowledge, no data currently delineate outcomes on the basis of these factors. The purpose of this stu ... Full text Link to item Cite

Capsular Management in Hip Arthroscopy: An Anatomic, Biomechanical, and Technical Review.

Journal Article Front Surg · 2016 Hip arthroscopy has become an increasingly utilized surgical technique for the treatment of the young, active patients with hip pain. The clinical outcomes of hip arthroscopy in this patient population have been largely successful; however, there is increa ... Full text Link to item Cite

A Trial of Wound Irrigation in the Initial Management of Open Fracture Wounds.

Journal Article N Engl J Med · December 31, 2015 BACKGROUND: The management of open fractures requires wound irrigation and débridement to remove contaminants, but the effectiveness of various pressures and solutions for irrigation remains controversial. We investigated the effects of castile soap versus ... Full text Link to item Cite

Outcomes after Total Knee Arthroplasty for post-traumatic arthritis.

Journal Article Knee · December 2015 INTRODUCTION: Total Knee Arthroplasty (TKA) is an important treatment for posttraumatic arthritis (PTA), but evidence on outcomes is sparse. The purpose of this study was to evaluate the impact of PTA versus primary osteoarthritis (OA) on postoperative out ... Full text Link to item Cite

Capsular Plication for Treatment of Iatrogenic Hip Instability.

Journal Article Arthrosc Tech · December 2015 The most commonly reported reasons for persistent hip pain after hip arthroscopy are residual femoroacetabular impingement, dysplasia and dysplasia variants, or extra-articular impingement. There are some cases in which the underlying osseous pathomorpholo ... Full text Link to item Cite

Application of the Goutallier/Fuchs Rotator Cuff Classification to the Evaluation of Hip Abductor Tendon Tears and the Clinical Correlation With Outcome After Repair.

Journal Article Arthroscopy · November 2015 PURPOSE: To assess the reliability and reproducibility of the Goutallier/Fuchs classification for the evaluation of abductor tendon tears of the hip, as well as to identify the relation between preoperative tear size, abductor muscle quality, and the succe ... Full text Link to item Cite

Effects of acetabular rim trimming on hip joint contact pressures: how much is too much?

Journal Article Am J Sports Med · September 2015 BACKGROUND: In patients with femoroacetabular impingement (FAI), acetabular rim trimming removes the offending area of the acetabular deformity in patients with pincer-type and mixed-type FAI to improve hip joint kinematics. Although the rationale for arth ... Full text Link to item Cite

Atraumatic Hip Instability in Patients With Joint Hypermobility

Journal Article Operative Techniques in Sports Medicine · September 1, 2015 Atraumatic hip instability is a recently described source of hip pain and disability. Hip instability may be caused by bony dysplasia, benign or inherited joint hypermobility syndromes, or iatrogenic damage to the hip capsule during arthroscopy. A thorough ... Full text Cite

The Treatment of Osteonecrosis in the Hip

Journal Article Operative Techniques in Sports Medicine · September 1, 2015 Osteonecrosis of the femoral head is both a debilitating disease and a very difficult clinical condition to treat. There are a wide variety of treatment options and an incomplete understanding of the pathophysiological cause. Research and treatment algorit ... Full text Cite

The Patient Acceptable Symptomatic State for the Modified Harris Hip Score and Hip Outcome Score Among Patients Undergoing Surgical Treatment for Femoroacetabular Impingement.

Journal Article Am J Sports Med · August 2015 BACKGROUND: There is minimal information available on the threshold at which patients consider themselves to be well for patient-reported outcome measures used in patients treated with hip arthroscopy for femoroacetabular impingement (FAI). PURPOSE: To det ... Full text Link to item Cite

Capsular Suspension Technique for Hip Arthroscopy.

Journal Article Arthrosc Tech · August 2015 Hip arthroscopy has recently become a common procedure to treat central and peripheral hip pathology. Capsulotomies are necessary in these procedures, and negotiating adequate visualization, as well as capsular preservation, is a challenge. We describe a c ... Full text Link to item Cite

Outcomes for hip arthroscopy based on sex and age: A comparative matched-group analysis

Journal Article Orthopaedic Journal of Sports Medicine · July 1, 2015 Objectives: The purpose of this study was to compare the clinical outcomes of patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) based on sex and age. Methods: A total of 150 patients undergoing hip arthroscopy for FAI by a single f ... Full text Cite

The Association of ASA Class on Total Knee and Total Hip Arthroplasty Readmission Rates in an Academic Hospital.

