Publications by authors named "Brandon Erickson"
Background: Baseball pitching injuries can be related to fatigue. Changes in grip and pinch strength over the course of professional baseball games are unknown.
Hypothesis: Grip and pinch strength will decrease as the number of innings pitched increases; injured pitchers will have a lower grip strength than uninjured pitchers.
Article Synopsis
- The study aims to compare the clinical outcomes and return to sport (RTS) for two fixation techniques (unicortical and bicortical button) used in tenodesis of the long head of the biceps tendon (LHBT).
- A total of 64 patients were evaluated over an average follow-up period of 3.5 years, using pain scores and activity surveys to assess outcomes.
- Results indicated no significant differences in pain levels, clinical scores, or RTS rates between the two fixation methods, suggesting similar effectiveness.
Since Dr. Frank Jobe performed the initial surgery on Tommy John in 1974, the ulnar collateral ligament (UCL) reconstruction (UCLR), colloquially "Tommy John Surgery," described in 1986 has evolved as the gold standard treatment for UCL tears. The crux of technique modifications involve flexor pronator mass (FPM) management, ulnar nerve transposition (UNT), graft selection, or graft-fixation options.
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- The study aimed to analyze how scapulothoracic orientation affects simulated range of motion (ROM) in reverse total shoulder arthroplasty (rTSA), expecting notable differences between adjusted and unadjusted values.
- Using CT scans from ten shoulder patients, six surgeons independently planned rTSA with software that adjusted for scapular orientation, comparing various movement planes.
- Results showed significant differences in all movement planes with adjustments leading to lower ROM values, particularly in external rotation, extension, and internal rotation, indicating the importance of posture in preoperative planning for rTSA.
Article Synopsis
- Various surgical options exist for repairing the coracoclavicular ligament in acromioclavicular joint dislocations, but there is no definitive gold standard; arthroscopic approaches are gaining popularity.
- A systematic review analyzed 52 studies focusing on the clinical outcomes of arthroscopic surgeries, specifically examining factors such as function, pain scores, complications, and revision rates.
- The findings indicate that arthroscopic surgery shows promising results with high postoperative function scores, low failure rates, and more complications in chronic cases compared to acute ones, making it a viable option for treating AC joint dislocations.
Article Synopsis
- Individual maximum joint and segment angular velocities in high school pitchers positively impact throwing arm kinetics and ball velocity, as demonstrated through a study involving 55 pitchers throwing fastballs while tracked with advanced motion capture technology.
- The study found that specific velocities, particularly lead knee extension and pelvis rotation, led to significantly higher elbow torque measures and increased elbow distractive force compared to the general population of pitchers.
- Additionally, the "overall fast" group, which was older and achieved higher ball velocities, displayed significantly greater elbow and shoulder torque, indicating a correlation between age, speed, and joint mechanics in pitching performance.
Background: It remains unclear which subset of patients with recurrent patellofemoral instability would benefit from a concomitant bony realignment procedure in addition to a medial patellofemoral ligament (MPFL) reconstruction.
Purpose: To provide midterm results for patients who underwent an isolated MPFL reconstruction as part of an ongoing prospective trial.
Study Design: Case series; Level of evidence, 4.
Article Synopsis
- Injuries in professional baseball players are common, with an unclear link between grip strength and injury risk in pitchers.
- The study aimed to assess whether grip strength affected the likelihood of shoulder or elbow injuries in pitchers, hypothesizing that weaker grip strength would correlate with higher injury incidence.
- Findings revealed no significant differences in grip strength between injured and non-injured pitchers, suggesting grip strength is not a risk factor for these injuries during the season.
Predraft elbow magnetic resonance imaging in Major League Baseball pitchers.
J Shoulder Elbow Surg
November 2024
Background: Prior to the Major League Baseball (MLB) draft, some pitchers undergo predraft magnetic resonance imaging (MRI). This study aimed to evaluate pre-draft elbow MRI on baseball pitchers who were entering the MLB draft to determine the presence or absence of pathology, the associations between these pathologies and ulnar collateral ligament (UCL) tears, and interobserver reliability regarding common MRI pathology.
Methods: Predraft elbow MRI performed on prospective MLB pitchers between 2011 and 2017 were deidentified and then reviewed by two separate authors.
Background: Oblique strains have become a common injury among professional baseball players. The influence of player workload on oblique strains remains unknown.
Purpose/hypothesis: To determine whether workload is a risk factor for oblique strains in professional baseball players.
Article Synopsis
- Elbow ulnar collateral ligament (UCL) reconstruction (UCLR) is the preferred surgery for UCL tears, with a growing interest in UCL repairs; the study looks at trends in these surgeries and factors affecting complications.
- The research analyzed data from New York State healthcare facilities from 2010-2019, comparing surgical outcomes based on demographic information, socioeconomic factors, and the volume of surgical procedures at different centers.
- Results indicated a higher frequency of UCLR compared to UCL repairs; patients undergoing repairs tended to be older and female, while high-volume centers had younger male patients and were associated with fewer complications.
