2022
Race, Gender, and Primary Language Were Not Associated With Changes in Opioid Prescribing in Children: Results From a Single Institution, 2010 to 2020
Begley B, Cerniglia K, Aboelatta M, Begum L, Gilbert G, Mathew J, Meixner S, Franklin C, Ramirez R. Race, Gender, and Primary Language Were Not Associated With Changes in Opioid Prescribing in Children: Results From a Single Institution, 2010 to 2020. Clinical Orthopaedics And Related Research® 2022, 481: 338-344. PMID: 36125497, PMCID: PMC9831194, DOI: 10.1097/corr.0000000000002414.Peer-Reviewed Original ResearchConceptsMorphine milligram equivalentsPrescribed more medicationsAmount of opiatesPatient ageOpioid prescribingAmount of pain medicationPrimary languageOpioid prescription amountsYear of treatmentWilcoxon rank sum testLong-bone fracturesTime of admissionPediatric orthopaedic populationRank sum testTime of dischargeAssociation of ageChi-square testMilligram equivalentsPain medicationHospital discharge recordsOpiate prescriptionPrescribed opiatesTwo-part model analysisSingle institutionsExtremity fracturesMedicare Reimbursement in Hand and Upper Extremity Procedures: A 20-Year Analysis
Weiss S, Gilbert G, Gentile P, Gaughan J, Miskiel S, Pagliaro A, Ramirez R, Fuller D. Medicare Reimbursement in Hand and Upper Extremity Procedures: A 20-Year Analysis. Hand 2022, 19: 175-179. PMID: 38149769, PMCID: PMC10786100, DOI: 10.1177/15589447221096708.Peer-Reviewed Original ResearchConceptsCenters for Medicare & Medicaid ServicesUS dollarsConsumer price indexPhysician feesUpper extremity proceduresConstant US dollarsPhysician reimbursementMonetary dataMedicare physician feesExtremity proceduresFinancial databaseCurrent Procedural Terminology</i>InflationUpper extremity surgical proceduresLinear regressionReimbursement ratesMedicaid ServicesMedicare reimbursement ratesOrthopedic handFeesSurgical proceduresMedicare reimbursementMedicareReimbursementPhysicians
2019
Racial Diversity in Orthopedic Surgery
Ramirez R, Franklin C. Racial Diversity in Orthopedic Surgery. Orthopedic Clinics Of North America 2019, 50: 337-344. PMID: 31084836, DOI: 10.1016/j.ocl.2019.03.010.Peer-Reviewed Original ResearchThe Effects of Age on the Outcomes of Elbow Release in Arthrogryposis
Richards C, Ramirez R, Kozin S, Zlotolow D. The Effects of Age on the Outcomes of Elbow Release in Arthrogryposis. The Journal Of Hand Surgery 2019, 44: 898.e1-898.e6. PMID: 30660396, DOI: 10.1016/j.jhsa.2018.11.013.Peer-Reviewed Original ResearchConceptsPosterior elbow releaseArc of motionPostoperative arc of motionElbow releaseElbow motionPassive arcElbow extension contracturesAverage postoperative arc of motionAverage preoperative arc of motionFollow-upChildren 2Retrospective chart review of patientsChart review of patientsMedium-term follow-upPreoperative arc of motionClinically important differenceReview of patientsRetrospective chart reviewTime of surgeryClinically important increaseExtension contractureTherapeutic IVImportant differencePostoperative arcPostoperative flexion
2017
Combined Elbow Release and Humeral Rotational Osteotomy in Arthrogryposis
Ramirez R, Richards C, Kozin S, Zlotolow D. Combined Elbow Release and Humeral Rotational Osteotomy in Arthrogryposis. The Journal Of Hand Surgery 2017, 42: 926.e1-926.e9. PMID: 28716382, DOI: 10.1016/j.jhsa.2017.06.005.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentArthrogryposisBone NailsBone PlatesChildChild, PreschoolCohort StudiesCombined Modality TherapyContractureElbowExercise TherapyFemaleHumansHumerusMaleOrthopedic ProceduresOsteotomyPostoperative CarePrognosisRadiographyRange of Motion, ArticularRecovery of FunctionRetrospective StudiesRotationTreatment OutcomeConceptsArc of motionElbow extension contracturesPosterior elbow releaseMidterm follow-upElbow releaseEarly follow-upFollow-upHumeral rotational osteotomyExtension contractureRetrospective chart review of consecutive patientsChart review of consecutive patientsReview of consecutive patientsInternal rotation contractureAvailable follow-up dataLong-term follow-upHumeral osteotomyRetrospective chart reviewDate of surgeryRotational osteotomyYear follow-upFollow-up dataElbow extensionRotation contractureStatistically significant differenceConsecutive patientsDoes a Weekly Didactic Conference Improve Resident Performance on the Pediatric Domain of the Orthopaedic In-Training Examination?
