Background: Hip arthroplasty is often indicated in metastatic bone lesions of the proximal femur, with or without pathologic fracture. Conventional knowledge is that cemented fixation is best, although uncemented fixation has potential advantages of shorter operative time, avoidance of the physiologic stress of cement, and the chance for osseointegration. However, both techniques are options that are employed, and there is no clear evidence to guide this choice.
View Article and Find Full Text PDFObjective: Cancer patients often experience high levels of distress, which are particularly pronounced in the perioperative period. However, there is a dearth of research on distress rates in patients with metastatic spine disease (MSD). This study aims to assess pre- and postoperative distress levels in patients with MSD undergoing surgical intervention, as well as the association between distress and sociodemographic factors.
View Article and Find Full Text PDFSpine (Phila Pa 1976)
April 2025
Study Design: Retrospective review.
Objective: Specialty Palliative Care (PC) can be instrumental in improving patient quality of life for patients with spine metastasis. It is important to identify disparities in access to PC to ensure that equitable care is provided to all patients.
Purpose: Resident physicians play a pivotal role in undergraduate medical education, serving as stewards of the academic and clinical learning environment. However, limited data exist on qualities valued by medical students in resident educators. This study explores the qualities medical students perceive as most valuable in resident educators and whether these qualities differ by resident gender or specialty.
View Article and Find Full Text PDFStudy Design: Retrospective cohort study.
Objective: This study aimed to identify sources of distress in patients with metastatic spine disease and elucidate factors associated with clinically significant distress.
Summary Of Background Data: Distress is associated with poorer outcomes and lower quality of life in cancer patients.
Introduction: Distress is common among cancer patients, especially those undergoing surgery. However, no study has systematically analyzed distress trends in this population. The purpose of this study was to systematically review perioperative rates of distress, as well as differences across cancer types, in cancer patients undergoing surgical intervention.
View Article and Find Full Text PDFBackground: The purpose of this study was to elucidate which criteria are being reported in the literature for the workup and diagnosis of shoulder periprosthetic joint infection (PJI). Studies published prior to or after 2019 were compared to elucidate any changes secondary to the publication of shoulder-specific PJI criteria written by the International Consensus Meeting (ICM).
Methods: Two independent reviewers performed the literature search on PubMed following Preferred Reporting Items for Systematic Reviews and Meta-Analysesguidelines.
Am J Sports Med
March 2025
Background: Superior labral tears are common shoulder injuries among athletes, and for athletes undergoing surgical intervention, one of the main priorities is to return to preinjury levels of activity in a timely manner. However, the literature surrounding return to play after superior labral repair presents inconsistent results, with limited studies evaluating the timing of return to play.
Purpose: To systematically review the rate and timing of return to play in athletes after arthroscopic superior labral repair.
Background: The aim of this study was to systematically review the literature on concomitant repair of superior labral and rotator cuff tears, in light of the paucity of published clinical evidence.
Methods: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses compliant search of PubMed, Embase, and Cochrane Library databases was performed for clinical studies of patients undergoing combined repairs of the rotator cuff and superior labrum.
Results: Ten studies comprising 241 shoulders were included, with a mean age of 52.
Study Design: Retrospective cohort study.
Objective: To investigate the correlation between comorbid chronic obstructive pulmonary disease (COPD), asthma, tobacco use, and the incidence of postoperative hematoma requiring reoperation after anterior cervical discectomy and fusion (ACDF).
Summary Of Background Data: Prior studies have identified general risk factors such as multilevel fusion and coagulopathy.
Study Design: Retrospective cohort study.
Objective: The purpose of this study was to (1) evaluate recent trends in the use of intraoperative neuromonitoring (IONM) for anterior cervical discectomy and fusion (ACDF) in the United States, (2) assess regional variations in the use of IONM, and (3) assess the association between IONM and clinical outcomes.
Summary Of Background Data: IONM is frequently used during anterior cervical procedures to mitigate the risk of neurological injury.
