Tyler Steven Pidgeon

Journal Article European Journal of Plastic Surgery · December 1, 2024 Cubital tunnel syndrome can present after massive weight loss due to the loss of protective adipose tissue around the elbow. However, surgical access to the cubital tunnel is challenging in this patient population due to severe upper arm skin excess. We pr ... Full text Cite

Impact of Time to Fixation on Outcomes of Operative Treatment of Intra-articular Distal Radius Fractures.

Journal Article Hand (N Y) · November 2024 BACKGROUND: The incidence of operative treatment of distal radius fractures (DRFs) has increased recently, but the optimal timing for surgical fixation remains unclear. We hypothesized that: (1) an increase in time to fixation of intra-articular DRFs would ... Full text Link to item Cite

Efficacy of Intra-Articular Corticosteroid Injection for Nonsurgical Management of Trapeziometacarpal Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Journal Article J Hand Surg Am · June 2024 PURPOSE: As osteoarthritis (OA) of the trapeziometacarpal (TMC) joint leads to a high degree of disease burden with compromises in rudimentary and fine movements of the hand, intra-articular injections may be a desirable treatment option. However, because ... Full text Link to item Cite

Comparison Between Intramedullary Nail and Percutaneous Pin Fixation in Proximal Phalanx Fractures.

Journal Article Hand (N Y) · February 27, 2024 BACKGROUND: Percutaneous pinning has been the predominant technique for fixation of proximal phalanx fractures, but stiffness is a reported complication. The introduction of intramedullary (IM) nail fixation of proximal phalanx fractures provides a stronge ... Full text Link to item Cite

Platelet-Rich Plasma Versus Corticosteroid Injections for the Treatment of Mild-to-Moderate Carpal Tunnel Syndrome: A Markov Cost-Effectiveness Decision Analysis.

Journal Article Hand (N Y) · January 2024 BACKGROUND: Platelet-rich plasma (PRP) or corticosteroid injections may be used to conservatively treat mild-to-moderate carpal tunnel syndrome (CTS). We evaluated the cost-effectiveness of PRP injections versus corticosteroid injections for the treatment ... Full text Link to item Cite

Ulnar Resection Length: A Risk Factor for Nonunion in Ulnar Shortening Osteotomy.

Journal Article Hand (N Y) · January 2024 BACKGROUND: Nonunion rates following ulnar shortening osteotomy (USO) are reported up to 18% with few known risk factors. While resection length is variable in practice, little is known about the prognostic implications on healing. The purpose of this stud ... Full text Link to item Cite

Key drivers of 90-day costs in primary total elbow arthroplasty

Journal Article Seminars in Arthroplasty JSES · December 1, 2023 Background: A comprehensive understanding of both surgical care costs and the factors influencing these costs is critical to make progress toward value-based care in orthopedics. Therefore, the purpose of this study was to assess 90-day health system costs ... Full text Cite

Evaluation of Online Artificial Intelligence-Generated Information on Common Hand Procedures.

Journal Article J Hand Surg Am · November 2023 PURPOSE: The purpose of this study was to analyze the quality and readability of the information generated by an online artificial intelligence (AI) platform regarding 4 common hand surgeries and to compare AI-generated responses to those provided in the i ... Full text Link to item Cite

Proximal Interphalangeal Joint Fractures

Journal Article Hand Clinics · November 2023 Full text Cite

Management of Complex Hand and Wrist Ligament Injuries.

Journal Article Hand Clin · August 2023 Ligamentous injuries in the hand and wrist are often underdiagnosed and can present with significant functional limitations if there is untimely recognition of injury. Adequate repair or reconstruction is critical in restoring joint stability and mobility. ... Full text Link to item Cite

Recalcitrant Neuropathies in the Upper Extremity.

Journal Article J Hand Surg Glob Online · July 2023 Carpal and cubital tunnel syndrome can cause debilitating pain and weakness in the hand and upper extremities. Although most patients have a resolution of their symptoms after primary decompression, managing those with recalcitrant neuropathies is challeng ... Full text Link to item Cite

Exploring Relationships Between Ultrasound-Measured Pre-Operative Median Nerve Echointensity and Successful Carpal Tunnel Release-A Retrospective Review (P14-8.002)

Journal Article Neurology · April 25, 2023 Full text Cite

Dermal Regenerative Templates in Orthopaedic Surgery.