Journal Article J Arthroplasty · May 2015 Total hip and knee arthroplasties are two of the most successful orthopaedic procedures. However, with the increasing demand, estimated future costs for these procedures are enormous. Recent data suggest post-discharge care may account for up to 35% of tot ... Full text Link to item Cite

Physical examination tests for hip dysfunction and injury.

Journal Article Br J Sports Med · March 2015 BACKGROUND: Physical examination tests for hip dysfunction and injury of the strongest diagnostic accuracy were identified in a recent systematic review with meta-analysis in BJSM. These tests are described in this article. DISCUSSION: A detailed descripti ... Full text Link to item Cite

Quantifying the Economic Impact of Provider Volume Through Adverse Events: The Case of Sports Medicine.

Journal Article Orthop J Sports Med · March 2015 BACKGROUND: Procedures performed by surgeons with higher provider volumes offer advantages both to the individual patient and the health system, with studies documenting fewer adverse events, shorter surgical times, and decreased reoperation rates. With wo ... Full text Link to item Cite

Cost-effectiveness analysis of the diagnosis of meniscus tears.

Journal Article Am J Sports Med · January 2015 BACKGROUND: Diagnostic imaging represents the fastest growing segment of costs in the US health system. This study investigated the cost-effectiveness of alternative diagnostic approaches to meniscus tears of the knee, a highly prevalent disease that tradi ... Full text Open Access Link to item Cite

Surgical technique: Free vascularized fibula graft for avascular necrosis

Chapter · January 1, 2015 Avascular necrosis (AVN) or osteonecrosis of the femoral head (ONFH) is a commoncause of hip pain and disability in a young patient demographic with an average age of mid-30s.If left untreated, approximately 80 % of cases of ONFH will result in femoral hea ... Full text Cite

Surgical technique: Bone graft for avascular necrosis of the hip

Chapter · January 1, 2015 Avascular necrosis of the hip is a debilitating disease process leading to end-stage hip degeneration and eventual total hip arthroplasty.Early recognition allows for salvage treatment options that may delay joint degeneration.Core decompression with bone ... Full text Cite

Labral reconstruction using hamstring autograft/allograft

Chapter · January 1, 2015 Arthroscopic procedures of the femoral acetabular joint have become much more common in recent years as advances in surgical instrumentation and diagnostics have become available. Indications for various surgical procedures continue to evolve, and new prob ... Full text Cite

Hip arthroscopy: Peripheral compartment access

Chapter · January 1, 2015 Femoroacetabular impingement (FAI) has recently been recognized as a source of hip pain and motion restrictions. Femoral morphology contributes to both cam and pincer FAI and is surgically addressed by accessing the peripheral compartment to restore normal ... Full text Cite

Surgery for hip fracture yields societal benefits that exceed the direct medical costs.

Journal Article Clin Orthop Relat Res · November 2014 BACKGROUND: A hip fracture is a debilitating condition that consumes significant resources in the United States. Surgical treatment of hip fractures can achieve better survival and functional outcomes than nonoperative treatment, but less is known about it ... Full text Link to item Cite

The Minimal Clinical Important Difference (MCID) And Patient Acceptable Symptomatic State (PASS) For The Modified Harris Hip Score And Hip Outcome Score Among Patients Undergoing Surgical Treatment For Femoroacetabular Impingement

Journal Article Orthopaedic Journal of Sports Medicine · July 3, 2014 Objectives: The objective of this study was to determine the minimal clinical important difference (MCID) and patient acceptable symptomatic state (PASS) for the modified Harris Hip Score (mHHS) and Hip Outcome Score (HOS) in a population of patients with ... Full text Cite

Cost-Effectiveness Analysis of Early Reconstruction Versus Rehabilitation and Delayed Reconstruction for Anterior Cruciate Ligament Tears.

