2024
Semiautomated Three-Dimensional Landmark Placement on Knee Models Is a Reliable Method to Describe Bone Shape and Alignment
Park N, Sieberer J, Manafzadeh A, Hackbarth R, Desroches S, Ghankot R, Lynch J, Segal N, Stefanik J, Felson D, Fulkerson J. Semiautomated Three-Dimensional Landmark Placement on Knee Models Is a Reliable Method to Describe Bone Shape and Alignment. Arthroscopy Sports Medicine And Rehabilitation 2024, 101036. DOI: 10.1016/j.asmr.2024.101036.Peer-Reviewed Original ResearchIntra-rater reliabilityMulticenter Osteoarthritis StudyExcellent inter-rater reliabilityIntra-rater reliability scoresAnatomical landmarksInter-rater reliabilityIntraclass correlation coefficientProgression of patellofemoral osteoarthritisIntra-raterOsteoarthritis StudyExcellent reliabilityPatellofemoral osteoarthritisClinical relevanceReliability scoresKnee modelPatellofemoral compartmentCartilage scoresICCTibial tuberosityAnatomical measurementsKneeLandmark displacementsLandmark reviewPotential roleCorrelation coefficientComplications and Radiographic Outcomes of Tibial Tubercle Osteotomy at Minimum 5-Year Follow-up
Yalcin S, Seals K, Joo P, Fulkerson J, Farrow L. Complications and Radiographic Outcomes of Tibial Tubercle Osteotomy at Minimum 5-Year Follow-up. Orthopaedic Journal Of Sports Medicine 2024, 12: 23259671241278722. PMID: 39430114, PMCID: PMC11489970, DOI: 10.1177/23259671241278722.Peer-Reviewed Original ResearchMidterm follow-upTibial tubercle osteotomyComplication rateFollow-upLogistic regression analysisRadiographic outcomesYears of clinical follow-up dataClinical follow-up dataRisk factorsUnivariate logistic regression analysisMultivariate logistic regression analysisGrades 3 to 4Tubercle osteotomyTreatment of patellofemoral instabilityHistory of smokingCase series studyFollow-up periodRate of patientsLong-term outcomesFollow-up dataLevel of evidenceRegression analysisPatient demographicsCase seriesPatellofemoral instabilityAnalyzing Alignment Error in Tibial Tuberosity–Trochlear Groove Distance in Clinical Scans Using 2D and 3D Methods
Sieberer J, Park N, Rancu A, Desroches S, McDonald C, Manafzadeh A, Tommasini S, Wiznia D, Fulkerson J. Analyzing Alignment Error in Tibial Tuberosity–Trochlear Groove Distance in Clinical Scans Using 2D and 3D Methods. The American Journal Of Sports Medicine 2024, 52: 2996-3003. PMID: 39320426, DOI: 10.1177/03635465241279852.Peer-Reviewed Original ResearchTibial tuberosity-trochlear groove distanceSurgical decision-makingPatellofemoral instabilityIntraclass correlation coefficientGroove distanceTreatment of patellofemoral instabilityComputed tomography scanTT-TG distanceScans of patientsPatient's legsTT-TG measurementsTibial tubercle transferKnees of patientsInterrater reliabilityGt;5 mmTomography scanSurgical planningTubercle transferScanner gantryPatientsClinical scansClinical literatureTopographic landmarksKneeDecision-makingVisualization of Trochlear Dysplasia using Three-Dimensional Curvature Analysis in Patients with Patellar Instability Facilitates Understanding and Improves the Reliability of the Entry-Point to Trochlea Groove Angle
Sieberer J, Park N, Manafzadeh A, Desroches S, Brennan K, McDonald C, Tommasini S, Wiznia D, Fulkerson J. Visualization of Trochlear Dysplasia using Three-Dimensional Curvature Analysis in Patients with Patellar Instability Facilitates Understanding and Improves the Reliability of the Entry-Point to Trochlea Groove Angle. Arthroscopy Sports Medicine And Rehabilitation 2024, 101010. DOI: 10.1016/j.asmr.2024.101010.Peer-Reviewed Original ResearchPatellofemoral instability patientsInterclass correlation coefficientInterrater reliabilityPatellofemoral instabilityLevel III-retrospective cohort studyResults Qualitative analysisIII-retrospective cohort studyTrochlear grooveClinical decision-makingRetrospective cohort studyAge-sex matched controlsCohort studyMann-Whitney U testAge-sexRecurrent patellar instabilityPatient's kneeControl kneesAP viewMatched controlsKneePatellar instabilityCT scanTrochlear dysplasiaMann-WhitneyU testPoster 251: Tibial Tuberosity to Trochlear Groove Distance (TT-TG): A Patellar Instability Gold Standard Prone to Errors?
