2024
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, 3635465241264282. 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 injuryMedial-Sided Repair in Multi-Ligamentous Knee Injury
Patel R, Green J, Moran J, Santos E, Medvecky M. Medial-Sided Repair in Multi-Ligamentous Knee Injury. Video Journal Of Sports Medicine 2024, 4: 26350254241226723. DOI: 10.1177/26350254241226723.Peer-Reviewed Original ResearchMulti-ligamentous knee injuriesSuperficial medial collateral ligamentPosterior oblique ligamentValgus stabilityKnee injuriesDeep medial collateral ligamentMedial collateral ligamentPatient-reported outcomesMedial structuresMedial knee structuresIntra-articular entrapmentKnee loadingCollateral ligamentElite athletesExternal rotationValgus laxityKnee functionTibial plateau fracturesMedial patellofemoral ligament tearThird-degree injuryOrthopedic injuriesKnee stabilityKneeAnatomic alignmentKnee structuresThe Active External Rotation Sign: A Physical Exam Technique for Detecting Posterolateral Corner Injury in Chronic Multiligament Knee Injuries
Levitt S, Zazulak B, Green J, Medvecky M. The Active External Rotation Sign: A Physical Exam Technique for Detecting Posterolateral Corner Injury in Chronic Multiligament Knee Injuries. Video Journal Of Sports Medicine 2024, 4 DOI: 10.1177/26350254241241082.Peer-Reviewed Original ResearchKnee injuriesExternal rotationDial testPosterolateral corner injuriesPLC injuriesPhysical exam testsPosterolateral cornerVarus stress testKnee flexionChronic PLC injuriesDynamic external rotationPosterior tibial translationBiceps femoris tendonBiceps femorisChronic multiligament knee injuriesNon-operative treatmentKnee motionMultiligament knee injuriesHigh index of suspicionPassive motionPosterior translationInjury identificationTibial translationIndex of suspicionKneeSuccessful Management of Impending Skin Necrosis After a Posterolateral Knee Dislocation
Santos E, Schneble C, Kim D, Medvecky M. Successful Management of Impending Skin Necrosis After a Posterolateral Knee Dislocation. JAAOS Global Research And Reviews 2024, 8: e23.00149. PMID: 38648386, PMCID: PMC11037736, DOI: 10.5435/jaaosglobal-d-23-00149.Peer-Reviewed Original ResearchConceptsImpending skin necrosisSkin necrosisKnee dislocationPosterolateral knee dislocationFull-thickness skin necrosisComplicating treatment optionsSoft tissueSoft tissue envelopeMedial soft tissuesTreatment optionsPerioperative periodMedial ligamentous structuresCutaneous injuryIncarcerationNecrosisSkin injuryPatientsSuccessful managementLigamentous structuresKneeInjuryAnatomic vs. reverse total shoulder arthroplasty: usage trends and perioperative outcomes
Halperin S, Dhodapkar M, Kim L, Modrak M, Medvecky M, Donohue K, Grauer J. Anatomic vs. reverse total shoulder arthroplasty: usage trends and perioperative outcomes. Seminars In Arthroplasty JSES 2024, 34: 91-96. DOI: 10.1053/j.sart.2023.08.014.Peer-Reviewed Original ResearchTotal shoulder arthroplastyElixhauser Comorbidity IndexPerioperative outcomesAdverse eventsSurgeon volumeShoulder arthroplastyHigher Elixhauser comorbidity indexPerioperative adverse eventsSevere adverse eventsUrinary tract infectionCommon orthopaedic proceduresMatching of patientsPatient demographicsTract infectionsPearlDiver databaseMultivariable analysisOverall incidencePatient populationKidney infectionMerit further investigationOrthopedic proceduresGreater oddsRTSAIncreased percentagePatientsAnatomic and reverse total shoulder arthroplasty: Variables affecting 90-day overall reimbursement