Journal Article Am J Sports Med · July 2014 BACKGROUND: An initial anterior cruciate ligament (ACL) tear can be treated with surgical reconstruction or focused rehabilitation. The KANON (Knee Anterior cruciate ligament, NON-surgical versus surgical treatment) randomized controlled trial compared reh ... Full text Link to item Cite

Economic evaluation of access to musculoskeletal care: the case of waiting for total knee arthroplasty.

Journal Article BMC Musculoskelet Disord · January 18, 2014 BACKGROUND: The projected demand for total knee arthroplasty is staggering. At its root, the solution involves increasing supply or decreasing demand. Other developed nations have used rationing and wait times to distribute this service. However, economic ... Full text Open Access Link to item Cite

Value-based care.

Journal Article J Shoulder Elbow Surg · December 2013 Full text Link to item Cite

The societal and economic value of rotator cuff repair.

Journal Article J Bone Joint Surg Am · November 20, 2013 BACKGROUND: Although rotator cuff disease is a common musculoskeletal problem in the United States, the impact of this condition on earnings, missed workdays, and disability payments is largely unknown. This study examines the value of surgical treatment f ... Full text Link to item Cite

Complications of hip arthroscopy

Chapter · November 1, 2013 Hip arthroscopy is a relatively safe procedure with complications rates reported by several authors around 1.5%. As with any surgical procedure, there are potential complications related to bleeding, deep venous thrombosis, infection, and neurovascular inj ... Full text Cite

Transtibial versus independent drilling techniques for anterior cruciate ligament reconstruction: a systematic review, meta-analysis, and meta-regression.

Journal Article Am J Sports Med · November 2013 BACKGROUND: While numerous cadaveric, in vivo, and clinical studies have compared transtibial and independent drilling of femoral tunnels during anterior cruciate ligament reconstruction, there is no evidence-based consensus on which technique affords the ... Full text Link to item Cite

Low accuracy of interpretation of rotator cuff MRI in patients with osteoarthritis.

Journal Article Acta orthopaedica · October 2013 BackgroundMagnetic resonance imaging (MRI) is considered to be a valuable tool for the diagnosis of rotator cuff tears in patients with severe glenohumeral osteoarthritis who are indicated for total shoulder arthroplasty (TSA). We determined the s ... Full text Cite

Pseudoaneurysm after shoulder arthroscopy.

Journal Article J Shoulder Elbow Surg · October 2013 Full text Link to item Cite

Computed tomographic analysis of curved and straight guides for placement of suture anchors for acetabular labral refixation.

Journal Article Arthroscopy · October 2013 PURPOSE: The purpose of this study was to compare suture anchor placement in the acetabular rim between straight and curved drill guides regarding angle and distance of the suture anchor tip from the articular cartilage during labral refixation. METHODS: A ... Full text Link to item Cite

Using evidence-based algorithms to improve clinical decision making: the case of a first-time anterior shoulder dislocation.

Journal Article Sports Med Arthrosc Rev · September 2013 Decision making in health care has evolved substantially over the last century. Up until the late 1970s, medical decision making was predominantly intuitive and anecdotal. It was based on trial and error and involved high levels of problem solving. The 198 ... Full text Link to item Cite

The evolution of advocacy and orthopaedic surgery.

Journal Article Clin Orthop Relat Res · June 2013 BACKGROUND: The future direction of American health care has become increasingly controversial during the last decade. As healthcare costs, quality, and delivery have come under intense scrutiny, physicians play evolving roles as "advocates" for both their ... Full text Link to item Cite

The biomechanical effects of 1.0 to 1.2 Mrad of γ irradiation on human bone-patellar tendon-bone allografts.

