Search

Your search keyword '"Patel, Neeraj M."' showing total 33 results
Start Over Author "Patel, Neeraj M." Publisher sage publications
33 results on '"Patel, Neeraj M."'

1. Anterior Displacement of Tibial Spine Fractures: Does Anatomic Reduction Matter?

Author

McGurty, Shannon A., primary, Ganley, Theodore J., additional, Kushare, Indranil, additional, Leska, Tomasina M., additional, Aoyama, Julian T., additional, Ellis, Henry B., additional, Johnson, Ben, additional, Baghdadi, Soroush, additional, Cruz, Aristides I., additional, Fabricant, Peter D., additional, Green, Daniel W., additional, Lee, R. Jay, additional, McKay, Scott D., additional, Milbrandt, Todd A., additional, Patel, Neeraj M., additional, Rhodes, Jason T., additional, Sachleben, Brant, additional, Traver, Jessica L., additional, Mistovich, R. Justin, additional, Schmale, Gregory A., additional, Cook, Danielle L., additional, and Yen, Yi-Meng, additional

Published
2023
Full Text
View/download PDF

2. What are the Causes and Consequences of Delayed Surgery for Pediatric Tibial Spine Fractures?

Author

Patel, Neeraj M., primary, Leska, Tomasina M., additional, Ganley, Theodore J., additional, Aoyama, Julien T., additional, Cruz, Aristides I., additional, Ellis, Henry B., additional, Fabricant, Peter D., additional, Green, Daniel W., additional, Jagodzinski, Jason E., additional, Johnson, Benjamin, additional, Kushare, Indranil, additional, Lee, Rushyuan J., additional, McKay, Scott D., additional, Rhodes, Jason T., additional, Sachleben, Brant C., additional, Sargent, M. Catherine, additional, Schmale, Gregory A., additional, Yen, Yi-Meng, additional, and Mistovich, R. Justin, additional

Published
2022
Full Text
View/download PDF

3. A Multicenter Comparison of Open Versus Arthroscopic Fixation for Pediatric Tibial Spine Fractures

Author

Shimberg, Jilan L, primary, Leska, Tomasina M, additional, Cruz, Aristides I, additional, Patel, Neeraj M, additional, Ellis, Henry B, additional, Ganley, Theodore J, additional, Johnson, Ben, additional, Milbrandt, Todd A, additional, Aoyama, Julien T., additional, Fabricant, Peter D., additional, Green, Daniel W., additional, Kushare, Indranil, additional, Lee, R. Jay, additional, McKay, Scott, additional, Rhodes, Jason, additional, Sachleben, Brant, additional, Schmale, Gregory A, additional, Traver, Jessica L., additional, Yen, Yi-Meng, additional, and Mistovich, R Justin, additional

Published
2022
Full Text
View/download PDF

4. Type I Tibial Spine Fractures: Not So Simple to Classify, Not So Easy to Treat; A Multicenter Study

Author

Shimberg, Jilan L, primary, Leska, Tomasina M, additional, Aoyama, Julien T., additional, Cruz, Aristides I., additional, Ellis, Henry B., additional, Fabricant, Peter D., additional, Ganley, Theodore J., additional, Green, Daniel W., additional, Johnson, Benjamin, additional, Kushare, Indranil, additional, Lee, R. Jay, additional, McKay, Scott, additional, Milbrandt, Todd A., additional, Patel, Neeraj M., additional, Rhodes, Jason, additional, Sachleben, Brant, additional, Traver, Jessica L., additional, Yen, Yi-Meng, additional, Schmale, Gregory A, additional, and Mistovich, R Justin, additional

