Featured Publications
Investigating the Bone Bruise Patterns in Pediatric Patients With Contact and Noncontact Acute Anterior Cruciate Ligament Tears: A Multicenter Study
Moran J, Amaral J, Lee M, Jones R, Gross P, Katz L, Wang A, Carrino J, Jimenez A, Chhabra B, Kan J, Smith B, Gladstein A, McKay S, LaPrade R, Fabricant P, Medvecky M. Investigating the Bone Bruise Patterns in Pediatric Patients With Contact and Noncontact Acute Anterior Cruciate Ligament Tears: A Multicenter Study. The American Journal Of Sports Medicine 2024, 52: 2456-2463. PMID: 39101652, DOI: 10.1177/03635465241264282.Peer-Reviewed Original ResearchMagnetic resonance imagingMechanism of injuryBone bruise patternPreoperative MRI scansACL tearsBone bruisesNoncontact ACL tearsPediatric patientsPresence of bone bruiseMeniscus tearsFat-suppressed T2-weighted imagesAcute anterior cruciate ligament tearsLocation of bone bruisesMRI scansAnterior cruciate ligament (ACL) tearsIpsilateral knee injuriesAnterior cruciate ligament tearsPrimary ACL reconstruction surgeryMagnetic resonance imaging scansConcomitant medial meniscus tearLateral meniscus tearsMedial meniscus tearCruciate ligament tearsT2-weighted imagesNoncontact mechanism of injuryInside-Out Repair of Medial Meniscal Ramp Lesions in Patients Undergoing Anterior Cruciate Ligament Reconstruction
Moran J, LaPrade C, LaPrade R. Inside-Out Repair of Medial Meniscal Ramp Lesions in Patients Undergoing Anterior Cruciate Ligament Reconstruction. JBJS Essential Surgical Techniques 2024, 14: e22.00037. PMID: 39364325, PMCID: PMC11444584, DOI: 10.2106/jbjs.st.22.00037.Peer-Reviewed Original ResearchAcute anterior cruciate ligamentMedial meniscal ramp lesionsMeniscal ramp lesionsRamp lesionsPosterior horn of the medial meniscusACL graft failureMeniscocapsular junctionPosterior hornMagnetic resonance imagingGraft failureMeniscectomy rateDiagnostic sensitivity of magnetic resonance imagingInside-out repairPosteromedial incisionPosterior cruciate ligamentSurgical siteAcute anterior cruciate ligament injuryAnterolateral portalKnee instabilityAcute anterior cruciate ligament tearsRamp repairCombined posterior cruciate ligamentIsolated ACLR groupTime of ACLRYears of follow-upExamining 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 ligamentInjury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures
Moran J, Katz LD, Schneble CA, Li D, Kahan JB, Wang A, Porrino J, Jokl P, Hewett TE, Medvecky MJ. Injury to the Meniscofemoral Portion of the Deep MCL Is Associated with Medial Femoral Condyle Bone Marrow Edema in ACL Ruptures. JBJS Open Access 2021, 6: e21.00069. PMID: 34841192, PMCID: PMC8613370, DOI: 10.2106/jbjs.oa.21.00069.Peer-Reviewed Original ResearchMedial meniscal tearsBone marrow edemaDeep medial collateral ligamentMedial collateral ligamentAcute anterior cruciate ligamentACL ruptureMarrow edemaMCL injuryPosterior hornMedial meniscusPreoperative magnetic resonance imaging (MRI) scansBoard-certified musculoskeletal radiologistsMagnetic resonance imaging (MRI) scansSuperficial medial collateral ligamentSuspicion of injuryACL graft failureACL reconstruction surgeryAnterior cruciate ligamentResonance imaging scansPotential risk factorsChi-square testingMeniscofemoral portionGraft failureInsertion sitePhysical examinationArthroscopic Synovectomy for Tenosynovial Giant Cell Tumor/Pigmented Villonodular Synovitis in the Posterior Knee Using the Posterior Trans-Septal Portal Technique