Halperin S, Dhodapkar M, Modrak M, Donohue K, Medvecky M, Grauer J. Anatomic and reverse total shoulder arthroplasty: Variables affecting 90-day overall reimbursement. Seminars In Arthroplasty JSES 2024 DOI: 10.1053/j.sart.2024.02.007.Peer-Reviewed Original ResearchAnatomic total shoulder arthroplastyReverse total shoulder arthroplastyTotal shoulder arthroplastyTotal shoulder arthroplasty patientsPostoperative eventsShoulder arthroplastyPatient demographicsOverall reimbursementSurgery typeAdverse eventsMale sexAssociated with reimbursementMultivariate linear regressionOncological diagnosisEmergency department visitsPatientsOrthopedic proceduresEffective procedureAdministrative databasesHospital readmissionInsurance typeSurgeryReduce healthcare expendituresDepartment visitsIncreased frequencyClinical and Functional Outcomes of Documented Knee Dislocation Versus Multiligamentous Knee Injury: A Comparison of KD3 Injuries at Mean 6.5 Years Follow-up
Hughes A, Li Z, Garra S, Green J, Chalem I, Triana J, Jazrawi L, Medvecky M, Alaia M. Clinical and Functional Outcomes of Documented Knee Dislocation Versus Multiligamentous Knee Injury: A Comparison of KD3 Injuries at Mean 6.5 Years Follow-up. The American Journal Of Sports Medicine 2024, 52: 961-967. PMID: 38400667, DOI: 10.1177/03635465241231032.Peer-Reviewed Original ResearchIncidence of neurovascular injuryMultiligamentous knee injuriesVisual analog scaleTegner activity levelFollow-upKnee injuriesNeurovascular injuryCohort studyActivity levelsDocumented dislocationSubgroup analysisInternational Knee Documentation Committee (IKDC) scoreKnee dislocationVisual analog scale painFunctional outcomesMulticenter retrospective cohort studyLong-term follow-upTegner activity scaleMultivariate linear regressionLevel of evidencePoor clinical outcomesRetrospective cohort studyPredictive of outcomeActivity ScaleInjury patternsAdverse Events After Isolated Posterior Cruciate Ligament Reconstruction: A National Database Study
Kammien A, Price R, McLaughlin W, Park N, Richter D, Schenck R, Grauer J, Medvecky M. Adverse Events After Isolated Posterior Cruciate Ligament Reconstruction: A National Database Study. Orthopaedic Journal Of Sports Medicine 2024, 12: 23259671231222123. PMID: 38249782, PMCID: PMC10798085, DOI: 10.1177/23259671231222123.Peer-Reviewed Original ResearchRate of adverse eventsSurgical site infectionIsolated PCL reconstructionAdverse eventsPCL reconstructionPulmonary embolismSite infectionCompartment syndromePosterior cruciate ligamentVariable rates of complicationsOdds ratioVascular eventsOptimal managementIsolated posterior cruciate ligament reconstructionConcomitant ligament surgeryEmergency departmentNational cohortDeep vein thrombosesRate of complicationsElixhauser Comorbidity Index scoreDay of surgeryDeep vein thrombosisCalculate odds ratiosPosterior cruciate ligament reconstructionComorbidity Index scoreRevision Patellar Tendon Reconstruction Using Hamstring Tendon Autograft
Santos E, Islam W, Amick M, Adeclat G, Medvecky M. Revision Patellar Tendon Reconstruction Using Hamstring Tendon Autograft. Video Journal Of Sports Medicine 2024, 4: 26350254231184904. DOI: 10.1177/26350254231184904.Peer-Reviewed Original ResearchPatellar tendon reconstructionPatellar tendon ruptureTendon autograftTendon reconstructionTendon rupturePatellar heightFunctional limitationsChronic patellar tendon rupturePatient outcome scoresPersistent functional limitationsQuadriceps muscle atrophyHamstring tendon autograftSemitendinosus tendon autograftGraft fixation techniquesHigh-quality evidencePatellar tendon lengthRecent case seriesStandard of careLoss of extensionInsall-Salvati indexTechnical surgical challengeGraft tunnelsInitial surgeryPostoperative protocolQuadriceps strengthRevision Patellar Tendon Reconstruction Using Hamstring Tendon Autograft
Santos E, Islam W, Amick M, Adeclat G, Medvecky M. Revision Patellar Tendon Reconstruction Using Hamstring Tendon Autograft. Video Journal Of Sports Medicine 2024, 4 DOI: 10.1177/26350254231184904.Peer-Reviewed Original ResearchPatellar tendon reconstructionPatellar tendon ruptureTendon autograftTendon reconstructionTendon rupturePatellar heightFunctional limitationsChronic patellar tendon rupturePatient outcome scoresPersistent functional limitationsQuadriceps muscle atrophyHamstring tendon autograftSemitendinosus tendon autograftGraft fixation techniquesHigh-quality evidencePatellar tendon lengthRecent case seriesStandard of careLoss of extensionInsall-Salvati indexTechnical surgical challengeGraft tunnelsInitial surgeryPostoperative protocolQuadriceps strength
