2023
Examining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries
Moran J, Lee M, Kunze K, Green J, Katz L, Wang A, McLaughlin W, Gillinov S, Jimenez A, Hewett T, LaPrade R, Medvecky M. Examining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries. The American Journal Of Sports Medicine 2023, 51: 1155-1161. PMID: 36867053, DOI: 10.1177/03635465231159899.Peer-Reviewed Original ResearchMeSH KeywordsAnterior Cruciate Ligament InjuriesContusionsCross-Sectional StudiesHumansKnee InjuriesMagnetic Resonance ImagingMaleRetrospective StudiesTibiaConceptsBone bruise patternsAcute anterior cruciate ligament injuryMagnetic resonance imagingAnterior cruciate ligament injuryCruciate ligament injuryBone bruiseNoncontact injuriesLigament injuryContact injuriesACL injuryBruise patternsMedial collateral ligament injuryNoncontact mechanismFat-suppressed T2-weighted imagesMultivariate logistical regression modelIpsilateral knee injuriesCollateral ligament injuriesACL reconstruction surgeryMechanism of injuryBody mass indexNoncontact ACL injuryMedial tibiofemoral compartmentPreoperative MRI scansACL injury mechanismsPosterior cruciate ligament
2022
Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging
Moran J, Schneble C, Katz L, Jimenez A, McLaughlin W, Vasavada K, Wang A, Kunze K, Chahla J, LaPrade R, Alaia M, Medvecky M. Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 592-599. PMID: 36575108, DOI: 10.1016/j.arthro.2022.10.022.Peer-Reviewed Original ResearchConceptsMedial meniscus ramp lesionsIntact anterior cruciate ligamentMultiligament knee injuriesAnterior cruciate ligamentMagnetic resonance imagingRamp lesionsBone bruiseBone bruisingKnee injuriesCruciate ligamentMedial meniscal ramp lesionsResonance imagingPreoperative magnetic resonance imagingMeniscal ramp lesionsRetrospective case seriesPosterior cruciate ligamentOne-thirdIntraclass correlation coefficientConsecutive patientsRetrospective reviewCase seriesLigament reconstructionOperative reportsLevel IVLevel IShort Symptom Duration Is Associated With Superior Outcomes in Patients Undergoing Primary Hip Arthroscopy: A Systematic Review
Kim D, Lee M, Mahatme R, Gillinov S, Islam W, Fong S, Lee A, Abu S, Pettinelli N, Medvecky M, Jimenez A. Short Symptom Duration Is Associated With Superior Outcomes in Patients Undergoing Primary Hip Arthroscopy: A Systematic Review. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 498-509. PMID: 36395964, DOI: 10.1016/j.arthro.2022.11.009.Peer-Reviewed Original ResearchConceptsHip arthroplasty ratesPrimary hip arthroscopyFemoroacetabular impingement syndromeSecondary surgery rateHip arthroscopySystematic reviewSurgery ratesImpingement syndromeFemoroacetabular impingementDuration groupArthroplasty ratesSuperior outcomesHip Outcome Score-ActivitiesHip Outcome Score-SportPatient-reported outcome scoresPreoperative hip painHarris hip scoreShorter symptom durationOnset of symptomsLevel IV studiesVisual analog scaleMeta-Analyses (PRISMA) guidelinesPreferred Reporting ItemsPreoperative durationHip painAthletes Report Favorable Outcomes at 5-Year Minimum Follow-Up After Primary Hip Arthroscopy: A Systematic Review