Introduction: Resident physicians play an important role in teaching the next generation of health-care providers, yet limited research has explored factors influencing effective teaching, such as preresidency experiences or barriers within residency. This study examines residents' prior teaching experience, its correlation with teaching attitudes, and identifies potential barriers to sustained teaching engagement.
Methods: This cross-sectional study surveyed residents across multiple specialties at a single academic center.
Orthop J Sports Med
June 2024
Background: Oblique strains have become a common injury among professional baseball players. The influence of player workload on oblique strains remains unknown.
Purpose/hypothesis: To determine whether workload is a risk factor for oblique strains in professional baseball players.
Importance: Board certification can have broad implications for candidates' career trajectories, and prior research has found sociodemographic disparities in pass rates. Barriers in the format and administration of the oral board examinations may disproportionately affect certain candidates.
Objective: To characterize oral certifying examination policies and practices of the 16 Accreditation Council for Graduate Medical Education (ACGME)-accredited specialties that require oral examinations.
J Shoulder Elbow Surg
August 2024
Background: The purpose of this study is to systematically review the evidence in the literature to ascertain the functional outcomes, recurrence rates, and subsequent revision rates following type V superior labrum anterior to posterior (SLAP) repair.
Methods: Two independent reviewers performed a literature search based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, utilizing the EMBASE, MEDLINE, and the Cochrane Library Databases. Studies were included if they had clinical outcomes on the patients undergoing type V SLAP repair.
Eur J Orthop Surg Traumatol
February 2024
Introduction: Existing research has established a correlation between post-traumatic mental health conditions, including anxiety and depression, and various aspects of recovery, such as pain exacerbations, reduced functional recovery, and lowered patient satisfaction. However, the influence of pre-existing mental health conditions on orthopaedic trauma outcomes has not been thoroughly investigated. The objective of this study was to systematically review literature addressing the association between pre-existing mental health conditions and patient outcomes following surgical interventions for lower extremity fractures in non-geriatric populations.
View Article and Find Full Text PDFBackground: Internal impingement is a common cause of shoulder pain and dysfunction in baseball pitchers.
Purpose/hypothesis: The purpose of this study was to determine if the amount of rest days between outings, the number of innings pitched in each outing, and the number of batters faced in each outing are risk factors for internal impingement in professional baseball pitchers. It was hypothesized that a higher workload would significantly increase a pitcher's risk of developing internal impingement.
Spine (Phila Pa 1976)
November 2023
Study Design: Retrospective cohort study.
Objective: This study identifies potential disparities in telemedicine utilization in the wake of the COVID-19 pandemic and its aftermath in patients receiving spine surgery.
Summary Of Background Data: COVID-19 led to the rapid uptake of telemedicine in the spine surgery patient population.
Background: Location, frequency, and severity of in-game injuries by defensive position played have never been determined in professional baseball players.
Hypothesis: Catchers would have a higher frequency of hip and knee injuries; infielders and outfielders would have a higher frequency of general lower extremity injuries; and pitchers would have a higher frequency and severity of shoulder and elbow/forearm injuries.
Study Design: Descriptive epidemiology study.
Orthop J Sports Med
June 2022
Background: Meniscal repair is an effective treatment option for certain meniscal injuries to preserve meniscal function and limit the progression of knee osteoarthritis. Outcomes after meniscal repair in professional baseball players are not well documented.
Purposes/hypothesis: The purposes of this study were to determine performance and return to sport (RTS) in professional baseball players after meniscal repair and compare the results of medial versus lateral meniscal repair.
Background: The influence of player workload on hamstring and calf injuries in professional baseball players remains unknown.
Hypothesis: Increased workload would significantly increase hamstring and calf strain injury risk.
Study Design: Case-control.
Orthop J Sports Med
February 2022
Background: Bicipital disorders are common among overhead athletes, especially professional baseball players. The ideal treatment for bicipital problems in professional baseball players is unknown.
Purpose/hypothesis: The purpose was to determine the return-to-sport (RTS) rate and performance after RTS in professional baseball players who underwent biceps tenodesis.