2023
Patient-reported outcomes and return to pre-injury activities after surgical treatment of multi-ligamentous knee injuries in patients over 40-years-old: Average 5-years follow-up
Li Z, Green J, Chalem I, Triana J, Rao N, Hughes A, Campbell K, Jazrawi L, Medvecky M, Alaia M. Patient-reported outcomes and return to pre-injury activities after surgical treatment of multi-ligamentous knee injuries in patients over 40-years-old: Average 5-years follow-up. The Knee 2023, 46: 89-98. PMID: 38070381, DOI: 10.1016/j.knee.2023.11.014.Peer-Reviewed Original ResearchMulti-ligamentous knee injuriesPre-injury activitiesSurgical treatmentLysholm scoreOlder patientsCase seriesClinical outcomesKnee injuriesInternational Knee Documentation Committee scoreMulti-center retrospective case seriesFair clinical outcomePre-injury sportTegner activity scaleRetrospective case seriesTime of injuryPatient-reported outcomesMean IKDCPreoperative characteristicsKnee dislocationDevastating injuriesPatientsActivity ScaleIKDCInjuryStepwise linear regressionExamining 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 differencesRepairMagnetic resonance imaging quality in the context of a knee-spanning external fixator placed inside the MR bore: a literature review
Marcel A, Green J, Porrino J, Katz L, Medvecky M. Magnetic resonance imaging quality in the context of a knee-spanning external fixator placed inside the MR bore: a literature review. Skeletal Radiology 2023, 53: 629-636. PMID: 37955679, DOI: 10.1007/s00256-023-04505-2.Peer-Reviewed Original ResearchKnee-spanning external fixatorExternal fixatorNoise ratioMR boreSoft tissue repairDevice compositionKnee injury patientsLimb-threatening injuriesSoft tissue injuriesUtility of MRIMagnetic resonance imagingMagnetic field strengthImage qualityField strengthKnee dislocationInjury patientsTissue injuryAnatomical assessmentUseful diagnostic informationResonance imagingLigamentous structuresFixatorMRIEmergent assessmentMRI sequencesPerspectives and institutional policies on patient safety and image quality regarding the use of knee-spanning external fixators in MRI: A survey study of the Society of Skeletal Radiology
Marcel A, Alaia E, Alaia M, Katz L, Medvecky M, Porrino J. Perspectives and institutional policies on patient safety and image quality regarding the use of knee-spanning external fixators in MRI: A survey study of the Society of Skeletal Radiology. Skeletal Radiology 2023, 53: 525-536. PMID: 37695343, DOI: 10.1007/s00256-023-04445-x.Peer-Reviewed Original ResearchMedicaid Insurance Is Associated With More Complications and Emergency Department Visits but Equivalent 5-Year Secondary Surgery Rate After Primary Hip Arthroscopy
Gillinov S, Kim D, Islam W, Lee M, Moran J, Fong S, Mahatme R, McLaughlin W, Maldonado D, Medvecky M, Grauer J, Jimenez A. Medicaid Insurance Is Associated With More Complications and Emergency Department Visits but Equivalent 5-Year Secondary Surgery Rate After Primary Hip Arthroscopy. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2023, 40: 1117-1125. PMID: 37597701, DOI: 10.1016/j.arthro.2023.08.011.Peer-Reviewed Original ResearchPrimary hip arthroscopyFemoroacetabular impingement syndromeEmergency department visitsSecondary surgery rateED visitsMedicaid patientsHip arthroscopyDepartment visitsSurgery ratesSecondary surgeryLabral tearsLarge national database studyTenth Revision diagnosis codesNational database studyFive-year ratesElixhauser Comorbidity IndexKaplan-Meier analysisRevision diagnosis codesBody mass indexMultivariate logistic regressionTotal hip arthroplastyLarge national databaseComorbidity indexPostoperative complicationsAdverse eventsPatient Safety in MRI with the Use of a Joint-Spanning External Fixator for Knee Dislocation
