Michael Medvecky, MD
ProfessorCards
About
Research
Publications
2024
Investigating the Bone Bruise Patterns in Pediatric Patients With Contact and Noncontact Acute Anterior Cruciate Ligament Tears: A Multicenter Study.
Moran J, Amaral J, Lee M, Jones R, Gross P, Katz L, Wang A, Carrino J, Jimenez A, Chhabra B, Kan J, Smith B, Gladstein A, McKay S, LaPrade R, Fabricant P, Medvecky M. Investigating the Bone Bruise Patterns in Pediatric Patients With Contact and Noncontact Acute Anterior Cruciate Ligament Tears: A Multicenter Study. The American Journal Of Sports Medicine 2024, 3635465241264282. PMID: 39101652, DOI: 10.1177/03635465241264282.Peer-Reviewed Original ResearchMagnetic resonance imagingMechanism of injuryBone bruise patternPreoperative MRI scansACL tearsBone bruisesNoncontact ACL tearsPediatric patientsPresence of bone bruiseMeniscus tearsFat-suppressed T2-weighted imagesAcute anterior cruciate ligament tearsLocation of bone bruisesMRI scansAnterior cruciate ligament (ACL) tearsIpsilateral knee injuriesAnterior cruciate ligament tearsPrimary ACL reconstruction surgeryMagnetic resonance imaging scansConcomitant medial meniscus tearLateral meniscus tearsMedial meniscus tearCruciate ligament tearsT2-weighted imagesNoncontact mechanism of injuryMedial-Sided Repair in Multi-Ligamentous Knee Injury
Patel R, Green J, Moran J, Santos E, Medvecky M. Medial-Sided Repair in Multi-Ligamentous Knee Injury. Video Journal Of Sports Medicine 2024, 4: 26350254241226723. DOI: 10.1177/26350254241226723.Peer-Reviewed Original ResearchMulti-ligamentous knee injuriesSuperficial medial collateral ligamentPosterior oblique ligamentValgus stabilityKnee injuriesDeep medial collateral ligamentMedial collateral ligamentPatient-reported outcomesMedial structuresMedial knee structuresIntra-articular entrapmentKnee loadingCollateral ligamentElite athletesExternal rotationValgus laxityKnee functionTibial plateau fracturesMedial patellofemoral ligament tearThird-degree injuryOrthopedic injuriesKnee stabilityKneeAnatomic alignmentKnee structuresSuccessful Management of Impending Skin Necrosis After a Posterolateral Knee Dislocation
Santos E, Schneble C, Kim D, Medvecky M. Successful Management of Impending Skin Necrosis After a Posterolateral Knee Dislocation. JAAOS Global Research And Reviews 2024, 8: e23.00149. PMID: 38648386, PMCID: PMC11037736, DOI: 10.5435/jaaosglobal-d-23-00149.Peer-Reviewed Original ResearchConceptsImpending skin necrosisSkin necrosisKnee dislocationPosterolateral knee dislocationFull-thickness skin necrosisComplicating treatment optionsSoft tissueSoft tissue envelopeMedial soft tissuesTreatment optionsPerioperative periodMedial ligamentous structuresCutaneous injuryIncarcerationNecrosisSkin injuryPatientsSuccessful managementLigamentous structuresKneeInjuryAnatomic vs. reverse total shoulder arthroplasty: usage trends and perioperative outcomes
Halperin S, Dhodapkar M, Kim L, Modrak M, Medvecky M, Donohue K, Grauer J. Anatomic vs. reverse total shoulder arthroplasty: usage trends and perioperative outcomes. Seminars In Arthroplasty JSES 2024, 34: 91-96. DOI: 10.1053/j.sart.2023.08.014.Peer-Reviewed Original ResearchTotal shoulder arthroplastyElixhauser Comorbidity IndexPerioperative outcomesAdverse eventsSurgeon volumeShoulder arthroplastyHigher Elixhauser comorbidity indexPerioperative adverse eventsSevere adverse eventsUrinary tract infectionCommon orthopaedic proceduresMatching of patientsPatient demographicsTract infectionsPearlDiver databaseMultivariable analysisOverall incidencePatient populationKidney infectionMerit further investigationOrthopedic proceduresGreater oddsRTSAIncreased percentagePatientsAnatomic and reverse total shoulder arthroplasty: Variables affecting 90-day overall reimbursement
Halperin S, Dhodapkar M, Modrak M, Donohue K, Medvecky M, Grauer J. Anatomic and reverse total shoulder arthroplasty: Variables affecting 90-day overall reimbursement. Seminars In Arthroplasty JSES 2024 DOI: 10.1053/j.sart.2024.02.007.Peer-Reviewed Original ResearchAnatomic total shoulder arthroplastyReverse total shoulder arthroplastyTotal shoulder arthroplastyTotal shoulder arthroplasty patientsPostoperative eventsShoulder arthroplastyPatient demographicsOverall reimbursementSurgery typeAdverse eventsMale sexAssociated with reimbursementMultivariate linear regressionOncological diagnosisEmergency department visitsPatientsOrthopedic proceduresEffective procedureAdministrative databasesHospital readmissionInsurance typeSurgeryReduce healthcare expendituresDepartment visitsIncreased frequencyClinical and Functional Outcomes of Documented Knee Dislocation Versus Multiligamentous Knee Injury: A Comparison of KD3 Injuries at Mean 6.5 Years Follow-up