Moran J, Miller MD, Schneble CA, Yalcin S, Katz LD, Medvecky MJ. Arthroscopic Synovectomy for Tenosynovial Giant Cell Tumor/Pigmented Villonodular Synovitis in the Posterior Knee Using the Posterior Trans-Septal Portal Technique. JBJS Essential Surgical Techniques 2022, 12: e21.00051. PMID: 35685235, PMCID: PMC9173520, DOI: 10.2106/jbjs.st.21.00051.Peer-Reviewed Case Reports and Technical NotesArthroscopic synovectomyMacrophage-colony stimulating factorPosteromedial portalPosterior septumPosterolateral portalPopliteal arteryVillonodular synovitisPortal techniqueAnterolateral portalPosterior portalInternational Knee Documentation CommitteeBaseline magnetic resonance imagingPosterior compartmentTenosynovial giant cell tumorGood functional outcomeExcellent clinical resultsExternal beam radiationGiant cell tumorPosterior cruciate ligamentPigmented villonodular synovitisFull knee functionMagnetic resonance imagingScar tissue formationUncommon benign proliferationAsymptomatic recurrenceNo 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 infectionRepair of Acute Grade 3 Combined Posterolateral Corner Avulsion Injuries Using an Enhanced Fixation Technique
Moran J, Kahan J, Schneble C, McLaughlin W, Green J, Gillinov S, Cheng R, Patel R, Jimenez A, LaPrade R, Schenck R, Medvecky M. Repair of Acute Grade 3 Combined Posterolateral Corner Avulsion Injuries Using an Enhanced Fixation Technique. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221131817. PMID: 36389620, PMCID: PMC9663643, DOI: 10.1177/23259671221131817.Peer-Reviewed Original ResearchInternational Knee Documentation CommitteePatient-reported outcome measuresMultiligament knee injuriesPeroneal nerve injuryAvulsion injuriesNerve injuryKrackow sutureLysholm scoreAcute repairKnee injuriesOutcome scoresMean International Knee Documentation CommitteePosterolateral cornerSubjective International Knee Documentation CommitteeSubjective outcome scoresAcute grade 3Level of evidenceFailure rateLower outcome scoresCruciate injuryTegner scoreCase seriesSurgical repairGraft augmentationSalvage procedureExamining Preoperative MRI for Medial Meniscal Ramp Lesions in Patients Surgically Treated for Acute Grade 3 Combined Posterolateral Corner Knee Injury
Moran J, Jimenez A, Katz L, Wang A, McLaughlin W, Gillinov S, Patel R, Kunze K, Hewett T, Alaia M, LaPrade R, Medvecky M. Examining Preoperative MRI for Medial Meniscal Ramp Lesions in Patients Surgically Treated for Acute Grade 3 Combined Posterolateral Corner Knee Injury. Orthopaedic Journal Of Sports Medicine 2023, 11: 23259671221144767. PMID: 36756171, PMCID: PMC9900669, DOI: 10.1177/23259671221144767.Peer-Reviewed Original ResearchPreoperative magnetic resonance imagingMedial meniscal ramp lesionsAcute grade 3Meniscal ramp lesionsMultiligament knee injuriesMagnetic resonance imagingPosterolateral corner knee injuriesRamp lesionsPLC injuriesIntraclass correlation coefficientGrade 3Knee injuriesBone bruisingBone bruiseAnterior cruciate ligament injuryLevel 1 trauma centerCruciate ligament injuryDays of injuryCross-sectional studyLevel of evidenceMeniscocapsular tearsConsecutive patientsLigament injuryTrauma centerMultiligament reconstructionTranexamic Acid Administration at Hospital Admission Decreases Transfusion Rates in Geriatric Hip Fracture Patients Undergoing Surgery