Sieberer J, Park N, Rancu A, Manafzadeh A, Tommasini S, Wiznia D, Fulkerson J. Poster 251: Tibial Tuberosity to Trochlear Groove Distance (TT-TG): A Patellar Instability Gold Standard Prone to Errors? Orthopaedic Journal Of Sports Medicine 2024, 12: 2325967124s00220. PMCID: PMC11328310, DOI: 10.1177/2325967124s00220.Peer-Reviewed Original ResearchClinical decision-makingAngular malalignmentLongitudinal tibial axisDistal pointTT-TGClinical practiceTrochlear grooveAxial alignmentLateral patellofemoral instabilityPatellar instabilityError prevalenceKnee alignmentPatient careTibial axisDecision-makingKneeMann-Whitney U testRadiological protocolPatient's kneeFemoral posterior condylesInstitutional review boardTT-TG distanceCoronal angleExclusion criteriaControl kneesPoster 291: Entry Point-Transition Point Angle as a Novel 3-Dimensional Metric of Patellar Instability
Park N, Sieberer J, Rancu A, Manafzadeh A, McDonald C, Yu K, Wiznia D, Fulkerson J. Poster 291: Entry Point-Transition Point Angle as a Novel 3-Dimensional Metric of Patellar Instability. Orthopaedic Journal Of Sports Medicine 2024, 12: 2325967124s00258. PMCID: PMC11328264, DOI: 10.1177/2325967124s00258.Peer-Reviewed Original ResearchPatellar instabilityComputed tomographyTrochlear dysplasiaGeneral populationRecurrent dislocationDegree of dysplasiaRecurrent patellar dislocationMann-Whitney U testInstitutional review board exemptionDistal femurGeneral population cohortPatellofemoral painPatellar dislocationMann-WhitneyU testCT imagesDysplasiaAnteroposterior viewPatientsTrochlear morphologyInterclass correlationPopulation cohortNew Mexico Decedent Image DatabaseCohortFemurThe Morphologic Patella Entry Point Into The Proximal Trochlea Is More Lateral in Recurrent Dislocators Than Controls as Measured by Entry Point-Trochlear Groove Angle
Beitler B, Sieberer J, Islam W, McDonald C, Yu K, Tommasini S, Fulkerson J. The Morphologic Patella Entry Point Into The Proximal Trochlea Is More Lateral in Recurrent Dislocators Than Controls as Measured by Entry Point-Trochlear Groove Angle. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2024 PMID: 38697328, DOI: 10.1016/j.arthro.2024.04.013.Peer-Reviewed Original ResearchRecurrent patella instabilityPatella instabilityLevel III-case-control studyRecurrent dislocationRecurrent dislocation groupMann-Whitney U testCase-control studyRecurrent patella dislocationIntraclass correlation coefficientDistal femurCT scanOptimal treatmentProximal trochleaPatellar dislocationU testControlled studiesInclusion criteriaPatella dislocationSenior authorRight kneeKnee pathologyControl groupSimpleware ScanIPBayesian mixed effects modelsAP imagesThree-Dimensional Imaging of the Patellofemoral Joint Improves Understanding of Trochlear Anatomy and Pathology and Planning of Realignment
Schneble C, Yu K, Venkadesan M, Cooperman D, Beitler B, Sieberer J, Fulkerson J. Three-Dimensional Imaging of the Patellofemoral Joint Improves Understanding of Trochlear Anatomy and Pathology and Planning of Realignment. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2024 PMID: 38697330, DOI: 10.1016/j.arthro.2024.04.010.Peer-Reviewed Original ResearchSurgical Approach to Patellofemoral Pain
Schneble C, Fulkerson J. Surgical Approach to Patellofemoral Pain. 2024, 1-17. DOI: 10.1007/978-3-030-82869-1_69-1.Peer-Reviewed Original ResearchPatellofemoral painSurgical treatmentTreatment of patellofemoral painPeripatellar soft tissuesAnterior knee painSource of painPain improvementPersistent painPain sourceSurgical approachNonsurgical treatmentSurgical interventionKnee painOrthopedic providersPainPatellofemoral syndromeRealignment proceduresAlleviate symptomsSoft tissue releaseSoft tissuePatellofemoral jointTissue releaseArticular cartilageTreatmentSubchondral bone
2023
Tibial Tubercle Osteotomy: Anterior, Medial and Distal Corrections
