Featured Publications
Examining 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 injuriesOver 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 IExamining 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 ResearchConceptsBone 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 ligamentNo Difference in Complication or Reoperation Rates Between Arthroscopic and Open Debridement for Lateral Epicondylitis: A National Database Study
Moran J, Gillinov SM, Jimenez AE, Schneble CA, Manzi JE, Vaswani R, Mathew JI, Nicholson AD, Kunze KN, Gulotta LV, Altchek DW, Dines JS. No Difference in Complication or Reoperation Rates Between Arthroscopic and Open Debridement for Lateral Epicondylitis: A National Database Study. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 245-252. PMID: 36049587, DOI: 10.1016/j.arthro.2022.08.022.Peer-Reviewed Original ResearchConceptsArthroscopic debridementReoperation rateOpen debridementLateral epicondylitisPlatelet-rich plasma injectionExtensor carpi radialis brevisNational database studyRadial nerve injuryNonoperative treatment modalitiesSurgical site infectionCarpi radialis brevisCommon extensor tendonICD-10 codesCross-sectional studyLogistic regression analysisSignificant differencesOD cohortCorticosteroid injectionNonoperative treatmentPostoperative complicationsSepsis eventsAdverse eventsComplication rateNerve injurySite infectionThe Posterior Trans-Septal Portal in Knee Arthroscopy Review of the Technique Evolution, Indications, and Technical Pearls.
Moran J, Schneble C, Kahan J, Tyagi S, Miller M, Medvecky M. The Posterior Trans-Septal Portal in Knee Arthroscopy Review of the Technique Evolution, Indications, and Technical Pearls. Bulletin Of The NYU Hospital For Joint Disease 2023, 81: 109-117. PMID: 37200328.Peer-Reviewed Original ResearchTreatment of a Failed Posterior Cruciate Ligament Avulsion Fracture Fixation in a Skeletally Immature Patient
Moran J, Homan M, LaPrade C, Kennedy N, LaPrade R. Treatment of a Failed Posterior Cruciate Ligament Avulsion Fracture Fixation in a Skeletally Immature Patient. JBJS Case Connector 2023, 13: e23.00165. PMID: 37556573, DOI: 10.2106/jbjs.cc.23.00165.Peer-Reviewed Original ResearchConceptsPosterior cruciate ligament avulsion fractureFibular collateral ligament reconstructionRevision PCL reconstructionSkeletally Immature PatientsPosterior tibial slopeCollateral ligament reconstructionAge 17 yearsAge 13 yearsImmature patientsNonoperative managementAvulsion fractureLigament reconstructionOpen reductionPediatric patientsClinical outcomesTibial physisPCL reconstructionInternal fixationTibial slopePrimary ORIFFracture fixationPersistent instabilityRadiographic measurementsImmature girlStress radiographic measurementsCombined Repair of Medial Meniscal Ramp Lesions and Posterior Root Tears of the Lateral Meniscus During Anterior Cruciate Ligament Reconstruction
Moran J, Homan M, LaPrade C, Kennedy N, LaPrade R. Combined Repair of Medial Meniscal Ramp Lesions and Posterior Root Tears of the Lateral Meniscus During Anterior Cruciate Ligament Reconstruction. JBJS Case Connector 2023, 13: e22.00659. PMID: 36795863, DOI: 10.2106/jbjs.cc.22.00659.Peer-Reviewed Original ResearchConceptsMedial meniscal ramp lesionsAnterior cruciate ligament reconstructionMeniscal ramp lesionsCruciate ligament reconstructionLateral meniscus root tearsRamp lesionsLigament reconstructionRevision anterior cruciate ligament reconstructionRoot tearsRevision ACL reconstructionShort-term outcomesPosterior root tearMeniscus root tearsTranstibial pullout repairACL reconstructionClinical outcomesCase reportCombined repairLateral meniscusOne-yearPullout repairRepair techniquesPatientsLesionsTearsEstablishing a Consensus Definition of a Knee Fracture-Dislocation (Schenck Knee Dislocation V) Using a Global Modified Delphi Method