Moran J, Kahan JB, Morris J, Joo PY, O’Connor M. Tranexamic Acid Administration at Hospital Admission Decreases Transfusion Rates in Geriatric Hip Fracture Patients Undergoing Surgery. Geriatric Orthopaedic Surgery & Rehabilitation 2022, 13: 21514593221124414. PMID: 36081840, PMCID: PMC9445454, DOI: 10.1177/21514593221124414.Peer-Reviewed Original ResearchHip fracture patientsFragility hip fracture patientsRed blood cell transfusionBlood cell transfusionTranexamic acid administrationTransfusion rateFracture patientsTXA dosingCell transfusionVascular eventsHip fractureHospital admissionAcid administrationGeriatric hip fracture patientsMajor adverse vascular eventsInfusion-related adverse eventsUse of TXAFragility hip fractureLower transfusion rateAdverse vascular eventsPost-operative bleedingSubset of patientsSubgroup of patientsHip fracture serviceActive malignancyThe 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 ResearchOpen Debridement Alone Versus Open Debridement With Tendon Repair for Lateral Epicondylitis: A Comparison of Complications and 5-Year Reoperation Rates From a Large Insurance Database
Moran J, Gillinov SM, Schneble CA, Jimenez AE, Vaswani R, Mathew JI, Manzi JE, Nicholson AD, Blaine TA, Altchek DW, Gulotta LV, Dines JS. Open Debridement Alone Versus Open Debridement With Tendon Repair for Lateral Epicondylitis: A Comparison of Complications and 5-Year Reoperation Rates From a Large Insurance Database. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221120812. PMID: 36081412, PMCID: PMC9445466, DOI: 10.1177/23259671221120812.Peer-Reviewed Original ResearchReoperation rateOpen debridementLateral epicondylitisTendon repairExtensor carpi radialis brevis tendonCarpi radialis brevis tendonStudy periodLarge insurance databaseLateral epicondylitis patientsComparison of complicationsAdverse event ratesRecalcitrant lateral epicondylitisReimbursement amountsAbsolute risk reductionLow complication rateLevel of evidenceOD cohortBrevis tendonPostoperative complicationsCohort studyComplication rateOD patientsInsurance databaseSignificant changesRisk factorsA Novel MRI Mapping Technique for Evaluating Bone Bruising Patterns Associated With Noncontact ACL Ruptures
Moran J, Katz LD, Schneble CA, Li DT, Kahan JB, Wang A, Porrino J, Fosam A, Cheng R, Jokl P, Hewett TE, Medvecky MJ. A Novel MRI Mapping Technique for Evaluating Bone Bruising Patterns Associated With Noncontact ACL Ruptures. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221088936. PMID: 35480066, PMCID: PMC9036340, DOI: 10.1177/23259671221088936.Peer-Reviewed Original ResearchNoncontact ACL injuryAnterior cruciate ligamentBone bruise patternsIntraclass correlation coefficientBone bruiseACL injuryTibial plateauFemoral condylePrevious knee injuryMechanism of injuryAnterior tibial translationBruise patternsCross-sectional studyLevel of evidenceInternal tibial rotationLateral femoral condyleNoncontact ACL ruptureLateral tibial plateauMedial tibial plateauPosterior regionMedial femoral condyleIntrarater intraclass correlation coefficientsContusion patternACL ruptureACL reconstructionEpidemiology of Sports-Related Traumatic Hip Dislocations Reported in United States Emergency Departments, 2010-2019
Moran J, Cheng R, Schneble CA, Mathew JI, Kahan JB, Li D, Gardner EC. Epidemiology of Sports-Related Traumatic Hip Dislocations Reported in United States Emergency Departments, 2010-2019. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221088009. PMID: 35547614, PMCID: PMC9083061, DOI: 10.1177/23259671221088009.Peer-Reviewed Original ResearchTraumatic hip dislocationHip dislocationDislocation injuriesNoncontact sportsContact sportsNational Electronic Injury Surveillance System databaseEpidemiology of SportDescriptive epidemiology studyFootball-related injuriesSurveillance System databaseMotor vehicle accidentsConcomitant acetabular fracturesPaucity of literatureRare injuryClinical awarenessEmergency departmentInjury burdenTreatment optionsAcetabular fracturesNEISS databaseEpidemiological trendsInjury informationEpidemiological patternsEpidemiology studiesVehicle accidentsTreatment 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 transformation