Scholars@Duke
Richard Douglas Goldner

Richard Douglas Goldner

Professor Emeritus of Orthopaedic Surgery
Orthopaedic Surgery
richard.goldner@duke.edu
Box 3480 Med Ctr, Durham, NC 27710
Duke Ipe Building, Trent Drive, Durham, NC 27710

Scholarly Works - Journal articles

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

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

A knotless flexor tendon repair technique using a bidirectional barbed suture: an ex vivo comparison of three methods.

Journal article Plast Reconstr Surg · October 2011 BACKGROUND: Flexor tendon repairs using conventional suture require knots that enlarge the cross-sectional area at the repair site. This enlargement increases the force of finger flexion and jeopardizes the integrity of a nascent tendon repair during rehab ... Full text Link to item Cite

Corrective osteotomy for isolated malunion of the palmar lunate facet in distal radius fractures.

Journal article J Hand Surg Am · November 2010 PURPOSE: Malunion of the palmar lunate facet fragment of distal radius fractures is associated with both early functional impairment and late degenerative changes. The goal of this study was to describe the clinical and radiographic outcomes after correcti ... Full text Link to item Cite

Management of subluxating ulnar nerve at the elbow.

Journal article Orthopedics · September 7, 2010 Musculotendinous variations around the medial epicondyle can contribute to subluxation of the ulnar nerve at the elbow. This article reviews the presenting symptoms, operative findings, and results of surgery for subluxation of the ulnar nerve at the elbow ... Full text Link to item Cite

A Tribute to J. Leonard Goldner

Journal article Hand Clinics · August 1, 2006 Full text Cite

Inhibition of inducible nitric oxide synthase promotes recovery of motor function in rats after sciatic nerve ischemia and reperfusion.

Journal article J Hand Surg Am · July 2005 PURPOSE: To investigate the effects of inhibition of inducible nitric oxide synthase (iNOS) on the recovery of motor function in the rat sciatic nerve after ischemia and reperfusion injury. METHODS: A 10-mm segment of the sciatic nerve from 169 rats had 2 ... Full text Link to item Cite

Diagnosis of Snapping Triceps with US.

Journal article Radiology · September 2002 Featured Work Full text Link to item Cite

Dislocating medial head of triceps.

Journal article Acta Orthop Scand · June 2001 Featured Work Full text Link to item Cite

Stiffness of simulated radial neck fractures fixed with 4 different devices.

Journal article J Shoulder Elbow Surg · 2001 Featured Work We performed a structural investigation of several fixation devices for radial head and neck fixation. Fourteen pairs of fresh-frozen human elbows were used to simulate unstable radial neck fractures fixed with each of the following plates: 2.0-mm T-plate, ... Full text Link to item Cite

Medial or lateral dislocation (snapping) of a portion of the distal triceps: a biomechanical, anatomic explanation.

Journal article J Shoulder Elbow Surg · 2001 Featured Work Medial and lateral snapping (dislocation) of the distal triceps over the epicondyle during elbow flexion has been reported but is frequently misdiagnosed and is not well understood. In this study a mathematical model was designed to simulate the effect tha ... Full text Link to item Cite

Unrecognized dislocation of the medial portion of the triceps: another cause of failed ulnar nerve transposition.

Journal article J Neurosurg · January 2000 Featured Work OBJECT: Failed surgical treatment for ulnar neuropathy or neuritis due to dislocation of the ulnar nerve presents diagnostic and therapeutic challenges. The authors of this paper will establish unrecognized dislocation (snapping) of the medial portion of t ... Full text Link to item Cite

Macrodystrophia lipomatosa with associated fibrolipomatous hamartoma of the median nerve.

Journal article Pediatr Surg Int · 2000 Featured Work Macrodystrophia lipomatosa (MDL) is a rare disease typically causing localized gigantism and is often associated with a fibrolipomatous hamartoma (FH) of the median or plantar nerve. A previously unreported case of MDL with associated FH of the median nerv ... Full text Link to item Cite

Cubitus varus associated with dislocation of both the medial portion of the triceps and the ulnar nerve.

