2024
The Disruptive Physician: Bad Apple or Toxic Tree?
Ramirez RN, Mayerson JL, Lewis VO, Friedman A, Lattanza LL. The Disruptive Physician: Bad Apple or Toxic Tree? Journal of Bone and Joint Surgery. Accepted April 2024.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsElbow Stiffness in Children and Adolescents
Rey N. Ramirez, Lisa L. Lattanza. Elbow Stiffness in Children and Adolescents. In: Morrey B, editor. Morrey’s The Elbow and Its Disorders. 6th edition. Pending publication.Chapters
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 reimbursementMedicareReimbursementPhysiciansMedicare Reimbursement in Hand and Upper Extremity Procedures: A 20-Year Analysis
Weiss SN, Gilbert GV, Gentile P, et al. Medicare Reimbursement in Hand and Upper Extremity Procedures: A 20-Year Analysis. HAND. 2022;0(0).Peer-Reviewed Original ResearchCongenital Hand Anomalies
Alexander J. Davit III, Rey Ramirez MD. Congenital Hand Anomalies. In: Janis J, editor. Essentials of Plastic Surgery. 3nd ed. New York:Thieme; 2022Chapters
2021
A Virtual Curriculum to Prepare Medical Students to Achieve Accreditation Council for Graduate Medical Education Level-1 Milestones in Orthopaedic Surgery
Morley M, Kellish A, Fleischer L, Clements D, Freeland E, Ramirez R, Fedorka C, Gutowski C, Pollard M, Kim T, Kleiner M. A Virtual Curriculum to Prepare Medical Students to Achieve Accreditation Council for Graduate Medical Education Level-1 Milestones in Orthopaedic Surgery. JBJS Open Access 2021, 6: e20.00117. PMID: 34386684, PMCID: PMC8352620, DOI: 10.2106/jbjs.oa.20.00117.Peer-Reviewed Original ResearchSmall group sessionsGroup sessionsInteractive small group sessionsMedical studentsAdjunct to clinical experienceLevel 1 milestonesHealthcare system responseIn-person workshopsYear medical studentsClinical experienceAmerican Medical CollegesOrthopaedic attendingsClinical educationFracture careIn-personMedical educationPostcourse surveyMedical schoolsClinical yearsWeekly lecturesMedical CollegeMoving studentsClinical settingSchool schedulesVirtual courseTendon Transfers in Rheumatoid Arthritis
John D Dupaix, MD, Wayne A Chen, MD, Wayne A Metz Jr, MD, Rey N Ramirez, MD, John D Lubahn, MD. Tendon Transfers in Rheumatoid Arthritis. In: Wiesel SW, editor. Operative Techniques in Orthopaedic Surgery. 3nd ed. Philadelphia, PA: Lippencott Wilkins and Wilkins; 2021Chapters
2020
Finding Balance
Corinna Franklin, Rey Ramirez. Finding Balance. In: Cannada L, editor. The RJOS & Perry Initiative Medical Student Guide for Orthopaedic Surgery. Larchmont:Mary Ann Liebert, 2020Chapters
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 flexionFractures and Dislocations: Shoulder, Elbow, and Forearm
Rey Ramirez, Daniel Zlotolow. Fractures and Dislocations: Shoulder, Elbow, and Forearm. In: Goldfarb C, editor. American Society for Surgery of the Hand Textbook of Hand and Upper Extremity Surgery. 2nd ed. Chicago, IL: American Society for Surgery of the Hand, 2019Chapters
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 actionEpiphysiolysisComplicationsSequelaeCasesHand Dislocations
Lubahn J, Ramirez R, Metz R, Emerson P. Hand Dislocations. 2015, 1005-1028. DOI: 10.1007/978-1-4614-8515-5_46.Peer-Reviewed Original ResearchHand Dislocations
Patrick Emerson MD, RJ Metz MD, Rey Ramirez MD, John D Lubahn MD. Hand Dislocations. In: Abzug J, Kozin S, Zlotolow D, editors. The Pediatric Upper Extremity. 1st ed. New York, NY: Springer-Verlag; 2015. p.1005-1028ChaptersTendon Transfers in Rheumatoid Arthritis
Patrick Emerson MD, RJ Metz MD, Rey Ramirez MD, John D Lubahn MD. Tendon Transfers in Rheumatoid Arthritis. In: Wiesel SW, editor, Operative Techniques in Orthopaedic Surgery. 2nd ed. Philadelphia, PA: Lippencott Wilkins and Wilkins; 2015, p. 3092-3106Chapters
2014
A Brief Review of Extensor Tendon Injuries Specific to the Pediatric Patient
Dwyer C, Ramirez R, Lubahn J. A Brief Review of Extensor Tendon Injuries Specific to the Pediatric Patient. Hand 2014, 10: 23-27. PMID: 25767417, PMCID: PMC4349905, DOI: 10.1007/s11552-014-9706-y.Peer-Reviewed Original ResearchA 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 injuries