Journal Article J Am Acad Orthop Surg · April 1, 2023 Management of soft-tissue injuries is a critical principle in the treatment of orthopaedic trauma. Understanding the options for soft-tissue reconstruction is vital for successful patient outcomes. Application of dermal regenerative templates (DRTs) in tra ... Full text Link to item Cite

Lunate Revascularization With Temporary Internal Radiocarpal Spanning Fixation for Kienböck Disease.

Journal Article Hand (N Y) · January 2023 BACKGROUND: The goal in the treatment of stages II and III Kienböck disease is to restore lunate vascularity and halt the progression of avascular necrosis. METHODS: We report the outcomes for patients with stages II and III Kienböck disease treated with f ... Full text Link to item Cite

Influence of medical comorbidity and surgical indication on total elbow arthroplasty cost of care.

Journal Article J Shoulder Elbow Surg · September 2022 BACKGROUND: Movement toward providing value-based musculoskeletal care requires understanding the cost associated with surgical care as well as the drivers of these costs. The aim of this study was to investigate the effect of common medical comorbidities ... Full text Link to item Cite

Outcomes associated with proton pump inhibitors and distal radius fractures: A post-hoc comparative analysis.

Journal Article J Plast Reconstr Aesthet Surg · August 2022 UNLABELLED: Long-term, high-dose, daily proton pump inhibitors (PPI) may impact outcomes associated with distal radius fractures (DRF). The hypothesis was that differences existed in patient demographics, but there existed no differences in injury patterns ... Full text Link to item Cite

Isolated Scaphoid Dislocation With Radial-Axial Instability: A Treatment Strategy Utilizing Spanning Wrist Plates.

Journal Article J Hand Surg Am · March 2022 Isolated dislocation of the scaphoid is a rare injury with only a few case reports in the literature. We report on 2 complex scaphoid dislocations demonstrating concomitant axial instability with disruption of the capitohamate articulation as well as the l ... Full text 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

Patient Perspectives on the Cost of Hand Surgery.

Journal Article J Bone Joint Surg Am · November 17, 2021 BACKGROUND: Health-care expenditures in the U.S. are continually rising, prompting providers, patients, and payers to search for solutions to reduce costs while maintaining quality. The present study seeks to define the out-of-pocket price that patients un ... Full text Link to item Cite

Dorsal Wrist Spanning Plate Fixation for Treatment of Radiocarpal Fracture-Dislocations.

Journal Article Hand (N Y) · November 2021 Background: Radiocarpal dislocations are rare injuries that result from high-energy forces across the wrist with the hallmark finding of radiocarpal ligament disruption. Published treatment methods are comprehensive with moderate-to-good outcomes. The purp ... Full text Link to item Cite

Use of a 5-item modified Fragility Index for risk stratification in patients undergoing surgical management of distal humerus fractures.

Journal Article JSES Int · November 2021 INTRODUCTION: We hypothesized that the modified Fragility Index (mFI), which predicts surgical complications, would be applicable to surgical complications in patients older than 50 years with distal humerus fractures (DHF). METHODS: We retrospectively rev ... Full text Link to item Cite

Opioid Prescription After Carpal Tunnel Release Is Declining Independent of State Laws.

Journal Article J Am Acad Orthop Surg · June 1, 2021 BACKGROUND: The opioid misuse crisis focused attention on opioid overprescribing prompting legislation, limiting prescribing. The purpose of this study was to evaluate of opioid filling surrounding carpal tunnel release (CTR) with the hypothesis that filli ... Full text Link to item Cite

Outcomes Associated With Scapholunate Ligament Injury Following Intra-Articular Distal Radius Fractures.

Journal Article J Hand Surg Am · April 2021 PURPOSE: The purpose of this study was to evaluate a series of intra-articular distal radius fractures (DRFs) to determine whether patients without radiographic evidence of scapholunate (SL) ligament injury have a difference in outcomes in comparison with ... Full text Link to item Cite

The Critical Portions of Carpal Tunnel Surgery: A Comparison Between Opinions of Surgeons and the General Public.