Journal article J Hand Surg Am · July 1999 Five patients with cubitus varus deformities from malunited childhood fractures had dislocation (snapping) of both the medial portion of the triceps and the ulnar nerve over the medial epicondyle. In addition to snapping, these patients had medial elbow pa ... Full text Link to item Cite

Snapping of the triceps tendon over the lateral epicondyle.

Journal article J Hand Surg Am · March 1999 We present a patient with translocation (snapping) of a portion of the triceps over the lateral epicondyle with elbow flexion. This condition is in many ways analogous to its counterpart at the medial aspect of the elbow, snapping of the medial head of the ... Full text Link to item Cite

Motor functional and morphological findings following end-to-side neurorrhaphy in the rat model.

Journal article J Orthop Res · March 1999 Nerve repair cannot always be achieved by the conventional end-to-end technique. This study evaluated the functional recovery of nerves repaired with end-to-side neurorrhaphy in a rat model. The right peroneal nerves of 80 female rats were transected and d ... Full text Link to item Cite

Episodic snapping of the medial head of the triceps due to weightlifting.

Journal article J South Orthop Assoc · 1999 We describe two patients who had episodic elbow snapping and ulnar nerve dysesthesias only after weightlifting. These symptoms would disappear soon afterward. The episodic nature of their complaints and findings led to misdiagnosis. We documented by repeat ... Link to item Cite

Median nerve palsy presenting as absent elbow flexion: a result of a ruptured pectoralis major to biceps tendon transfer.

Journal article J South Orthop Assoc · 1999 We describe a patient with a preexisting posttraumatic brachial plexopathy who had a complete high median nerve palsy due to rupture of the pectoralis major to biceps transfer near its distal insertion at the elbow region. ... Link to item Cite

Snapping of the medial head of the triceps and recurrent dislocation of the ulnar nerve. Anatomical and dynamic factors.

Journal article J Bone Joint Surg Am · February 1998 We describe seventeen patients (twenty-two limbs) who had snapping (dislocation) of both the ulnar nerve and the medial head of the triceps over the medial epicondyle. Two patients (two limbs) were seen because of painless snapping, four patients (five lim ... Full text Link to item Cite

Dislocating medial triceps and ulnar neuropathy in three generations of one family.

Journal article J Hand Surg Am · January 1997 Variations in the medial triceps in conjunction with bilateral ulnar neuropathy have been identified in three generations of one family also possessing the phenotype of Waardenburg syndrome (a rare autosomal-dominant disorder with clinical features includi ... Full text Link to item Cite

Imaging the snapping triceps.

Journal article AJR Am J Roentgenol · December 1996 Full text Link to item Cite

Periprosthetic infections due to Mycobacterium tuberculosis in patients with no prior history of tuberculosis.

Journal article J Arthroplasty · February 1996 Although uncommon, infection of prostheses with Mycobacterium tuberculosis can be managed successfully if it is diagnosed early and treated correctly. A case of M. tuberculosis infection of a prosthetic knee first diagnosed 4.5 years after initial arthropl ... Full text Link to item Cite

Orthopaedic Transactions

Journal article Journal of Bone and Joint Surgery, American Volume · 1996 Cite

Changes on magnetic resonance images after traumatic hip dislocation.

Journal article Clin Orthop Relat Res · October 1995 Fourteen patients with traumatic hip dislocation had serial magnetic resonance imaging and routine radiographic studies from the time of injury through 24 months after injury. One experienced radiologist interpreted all images prospectively for abnormaliti ... Link to item Cite

Results after replantation and revascularization in the upper extremity in children.

Journal article J Bone Joint Surg Am · December 1994 The rates of survival of the amputated part and the functional outcomes were studied retrospectively after seventy-three replantations and eighty-nine revascularizations in the upper extremity in 120 children. All operations were performed between January ... Full text Link to item Cite

Shoulder pyarthrosis: a concomitant process.

Journal article Orthopedics · July 1994 Thirty cases of glenohumeral pyarthrosis are reported. Systemic immune compromise and local tissue abnormalities were each present in 74% of the adult patients. Both were present in 52%. Most adult patients were debilitated by chronic diseases. Diagnosis w ... Full text Link to item Cite

Effects of immobilization on Achilles tendon healing in a rat model.