Lee M, Owens J, Fong S, Mahatme R, Kim D, Moran J, Gillinov S, Islam W, Lee A, Pettinelli N, Medvecky M, Jimenez A. Athletes Report Favorable Outcomes at 5-Year Minimum Follow-Up After Primary Hip Arthroscopy: A Systematic Review. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 510-528. PMID: 36395963, DOI: 10.1016/j.arthro.2022.11.008.Peer-Reviewed Original ResearchMeSH KeywordsArthroscopyAthletesFemoracetabular ImpingementFollow-Up StudiesHip JointHumansPatient Reported Outcome MeasuresRetrospective StudiesTreatment OutcomeConceptsPrimary hip arthroscopyPostoperative scoresHip arthroscopySystematic reviewHip scoreClinical benefitFavorable outcomeHip arthroplastyHip Outcome Score-Sports Specific ScalePatient-reported outcome scoresHarris hip scoreNonarthritic Hip ScorePsychometric thresholdsPreferred Reporting ItemsNumber of hipSignificant improvementHigh rateCochrane TrialsSecondary arthroscopyMinimum followSurgical treatmentOutcome scoresFemoroacetabular impingementSecondary surgeryLevel IVPoorer functional Outcomes in Patients with Multi‐Ligamentous Knee Injury with Concomitant Patellar Tendon Ruptures at 5 years Follow‐Up
Mojica ES, Bi AS, Vasavada K, Moran J, Buzin S, Kahan J, Alaia EF, Jazrawi LM, Medvecky MJ, Alaia MJ. Poorer functional Outcomes in Patients with Multi‐Ligamentous Knee Injury with Concomitant Patellar Tendon Ruptures at 5 years Follow‐Up. Knee Surgery, Sports Traumatology, Arthroscopy 2022, 31: 325-331. PMID: 36048200, DOI: 10.1007/s00167-022-07110-3.Peer-Reviewed Original ResearchMeSH KeywordsFollow-Up StudiesHumansKnee InjuriesKnee JointPatellar LigamentRetrospective StudiesRuptureSoft Tissue InjuriesTendon InjuriesTreatment OutcomeConceptsMulti-ligamentous knee injuriesPatellar tendon ruptureTendon ruptureBody mass indexKnee injuriesFunctional outcomeInternational Knee Documentation Committee Subjective Knee FormPoorer Functional OutcomesWorse functional outcomeExtensor mechanism injuriesSubjective Knee FormHigh-energy injuriesPatient-reported outcomesPatellar tendon injuryPropensity-score matchingSchenck classificationTegner scoreLysholm scoreMulticenter cohortClinical outcomesMechanism injuriesRare presentationSurgical repairKnee FormMass indexRelationship Between Peroneal Nerve and Anterior Cruciate Ligament Involvement in Multiligamentous Knee Injury: A Multicenter Study
Markus DH, Mojica ES, Bi A, Kahan JB, Moran J, Mannino BJ, Alaia EF, Jazrawi LM, Medvecky MJ, Alaia MJ. Relationship Between Peroneal Nerve and Anterior Cruciate Ligament Involvement in Multiligamentous Knee Injury: A Multicenter Study. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 30: e1461-e1466. PMID: 36326829, DOI: 10.5435/jaaos-d-21-01252.Peer-Reviewed Original ResearchConceptsMultiligamentous knee injuriesPeroneal nerve injuryACL tear groupNerve injuryPosterolateral corner injuriesNerve palsyChart reviewKnee injuriesTear groupMulticenter retrospective cohort analysisComplete anterior cruciate ligament ruptureAnterior cruciate ligament ruptureMore knee ligamentsParticular injury patternPeroneal nerve palsyRetrospective chart reviewRetrospective cohort analysisBody mass indexCruciate ligament ruptureGreater relative riskComplete injurySurgical characteristicsIntact ACLLigament involvementPeroneal nervePosteromedial tibial plateau bone bruises are associated with medial meniscal ramp lesions in patients with concomitant anterior cruciate ligament ruptures: a systematic review & meta-analysis
Green JS, Moran J, Marcel A, Joo PY, McLaughlin WM, Manzi JE, Yalcin S, Wang A, Porrino J, Jimenez AE, Medvecky MJ, Katz LD. Posteromedial tibial plateau bone bruises are associated with medial meniscal ramp lesions in patients with concomitant anterior cruciate ligament ruptures: a systematic review & meta-analysis. The Physician And Sportsmedicine 2022, 51: 531-538. PMID: 35915996, DOI: 10.1080/00913847.2022.2108350.Peer-Reviewed Original ResearchConceptsMedial meniscal ramp lesionsMeniscal ramp lesionsMagnetic resonance imagingPreoperative magnetic resonance imagingRamp lesionsEgger's linear regression testBone bruisingACL ruptureBone bruiseGreater oddsPublication biasPre-operative magnetic resonance imagingAcute ACL injuryBone bruise patternsConcomitant ACL ruptureConcomitant anterior cruciate ligamentAnterior cruciate ligamentFunnel plot analysisLinear regression testTimes greater oddsWeb of ScienceACL injuryCochrane LibraryMethodological IndexPooled studiesRisk of Postoperative Stiffness Following Multiligamentous Knee Injury Surgery Is Not Affected by Obesity: A Multicenter Study