Published
2022
Full Text
View/download PDF

8. What Are the Causes and Consequences of Delayed Surgery for Pediatric Tibial Spine Fractures? A Multicenter Study

Author

Smith, Haley E., primary, Cruz, Aristides I., additional, Mistovich, R. Justin, additional, Leska, Tomasina M., additional, Ganley, Theodore J., additional, Aoyama, Julien T., additional, Ellis, Henry B., additional, Kushare, Indranil, additional, Lee, Rushyuan J., additional, McKay, Scott D., additional, Milbrandt, Todd A., additional, Rhodes, Jason T., additional, Sachleben, Brant C., additional, Schmale, Gregory A., additional, and Patel, Neeraj M., additional

Published
2022
Full Text
View/download PDF

13. ANTERIOR CRUCIATE LIGAMENT TEAR FOLLOWING SURGICAL TREATMENT OF PEDIATRIC TIBIAL EMINENCE FRACTURE IN A MULTICENTER COHORT

Author

O’Donnell, Ryan, primary, Bokshan, Steven, additional, Brown, Kelsey, additional, Aoyama, Julien T, additional, Ganley, Theodore J, additional, Fabricant, Peter D, additional, Patel, Neeraj M., additional, Ellis, Henry B, additional, Green, Daniel W, additional, Jagodzinski, Jason E, additional, Kushare, Indranil, additional, Lee, R Jay, additional, McKay, Scott, additional, Rhodes, Jason, additional, Sachleben, Brant, additional, Sargent, Catherine, additional, Schmale, Gregory A., additional, Yen, Yi-Meng, additional, Mistovich, R Justin, additional, and Cruz, Aristides I., additional

Published
2021
Full Text
View/download PDF

14. UNEVEN PLAYING FIELD: INSURANCE STATUS ADVERSELY AFFECTS CHILDREN WITH TIBIAL SPINE FRACTURES

Author

Patel, Neeraj M., primary, Leska, Tomasina M., additional, Ganley, Theodore J., additional, Aoyama, Julien T., additional, Cruz, Aristides I., additional, Ellis, Henry B., additional, Fabricant, Peter D., additional, Green, Daniel W., additional, Jagodzinski, Jason, additional, Johnson, Benjamin, additional, Kushare, Indranil, additional, Lee, Rushyuan J., additional, McKay, Scott D., additional, Rhodes, Jason T., additional, Sachleben, Brant C., additional, Sargent, M. Catherine, additional, Schmale, Gregory A., additional, Yen, Yi-Meng, additional, and Mistovich, R. Justin, additional

Published
2021
Full Text
View/download PDF

20. SURGICAL MANAGEMENT OF OSTEOCHONDRITIS DISSECANS OF THE ELBOW IN CHILDREN: IS THERE CONSENSUS AMONG EXPERTS?

Author

LaValva, Scott M., primary, Talathi, Nakul S., additional, Patel, Neeraj M., additional, Edmonds, Eric W., additional, Ellis, Henry B., additional, Fabricant, Peter D., additional, Lyon, Roger, additional, Milewski, Matthew D., additional, Polousky, John, additional, Shea, Kevin G., additional, Wall, Eric J., additional, Wilson, Philip, additional, Heyworth, Benton E., additional, Nissen, Carl W., additional, Bae, Donald S., additional, and Ganley, Theodore J., additional

Published
2020
Full Text
View/download PDF

31. Does Insurance Status Affect Treatment of Children With Tibial Spine Fractures?

Author

Smith HE, Mistovich RJ, Cruz AI Jr, Leska TM, Ganley TJ, Aoyama JT, Ellis HB, Fabricant PD, Green DW, Jagodzinski J, Johnson B, Kushare I, Lee RJ, McKay SD, Rhodes JT, Sachleben BC, Sargent MC, Schmale GA, Yen YM, and Patel NM

Subjects
Adolescent, Child, Cross-Sectional Studies, Humans, Insurance Coverage, Insurance, Health, Retrospective Studies, Spinal Fractures surgery, Tibial Fractures epidemiology, Tibial Fractures surgery
Abstract