Marcel A, Green J, Alaia E, Alaia M, Katz L, Medvecky M. Patient Safety in MRI with the Use of a Joint-Spanning External Fixator for Knee Dislocation. JBJS Reviews 2023, 11: e23.00070. PMID: 37535762, DOI: 10.2106/jbjs.rvw.23.00070.Peer-Reviewed Original ResearchConceptsMagnetic resonance imagingKnee-spanning external fixatorExternal fixatorMR boreConstruct configurationsKnee dislocationMR ConditionalMRI scanningPatient benefitUS FoodDrug AdministrationClinical decisionResonance imagingMedical teamPatient safetySmall sample sizeFixatorPhysiciansSafety guidelinesManufacturer's labelSample sizeBorePrevious studiesPatientsDevicesPoster 306: Examining Preoperative Magnetic Resonance Imaging for Medial Meniscal Ramp Lesions in Patients Surgically Treated for Acute Grade III Combined Posterolateral Corner Knee Injuries
Jimenez A, Katz L, Wang A, McLaughlin W, Gillinov S, Kunze K, Hewett T, Alaia M, LaPrade R, Medvecky M, Moran J. Poster 306: Examining Preoperative Magnetic Resonance Imaging for Medial Meniscal Ramp Lesions in Patients Surgically Treated for Acute Grade III Combined Posterolateral Corner Knee Injuries. Orthopaedic Journal Of Sports Medicine 2023, 11: 2325967123s00279. PMCID: PMC10392321, DOI: 10.1177/2325967123s00279.Peer-Reviewed Original ResearchPreoperative magnetic resonance imagingMedial meniscal ramp lesionsMulti-ligament knee injuriesAcute grade IIIMeniscal ramp lesionsMagnetic resonance imagingPosterolateral corner knee injuriesRamp lesionsIntra-class correlation coefficientPLC injuriesGrade IIIKnee injuriesBone bruisingBone bruiseResonance imagingAnterior cruciate ligament injuryMulti-ligament reconstructionCruciate ligament injuryDays of injuryMeniscocapsular tearsConsecutive patientsLigament injuryMeniscal injurySame patientLevel IPoster 308: Clinical Outcomes After Multi-ligamentous Knee Injuries in Patients Over 40-Years-Old at Average 4-Years Follow-Up
Green J, Chalem I, Triana J, Rao N, Moran J, buldo-licciardi M, Jazrawi L, Campbell K, Medvecky M, Alaia M, Li Z. Poster 308: Clinical Outcomes After Multi-ligamentous Knee Injuries in Patients Over 40-Years-Old at Average 4-Years Follow-Up. Orthopaedic Journal Of Sports Medicine 2023, 11: 2325967123s00281. PMCID: PMC10392478, DOI: 10.1177/2325967123s00281.Peer-Reviewed Original ResearchMulti-ligamentous knee injuriesTegner activity scaleVisual analog scaleClinical outcomesOperative managementLysholm scoreKnee injuriesOutcome measuresMulti-center retrospective cohort studyRetrospective cohort studyLysholm knee scoreSubjective Knee FormMechanism of injuryLong-term outcomesPatient-reported outcomesPoor outcome measuresHigh-energy mechanismsRegression modelsDaily functional statusHistory of dislocationTegner scoreCohort studyKnee scoreSurgical repairSurgical treatmentPaper 29: Untreated Type 4 Ramp Injuries at Index Anterior Cruciate Ligament Reconstruction Surgery Result in Higher Rates of Revision ACL-R within the First 2 Years
Green J, Moran J, Medvecky M, Katz L, Gardner E, Joo P, Wang A, Allen C, Jimenez A, Santos E, McLaughlin W. Paper 29: Untreated Type 4 Ramp Injuries at Index Anterior Cruciate Ligament Reconstruction Surgery Result in Higher Rates of Revision ACL-R within the First 2 Years. Orthopaedic Journal Of Sports Medicine 2023, 11: 2325967123s00055. PMCID: PMC10392483, DOI: 10.1177/2325967123s00055.Peer-Reviewed Original ResearchRamp lesionsRevision ACLACL reconstructionACL tearsRAMP groupRevision surgeryRisk factorsLevel I academic centerInitial ACL reconstructionMeniscal ramp lesionsRetrospective chart reviewSignificant biomechanical changesHigh rateStudent's t-testConcomitant ACLAssociated injuriesChart reviewPatient ageSurgery resultsPreoperative MRIClinical dataClinical informationLesions intraAcademic centersPatients