Medvecky M, Kahan J, Richter D, McLaughlin W, Moran J, Islam W, Miller M, Wascher D, Treme G, Campos T, Held M, Schenck R. Establishing a Consensus Definition of a Knee Fracture-Dislocation (Schenck Knee Dislocation V) Using a Global Modified Delphi Method. Journal Of Bone And Joint Surgery 2023, 105: 1182-1192. PMID: 37352339, DOI: 10.2106/jbjs.23.00039.Peer-Reviewed Original ResearchConceptsCompression fracturesArticular fracturesResponse rateFracture patternsInferior pole fractureTibial tubercle fracturesMultiligamentous knee injuriesKnee ligament injuriesTibial plateau fracturesWeight-bearing surfaceSpecific fracture patternsTubercle fracturesAvulsion fractureFracture dislocationKnee injuriesLigament injuryBody fracturesComplex injuriesPlateau fracturesSurface involvementType IIIbType IIIAConsensus definitionClinical scenariosDelphi techniqueExtensor Mechanism Disruption Impacts Treatment of Dislocated and Multiligament Injured Knees
Medvecky M, Kahan J, Richter D, Islam W, McLaughlin W, Moran J, Alaia M, Miller M, Wascher D, Treme G, Campos T, Held M, Schenck R, Group T. Extensor Mechanism Disruption Impacts Treatment of Dislocated and Multiligament Injured Knees. Journal Of Bone And Joint Surgery 2023, 105: 1012-1019. PMID: 37186688, DOI: 10.2106/jbjs.23.00079.Peer-Reviewed Original ResearchConceptsMultiligament knee injuriesTreatment algorithmResponse rateExtensor mechanism disruptionLittle clinical evidenceLarge case seriesTreatment of patientsClinical outcome dataNumerous clinical factorsPositive consensusClassic Delphi techniqueInitial surgeryMechanism disruptionClinical factorsInjured kneesRare injuryCase seriesKnee injuriesProspective studyClinical evidenceOptimal treatmentLigamentous reconstructionTreatment decisionsOutcome dataClinical scenariosHigh Rate of Clinically Meaningful Achievement in Outcomes After Subacromial Balloon Spacer Implantation for Massive Irreparable Rotator Cuff Tears: A Systematic Review and Meta-analysis
Kunze K, Moran J, Cecere R, Taylor S, Fu M, Warren R, Dines D, Gulotta L, Dines J. High Rate of Clinically Meaningful Achievement in Outcomes After Subacromial Balloon Spacer Implantation for Massive Irreparable Rotator Cuff Tears: A Systematic Review and Meta-analysis. The American Journal Of Sports Medicine 2023, 52: 286-294. PMID: 36946876, DOI: 10.1177/03635465231155916.Peer-Reviewed Original ResearchConceptsMassive irreparable rotator cuff tearsPatient acceptable symptom stateIrreparable rotator cuff tearsSubstantial clinical benefitRotator cuff tearsConstant-Murley scoreNumeric rating scaleOxford Shoulder ScoreSpacer implantationMCID achievementCuff tearsSystematic reviewPASS achievementASES scoreShoulder ScorePooled rateMeaningful improvementsFreeman-Tukey double arcsine transformationMassive Irreparable Rotator CuffRating ScaleOverall pooled rateAcceptable symptom stateElbow Surgeons scoreIrreparable Rotator CuffDouble arcsine transformationIncidence, Timing, and Risk Factors for 5-Year Revision Surgery After Autologous Chondrocyte Implantation in 533 Patients
Gillinov SM, Fosam A, Burroughs PJ, Schneble CA, McLaughlin WM, Moran J, Jimenez AE, Grauer JN, Medvecky MJ. Incidence, Timing, and Risk Factors for 5-Year Revision Surgery After Autologous Chondrocyte Implantation in 533 Patients. The American Journal Of Sports Medicine 2022, 50: 2893-2899. PMID: 35916771, DOI: 10.1177/03635465221111115.Peer-Reviewed Original ResearchConceptsBony realignment proceduresAutologous chondrocyte implantationBody mass indexPrimary Autologous Chondrocyte ImplantationRevision surgeryRisk factorsRealignment proceduresPostoperative yearKnee arthroplastyFemale sexChondrocyte implantationECI scoresElixhauser comorbidity index scoreChondral defectsComorbidity Index scoreKaplan-Meier analysisLarge national cohortUnicompartmental knee arthroplastyTotal knee arthroplastyOsteochondral allograft transplantationLevel of evidenceOsteochondral autograft transferArticular cartilage proceduresFull-thickness chondral defectsChondral proceduresSubacromial Balloon Spacer Implantation for Massive Irreparable Rotator Cuff Tears Is Associated With Restoration of the Acromiohumeral Interval and Glenohumeral Center of Pressure: A Systematic Review and Meta-Analysis of Controlled Laboratory Studies