Schneble C, Tucker B, Fulkerson J. Tibial Tubercle Osteotomy: Anterior, Medial and Distal Corrections. Operative Techniques In Sports Medicine 2023, 31: 151032. DOI: 10.1016/j.otsm.2023.151032.Peer-Reviewed Original ResearchThree-Dimensional Printing of Models of Patellofemoral Joint Articular Cartilage in Patients With Patella Instability for Observing Joint Congruity
Beitler B, Kunsel K, Yu K, Wang A, Tommasini S, Wiznia D, Fulkerson J. Three-Dimensional Printing of Models of Patellofemoral Joint Articular Cartilage in Patients With Patella Instability for Observing Joint Congruity. Arthroscopy Techniques 2023, 12: e1853-e1858. PMID: 37942111, PMCID: PMC10628265, DOI: 10.1016/j.eats.2023.06.016.Peer-Reviewed Original ResearchPoster 270: Joint Preservation and Complications of Tibial Tubercle Osteotomy at a Minimum of 5- Year Follow-up
Seals K, Joo P, Saluan P, Fulkerson J, Farrow L, Yalcin S. Poster 270: Joint Preservation and Complications of Tibial Tubercle Osteotomy at a Minimum of 5- Year Follow-up. Orthopaedic Journal Of Sports Medicine 2023, 11: 2325967123s00248. PMCID: PMC10392429, DOI: 10.1177/2325967123s00248.Peer-Reviewed Original ResearchTibial tubercle osteotomyRate of progressionLogistic regression analysisComplication rateKnee osteoarthritisPatellar instabilityPostoperative complicationsLigament reconstructionTubercle osteotomyMultivariable modelConcomitant anterior cruciate ligament reconstructionKellgren-Lawrence grade IIIAnterior cruciate ligament reconstructionMultivariable logistic regression analysisMedial patellofemoral ligament reconstructionTTO procedureOverall complication rateIncidence of complicationsMajor complication rateRate of patientsCruciate ligament reconstructionRisk of complicationsPatellofemoral ligament reconstructionTotal knee arthroplastyDistal femoral osteotomyIncidence of Early Adverse Events After Tibial Tubercle Osteotomy
Yalcin S, Seals K, McLaughlin W, Fulkerson J, Farrow L. Incidence of Early Adverse Events After Tibial Tubercle Osteotomy. Orthopaedic Journal Of Sports Medicine 2023, 11: 23259671231178345. PMID: 37441509, PMCID: PMC10334009, DOI: 10.1177/23259671231178345.Peer-Reviewed Original ResearchTibial tubercle osteotomyMultivariable logistic regression analysisTibial tubercle distalizationCatheter-related complicationsIncidence of readmissionPredictors of readmissionBody mass indexLong-term outcomesLevel of evidenceLogistic regression analysisTTO procedureChondral proceduresNumber of screwsPerioperative complicationsPostoperative painWound complicationsAdverse eventsEpidural catheterPerioperative periodCase seriesMass indexSmoking statusPreoperative diagnosisTubercle osteotomyTourniquet useThree-Dimensional Reproductions for Surgical Decision-Making in the Treatment of Recurrent Patella Dislocation
Yu K, Beitler B, Cooperman D, Frumberg D, Schneble C, McLaughlin W, Fulkerson J. Three-Dimensional Reproductions for Surgical Decision-Making in the Treatment of Recurrent Patella Dislocation. Arthroscopy Techniques 2023, 12: e807-e811. PMID: 37424639, PMCID: PMC10323671, DOI: 10.1016/j.eats.2023.02.010.Peer-Reviewed Original ResearchRecurrent patella dislocationPatellofemoral jointPatella dislocationTrochlea dysplasiaSurgical decisionPatellofemoral instabilityJoint stabilityPatellar trackingOsseous factorsComplex anatomyDysplasiaSurgical planningFemoral trochleaSoft tissuePatientsTreatmentThree-dimensional reproductionClassification systemSurgicalLocalization of the Adductor Tubercle in the Skeletally Immature: A Computed Tomography Study With Patellofemoral Surgical Implications
Jabbouri S, McLaughlin W, Joo P, Cooperman D, Fulkerson J, Frumberg D. Localization of the Adductor Tubercle in the Skeletally Immature: A Computed Tomography Study With Patellofemoral Surgical Implications. The American Journal Of Sports Medicine 2023, 51: 1792-1798. PMID: 37093662, DOI: 10.1177/03635465231166027.Peer-Reviewed Original ResearchConceptsMedial patellofemoral ligamentAdductor magnus tendonAdductor tubercleTendon insertionMQTFL reconstructionPediatric patientsTomography scanDistal femurAnchor placementMale pediatric patientsDistal femoral physisFellowship-trained musculoskeletal radiologistsComputed tomography studyMale cadaveric specimensProximal-distal orientationAnterior-posterior distanceDescriptive laboratory studyImmature patientsSkeletally immatureLigament reconstructionFemoral physisPatellofemoral ligamentSurgical implicationsPatellofemoral instabilityMusculoskeletal radiologistsThree-Dimensional Printing of the Patellofemoral Joints of Patellar Instability Patients