Hughes A, Li Z, Garra S, Green J, Chalem I, Triana J, Jazrawi L, Medvecky M, Alaia M. Clinical and Functional Outcomes of Documented Knee Dislocation Versus Multiligamentous Knee Injury: A Comparison of KD3 Injuries at Mean 6.5 Years Follow-up. The American Journal Of Sports Medicine 2024, 52: 961-967. PMID: 38400667, DOI: 10.1177/03635465241231032.Peer-Reviewed Original ResearchIncidence of neurovascular injuryMultiligamentous knee injuriesVisual analog scaleTegner activity levelFollow-upKnee injuriesNeurovascular injuryCohort studyActivity levelsDocumented dislocationSubgroup analysisInternational Knee Documentation Committee (IKDC) scoreKnee dislocationVisual analog scale painFunctional outcomesMulticenter retrospective cohort studyLong-term follow-upTegner activity scaleMultivariate linear regressionLevel of evidencePoor clinical outcomesRetrospective cohort studyPredictive of outcomeActivity ScaleInjury patternsAdverse Events After Isolated Posterior Cruciate Ligament Reconstruction: A National Database Study
Kammien A, Price R, McLaughlin W, Park N, Richter D, Schenck R, Grauer J, Medvecky M. Adverse Events After Isolated Posterior Cruciate Ligament Reconstruction: A National Database Study. Orthopaedic Journal Of Sports Medicine 2024, 12: 23259671231222123. PMID: 38249782, PMCID: PMC10798085, DOI: 10.1177/23259671231222123.Peer-Reviewed Original ResearchRate of adverse eventsSurgical site infectionIsolated PCL reconstructionAdverse eventsPCL reconstructionPulmonary embolismSite infectionCompartment syndromePosterior cruciate ligamentVariable rates of complicationsOdds ratioVascular eventsOptimal managementIsolated posterior cruciate ligament reconstructionConcomitant ligament surgeryEmergency departmentNational cohortDeep vein thrombosesRate of complicationsElixhauser Comorbidity Index scoreDay of surgeryDeep vein thrombosisCalculate odds ratiosPosterior cruciate ligament reconstructionComorbidity Index scoreRevision Patellar Tendon Reconstruction Using Hamstring Tendon Autograft
Santos E, Islam W, Amick M, Adeclat G, Medvecky M. Revision Patellar Tendon Reconstruction Using Hamstring Tendon Autograft. Video Journal Of Sports Medicine 2024, 4: 26350254231184904. DOI: 10.1177/26350254231184904.Peer-Reviewed Original ResearchPatellar tendon reconstructionPatellar tendon ruptureTendon autograftTendon reconstructionTendon rupturePatellar heightFunctional limitationsChronic patellar tendon rupturePatient outcome scoresPersistent functional limitationsQuadriceps muscle atrophyHamstring tendon autograftSemitendinosus tendon autograftGraft fixation techniquesHigh-quality evidencePatellar tendon lengthRecent case seriesStandard of careLoss of extensionInsall-Salvati indexTechnical surgical challengeGraft tunnelsInitial surgeryPostoperative protocolQuadriceps strengthRevision Patellar Tendon Reconstruction Using Hamstring Tendon Autograft
Santos E, Islam W, Amick M, Adeclat G, Medvecky M. Revision Patellar Tendon Reconstruction Using Hamstring Tendon Autograft. Video Journal Of Sports Medicine 2024, 4 DOI: 10.1177/26350254231184904.Peer-Reviewed Original ResearchPatellar tendon reconstructionPatellar tendon ruptureTendon autograftTendon reconstructionTendon rupturePatellar heightFunctional limitationsChronic patellar tendon rupturePatient outcome scoresPersistent functional limitationsQuadriceps muscle atrophyHamstring tendon autograftSemitendinosus tendon autograftGraft fixation techniquesHigh-quality evidencePatellar tendon lengthRecent case seriesStandard of careLoss of extensionInsall-Salvati indexTechnical surgical challengeGraft tunnelsInitial surgeryPostoperative protocolQuadriceps strength
2023
Patient-reported outcomes and return to pre-injury activities after surgical treatment of multi-ligamentous knee injuries in patients over 40-years-old: Average 5-years follow-up