Journal Article J Hand Surg Am · March 2021 PURPOSE: Attending surgeons must participate in critical and key portions of procedures and otherwise be immediately available. However, surgeon-defined standards of the critical and key portions of surgery have been questioned, potentially affecting train ... Full text Link to item Cite

Use of a 5-item modified Fragility Index for risk stratification in patients undergoing surgical management of proximal humerus fractures.

Journal Article JSES Int · March 2021 HYPOTHESIS: We hypothesized that the modified Fragility Index (mFI) would predict complications in patients older than 50 years who underwent operative intervention for a proximal humerus fracture. METHODS: We retrospectively reviewed the American College ... Full text Open Access Link to item Cite

Complications of Volar Locked Plating of Distal Radius Fractures: A Prospective Investigation of Modern Techniques.

Journal Article Hand (N Y) · September 2020 Although volar locked plating (VLP) of distal radius fractures is common, complications remain a considerable concern for upper extremity specialists using modern techniques. Complications following VLP of DR fractures were recorded prospectively from Janu ... Full text Link to item Cite

Youth Baseball Pitch Counts Vastly Underestimate High-effort Throws Throughout a Season.

Journal Article J Pediatr Orthop · August 2020 BACKGROUND: The primary purpose of this study was to compare the number of pitches thrown by youth baseball players under the official league guidelines versus the number of "high-effort" throws recorded by a validated digital sensor worn by the players du ... Full text Link to item Cite

Hand transplantation in the United States: A review of the Organ Procurement and Transplantation Network/United Network for Organ Sharing Database.

Journal Article Am J Transplant · May 2020 Hand transplantation is the most common application of vascularized composite allotransplantation (VCA). Since July 3, 2014, VCAs were added to the definition of organs covered by federal regulation (the Organ Procurement and Transplantation Network (OPTN) ... Full text Link to item Cite

Three-dimensional characterization of trabecular bone mineral density of the proximal ulna using quantitative computed tomography.

Journal Article J Shoulder Elbow Surg · April 2020 BACKGROUND: Although previous studies have measured general proximal forearm bone mineral density (BMD), no study has systematically mapped the 3-dimensional trabecular BMD of the proximal ulna. The aim of this study was to describe the 3-dimensional distr ... Full text Link to item Cite

Three-Dimensional Characterization of Trabecular Bone Mineral Density of the Distal Radius Utilizing Quantitative Computed Tomography.

Journal Article Hand (N Y) · January 2020 Background: Distal radius (DR) fractures demonstrate patterns of predictable fragments. Bone mineral density (BMD) measurements of these regions of interest (ROIs) may guide more precise treatment. Methods: Computed tomography (CT) scans of the DR of 42 he ... Full text Link to item Cite

Biomechanical Assessment of Locking Plate Fixation of Comminuted Proximal Olecranon Fractures

Journal Article Journal of Orthopaedic Trauma · November 2018 Objectives:To determine if mean ultimate strength or failure mechanism differed between comminuted olecranon fractures created at the proximal 25% or 50% of the trochlear notch and fixed ... Full text Cite

Analysis of mortality and fixation failure in geriatric fractures using quantitative computed tomography

Journal Article Injury · February 2018 Full text Cite

Ulnar Styloid Base Fractures Cause Distal Radioulnar Joint Instability in a Cadaveric Model

Journal Article HAND · January 2018 Background: The deep portion of the distal radioulnar ligaments (DRUL) inserts on the ulnar fovea and is the most important stabilizer of the distal radioulnar joint (DRUJ). Ulnar styloid base fractures that include the ulnar fovea may cause DRUJ ... Full text Cite

Joint Space Width and Osteoarthritis in Patients Undergoing Hip Arthroscopy

Journal Article The Journal of Hip Surgery · June 2017 AbstractPreoperative hip joint space width (JSW) of ≤2 mm on plain radiography has been shown to be predictive of intraoperative findings of osteoarthritis, worse functional outcomes, and failure to total hip arthroplasty f ... Full text Cite

Preliminary Report—The Long Leg Cast With a Pelvic Band

Journal Article Pediatric Emergency Care · May 2017 ObjectivesThe aim of the study was to describe the long leg cast with a pelvic band (LLCPB), a novel alternative to spica casting for treating femur fractures in patients aged 6 months to ... Full text Cite