Beitler B, Yu K, Wang A, Frumberg D, Tommasini S, Wiznia D, Cooperman D, Lattanza L, Fulkerson J. Three-Dimensional Printing of the Patellofemoral Joints of Patellar Instability Patients. Arthroscopy Techniques 2023, 12: e401-e406. PMID: 37013007, PMCID: PMC10066413, DOI: 10.1016/j.eats.2022.11.023.Peer-Reviewed Original Research
2022
Reconceptualization of Trochlear Dysplasia in Patients With Recurrent Patellar Dislocation Using 3-Dimensional Models
Yu K, Cooperman D, Schneble C, McLaughlin W, Beitler B, Kaliney R, Wang A, Fulkerson J. Reconceptualization of Trochlear Dysplasia in Patients With Recurrent Patellar Dislocation Using 3-Dimensional Models. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221138257. PMID: 36458105, PMCID: PMC9706073, DOI: 10.1177/23259671221138257.Peer-Reviewed Original ResearchRecurrent patellar dislocationPatellar dislocationTrochlear dysplasiaProximal trochleaTomography scanControl kneesTrochlear grooveFemoral condyleHealthy control kneesIntercondylar notch roofProximal trochlear grooveComputed tomography scanCross-sectional studyLevel of evidenceDistal femoral condylePosterior femoral condylesLateral trochlear ridgeNotch roofMediolateral positioningNovel 3D measurement methodPatientsKneeDysplasiaSurgical planningOsseous anatomyCoronal Malalignment—When and How to Perform a Tibial Tubercle Osteotomy
Gardner EC, Molho DA, Fulkerson JP. Coronal Malalignment—When and How to Perform a Tibial Tubercle Osteotomy. Clinics In Sports Medicine 2022, 41: 15-26. PMID: 34782071, DOI: 10.1016/j.csm.2021.07.008.Peer-Reviewed Original ResearchConceptsTibial tubercle osteotomyTubercle osteotomyCoronal malalignmentDistal realignment proceduresMultiplanar osteotomyArticular injuriesPatellofemoral jointJoint overloadRealignment proceduresOrthopaedic surgeonsMuscular factorsJoint biomechanicsOsteotomyPatient-specific treatmentComplex pathoanatomySoft tissueMalalignmentComplicationsPainSurgeryInjury
2021
Quadriceps Tendon Attachment Technique for Medial Quadriceps Tendon-Femoral Ligament (MQTFL) Reconstruction in the Surgical Treatment of Recurrent Patella Dislocation
Yu KE, Barden B, Molho DA, Reed DN, Schneble C, McLaughlin W, Fulkerson JP. Quadriceps Tendon Attachment Technique for Medial Quadriceps Tendon-Femoral Ligament (MQTFL) Reconstruction in the Surgical Treatment of Recurrent Patella Dislocation. Arthroscopy Techniques 2021, 11: e95-e98. PMID: 35127434, PMCID: PMC8807880, DOI: 10.1016/j.eats.2021.09.009.Peer-Reviewed Original ResearchRecurrent patella dislocationPatella dislocationLigament reconstructionSurgical treatmentQuadriceps tendonReconstruction graftMedial patellofemoral ligament reconstructionOptimal graft lengthRectus femoris tendonPatellofemoral ligament reconstructionPatellofemoral joint stabilityFracture riskMPFL reconstructionFemoris tendonVastus medialisAnatomic reconstructionGraft orientationJoint stabilityAnatomic midpointGraftGraft lengthPatella apexTendonTreatmentPatientsThe Patellofemoral Joint: A Case-Based Approach
Abdelkafy A, Fulkerson J, Kuroda R. The Patellofemoral Joint: A Case-Based Approach. 2021, 111-115. DOI: 10.1007/978-3-030-81545-5_10.Peer-Reviewed Original ResearchPatellar dislocationAcute traumatic patellar dislocationsSurgical treatment optionsDifferent surgical optionsAcute patellar dislocationHigh recurrence rateTraumatic patellar dislocationConservative treatmentDefinitive managementSurgical optionsRecurrence rateTreatment optionsPatellofemoral jointArthroscopy resultsCase-based approachPainPatientsOptionsPathoanatomy