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15. Anatomical Variations of the First Dorsal Compartment in de Quervain Tenosynovitis.

Author

Liu, Christina, Moye, Stephen, Blazar, Philip, Earp, Brandon E., and Zhang, Dafang

Abstract

Background: De Quervain tenosynovitis of the wrist is a common pathology. The primary aim of this study is to determine the prevalence of extensor pollicis brevis and abductor pollicis longus (APL) anatomical variations in association with de Quervain tenosynovitis. The secondary aim was to compare additional patient-specific factors associated with de Quervain tenosynovitis. Methods: This retrospective study included 172 patients with de Quervain tenosynovitis who underwent first dorsal compartment release and 179 patients with thumb carpometacarpal (CMC) arthritis who underwent thumb CMC arthroplasty between August 1, 2007, and May 1, 2022. The CMC group was chosen as the control group because the study surgeons perform APL suspensionplasty as the primary procedure for thumb CMC arthritis, allowing for a comparison group without de Quervain tenosynovitis. Exclusion criteria included patients undergoing revision surgery, patients undergoing thumb CMC procedure other than APL suspensionplasty, and patients with both CMC and first dorsal compartment diagnoses. Demographics, clinical variables, and intraoperative findings were collected through retrospective chart reviews. Results: Patients in the de Quervain tenosynovitis group tended to be younger (51 years, range: 23-92 years vs 63 years, range: 28-85 years), women (86.1% vs 77.1%), and more commonly of African American or black race (15.7% vs 3.9%) and Asian race (5.2% vs 0%). There was a higher prevalence of tendon subcompartments (79.1% vs 64.2%), but fewer number of APL slips (38.3% vs 20.7% 2 or fewer slips) seen in the de Quervain tenosynovitis group. Conclusion: Anatomical variation exists between patients with and without de Quervain tenosynovitis. The presence of tendon subcompartments but not an increased number of tendon slips is associated with de Quervain tenosynovitis. [ABSTRACT FROM AUTHOR]

Published
2024
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16. Perioperative Complications Associated With Limited Surgical Fasciectomy After Collagenase Clostridium Histolyticum for Dupuytren Contracture.

Author

Golinvaux, Nicholas S., Zhang, Dafang, Benavent, Kyra A., Earp, Brandon E., and Blazar, Philip E.

Abstract

Background: The purpose of this study was to determine the perioperative complication rate of surgical fasciectomy following previous treatment with collagenase clostridium histolyticum (CCH) treatment in patients with Dupuytren disease. Methods: A retrospective review of all patients at a large health system undergoing CCH treatment and subsequent limited surgical fasciectomy for recurrence on the same digit between 2010 and 2020 was performed. Fifty-two patients with 62 affected digits met inclusion criteria, and cases were reviewed for preoperative demographics, treatment characteristics, clinical outcomes, and perioperative complications. Results: Fifty-five digits in 48 patients were treated with CCH and underwent subsequent limited surgical fasciectomy. Of all digits in the present study, 3 (6.3%) had a documented surgical complication following open surgical fasciectomy. There were zero postoperative infections, vascular injuries, or tendon injuries. The rate of nerve injury was 2.1%. The rate of postoperative skin necrosis was 4.2%. These rates were comparable or lower than those of historical published data. Conclusions: The rate of perioperative complications in patients undergoing limited surgical fasciectomy after previous CCH treatment is low. The findings of this study will aid the counseling of Dupuytren patients in deciding whether to pursue treatment with CCH versus open surgical fasciectomy. [ABSTRACT FROM AUTHOR]

Published
2024
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17. The Role of Inflammation after Surgery for Elders (RISE) study: Study design, procedures, and cohort profile