Journal Article Am J Sports Med · April 2013 BACKGROUND: Recent data suggest that anterior cruciate ligament (ACL) reconstruction with irradiated allograft tissue may lead to increased failure rates. HYPOTHESIS: Low-dose (1.0-1.2 Mrad) gamma irradiation does not significantly alter the preimplantatio ... Full text Link to item Cite

Arthroscopic management of recalcitrant stiffness following rotator cuff repair: A retrospective analysis

Journal Article Indian Journal of Orthopaedics · January 1, 2013 Background : Rotator cuff repair surgery is one of the most commonly performed procedures in the world but limited literature exists for guidance of optimal management of post-operative arthrofibrosis following cuff repair. The purpose of this study is to ... Full text Cite

Improved Arthroscopic Visualization of Peripheral Compartment

Journal Article Arthroscopy Techniques · December 1, 2012 Femoroacetabular impingement is a recognized cause of hip pain and motion restrictions. Advancements in hip arthroscopy have allowed surgeons the ability to treat this condition more effectively. However, the learning curve is steep for osteochondroplasty ... Full text Cite

Clinical and magnetic resonance imaging outcomes after surgical repair of complete proximal hamstring ruptures: does the tendon heal?

Journal Article Am J Sports Med · October 2012 BACKGROUND: The use of validated outcome questionnaires and magnetic resonance imaging (MRI) when assessing outcomes after surgical treatment of proximal hamstring avulsions has been limited. PURPOSE: To comprehensively evaluate clinical, functional, and r ... Full text Link to item Cite

Biomechanical analysis of the pectoralis major tendon and comparison of techniques for tendo-osseous repair.

Journal Article Am J Sports Med · August 2012 BACKGROUND: Various described surgical techniques exist for the repair of pectoralis major ruptures at the tendo-osseous junction. It is unclear how these techniques restore the native properties of the pectoralis major tendon because its biomechanical pro ... Full text Link to item Cite

Reconstruction of massive irreparable rotator cuff tears with dermal xenograft

Journal Article Techniques in Shoulder and Elbow Surgery · March 1, 2012 The management of massive rotator cuff tears in healthy active patients without evidence of glenohumeral arthritis can present a treatment challenge. Mixed results have been reported in the literature for different treatment options, including arthroscopic ... Full text Cite

Effect of facility on the operative costs of distal radius fractures.

Journal Article J Hand Surg Am · July 2011 PURPOSE: The purpose of this study was to investigate whether ambulatory surgery centers can deliver lower-cost care and to identify sources of those cost savings. METHODS: We performed a cost identification analysis of outpatient volar plating for closed ... Full text Link to item Cite

A predictive model of shoulder instability after a first-time anterior shoulder dislocation.

Journal Article J Shoulder Elbow Surg · March 2011 INTRODUCTION: Management of a first-time anterior shoulder dislocation (FTASD) involves important clinical and policy decisions. Predictive disease modeling can improve the quality of information disseminated in treatment discussions. In this paper, we des ... Full text Link to item Cite

Analysis of procedure-related costs and proposed benefits of using patient-specific approach in total knee arthroplasty.

Journal Article J Surg Orthop Adv · 2011 Recently, patient-specific approaches to total knee arthroplasty (TKA) have been introduced that utilize preoperative magnetic resonance imaging data to manufacture custom cutting jigs specific to a patient's bony anatomy. These approaches intend to provid ... Link to item Cite

Cost effectiveness analysis of hemiarthroplasty and total shoulder arthroplasty.

Journal Article J Shoulder Elbow Surg · April 2010 BACKGROUND: Total shoulder arthroplasty (TSA) and hemiarthroplasty (HA) are two viable surgical treatment options for glenohumeral osteoarthritis. Recent systematic reviews and randomized trials suggest that TSA, while more costly initially, may have super ... Full text Link to item Cite

The financial impact of orthopaedic fellowship training.

Journal Article J Bone Joint Surg Am · July 2009 BACKGROUND: Previous reports have compared the expected financial return of a medical education with those expected in other professions. However, we know of no published report estimating the financial return of orthopaedic training. The purpose of this s ... Full text Link to item Cite

First metatarsal lengthening

Journal Article Techniques in Foot and Ankle Surgery · March 1, 2008 Shortening of the first metatarsal is known to occur during hallux valgus surgeries. If the shortened first ray disrupts the normal weight transfer, then transfer metatarsalgia may result. After failed conservative treatment, a common operative option is o ... Full text Cite

Shoulder instability

Chapter · 1996 Cite