Kunze K, Moran J, Taylor S, Fu M, Rodeo S, Warren R, Dines D, Gulotta L, Dines J. Subacromial Balloon Spacer Implantation for Massive Irreparable Rotator Cuff Tears Is Associated With Restoration of the Acromiohumeral Interval and Glenohumeral Center of Pressure: A Systematic Review and Meta-Analysis of Controlled Laboratory Studies. The American Journal Of Sports Medicine 2023, 51: 3870-3879. PMID: 36883577, DOI: 10.1177/03635465221150652.Peer-Reviewed Original ResearchConceptsIrreparable rotator cuff tearsSubacromial balloon spacerRotator cuff tearsMassive irreparable rotator cuff tearsIrreparable Rotator CuffBalloon spacerCuff tearsHumeral head positionSystematic reviewClinical benefitRotator cuffShoulder abductionMassive Irreparable Rotator CuffTear stateCadaveric modelOvid/MedlineLevel of evidenceDerSimonian-Laird methodGlenohumeral centerSubacromial contact pressureHead positionGlenohumeral contact pressureHumeral head translationAnteroinferior translationAcromiohumeral interval
2024
After Primary Total Shoulder Arthroplasty, Factors Associated with Returning to the Same Surgeon for Subsequent Total Shoulder Arthroplasty
Gouzoulis M, Halperin S, Seddio A, Wilhelm C, Moran J, Donohue K, Jimenez A, Grauer J. After Primary Total Shoulder Arthroplasty, Factors Associated with Returning to the Same Surgeon for Subsequent Total Shoulder Arthroplasty. JAAOS Global Research And Reviews 2024, 8: e24.00117. PMID: 39401371, PMCID: PMC11473060, DOI: 10.5435/jaaosglobal-d-24-00117.Peer-Reviewed Original ResearchConceptsTotal shoulder arthroplastyShoulder arthroplastyAdverse eventsPrimary total shoulder arthroplastyTotal shoulder arthroplasty patientsAnatomic total shoulder arthroplastyPatient satisfactionDepression diagnosisMinority of patientsPostoperative adverse eventsAssociated with decreased oddsRevision TSAFactors associated with returnSame surgeonContralateral surgeryElixhauser Comorbidity IndexIpsilateral shoulderFemale sexComorbidity indexMultivariate analysisRevision surgeryComorbidity burdenPatientsImprove patient satisfactionSurgeonsA 10-year perspective on the question of whether surgeries for adolescent idiopathic scoliosis are “one and done”?
Gouzoulis M, Joo P, Jeong S, Jabbouri S, Moran J, Zhu J, Grauer J. A 10-year perspective on the question of whether surgeries for adolescent idiopathic scoliosis are “one and done”? Spine Deformity 2024, 12: 903-908. PMID: 38555557, DOI: 10.1007/s43390-024-00858-3.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisIdiopathic scoliosisRisk factorsAssociated with male sexTime of surgeryLong-term outcomesYear follow-upMultivariate regressionMonths to 2Reoperation incidenceReoperation ratePSF patientsExcellent outcomesPediatric surgeonsReoperationMale sexFollow-upStudy cohortPatient characteristicsPatient counselingSurgeryConclusionsThe current studyInterquartile rangeScoliosis fusionResultsIn total
2023
Examining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries: Response
Moran J, LaPrade R, Medvecky M. Examining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries: Response. The American Journal Of Sports Medicine 2023, 51: np59-np60. PMID: 38031752, DOI: 10.1177/03635465231198498.Peer-Reviewed Original ResearchRates of subsequent surgeries after meniscus repair with and without concurrent anterior cruciate ligament reconstruction
Kahan J, Burroughs P, Petit L, Schneble C, Joo P, Moran J, Modrak M, Mclaughlin W, Nasreddine A, Grauer J, Medvecky M. Rates of subsequent surgeries after meniscus repair with and without concurrent anterior cruciate ligament reconstruction. PLOS ONE 2023, 18: e0294964. PMID: 38015977, PMCID: PMC10684064, DOI: 10.1371/journal.pone.0294964.Peer-Reviewed Original ResearchConceptsConcurrent anterior cruciate ligament reconstructionAnterior cruciate ligament reconstructionSecondary surgery rateCruciate ligament reconstructionSurgery ratesMeniscus repairLigament reconstructionKnee surgeryArthroscopic anterior cruciate ligament reconstructionMeniscal repairSecondary surgical proceduresLarge national databaseLarge patient databaseSubsequent surgerySecondary proceduresSecondary surgeryLarge cohortSurgical proceduresPatient databasePatientsSurgeryCohortNational databaseSignificant differencesRepairChanges in Body Composition and Athletic Performance in National Collegiate Athletic Association Division I Female Field Hockey Athletes Throughout a Competitive Season