Franklin C, Bosch P, Grudziak J, Dede O, Ramirez R, Mendelson S, Ward W, Brooks M, Kenkre T, Lubahn J, Deeney V, Roach J. Does a Weekly Didactic Conference Improve Resident Performance on the Pediatric Domain of the Orthopaedic In-Training Examination? Journal Of Pediatric Orthopaedics 2017, 37: 149-153. PMID: 26866645, DOI: 10.1097/bpo.0000000000000726.Peer-Reviewed Original ResearchConceptsOrthopaedic In-Training ExaminationPediatric domainsOrthopaedic In-Training Examination scoresIn-Training ExaminationResident performanceAssociated with better scoresMean percentileOITE examinationsPost graduate yearFrequent attendersPediatric rotationPediatric orthopaedic surgeryDidactic conferencesMean scoreResident scoresGraduation yearResidency programsNo significant differenceOrthopaedic residency programsAmerican Board of Orthopaedic Surgery examinationWells scoreAmerican BoardDidactic lecture seriesSurgery examinationOITE scores
2015
Digital Chondrolysis and Epiphysiolysis Associated With Snakebite
Ramirez R, Umberhandt R, Oishi S, Ezaki M. Digital Chondrolysis and Epiphysiolysis Associated With Snakebite. Journal Of Pediatric Orthopaedics 2015, 35: e60-e64. PMID: 25887837, DOI: 10.1097/bpo.0000000000000499.Peer-Reviewed Original ResearchConceptsComplications of envenomationProximal interphalangeal joint fusionUnusual sequelaeLevel IVInterphalangeal joint fusionPreventive treatmentPatientsIsolated casesJoint fusionChondrolysisPediatric handVenomous bitesGrowth platePhysealAction of snake venomToxic actionEpiphysiolysisComplicationsSequelaeCases
2014
A Line Drawn Along the Radial Shaft Misses the Capitellum in 16% of Radiographs of Normal Elbows
Ramirez R, Ryan D, Williams J, Wren T, Ibrahim D, Weiss J, Kay R, Lightdale-Miric N, Skaggs D. A Line Drawn Along the Radial Shaft Misses the Capitellum in 16% of Radiographs of Normal Elbows. Journal Of Pediatric Orthopaedics 2014, 34: 763-767. PMID: 24787305, DOI: 10.1097/bpo.0000000000000199.Peer-Reviewed Original ResearchConceptsRadial neckMiddle thirdRadiocapitellar linePediatric elbowRadial shaftMonteggia fracturesNormal elbowsPatient variablesLateral viewYears of ageDiagnostic Level 3Elbow injuriesPatient sizeOlder patientsLateral radiographsRadiographic measurementsPatientsAnteroposterior viewCapitellumElbowNeckRadiographsInjuryMonteggiaEvaluate injuriesPrevention of Anterior Cruciate Ligament Rupture in Female Athletes
Ramirez R, Baldwin K, Franklin C. Prevention of Anterior Cruciate Ligament Rupture in Female Athletes. JBJS Reviews 2014, 2: &na;. PMID: 27490154, DOI: 10.2106/jbjs.rvw.m.00129.Peer-Reviewed Original ResearchConceptsEffectiveness of neuromuscular training programsRisk of ACL ruptureNeuromuscular training programAnterior cruciate ligament ruptureFemale athletesTraining programAnterior cruciate ligamentACL ruptureOdds ratioSystematic reviewPrevent ACL injuriesEgger regression methodsIn-seasonOptimal training programsNo significant publication biasCharacteristics of participantsDerSimonian-Laird random-effects modelDesign of intervention programsTherapeutic Level IISignificant publication biasDescription of levels of evidenceRandom-effects modelCochrane Central Register of Controlled Trials databasesLevel of evidenceSoccer playersUlnar Mammary Syndrome
Ramirez R, Kozin S. Ulnar Mammary Syndrome. The Journal Of Hand Surgery 2014, 39: 803-805. PMID: 24679913, DOI: 10.1016/j.jhsa.2014.01.024.Peer-Reviewed Original ResearchBoth Bone Forearm Fractures in Children and Adolescents, Which Fixation Strategy Is Superior — Plates or Nails? A Systematic Review and Meta-Analysis of Observational Studies
Baldwin K, Morrison M, Tomlinson L, Ramirez R, Flynn J. Both Bone Forearm Fractures in Children and Adolescents, Which Fixation Strategy Is Superior — Plates or Nails? A Systematic Review and Meta-Analysis of Observational Studies. Journal Of Orthopaedic Trauma 2014, 28: e8-e14. PMID: 23542745, DOI: 10.1097/bot.0b013e31829203ea.Peer-Reviewed Original ResearchConceptsBone forearm fracturesIntramedullary nailingForearm fracturesDerSimonian and Laird random-effects modelMethods of operative fixationLaird random effects modelScrew constructsFixation strategiesRandom-effects modelReduction internal fixationStudy qualityFunnel plotOperative fixationPublication biasSystematic reviewEgger's statisticsBBFFDichotomous variablesMeta-analysisFracture unionStudy objectiveInternal fixationFunctional outcomesDelayed unionSuperior plating
2009
Desmoid tumor in the pediatric population: a report of two cases
Ramirez R, Otsuka N, Apel D, Bowen R. Desmoid tumor in the pediatric population: a report of two cases. Journal Of Pediatric Orthopaedics B 2009, 18: 141-144. PMID: 19322113, DOI: 10.1097/bpb.0b013e3283298923.Peer-Reviewed Original Research