Journal article J Orthop Res · July 1994 The aim of this study was to evaluate the effects of immobilization and mobilization on the functional and biomechanical recovery of injured Achilles tendons. Male Sprague-Dawley rats were allocated randomly into four groups: (a) sham operation, (b) divisi ... Full text Link to item Cite

Achilles tendon healing: a correlation between functional and mechanical performance in the rat.

Journal article J Orthop Res · November 1993 The pathogenesis and treatment of rupture of the Achilles tendon remain a source of controversy. This study presents the results of a biomechanical, functional, and morphological evaluation of a group of rats that had division and repair of the Achilles te ... Full text Link to item Cite

Achilles tendon injuries: a comparison of surgical repair versus no repair in a rat model.

Journal article Foot Ankle · September 1993 Controversy exists regarding the treatment of Achilles tendon ruptures. The aim of this study was to determine whether surgical repair of the rat Achilles tendon offered any biomechanical, functional, or morphological advantage over no repair. Thirty-two m ... Full text Link to item Cite

Free vascularized fibula in traumatic long bone defects and in limb salvaging following tumor resection: comparative study.

Journal article Microsurgery · 1993 In this retrospective analysis, we present our experience with two groups of patients who had long bone defects secondary to trauma or tumor resection and who were treated with a free vascularized fibular graft for skeletal reconstruction. Both groups were ... Full text Link to item Cite

The effects of allopurinol on the functional recovery of rats subject to sciatic nerve contusion

Journal article Neuro Orthopedics · January 1, 1993 Xanthine oxidase free radicals are important mediators of injury following ischemia. Their effects can be inhibited by allopurinol - a competitive inhibitor of xanthine oxidase. The object of this study was to determine if the administration of allopurinol ... Cite

Scaphoid fractures: assessment and treatment.

Journal article Orthopedics · August 1992 The scaphoid is the most commonly fractured carpal bone. The fracture pattern and its relationship to the blood supply have significant implications regarding treatment and prognosis. Prompt recognition and treatment are fundamental to successful managemen ... Full text Link to item Cite

Replantation proximal to the wrist.

Journal article Hand Clin · August 1992 Technical aspects of importance in replantation proximal to the wrist are somewhat different from those involved with digital replantation. Re-establishing blood flow rapidly by insertion of an arterial shunt, meticulous debridement, stable internal fixati ... Link to item Cite

The Achilles Functional Index.

Journal article J Orthop Res · May 1992 The literature regarding the management of spontaneous rupture of the Achilles tendon is controversial and confusing. The relative infrequency of the condition in any one center prohibits the completion of well-designed clinical studies. Many of the disput ... Full text Link to item Cite

Snakebite in the tarheel state. Guidelines for first aid, stabilization, and evacuation.

Journal article N C Med J · April 1992 Snakebite is relatively common in North Carolina. The Copperhead is the most common offender, though we have representatives of all three genera of the Pit Viper family in addition to the Coral Snake. Pit Vipers are identified by the characteristic triangu ... Link to item Cite

Prospective Serial Evaluation of MRI Changes Following Traumatic Hip Dislocations.

Journal article Journal of Bone and Joint Surgery, American Volume · 1992 Cite

Direct end-to-end repair of flexor pollicis longus tendon lacerations.

Journal article J Hand Surg Am · January 1992 Between 1976 and 1986, 38 consecutive acute isolated flexor pollicis longus lacerations were repaired. This study excluded all replanted or mutilated digits and all lacerations with associated fracture. Average follow-up was 26 months. Tendon rehabilitatio ... Full text Link to item Cite

DIRECT END-TO-END REPAIR OF FLEXOR POLLICIS LONGUS TENDON LACERATIONS

Journal article JOURNAL OF HAND SURGERY-AMERICAN VOLUME · January 1, 1992 Link to item Cite

Revision arthrodesis for tibiotalar pseudarthrosis with fibular onlay-inlay graft and internal screw fixation.

Journal article Clin Orthop Relat Res · July 1991 Pseudarthrosis after failed tibiotalar arthrodesis was successfully treated surgically in nine of 11 patients between 1980 and 1987. The indication for the initial attempted arthrodesis was traumatic arthrosis in seven patients, traumatic arthrosis with os ... Link to item Cite

Replantation in children.

