Dustin L. Richter

Surgical Timing and Rehabilitation (STaR) for Multiple Ligament Knee Injuries

James J. Irrgang, Andrew D. Lynch, Charity G. Patterson, Alexandra B. Gil et autres

Abstract Multiple ligament knee injuries (MLKIs) often result in persistent pain, residual disability including post-traumatic osteoarthritis, and high healthcare costs. Although nonrandomized and retrospective research supports operative management, evidence informing the optimal timing of MLKI surgery and subsequent rehabilitation is lacking. In …

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Common Peroneal Nerve Analgesia Considerations During Knee Posterolateral Corner Reconstruction

Nicholas L. Newcomb, Ryan G. Price, Jordan A Buttner, Christopher L. Shultz et autres

Abstract Peripheral nerve blockade is commonly employed as perioperative pain management for posterolateral corner (PLC) knee reconstructions. However, common peroneal nerve (CPN) analgesia limits immediate postoperative assessment (within 0.5–2 hours of surgery) for iatrogenic injury and may further cause a “second hit” …

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Proximal Iliotibial Band Rupture in a 74-year-old High-Level, Female Athlete: A Case Report

Jeremiah M. Langsfeld, Joseph Esquibel, Dustin L. Richter

A 74-year-old female endurance athlete presented with progressive pain over the left proximal and lateral hip distal to the iliac crest. Symptoms developed over three weeks, impairing weightbearing. Magnetic resonance imaging demonstrated a high-grade tear of the proximal iliotibial band at its …

Treatment strategies for concomitant ligament injury in anterior cruciate ligament-injured athletes, a narrative review

Hayley C Urreiztieta, Dominique B. Spence, Christopher P. Bankhead, Dustin L. Richter

Background and Objective: Multiligament knee injuries (MLKIs), although rare in athletes, can present distinct challenges beyond the high-energy trauma commonly seen in the general population. The combination of anterior cruciate ligament (ACL) injury with other major knee stabilizers creates substantial treatment challenges …

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Evaluation and Management of Knee Dislocations

Matthew G. Wharton, Christopher L. Shultz, Robert C. Schenck, Dustin L. Richter

Knee dislocations (KDs) are potentially limb-threatening injuries characterized by complete displacement of the tibiofemoral articulation. Historically, most KDs resulted from high-energy trauma and sporting activities. However, KDs occurring in morbidly obese patients from low-energy falls, termed "ultra-low-velocity KDs," are becoming more common. …

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History of knee dislocation is associated with longer operative times and higher constraint in total knee arthroplasty: a matched cohort analysis

Benjamin S. Albertson, Christopher Kurnik, William Curtis, James O'Hora et autres

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Planned Tunnel Convergence for Concomitant Posterior Cruciate Ligament Reconstruction and Meniscal Root Repair

Nicholas L. Newcomb, Ryan G. Price, Kathryn Yeager, Colin J. Carroll et autres

Meniscal root injuries frequently occur in the setting of multiligamentous knee injuries. These present a complicating factor for planned tunnels and fixation owing to their proximity to the posterior cruciate ligament (PCL) tibial tunnel. Techniques typically aim to avoid tunnel convergence to …

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Management of posterior cruciate ligament injuries: an expert consensus from 17 countries

Jiahao Meng, Chao Zeng, Joan Carles Monllau, Robert F. LaPrade et autres

BACKGROUND: Posterior cruciate ligament (PCL) injury is a relatively common musculoskeletal condition. However, there is currently a lack of consensus on decision-making, treatment and postoperative management for such injuries. OBJECTIVES: To use the modified Delphi method to reach expert consensus on the …

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Severe, Bilateral External Snapping Hip in a Young Woman with a History of DDH and Hypermobility Syndrome

Joseph Esquibel, Ryan G. Price, Christopher L. Shultz, Dustin L. Richter

CASE: A 21-year-old woman with a history of bilateral developmental dysplasia of the hips (DDH), congenital hip dislocation, and hypermobility syndrome presented with severe bilateral external snapping hips. Following the failure of nonoperative management, bilateral open iliotibial band fasciectomy performed 5 months …

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Controversies in Timing of Surgery and Rehabilitation for Multiligamentous Knee Injuries.

Jelle P. van der List, Anthony P. Fiegen, Michael Joseph Alaia, Alan Getgood et autres

With an estimated incidence of 0.02% to 0.2%, multiligamentous knee injuries are rare, often devastating injuries that can occur with concomitant vascular or neurologic involvement. Generally, outcomes of surgical treatment have been superior to those of nonsurgical treatment for active individuals and …

Long Head of Biceps Tendinopathy: A Scoping Review of Classifications and Proposed Novel Classification System.

William Curtis, Ryan G. Price, Eric S. Kruger, Christopher C. Paiz et autres

Background: While authors have subclassified long head of biceps tendon (LHBT) lesions in numerous ways, there is no classification system based solely on the arthroscopic appearance of the LHBT. We present a scoping review of the existing classification systems for LHBT tendinopathy …

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What’s Important (Arts & Humanities): My Personal Journey from the Oil Field to Orthopaedics

Dustin L. Richter

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