Our work

INTRODUCTION: Atlantoaxial rotatory subluxation (AARS) is an uncommonly encountered diagnosis within the adult population. The rare nature of this dislocation within the adult population often results in delayed diagnosis and treatment. CASE REPORT: A 30-year-old male presented following a low-speed motor vehicle accident. The patient had been involved in a work-related accident 1-year prior and had experienced fixed leftward…

» Acute bacterial septic arthritis of the knee is an orthopaedic emergency and, if left untreated, can result in substantial joint degradation. » Important risk factors for development of septic arthritis include age of >60 years, recent bacteremia, diabetes, cancer, cirrhosis, renal disease, drug or alcohol abuse, a history of corticosteroid injection, a recent injury or surgical procedure, a prosthetic joint, and a history o…

Lumbar hernias are rare, comprising less than 1.5% of all hernias, with traumatic lumbar hernias (TLH) representing an even rarer subset. Due to their rarity, there is limited consensus on optimal surgical repair techniques. Traditional TLH repairs typically involve primary closure or mesh reinforcement using open, laparoscopic, or hybrid intra-abdominal approaches. We present three cases of TLH managed with a novel bone tunne…

Calcaneus fractures remain challenging fractures that are prone to complications. Surgery was previously restricted only to those with soft-tissue envelopes amenable to the extensile lateral approach. However, with the development of the sinus tarsi approach and other percutaneous techniques, more prompt surgical interventions with lower complication rates have become possible. Restoration of hindfoot morphology and facet cong…

OBJECTIVE: To quantify soft tissue perfusion changes in pilon fractures during staged treatment using laser-assisted indocyanine green angiography (LA-ICGA). SETTING: Level 1 trauma center. DESIGN: Prospective cohort study. PATIENTS/PARTICIPANTS: Twelve patients with 12 pilon fractures participated in the study. Seven patients had OTA/AO classification of 43-C3, 3 had 43-C2, and 2 had 43-B2. MAIN OUTCOME MEASURES: LA-ICGA was…

BACKGROUND: Venous thromboembolism (VTE) is a considerable source of morbidity, mortality, and economic burden within orthopaedic surgery. Our study aimed to analyze the characteristics and reasons for lawsuits pertaining to VTE levied against orthopaedic surgeons. METHODS: The Westlaw database was queried for cases filed between 1980 and 2023 against orthopaedic surgeons involving VTE, using the search terms "orthopaedic", "b…

INTRODUCTION: Traumatic cervical instability, which includes bilateral facet dislocation, unilateral facet dislocation, and bilateral facet perch or subluxation, is generally treated expeditiously. Treatment is focused on providing stability of the cervical spine and mitigating sequelae such as spinal cord injury, nerve injury, cervical deformity, chronic pain, and even death. Surgical stabilization of traumatic bilateral cerv…

BACKGROUND: This study focused on using deep learning neural networks to classify the severity of osteoarthritis in the knee. A continuous regression score of osteoarthritis severity has yet to be explored using artificial intelligence machine learning, which could offer a more nuanced assessment of osteoarthritis. MATERIALS AND METHODS: This study used 8260 radiographic images from The Osteoarthritis Initiative to develop and…

Meniscus tears can be difficult to diagnose on magnetic resonance imaging (MRI) due to the various types of tears. As artificial intelligence (AI) continues to advance, it could serve as a valuable tool that assists physicians with diagnostic accuracy and efficiency. The purpose of this study was to analyze the performance of AI in diagnosing meniscus tears on MRI using an array of studies and to compare the performance of AI…

Rib pathology is uniquely difficult and time-consuming for radiologists to diagnose. AI can reduce radiologist workload and serve as a tool to improve accurate diagnosis. To date, no reviews have been performed synthesizing identification of rib fracture data on AI and its diagnostic performance on X-ray and CT scans of rib fractures and its comparison to physicians. The objectives of this study are to analyze the performance…

INTRODUCTION: The rise of artificial intelligence (AI), including generative chatbots like ChatGPT (OpenAI, San Francisco, CA, USA), has revolutionized many fields, including healthcare. Patients have gained the ability to prompt chatbots to generate purportedly accurate and individualized healthcare content. This study analyzed the readability and quality of answers to Achilles tendon rupture questions from six generative AI…