Bi AS, Mojica ES, Markus DH, Blaeser AM, Kahan J, Moran J, Jazrawi LM, Medvecky MJ, Alaia MJ. Risk of Postoperative Stiffness Following Multiligamentous Knee Injury Surgery Is Not Affected by Obesity: A Multicenter Study. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 38: 3175-3181. PMID: 35777677, DOI: 10.1016/j.arthro.2022.06.017.Peer-Reviewed Original ResearchMeSH KeywordsHumansKnee InjuriesKnee JointObesityPostoperative ComplicationsRange of Motion, ArticularRetrospective StudiesTreatment OutcomeVascular System InjuriesConceptsMultiligamentous knee injuriesBody mass indexPostoperative stiffnessVascular injuryIndex surgerySurgical managementExact testLevel 1 academic trauma centerBMI of patientsMulticenter retrospective cohort studyMean body mass indexLogistic regressionRate of MUATwo-center cohortRetrospective cohort studyEffect of obesityAcademic trauma centerGrade of obesityMultivariate logistic regressionExternal fixator useFisher's exact testSignificant differencesCovariates of ageMUA proceduresSchenck classificationExamining the Bone Bruise Patterns in Multiligament Knee Injuries With Peroneal Nerve Injury
Moran J, Schneble CA, Katz LD, Fosam A, Wang A, Li DT, Kahan JB, McLaughlin WM, Jokl P, Hewett TE, LaPrade RF, Medvecky MJ. Examining the Bone Bruise Patterns in Multiligament Knee Injuries With Peroneal Nerve Injury. The American Journal Of Sports Medicine 2022, 50: 1618-1626. PMID: 35384729, DOI: 10.1177/03635465221087406.Peer-Reviewed Original ResearchConceptsMultiligament knee injuriesBone bruise patternsPeroneal nerve injuryMagnetic resonance imagingCPN injuryPhysical examinationBone bruisingNerve injuryBone bruisePLC injuriesKnee injuriesBruise patternsCommon peroneal nerve injuryLevel 1 trauma centerBoard-certified musculoskeletal radiologistsHigh-energy traumaPosterolateral corner injuriesLevel of evidenceCPN palsySchenck classificationInjury subtypesKnee dislocationCase seriesTrauma centerLigamentous injuries
2021
COVID-positive ankle fracture patients are at increased odds of perioperative surgical complications following open reduction internal fixation surgery
Mercier MR, Galivanche AR, Brand JP, Pathak N, Medvecky MJ, Varthi AG, Rubin LE, Grauer JN. COVID-positive ankle fracture patients are at increased odds of perioperative surgical complications following open reduction internal fixation surgery. PLOS ONE 2021, 16: e0262115. PMID: 34972190, PMCID: PMC8719674, DOI: 10.1371/journal.pone.0262115.Peer-Reviewed Original ResearchConceptsCOVID-positive patientsAnkle fracture surgeryPerioperative adverse eventsAdverse eventsAnkle fracture patientsFracture surgeryFracture patientsOperative interventionAnkle fracturesPropensity matchingCOVID statusOpen reduction internal fixation surgeryPerioperative adverse outcomesPerioperative surgical complicationsMinor adverse eventsPostoperative adverse eventsSerious adverse eventsChronic kidney diseaseCOVID-19 Research DatabaseLong-term outcomesInternal fixation surgeryBasis of agePropensity-score matchingPostoperative complicationsNegative patientsIncreased Neurovascular Morbidity Is Seen in Documented Knee Dislocation Versus Multiligamentous Knee Injury