Journal article Microsurgery · 1991 The authors have replanted 162 parts in 120 children over the past 15 years. The youngest patient, undergoing successful replantation, was aged 7 months, 3 weeks. Unlike an adult, any child suffering a traumatic amputation should be considered for a possib ... Full text Link to item Cite

The relationship of the intrapelvic vasculature to the acetabulum. Implications in screw-fixation acetabular components.

Journal article Clin Orthop Relat Res · September 1990 The use of screw-fixation acetabular components in total hip arthroplasty could increase the incidence of vascular injury because of the increased use of drills and screws placed into the acetabulum in close proximity to major vessels. Analysis of two illu ... Link to item Cite

Repair of isolated axillary nerve lesions after infraclavicular brachial plexus injuries: case reports.

Journal article Neurosurgery · September 1990 Stretch injuries of the infraclavicular brachial plexus have a much better prognosis for spontaneous recovery than do their supraclavicular counterparts. We present three patients with stretch injuries of the infraclavicular brachial plexus who had spontan ... Full text Link to item Cite

Arthrodesis of the metacarpophalangeal joint of the thumb in children and adults. Adjunctive treatment of thumb-in-palm deformity in cerebral palsy.

Journal article Clin Orthop Relat Res · April 1990 A hypermobile hyperextension or hyperflexion deformity of the metacarpophalangeal (MCP) joint associated with thumb-in-palm deformity in 90 patients affected by cerebral palsy was treated by arthrodesis with or without soft-tissue procedures. Twenty-two of ... Link to item Cite

Luxatio erecta: the inferior glenohumeral dislocation.

Journal article J Orthop Trauma · 1990 Luxatio erecta, or inferior glenohumeral dislocation, is a rare shoulder dislocation usually caused by a hyperabduction injury to the arm. We have reviewed the literature consisting of 80 cases of luxatio erecta and also discuss six additional cases that w ... Link to item Cite

Reconstruction of tibial bone defects in tibial nonunion.

Journal article Microsurgery · 1990 The management of tibial nonunions with small and large bony defects is discussed. Factors that prevent union and techniques for eliminating or minimizing these factors are presented. ... Full text Link to item Cite

One hundred eleven thumb amputations: replantation vs revision.

Journal article Microsurgery · 1990 One hundred eleven patients who sustained isolated, complete thumb amputation between 1971 and 1985 were reviewed to assess results of replantation and to compare these with results of amputation revision. Routine postoperative evaluation was performed in ... Full text Link to item Cite

Management of severe musculoskeletal injuries of the upper extremity.

Journal article J Orthop Trauma · 1990 Limb salvage was successful in 25 patients treated for severe grade III upper extremity injuries. In a retrospective review of 20 men and five women, follow-up time averaged 26 months. These high-energy injuries were characterized by massive soft-tissue in ... Link to item Cite

Nerve transposition for the restoration of elbow flexion following brachial plexus avulsion injuries.

Journal article J Neurosurg · January 1990 Despite technical advances, the ability to restore motor function following a brachial plexus avulsion is limited. Twenty patients who suffered the loss of elbow flexion following a brachial plexus avulsion injury underwent a neurotization procedure in an ... Full text Link to item Cite

Use of the anterior branch of the medial antebrachial cutaneous nerve as a graft for the repair of defects of the digital nerve.

Journal article J Bone Joint Surg Am · April 1989 Using the anterior branch of the medial antebrachial cutaneous nerve, grafting was performed on twenty-one digital nerves. The goal of the procedure was to repair a traumatic defect of greater than one centimeter in the digital nerves of fourteen patients. ... Link to item Cite

Digital replantation at the level of the distal interphalangeal joint and the distal phalanx.

Journal article J Hand Surg Am · March 1989 Forty-two complete, single digit amputations at the level of the distal interphalangeal joint or distal phalanx are reviewed. Viability was 81%. Operative time averaged 4.6 hours. Average age of patients was 28 years and 90% were male. Forty-eight percent ... Full text Link to item Cite

Management of Severe Musculoskeletal Injuries of the Upper Extremity

Journal article Journal of Bone and Joint Surgery, American Volume · 1989 Cite

Indications for replantation in the adult upper extremity.