Author

Inouye, Sharon K., Arnold, Steven, Dickerson, Bradford, Fong, Tamara, Jones, Richard, Libermann, Towia A., Marcantonio, Edward R., Travison, Thomas, Carlyle, Becky C., Cavallari, Michele, Dillon, Simon T., Hooker, Jacob, Hshieh, Tammy, Kandigian, Savannah, Kivisakk-Webb, Pia, Ngo, Long, Otu, Hasan, Schmitt, Eva M., Touroutoglou, Alexandra, Trombetta, Bianca, Vasunilashorn, Sarinnapha, Abdeen, Ayesha, Ayres, Douglas, Earp, Brandon, Lange, Jeffrey, Brick, Gregory, Chen, Antonia, Davis, Robert, Drew, Jacob, Iorio, Richard, Kornack, Fulton, Weaver, Michael, Webber, Anthony, Wilk, Richard, Kunze, Lisa, Shaff, David, Vlassakov, Kamen, Armstrong, Brett, Banda, Angelee, Bertrand, Sylvie, D'Aquila, Madeline, Gallagher, Jacqueline, Hightower, Baileigh, Malloy, Shannon, Nee, Jacqueline, Nobuhara, Chloe, Overstreet, Abigail, Racine, Annie, Urick, David, Xu, Guoquan, Arabasz, Grae, Brickhouse, Michael, Butterfield, Regan, Hsu, Shirley, Makaretz, Sara, Sore, Judit, Chen, Fan, Gou, Yun, Tommet, Douglas, Carretie, Sabrina, Gruen, Ted, Tasker, Katherine, Hshieh, Tammy T., Vasunilashorn, Sarinnapha M., D'Aquila, Madeline L., Arnold, Steven E., Dickerson, Bradford C., Fong, Tamara G., Jones, Richard N., Kunze, Lisa J., Vlassakov, Kamen V., Abdeen, Ayesha R., Lange, Jeffrey K., Earp, Brandon E., and Travison, Thomas G.

Published
2019
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29. Factors Associated With Episode of Care Adverse Events After Humerus Nonunion Repair.

Author

Zhang, Dafang, Jupiter, Jesse B., Blazar, Philip, Earp, Brandon E., and Dyer, George S. M.

Subjects
HUMERUS injuries, REOPERATION, PREOPERATIVE risk factors, QUALITY of life, PATIENT readmissions, ADVERSE health care events
Abstract

Background: Humeral nonunions have devastating negative effects on patients' upper extremity function and health-related quality of life. The objective of this study was to identify factors independently associated with 30-day complication, hospital readmission, and reoperation after surgical treatment of humeral nonunions. Materials and Methods: A retrospective case-control study was performed using the American College of Surgeons National Surgical Quality Improvement Program database by querying the Current Procedural Terminology codes for patients who underwent humeral nonunion repair from 2011 to 2020. The study outcomes were 30-day complication, hospital readmission, and reoperation. Results: Of the 1306 patients in our cohort, 135 patients (10%) developed a complication, 66 patients (5%) were readmitted to the hospital, and 44 patients (3%) underwent reoperation during the 30-day postoperative period. Multivariable logistic regression analysis showed that older age, longer operative time, partially dependent functional status, congestive heart failure, bleeding disorder, and contaminated wound classification were associated with 30-day complication after humeral nonunion repair. Older age and disseminated cancer were associated with 30-day reoperation after humeral nonunion repair. Disseminated cancer was associated with 30-day readmission after humeral nonunion repair. Conclusion: Using a large database over a recent 10-year period, we identified demographic and comorbid factors independently associated with episode of care adverse events after humeral nonunion repair. Patients 50 years or older had approximately three times the incidence of complications, readmissions, and reoperations in the first month after humeral nonunion repair compared with patients younger than 50 years. Our findings are relevant for preoperative risk stratification and counseling. [Orthopedics. 2024;47(4):e181–e187.] [ABSTRACT FROM AUTHOR]

Published
2024
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30. High rates of vitamin D insufficiency among patients presenting for total knee arthroplasty.

Author

Liu, Christina, Seyok, Thany, Moye, Stephen, Sugita, Lansing, Eltouny, Ehab, Carrera, Christopher, Denagamage, Prabhavi, Charles, Julia, Fitz, Wolfgang, Chen, Antonia F., and Earp, Brandon

Subjects
TOTAL knee replacement, VITAMIN D, DISTAL radius fractures, VITAMIN D deficiency, DIETARY supplements
Abstract