Li Z, Green J, Chalem I, Triana J, Rao N, Hughes A, Campbell K, Jazrawi L, Medvecky M, Alaia M. Patient-reported outcomes and return to pre-injury activities after surgical treatment of multi-ligamentous knee injuries in patients over 40-years-old: Average 5-years follow-up. The Knee 2023, 46: 89-98. PMID: 38070381, DOI: 10.1016/j.knee.2023.11.014.Peer-Reviewed Original ResearchMulti-ligamentous knee injuriesPre-injury activitiesSurgical treatmentLysholm scoreOlder patientsCase seriesClinical outcomesKnee injuriesInternational Knee Documentation Committee scoreMulti-center retrospective case seriesFair clinical outcomePre-injury sportTegner activity scaleRetrospective case seriesTime of injuryPatient-reported outcomesMean IKDCPreoperative characteristicsKnee dislocationDevastating injuriesPatientsActivity ScaleIKDCInjuryStepwise linear regression
Clinical Trials
Current Trials
STaR Trial: Multiple Ligament Knee Injuries
HIC ID2000030264RolePrincipal InvestigatorPrimary Completion Date09/30/2024Recruiting ParticipantsGenderBothAge16 years - 55 years
Academic Achievements and Community Involvement
Clinical Care
Overview
Michael Medvecky, MD, is an orthopaedic surgeon who specializes in athletic injuries, especially to the knee and shoulder. He treats adults and adolescents who injure themselves in high-level competition, as well as “weekend warriors.” He is also an active member of the Department of Orthopaedics’s coverage of Yale New Haven Hospital’s Level 1 Trauma Center, where he helps care for people with severe or multiple traumatic injuries.
Orthopaedics has changed significantly even in the past five years, says Dr. Medvecky. Depending on the situation, he draws upon the latest approaches to both arthroscopic (minimally invasive) and traditional surgery—and also uses nonsurgical techniques—to treat ligament, meniscus and articular cartilage injuries.
But he believes the first step in making a good diagnosis is to listen to the patient. “I personally learn so much from my patients,” says Dr. Medvecky. “In medicine and surgery, probably 80 to 90 percent of what the diagnosis is, they’re going to tell you. And then it’s matching up your physical examination with their story and deciding upon the need for further testing or imaging to assist in the confirmation of the diagnosis.”
Dr. Medvecky presently serves as the vice chair for faculty affairs for the Department of Orthopaedics & Rehabilitation and is an associate professor at Yale School of Medicine. Dr. Medvecky cared for members of the Alvin Ailey American Dance Theater and the Cincinnati Bengals early in his career. He is now the head team physician and head orthopaedic surgeon to the WNBA Connecticut Sun, women’s professional basketball team and the New England Black Wolves, men’s professional indoor lacrosse team of the National Lacrosse League, both based at the Mohegan Sun Arena in Uncasville, Conn.
He also serves as an orthopaedic surgery consultant to the Yale University Athletic Department. He has played an active role in regional athletic event coverage, serving as covering physician for the WTA Connecticut Open tennis tournament and the New Haven Road Race for more than 15 years.
Dr. Medvecky works with other Yale Medicine Sports Medicine physicians, as well as athletic trainers and physical therapists, to promote the use of ACL injury-prevention strength and conditioning programs in a proactive effort to minimize injury occurrence. As part of his efforts to promote health and safety in youth and adult athletics, he serves on the Connecticut State Medical Society’s Committee on the Medical Aspects of Sports. Connecticut Magazine has included Dr. Medvecky in its annual lists of Top Docs in the state.
Clinical Specialties
Fact Sheets
Knee (Patella) Instability
Learn More on Yale MedicineHip Labral Tears
Learn More on Yale MedicineMeniscus Tears, Repair, and Transplantation
Learn More on Yale MedicineCartilage Injury and Repair
Learn More on Yale Medicine
Board Certifications
Sports Medicine Orthopaedic Surgery
- Certification Organization
- AB of Orthopaedic Surgery
- Original Certification Date
- 2007
Orthopaedic Surgery
- Certification Organization
- AB of Orthopaedic Surgery
- Latest Certification Date
- 2012
- Original Certification Date
- 2003
Yale Medicine News
Links & Media
Media
News
- May 02, 2024
2024 “Top Doctors” List Features 15 Orthopaedics & Rehabilitation Faculty
- April 22, 2024Source: Becker's Orthopedic Review
Meet the head team physicians for all 12 WNBA teams
- April 10, 2024
Six Faculty Selected as Research All Stars by Avant Garde Health
- May 04, 2023
2023 “Top Doctors” List Features 12 Orthopaedics & Rehabilitation Faculty