James V. Nepola

Operative Fixation of a Lateral Acromion Fracture in a Native Shoulder Using Nice Knot Suture Cerclage

Garrett V. Christensen, Cory J. Call, Michael C Marinier, Reilly T. Corken et autres

Acromion fractures are challenging injuries to manage. Nonoperative treatment for nondisplaced fractures can yield satisfactory outcomes for most patients. Displaced acromion fractures can be difficult to manage given the vector of displacement and limited bone for fixation. There is no consensus on …

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Biomarkers of Injury Severity in Shoulder Instability and Posttraumatic Osteoarthritis

Patrick W. Rooney, Reilly Corken, Mark D. Wishman, Cory Call et autres

» There is a poor understanding of the significance of biomarkers in the blood, synovial fluid, and tissue in patients with shoulder instability and posttraumatic osteoarthritis (PTOA). » Identification of biomarkers associated with injury severity in shoulder instability may provide prognostic information …

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Arthroscopic Biologic Preparation of the Posterior Glenoid Rim for Posterior Labral Repair: The Anterior‐Superior Portal Provides the Optimal Angle of Attack

Luke A. Nordstrom, Joseph W. Galvin, Garrett V. Christensen, Brendan M. Patterson et autres

Arthroscopic posterior labral repair is an effective surgical technique for managing patients with posterior labral tears and symptomatic unidirectional posterior shoulder instability. It is well documented that a curved liberator from the mid-glenoid (anterior-inferior) portal passed from anterior to posterior provides an …

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Arthroscopic Latarjet: Transition from Open to All Arthroscopic

Mary Kate Skalitzky, Christopher T. Eberlin, Terry Hayes, Brendan M. Patterson et autres

Background: The Latarjet technique is the gold standard for treatment of anterior shoulder instability with glenoid bone loss or hyperlaxity. Since its initial description by Latarjet in 1954, the procedure has undergone significant evolution. While existing literature describes each of the various …

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Gracilis and Semitendinosus Autograft for Revision Elbow Ulnar Collateral Ligament and Flexor‐Pronator Mass Reconstruction

Cale B. Dobson, Garrett V. Christensen, James V. Nepola, Brendan M. Patterson et autres

Elbow dysfunction due to medial ulnar collateral ligament (MUCL) insufficiency can be treated nonoperatively. However, in the setting of symptomatic medial elbow pain, surgery is considered. Techniques for addressing this injury include repair augmented with an internal brace, as well as reconstruction. …

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Physical therapy following shoulder arthroplasty: an assessment of telerehabilitation vs. in-person physical therapy

Olivia C. O’Reilly, Maria F. Bozoghlian, Natalie Ann Glass, Michael D. Shaffer et autres

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Preoperative insurance-mandated physical therapy does not prevent the need for shoulder arthroplasty in patients with glenohumeral osteoarthritis

Grant E. Garrigues, Gregory N. Lervick, Maria F. Bozoghlian, Arden C. Shen et autres

Background: Glenohumeral osteoarthritis (GHOA) is a common cause of shoulder pathology for many patients. Nonsurgical treatment options for advanced GHOA are limited, and there are currently no high-level studies supporting the use of physical therapy (PT) to treat advanced cases of GHOA. …

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Preoperative education on pain self-management and opioid consumption does not significantly impact opioid use and disposal following shoulder arthroplasty: results of a prospective randomized controlled trial

Maria F. Bozoghlian, Brady R Wilkinson, Katherine Hadlandsmyth, Natalie Ann Glass et autres

Background: Prescription rates for opioid medications following orthopedic surgical procedures including shoulder arthroplasty continue to be high. In addition, only a small percentage of patients dispose of remaining opioid pills safely. The purpose of this study was to test the efficacy of …

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A review of periostin in orthopedics

Mark D. Wishman, William M Sgrignoli, Brendan M. Patterson, James V. Nepola et autres

Objective: This review explores periostin (POSTN), a matricellular protein integral to developmental physiological, and pathological processes, by examining its structure, function, and emerging roles in orthopedic and non-musculoskeletal pathologies. It investigates POSTN's potential as a biomarker and therapeutic target in orthopedic diseases, …

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Suture Button Fixation and Nice Knot Cerclage for Neer Type V Distal Clavicle Fractures

Garrett V. Christensen, Mary Kate Skalitzky, Maria F. Bozoghlian, C. Randall Lane et autres

Neer type V distal clavicle fractures are challenging injuries to treat. The fracture morphology includes a small distal clavicle fracture fragment attached to the acromion by the acromioclavicular ligaments and a separate inferior fracture fragment attached to the coracoclavicular ligaments. This fracture …

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Suture Button Fixation in Shoulder Instability Surgery to Achieve Bone Healing: A Critical Analysis Review

Pascal Boileau, Garrett V. Christensen, Brendan M. Patterson, James V. Nepola et autres

» Suture button fixation has emerged as an effective surgical construct in arthroscopic and open Latarjet and anterior glenoid reconstruction with free autograft bone with high rates of bone block healing.» Biomechanical data suggest that screw and suture button mechanical fixation constructs …

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Periostin Is a Biomarker for Anterior Shoulder Instability: Proteomic Analysis of Synovial Fluid

Joseph W. Galvin, Rachel J. Milam, Brendan M. Patterson, James V. Nepola et autres

Background: The incremental biological changes in the synovial microenvironment of the shoulder in acute and chronic instability that may contribute to joint degeneration are poorly understood. Proteomic analysis of synovial fluid in patients with shoulder instability may improve our understanding of proteins …

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