Journal article Occup Med · 1989 Physicians involved in the evaluation and initial treatment of patients with severe hand injuries should be familiar with the indicators for, the contraindications to, and expectations following replantation, including preoperative preservation of the ampu ... Link to item Cite

Treatment of Aseptic Necrosis of the Femoral Head by Free Vascularized Fibular Graft

Journal article Journal of Bone and Joint Surgery, American Volume · 1988 Cite

Management of Severe Musculoskeletal Injuries of the Upper Extremity

Journal article Journal of Bone and Joint Surgery, American Volume · 1988 Cite

Demographics and replantation.

Journal article J Hand Surg Am · September 1987 We reviewed demographic data on 761 patients who had one or more amputated parts replanted at Duke University Medical Center between 1972 and 1984 to learn more about the population that sustained amputation and replantation. Ninety-four percent were from ... Full text Link to item Cite

Longitudinal epiphyseal growth after replantation and transplantation in children.

Journal article J Hand Surg Am · March 1987 Previous investigators have shown that epiphyses are unlikely to grow after free grafting although there have been rare reports of good and even normal growth. However, growth has usually continued whenever the epiphyseal vascular supply has been maintaine ... Full text Link to item Cite

Arterial stump pressure: a determinant of arterial patency?

Journal article J Hand Surg Am · March 1987 Twenty-seven patients with acute injuries to the radial or ulnar arteries had arterial repairs using microvascular techniques. No patient had an ischemic hand secondary to his arterial injury. The overall patency rate for all repaired vessels was 56%. For ... Full text Link to item Cite

The wraparound procedure for thumb and finger reconstruction.

Journal article Microsurgery · 1987 Nineteen thumb and finger reconstructions were performed using the wraparound procedure; there were five early arterial failures. Thirteen of the 14 successful digital reconstructions were reviewed at an average of 26 months after surgery. There were compl ... Full text Link to item Cite

Skeletal fixation in digital replantation. Use of the "H" plate.

Journal article Clin Orthop Relat Res · January 1987 Many forms of bone fixation have been advocated for use in digital replantation, and successful series have been reported using such methods as intramedullary Kirschner-wire fixation, crossed Kirschner-wires, bone pegs, double-headed screws, and bone plate ... Link to item Cite

Management of Severe Open Extremity Fractures

Journal article Journal of Bone and Joint Surgery, American Volume · 1986 Cite

Management of Severe Open Extremity Injuries

Journal article Journal of Bone and Joint Surgery, American Volume · 1986 Cite

Avascular Necrosis of the Femoral Head Treated by Vascularized Fibular Graft.

Journal article Journal of Bone and Joint Surgery, American Volume · 1986 Cite

A big pain between the small toes.

Journal article N C Med J · July 1985 Link to item Cite

Postoperative management.

Journal article Hand Clin · May 1985 Postoperative vascular compromise can result from a problem at the anastomotic site, including vessel damage, improperly placed sutures, trauma to the vessel, or atherosclerosis. Systemic factors include decreased blood flow, vascular spasm, and atheroscle ... Link to item Cite

Thumb reconstruction by the wrap-around method.

Journal article Clin Orthop Relat Res · May 1985 Reconstruction of a thumb amputated distal to the metacarpophalangeal joint can be accomplished by the "wrap-around" procedure. The operative procedure calls for an iliac crest graft to replace the bone of the amputated thumb. A flap from the great toe wit ... Link to item Cite

The results of replantation after amputation of a single finger.

Journal article J Bone Joint Surg Am · April 1985 We reviewed fifty-nine consecutive cases of patients who had replantation of a single finger (excluding the thumb) after traumatic amputation, with an average follow-up of fifty-three months. Fifty-one (86 per cent) of the replanted fingers survived. Survi ... Link to item Cite

The Scapular Free Flap

Journal article Journal of Bone and Joint Surgery, American Volume · 1985 Cite

Digital Replantation at the Level of the DIP joint and Distal Phalanx

Journal article Journal of Bone and Joint Surgery, American Volume · 1985 Cite

Twenty-One Severe Open Tibial Fractures Treated by Free Tissue Transfer

Journal article Journal of Bone and Joint Surgery, American Volume · 1985 Cite

THE RESULTS OF REPLANTATION AFTER AMPUTATION OF A SINGLE FINGER

Journal article JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME · 1985 Full text Link to item Cite

Nerve Compression Lesions in the Upper Extremity

Journal article Ortho Surgery Update Series · 1984 Cite

Cartilage as an interposition material to prevent transphyseal bone bridge formation: an experimental model.