Widely varying prevalence of vitamin D deficiency has been reported in patients presenting for total knee arthroplasty (TKA). The primary aim of this study was to determine vitamin D levels in TKA patients and to compare to patients already routinely evaluated for vitamin D levels, patients with fragility fractures of the distal radius (DRF). There is significant overlap between patients presenting for TKA and with DRF, both in terms of medical comorbidities and overall health status, making these populations suitable comparative cohorts. Wefound that all patients presenting for TKA consultation had vitamin D insufficiency and 33% had vitamin D deficiency, compared to only 37% and 14% in the DRF cohort, a patient population routinely evaluated for vitamin D due to the high risk of deficiency. Furthermore, patients with DRF had higher levels of vitamin D before (38 ± 16 vs. 23 ± 5) and after vitamin D supplementation (39 ± 17 vs. 33 ± 10), suggesting that patients presenting for TKA are at even higher risk of vitamin D insufficiency than patients presenting with DRF. Reassuringly, supplementation successfully corrected 39.0% and 55.8% of patients in the DRF and TKA cohorts, respectively. [ABSTRACT FROM AUTHOR]

Published
2024
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45. Predicting Outcomes After Distal Radius Fracture: A 24-Center International Clinical Trial of Older Adults

Author

Chung, Kevin C., Kim, H. Myra, Haase, Steven C., Lawton, Jeffrey N., Lien, John R., Momoh, Adeyiza O., Ozer, Kagan, Sears, Erika D., Waljee, Jennifer F., Brown, Matthew S., Cho, Hoyune E., Michelotti, Brett F., Malay, Sunitha, Shauver, Melissa J., Rozental, Tamara D., Appleton, Paul T., Rodriguez, Edward K., Deschamps, Laura N., Mattfolk, Lindsay, Wagner, Katiri, Blazar, Philip, Earp, Brandon E., Floyd, W. Emerson, Louie, Dexter L., Leversedge, Fraser J., Richard, Marc J., Ruch, David S., Finley, Suzanne, Howe, Cameron, Manson, Maria, Whitfield, Janna, Perey, Bertrand H., Apostle, Kelly, Boyer, Dory, Moola, Farhad, Stone, Trevor, Viskontas, Darius, Zomar, Mauri, Moon, Karyn, Moon, Raely, Kalliainen, Loree K., Ward, Christina M., Fletcher, James W., Heinrich, Cherrie A., Pico, Katharine S., Mahajan, Ashish Y., Hill, Brian W., Vang, Sandy, Laporte, Dawn M., Hasenboehler, Erik A., Lifchez, Scott D., Osgood, Greg M., Shafiq, Babar, Shores, Jaimie T., Laljani, Vaishali, Bamberger, H. Brent, Harman, Timothy W., Martineau, David W., Robinson, Carla, Palmer, Brandi, Grewal, Ruby, Faber, Ken A., MacDermid, Joy C., Kelly, Kate, Munro, Katrina, Vincent, Joshua I., Ring, David, Jupiter, Jesse B., Finger, Abigail, Gruber, Jillian S., Reddy, Rajesh K., Pong, Taylor M., Thornton, Emily R., Dennison, David G., Kakar, Sanjeev, Rizzo, Marco, Shin, Alexander Y., Scrabeck, Tyson L., Chepla, Kyle, Malone, Kevin, Hoyen, Harry A., Bafus, Blaine Todd, Jordan, Roderick B., Kaufman, Bram, Totonchil, Ali, Hromyak, Dana R., Humbert, Lisa, Sebastin, Sandeep, Tay, Sally, Nellans, Kate W., Merwin, Sara L., Blackburn, Ethan W., Hanlin, Sandra J., Patterson, Barbara, Gaston, R. Glenn, Cadderdon, R. Christopher, Gantt, Erika Gordon, Gaul, John S., Lewis, Daniel R., Loeffler, Bryan J., Osier, Lois K., Perlik, Paul C., Ward, W. Alan, Connell, Benjamin, Haug, Pricilla, Michalek, Caleb, Clark, Tod A., McRae, Sheila, Wolf, Jennifer Moriatis, Rodner, Craig M., Coyle, Katy, Lehman, Thomas P., Lansinger, Yuri C., O’Mahony, Gavin D., Carl, Kathy, Wells, Janet, Bozentka, David J., Levin, L. Scott, Steinberg, David P., Horan, Annamarie D., Knox, Denise, Napolitano, Kara, Fowler, John, Goitz, Robert, Naccarelli, Cathy A., Tighe, Joelle, Hammert, Warren C., McIntyre, Allison W., Noble, Krista L., Waldrick, Kaili, Friedrich, Jeffery B., Bowman, David, Wilson, Angela, Li, Zhongyu, Koman, L. Andrew, Graves, Benjamin R., Smith, Beth P., and Bullard, Debra

Published
2019
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