Kahan JB, Schneble CA, Li D, Petit L, Huang P, Bullock J, Porrino J, Richter DL, Schenck RC, Medvecky MJ. Increased Neurovascular Morbidity Is Seen in Documented Knee Dislocation Versus Multiligamentous Knee Injury. Journal Of Bone And Joint Surgery 2021, 103: 921-930. PMID: 33587513, DOI: 10.2106/jbjs.20.01151.Peer-Reviewed Original Research
2020
The Pathoanatomy of Posterolateral Corner Ligamentous Disruption in Multiligament Knee Injuries Is Predictive of Peroneal Nerve Injury
Kahan JB, Li D, Schneble CA, Huang P, Bullock J, Porrino J, Medvecky MJ. The Pathoanatomy of Posterolateral Corner Ligamentous Disruption in Multiligament Knee Injuries Is Predictive of Peroneal Nerve Injury. The American Journal Of Sports Medicine 2020, 48: 3541-3548. PMID: 33074710, DOI: 10.1177/0363546520962503.Peer-Reviewed Original ResearchMeSH KeywordsCollateral LigamentsHumansKnee InjuriesPeripheral Nerve InjuriesPeroneal NerveRetrospective StudiesConceptsMultiligament knee injuriesPeroneal nerve injuryPeroneal nerve palsyLateral collateral ligamentLocation of injuryNerve palsyNerve injuryPLC injuriesFibular avulsionMidsubstance tearsNeurovascular injuryKnee injuriesInjury patternsVascular injuryAcute posterolateral corner injuriesLevel 1 trauma centerPosterolateral corner injuriesZone of injuryLevel of evidenceHigh rateFemoral avulsionKnee cohortComplete injuryDistal injuriesCase series
2017
Similar 30-Day Complications for Septic Knee Arthritis Treated With Arthrotomy or Arthroscopy: An American College of Surgeons National Surgical Quality Improvement Program Analysis
Bovonratwet P, Nelson SJ, Bellamkonda K, Ondeck NT, Shultz BN, Medvecky MJ, Grauer JN. Similar 30-Day Complications for Septic Knee Arthritis Treated With Arthrotomy or Arthroscopy: An American College of Surgeons National Surgical Quality Improvement Program Analysis. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2017, 34: 213-219. PMID: 28866341, DOI: 10.1016/j.arthro.2017.06.046.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramSurgery treatment groupPerioperative complicationsSeptic kneeAdverse eventsTreatment groupsTreatment modalitiesOpen arthrotomyAmerican CollegeSurgeons National Surgical Quality Improvement Program analysisNational Surgical Quality Improvement Program analysisSurgeons National Surgical Quality Improvement ProgramMultivariate analysisSurgical Quality Improvement ProgramOperating roomSeptic knee arthritisSimilar perioperative complicationsMinor adverse eventsRate of readmissionSerious adverse eventsRetrospective comparative studyNSQIP data setsSignificant differencesQuality Improvement ProgramPatient demographics
2011
Comparison of 3D vs. 2D fast spin echo imaging for evaluation of articular cartilage in the knee on a 3T system scientific research
Milewski MD, Smitaman E, Moukaddam H, Katz LD, Essig DA, Medvecky MJ, Haims AH. Comparison of 3D vs. 2D fast spin echo imaging for evaluation of articular cartilage in the knee on a 3T system scientific research. European Journal Of Radiology 2011, 81: 1637-1643. PMID: 21683539, DOI: 10.1016/j.ejrad.2011.04.072.Peer-Reviewed Original Research
2008
Comparison of spin echo T1-weighted sequences versus fast spin-echo proton density-weighted sequences for evaluation of meniscal tears at 1.5 T
Wolff AB, Pesce LL, Wu JS, Smart LR, Medvecky MJ, Haims AH. Comparison of spin echo T1-weighted sequences versus fast spin-echo proton density-weighted sequences for evaluation of meniscal tears at 1.5 T. Skeletal Radiology 2008, 38: 21. PMID: 18696062, DOI: 10.1007/s00256-008-0561-1.Peer-Reviewed Original Research