Journal article J Pediatr Orthop · May 1983 A rabbit model modified from the one originally used by Osterman was used to test the effectiveness of interposition materials in the prevention of epiphyseal-metaphyseal bone bridge formation. Although fat was a moderately effective interposition material ... Full text Link to item Cite

Replantation in the Upper Extremity

Journal article Orthopaedic Surgery Update Series · 1983 Cite

Should a Single Amputated Finger Be Replanted?

Journal article Journal of Bone and Joint Surgery, American Volume · 1983 Cite

Cross-thumb Transfer in a Severe Electrical Burn

Journal article Journal of Bone and Joint Surgery, American Volume · 1983 Cite

A Ten Year Experience with Replantation of Amputated Extremities

Journal article Journal of Bone and Joint Surgery, American Volume · 1983 Cite

The vascularized cutaneous scapular flap.

Journal article Plast Reconstr Surg · May 1982 Five cases of cutaneous free tissue transfer using the cutaneous and circumflex scapular vessels are presented. The free scapular flap is an excellent choice when intermediate-sized (6 to 10 by 10 to 16 cm) uninnervated flap coverage is necessary and canno ... Full text Link to item Cite

The Free Vascularized Scapular Flap. Ortho. Transactions.

Journal article Journal of Bone and Joint Surgery, American Volume · 1982 Cite

Pseudo-pathologic Fracture of the Femoral Neck

Journal article Skeletal Radiology · 1981 Cite

The "Blind Side" of the Medial Meniscus

Journal article Yearbook of Sports Medicine · 1981 Cite

Outpatient meniscectomy of the knee.

Journal article South Med J · July 1980 This paper reviews 218 patients who had outpatient meniscectomy at the University of Virginia between January 1974 and June 1977. Only one patient (0.46%) returned before his scheduled visit. Three patients (1.4%) had superficial wound infections. One (0.4 ... Full text Link to item Cite

The "blind side" of the medial meniscus.

Journal article Am J Sports Med · 1980 The major posterior insertion of the medial meniscus is not into the tibial plateau proper but into a rather deep recess behind the intercondylar eminence. The shape of the meniscus in relation to the curve of the meniscotome and its angle of approach, and ... Full text Link to item Cite

Tuberculosis of the knee, a diagnosis to remember

Journal article Orthopaedic Review · January 1, 1980 Tuberculous arthritis is still present in the United States and should be included in the differential diagnosis of painful swollen joints. It should be considered even if there is no history of active tuberculosis or if the chest x-ray is negative. Early ... Cite

The structure of mononuclear phagocytes differentiating in vivo. III. The effect of particulate foreign substances.

Journal article Am J Pathol · November 1977 The response of mononuclear phagocytes to three inert particles--barium sulfate, talc, and thorium dioxide--was studied by correlated light and electron microscopy. All three particles induced maturation of the mononuclear phagocytes, which proceeded to th ... Link to item Cite

Formation of myocardial zonal lesions.

Journal article Am J Pathol · May 1975 Right ventricular papillary muscles from control cats and from cats subjected to hemorrhagic shock were studied by electron microscopy. Half of the muscles were fixed at the apex of their active length-tension curves following stimulation in a papillary mu ... Link to item Cite

Ultrastructral effects of in virto experimentation on right ventricular papillary muscle from cats in hypovolemic shock (38487).

Journal article Proc Soc Exp Biol Med · January 1975 The present data demonstrate for the first time that repeated stimulation (2-3 hr in an oxygenated perfusate) of right ventricular papillary muscles from cats subjected to hypovolemic shock does not alter the ultrastructure of the shock lesions. Neither do ... Full text Link to item Cite