Summer L, Cheng R, Moran J, Lee M, Belanger A, Taylor W, Gardner E. Changes in Body Composition and Athletic Performance in National Collegiate Athletic Association Division I Female Field Hockey Athletes Throughout a Competitive Season. The Journal Of Strength And Conditioning Research 2023, 38: 146-152. PMID: 37815263, DOI: 10.1519/jsc.0000000000004591.Peer-Reviewed Original ResearchConceptsNational Collegiate Athletic AssociationHockey athletesField hockey athletesPerformance measuresAthletic performanceAthletic performance measuresCompetitive seasonBody fat percentageAthletic AssociationDual x-ray absorptiometryCompetitive successBody compositionHockey teamFat massFat percentagePro-agility shuttleLean massField playersAthletesAndroid fat massBody composition measurementsAssessment of body compositionVertical jumpPro-agilityRegional body composition measurementsLong-Term Patient Outcomes for Treatment of Difficult Osteochondral Lesions of the Talus with Particulated Juvenile Allograft Cartilage Implantation ± Calcaneal Autograft: A Cohort Study
Manzi J, Manchanda K, Nasra M, Sudah S, Coladonato C, Quan T, Wishman M, Moran J, Murray D, Chapman C. Long-Term Patient Outcomes for Treatment of Difficult Osteochondral Lesions of the Talus with Particulated Juvenile Allograft Cartilage Implantation ± Calcaneal Autograft: A Cohort Study. European Journal Of Orthopaedic Surgery & Traumatology 2023, 34: 561-568. PMID: 37650974, DOI: 10.1007/s00590-023-03642-7.Peer-Reviewed Original ResearchConceptsJuvenile allograft cartilage implantationCalcaneal bone graftJuvenile allograft cartilageLarger lesion sizeLesion sizeCalcaneal autograftCohort studyCartilage implantationBone graftAllograft cartilageLong-term patient outcomesBone graft patientsFAAM Sports scoreFAAM-ADL scoresPost-operative PROMsRetrospective cohort studyFunctional outcome scoresSF-36 PCSLong-term patientsBone graft useLevel of evidenceIIIBone graft implantationConclusionWhile patientsFinal followGraft patientsLow Rates of 5-Year Secondary Surgery and Postoperative Complications After Primary Hip Arthroscopy in More Than 30,000 Patients
Gillinov S, Kim D, Moran J, Lee M, Fong S, Mahatme R, Simington J, Owens J, McLaughlin W, Grauer J, Jimenez A. Low Rates of 5-Year Secondary Surgery and Postoperative Complications After Primary Hip Arthroscopy in More Than 30,000 Patients. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2023, 39: 1639-1648. PMID: 37286283, DOI: 10.1016/j.arthro.2023.01.100.Peer-Reviewed Original ResearchConceptsPrimary hip arthroscopySecondary surgery rateMultivariate logistic regressionSecondary surgeryHip arthroscopySurgery ratesRisk factorsFemale sexLabral tearsTenth RevisionHip arthroplastyLabral repairInternational ClassificationClass II/III obesityLogistic regressionPrevious hip arthroscopyClass I obesityPostoperative complication rateRate of complicationsFive-year ratesDay of surgeryFrequent surgical procedureKaplan-Meier analysisTotal hip arthroplastyLarge national datasetOver 50% of Studies Report Low-Back Pain Is Associated With Worse Outcomes After Hip Arthroscopy When Compared With a Control Group: A Systematic Review
Lee M, Mahatme R, Simington J, Gillinov S, Kim D, Moran J, Islam W, Fong S, Pettinelli N, Lee A, Jimenez A. Over 50% of Studies Report Low-Back Pain Is Associated With Worse Outcomes After Hip Arthroscopy When Compared With a Control Group: A Systematic Review. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2023, 39: 2547-2567. PMID: 37207922, DOI: 10.1016/j.arthro.2023.05.004.Peer-Reviewed Original ResearchConceptsLow back pathologyPatient-reported outcomesPrimary hip arthroscopyHip arthroscopySystematic reviewClinical benefitHip-spine syndromeOutcomes of patientsLow back painLevel IV studiesFemoroacetabular impingement syndromeMeta-Analyses (PRISMA) criteriaPreferred Reporting ItemsCochrane TrialsPostoperative outcomesImpingement syndromeCase reportInferior outcomesWorse outcomesFavorable outcomeLevel IVPatientsReporting ItemsControl groupArthroscopy