Publications by authors named "Adam G Evans"
Introduction: This study investigates the intersection of ballistic injuries, geography, and Area Deprivation Index (ADI). We hypothesized that both ADI and geography are correlated with incidence of upper extremity ballistic injuries. Further, we characterize and compare 2 distinct upper extremity gunshot injury populations presenting to our institution: those sustaining violent ballistic injuries and those who suffer an accidental, self-inflicted injury.
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- * A study aims to evaluate the effectiveness of high-resolution MRI in detecting pathologies of the greater occipital nerve (GON) in chronic headache patients, utilizing a specialized imaging protocol.
- * MRI successfully identified four key GON pathologies validated through surgical examination, suggesting its potential for providing objective evidence of nerve issues related to headaches, with further research needed to make it a standard diagnostic tool.
Article Synopsis
- Macromastia, a condition affecting adolescents, can lead to both physical and psychological distress, and while reduction mammaplasty is a common treatment, the risk factors for postoperative complications are not well understood.!* -
- The study analyzed data from the National Surgical Quality Improvement Program Pediatric (2012-2019) to explore the relationship between obesity and other factors on wound complications after reduction mammaplasty among adolescents.!* -
- Results indicated that higher obesity levels, specifically a BMI of 34.6 or more, increase the risk of complications, although overall complication rates were low, suggesting that reduction mammaplasty remains a beneficial procedure for improving patients' quality of life.!*
Background: Nerve injuries from gunshot wounds (GSWs) to the upper arm can cause significant morbidity and loss of function. However, indications for surgical exploration and nerve reconstruction remain unclear as both low- and high-grade injuries can present with an abnormal neurological examination.
Methods: Adult patients presenting with a history of isolated GSW to the upper arm between 2010 and 2019 at a single urban level 1 trauma center were screened for inclusion in this retrospective study.
Article Synopsis
- * A survey showed that while 80% of hospitals utilized telemedicine for other specialties, telemedicine was not employed for hand care.
- * Access to hand trauma care dropped significantly from 60% in 2018 to 26% in 2021, highlighting the need for better telemedicine integration in this field to improve care access.
Nerve blocks for occipital headaches: A systematic review and meta-analysis.
J Anaesthesiol Clin Pharmacol
April 2023
Migraine surgeons have identified six "trigger sites" where cranial nerve compression may trigger a migraine. This study investigates the change in headache severity and frequency following nerve block of the occipital trigger site. This PRISMA-compliant systematic review of five databases searched from database inception through May 2020 is registered under the PROSPERO ID: CRD42020199369.
View Article and Find Full Text PDFMagnetic resonance imaging (MRI) is widely used in clinical care and medical research. The signal-to-noise ratio (SNR) in the measurement affects parameters that determine the diagnostic value of the image, such as the spatial resolution, contrast, and scan time. Surgically implanted radiofrequency coils can increase SNR of subsequent MRI studies of adjacent tissues.
View Article and Find Full Text PDFMigraine surgery at 1 of 6 identified "trigger sites" of a target cranial sensory nerve has rapidly grown in popularity since 2000. This study summarizes the effect of migraine surgery on headache severity, headache frequency, and the migraine headache index score which is derived by multiplying migraine severity, frequency, and duration. This is a PRISMA-compliant systematic review of 5 databases searched from inception through May 2020 and is registered under the PROSPERO ID: CRD42020197085.
View Article and Find Full Text PDFIntroduction: Upper Extremity gunshot wounds represent a significant strain on community and hospital resources, and reports of their epidemiology are varied. We hypothesized that demographic and socioeconomic variables would be associated with variable injury patterns and management, and that two distinct populations would be affected by upper extremity ballistic injury based on violent versus accidental, self-inflicted mechanism.
Materials & Methods: Retrospective review of all adult patients sustaining ballistic injury to the upper extremity at a single urban Level I trauma center over 10 years (n = 797).
Article Synopsis
- Prophylactic antibiotics are often prescribed variably after upper extremity gunshot wounds (UE GSWs), but the reasons for this and the risk of infection are not well understood.
- In a study involving 281 adults with UE GSWs, about 40% were discharged with prophylactic antibiotics, especially those with more severe injuries like distal wounds and ballistic fractures.
- The infection rate among those followed for at least 30 days was between 3% and 6%, showing that the effectiveness of antibiotics in preventing infections may be limited, and further research is needed to identify specific groups that could benefit more from antibiotic treatment.
Individuals with an extremity amputation are predisposed to persistent pain that reduces their quality of life. Residual limb pain is defined as pain that is felt in the limb after amputation. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-compliant systematic review of 5 databases from inception to June 2020 was performed and is registered under the PROSPERO ID: CRD42020199297.
View Article and Find Full Text PDFBackground: Section 1557 of the Affordable Care Act, introduced in 2016, increased access to gender-affirming surgeries for transgender and gender diverse individuals. Masculinizing chest reconstruction (e.g.
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- - Magnetic resonance diffusion tensor imaging (DTI) helps identify microstructural changes in peripheral nerves and is particularly effective for diagnosing carpal tunnel syndrome (CTS) by measuring the apparent diffusion coefficient (ADC) of the median nerve.
- - A comprehensive review involving 22 studies found that patients with CTS had significantly lower median nerve ADC values compared to healthy controls, indicating altered nerve structure at key anatomical locations like the distal radioulnar joint, pisiform, and hamate.
- - To improve CTS diagnosis, it's suggested that specific ADC cut-off values be established for different anatomical levels, and future research should utilize wrist coils for enhanced measurement accuracy.
Study Design: Case Series.
Objectives: To describe the donor activation focused rehabilitation approach (DAFRA) in the setting of the hand closing nerve transfers in cervical spinal cord injury (SCI) so that therapists may apply it to treatment of individuals undergoing this procedure.
Setting: United States of America-Academic Level 1 Trauma Center.
Background: Implanted and transcutaneous nerve stimulators have shown promise as novel non-pharmacologic treatment for episodic and chronic migraines. The purpose of this study was to summarize the reported efficacy of transcutaneous single nerve stimulators in management of migraine frequency and severity.
Methods: A systematic review of five databases identified studies treating migraines with transcutaneous stimulation of a single nerve.
Intradermal injection of autologous platelet-rich plasma (PRP) is a non-surgical cosmetic therapy to rejuvenate the periorbital area pathologies of wrinkles, periorbital hyperpigmentation (POH), and photoaging. The past decade has seen the adoption of this novel therapy around the world. This is the first systematic review and meta-analysis evaluating PRP treatment of periorbital pathologies.
View Article and Find Full Text PDFObjective: The past decade has seen platelet-rich plasma (PRP) become a popular therapy around the world as a treatment for androgenetic alopecia (AGA). These systematic review and meta-analyses assess the effectiveness and adverse effects of PRP to determine the role of PRP as a treatment for AGA among the other non-surgical treatment modalities.
Methods: This study follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and is registered under the PROSPERO ID CRD42019136329.