Background: Previous studies have reported disparities in orthopaedic care resulting from demographic factors, including insurance status. However, the effect of insurance on pediatric tibial spine fractures (TSFs), an uncommon but significant injury, is unknown., Purpose: To assess the effect of insurance status on the evaluation and treatment of TSFs in children and adolescents., Study Design: Cross-sectional study; Level of evidence, 3., Methods: We performed a retrospective cohort study of TSFs treated at 10 institutions between 2000 and 2019. Demographic data were collected, as was information regarding pre-, intra-, and postoperative treatment, with attention to delays in management and differences in care. Surgical and nonsurgical fractures were included, but a separate analysis of surgical patients was performed. Univariate analysis was followed by purposeful entry multivariate regression to adjust for confounding factors., Results: Data were collected on 434 patients (mean ± SD age, 11.7 ± 3.0 years) of which 61.1% had private (commercial) insurance. Magnetic resonance imaging (MRI) was obtained at similar rates for children with public and private insurance (41.4% vs 41.9%, respectively; P ≥ .999). However, multivariate analysis revealed that those with MRI performed ≥21 days after injury were 5.3 times more likely to have public insurance (95% CI, 1.3-21.7; P = .02). Of the 434 patients included, 365 required surgery. Similar to the overall cohort, those in the surgical subgroup with MRI ≥21 days from injury were 4.8 times more likely to have public insurance (95% CI, 1.2-19.6; P = .03). Children who underwent surgery ≥21 days after injury were 2.5 times more likely to have public insurance (95% CI, 1.1-6.1; P = .04). However, there were no differences in the nature of the surgery or findings at surgery. Those who were publicly insured were 4.1 times more likely to be immobilized in a cast rather than a brace postoperatively (95% CI, 2.3-7.4; P < .001)., Conclusion: Children with public insurance and a TSF were more likely to experience delays with MRI and surgical treatment than those with private insurance. However, there were no differences in the nature of the surgery or findings at surgery. Additionally, patients with public insurance were more likely to undergo postoperative casting rather than bracing.

Published
2021
Full Text
View/download PDF

32. Anterior Cruciate Ligament Injury Incidence in Adolescent Athletes: A Systematic Review and Meta-analysis.

Author

Bram JT, Magee LC, Mehta NN, Patel NM, and Ganley TJ

Subjects
Adolescent, Athletes, Female, Humans, Incidence, Male, Schools, Anterior Cruciate Ligament Injuries epidemiology, Anterior Cruciate Ligament Injuries etiology, Athletic Injuries epidemiology, Soccer
Abstract

Background: The incidence of anterior cruciate ligament (ACL) injuries among adolescent athletes is steadily increasing. Identification of the highest risk sports for ACL injuries by sex and competitive setting (ie, practice vs match) is important for targeting injury prevention programs., Purpose: To identify the risk of ACL injuries in adolescent athletes by sport, sex, and setting across a variety of common US and international sports., Study Design: Meta-analysis., Methods: Essentially, 3 online databases (PubMed, Embase, and Cochrane Library) were searched for all studies of ACL injuries per athlete-exposure (AE) or hours of exposure in adolescent athletes. Injuries were then pooled and incidence rates (IRs) reported per 1000 AEs or hours of exposure, with the relative risk (RR) of injuries calculated for sex-comparable sports. IRs per competitive setting (match vs practice) were also calculated., Results: A total of 1235 ACL injuries over 17,824,251 AEs were identified (IR, 0.069 [95% CI, 0.065-0.074]), with 586 of these injuries in girls across 6,986,683 AEs (IR, 0.084 [95% CI, 0.077-0.091]) versus 649 injuries in boys over 10,837,568 AEs (IR, 0.060 [95% CI, 0.055-0.065]). Girls had a higher overall rate of ACL injuries (RR, 1.40 [95% CI, 1.25-1.57]), with the most disproportionate risk observed in basketball (RR, 4.14 [95% CI, 2.98-5.76]). The risk of ACL injuries by sex was highest in girls' soccer (IR, 0.166 [95% CI, 0.146-0.189]) and boys' football (IR, 0.101 [95% CI, 0.092-0.111]). ACL injuries were over 8 (RR, 8.54 [95% CI, 6.46-11.30]) and 6 (RR, 6.85 [95% CI, 5.52-8.49]) times more likely to occur in a match versus a practice setting for female and male athletes, respectively., Conclusion: The risk of ACL injuries overall approached nearly 1 per 10,000 AEs for female athletes, who were almost 1.5 times as likely as male athletes to suffer an ACL injury across all adolescent sports. A multisport female athlete was estimated to have a nearly 10% risk of ACL injuries over her entire high school or secondary school career. Specifically, male and female adolescents playing soccer, basketball, lacrosse, and football appeared at particular risk of injuries, a finding that can be used to target an injury intervention.