Introduction Generative artificial intelligence (AI) chatbots, like ChatGPT, have become more competent and prevalent, making their role in patient education more salient. This study aimed to compare the educational utility of six AI chatbots by quantifying the readability and quality of their answers to common patient questions about clavicle fracture management. Methods ChatGPT 4, ChatGPT 4o, Gemini 1.0, Gemini 1.5 Pro, Micr…

INTRODUCTION: Hospital systems were strained during the COVID-19 pandemic, and although previous studies have shown that surgical outcomes in healthy hip fracture patients were unaffected in the initial months of the pandemic, subsequent data are limited. This study examined the evolution of hip fracture care throughout the COVID-19 pandemic. METHODS: A retrospective review (level III evidence) was done of surgically treated a…

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Background Many rock climbing techniques place tremendous stress on the finger flexor pulley system of the hand and may cause a pulley rupture. A pulley injury can be assessed with ultrasound by measuring an elevated tendon liftoff from the bone during flexion, referred to as the tendon-to-bone distance (TBD). The purpose of this study was to assess gender-specific and experience-related differences in TBD, tendon dimensions,…

BACKGROUND: Wrist fractures are prevalent, and the diagnostic performance of artificial intelligence for their detection requires clarification. This study aims to determine the diagnostic accuracy of machine learning in detection of scaphoid fractures, distal radius fractures, and other types of wrist fractures on skeletally mature wrist radiographs through a meta-analysis while accounting for heterogeneity of studies using a…

This review describes a modified technique for the surgical management of a displaced medial femoral condyle fracture in a 22-year-old man after a motorcycle accident. This case involved an open reduction and the use of a medial buttress plate to restore joint congruity and reduce the risk of varus failure. The modified transfascial approach through the VMO muscle belly was used to facilitate ample exposure while safely protec…

Pelvic ring injuries occur in varying severity and in vastly different patient demographics. Knowledge regarding which of these injuries require surgical intervention and which can be managed nonsurgically continues to evolve. Previous studies have shown validated criteria for sacral fractures and the posterior ring, explored the role of examination under anesthesia, and other forms of dynamic imaging. Although there is substa…

Percutaneous medial plating of distal femur fractures, particularly comminuted fractures, offers improved biomechanical stability without the soft tissue insult of an open approach. The addition of a medial plate neutralizes the cantilever bending force that arises from the offset between the single lateral locking plate and the femur's anatomical axis. This cantilever bending force has been theorized to be a contributor to th…

OBJECTIVES: The traditional lateral window of the ilioinguinal approach for open sacroiliac (SI) joint reduction provides limited visualization of the L5 nerve root as well as the anterior aspect of the sacral ala and SI joint. Adding an anterior superior iliac spine (ASIS) osteotomy may enhance exposure and improve safety and ease of reduction. This cadaveric study evaluates whether ASIS osteotomy significantly increases SI j…

BACKGROUND: The bending or fracture of a tibial intramedullary nail is a rare complication with a paucity of literature regarding available methods of extraction. This systematic review discusses the currently described surgical techniques for extracting deformed tibial intramedullary nails as well any potential associated challenges. METHODS: A review of the PubMed, EMBASE, and Scopus databases was conducted for articles desc…

INTRODUCTION: Secondary chondrosarcoma is a rare entity arising from a pre-existing cartilaginous lesion. Transformation of an osteochondroma to a chondrosarcoma occurs in <1% of cases. Sciatica is a common problem that can cause significant pain, weakness, and numbness. CASE REPORT: A 36-year-old male presented to the Orthopedic Oncology Service after being treated for sciatica for 3 years. Magnetic resonance imaging of the l…

PURPOSE: Myxoid liposarcoma has a propensity to metastasize to bone. MRI is the preferred modality for detecting bone disease. We evaluated multiple MRI sequences to determine an optimal screening method. METHODS: Whole body MRI was performed on all patients. The number and locations of metastases found by imaging and round cell component of the sites sampled were evaluated. RESULTS: We found a total of 68 osseous lesions. Who…

OBJECTIVE: Osteosarcoma (OS), an aggressive malignancy, is the most common primary bone tumor in children. Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used to reduce pain and inflammation. NSAIDs have shown to be toxic to certain malignancies such as colorectal, breast, and pancreatic cancers, but are not well-studied in OS. The purpose of this study is to assess whether ketorolac induces apoptosis in OS cells, co…

Open the publication record for the full abstract, methods, results, and related work from the group.

Open the publication record for the full abstract, methods, results, and related work from the group.