Published
2021
Full Text
View/download PDF

33. Tibial Spine Fractures: How Much Are We Missing Without Pretreatment Advanced Imaging? A Multicenter Study.

Author

Shimberg JL, Aoyama JT, Leska TM, Ganley TJ, Fabricant PD, Patel NM, Cruz AI Jr, Ellis HB Jr, Schmale GA, Green DW, Jagodzinski JE, Kushare I, Lee RJ, McKay S, Rhodes J, Sachleben B, Sargent C, Yen YM, and Mistovich RJ

Subjects
Adult, Child, Cross-Sectional Studies, Humans, Magnetic Resonance Imaging, Retrospective Studies, Spinal Fractures diagnostic imaging, Spinal Fractures epidemiology, Tibial Fractures diagnostic imaging, Tibial Fractures epidemiology, Tibial Fractures surgery, Tibial Meniscus Injuries
Abstract

Background: There is a high rate of concomitant injuries reported in pediatric patients with tibial spine fractures, ranging from 40% to 68.8%. Many tibial spine fractures are treated without initial magnetic resonance imaging (MRI)., Purpose: To understand rates of concomitant injury and if the reported rates of these injuries differed among patients with and without pretreatment MRI., Study Design: Cross-sectional study; level of evidence, 3., Methods: We performed an institutional review board-approved multicenter retrospective cohort study of patients treated for tibial spine fractures between January 1, 2000, and January 31, 2019, at 10 institutions. Patients younger than 25 years of age with tibial spine fractures were included. Data were collected on patient characteristics, injury, orthopaedic history, pretreatment physical examination and imaging, and operative findings. We excluded patients with multiple trauma and individuals with additional lower extremity fractures. Patients were categorized into 2 groups: those with and those without pretreatment MRI. The incidence of reported concomitant injuries was then compared between groups., Results: There were 395 patients with a tibial spine fracture who met inclusion criteria, 139 (35%) of whom were reported to have a clinically significant concomitant injury. Characteristics and fracture patterns were similar between groups. Of patients with pretreatment MRI, 79 of 176 (45%) had an identified concomitant injury, whereas only 60 of 219 patients (27%) without pretreatment MRI had a reported concomitant injury ( P < .001). There was a higher rate of lateral meniscal tears ( P < .001) in patients with pretreatment MRI than in those without. However, there was a higher rate of soft tissue entrapment at the fracture bed ( P = .030) in patients without pretreatment MRI. Overall, 121 patients (87%) with a concomitant injury required at least 1 treatment., Conclusion: Patients with pretreatment MRI had a statistically significantly higher rate of concomitant injury identified. Pretreatment MRI should be considered in the evaluation of tibial spine fractures to improve the identification of concomitant injuries, especially in patients who may otherwise be treated nonoperatively or with closed reduction. Further studies are necessary to refine the indications for MRI in patients with tibial spine fractures, determine the characteristics of patients at highest risk of having a concomitant injury, define the sensitivity and specificity of MRI in tibial spine fractures, and investigate patient outcomes based on pretreatment MRI status.

Published
2020
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results