Background: Failure rates among primary Anterior cruciate ligament reconstruction range from 3.2 to 11.1 %.
View Article and Find Full Text PDFPurpose: To establish consensus statements on glenoid bone grafting, glenoid osteotomy, rehabilitation, return to play, and follow-up for posterior shoulder instability.
Methods: A consensus process on the treatment of posterior shoulder instability was conducted, with 71 shoulder/sports surgeons from 12 countries participating on the basis of their level of expertise in the field. Experts were assigned to 1 of 6 working groups defined by specific subtopics within posterior shoulder instability.
Hypothesis And/or Background: The incidence of elbow medial ulnar collateral ligament (MUCL) injuries has been increasing, leading to advances in surgical treatments. However, it is not clear that there is consensus among surgeons regarding diagnostic imaging, the indications for acute surgery and postoperative rehabilitation. The purpose of this study is evaluate surgeon variability in the presurgical, surgical, and postsurgical treatment of MUCL injuries regarding the imaging modalities used for diagnosis, indications for acute surgical treatment, and postoperative treatment recommendations for rehabilitation and return to play (RTP).
View Article and Find Full Text PDFBackground: Thoracic outlet syndrome (TOS) remains a rare diagnosis but is being recognized as a cause of upper extremity dysfunction in professional baseball players.
Purpose/hypothesis: The purpose was to determine performance and return-to-play (RTP) outcomes in professional baseball players after surgical treatment of TOS. The hypothesis was that there would be a high RTP rate in professional baseball players after TOS surgery with no statistical differences in performance between pitchers who had TOS surgery and matched controls.
Evaluation of Failed ACL Reconstruction: An Updated Review.
Open Access J Sports Med
April 2024
Failure rates among primary Anterior Cruciate Ligament Reconstruction (ACLR) range from 3.2% to 11.1%.
View Article and Find Full Text PDFContext: The quality and interprogram variability of publicly available throwing programs have not been assessed.
Objective: To (1) identify publicly available interval throwing programs, (2) describe their components and structure, and (3) evaluate their quality, variability, and completeness.
Data Sources: Google, Bing, Yahoo; keyword: "interval throwing program.
Background: Injuries to the medial ulnar collateral ligament (UCL) are common among baseball pitchers due to repetitive stress on the soft tissue stabilizers of the elbow during pitching. Dynamic stress ultrasound (SUS) can be used to evaluate the UCL and ulnohumeral joint to identify anatomic risk factors of those who will require UCL reconstruction (UCLR).
Purpose: To determine whether any adaptive or morphological changes detectable on SUS can predict injury to the UCL in professional baseball pitchers.
Purpose: To examine the relationship between tibial tubercle-trochlear groove (TT-TG) distance and patellar tendon length.
Methods: All healthy athletes who underwent anterior cruciate ligament reconstruction who had a magnetic resonance imaging (MRI) study of the knee on file between July 2018 and June 2019 at a single institution were retrospectively reviewed. Exclusion criteria included patients without an MRI study of the knee on file or with an MRI of insufficient quality precluding reliable calculation of TT-TG and patellar tendon length.
Background: There is a paucity of data analyzing dynamic stress ultrasound (SUS) findings in elite pitchers who have undergone ulnar collateral ligament (UCL) reconstruction (UCLR) and returned to sport.
Purpose: To identify longitudinal, perioperative changes in the elbows of professional baseball pitchers who have undergone UCLR and to compare these findings with a matched cohort of healthy pitchers.
Study Design: Cohort study; Level of evidence, 3.
Ulnar collateral ligament (UCL) tears in the elbow have been rising in recent years, most specifically in baseball players. Although many of these tears occur in professional (minor and major league) baseball pitchers, there has been a dramatic rise in UCL injuries in adolescents, at a rate of 9% per year. Although some UCL tears can be treated conservatively, those that fail conservative treatment often require surgical intervention to allow players to return to sport.
View Article and Find Full Text PDFBackground: The purpose of this study was to perform a systematic review of the literature to identify Shoulder Instability Return to Sport after Injury (SIRSI) scores in athletes who underwent open Latarjet surgery, determine the reasons why athletes failed to return to play (RTP) after Latarjet surgery, and compare SIRSI scores of those who did vs. did not RTP.
Methods: According to PRISMA guidelines, the PubMed, SportDiscus, and Ovid MEDLINE databases were queried to identify studies evaluating return to sport after Latarjet surgery.
The ulnar collateral ligament, also called the medial collateral ligament of the elbow, is the primary stabilizer against valgus loads. This ligament can be traumatically torn, such as in an elbow dislocation, or can tear through attritional damage with overhead sports. Although baseball pitching is the most common contributor, these injuries also occur with volleyball, gymnastics, and javelin throwing.
View Article and Find Full Text PDFAims: The aim of this study was to establish consensus statements on the diagnosis, nonoperative management, and indications, if any, for medial patellofemoral complex (MPFC) repair in patients with patellar instability, using the modified Delphi approach.
Methods: A total of 60 surgeons from 11 countries were invited to develop consensus statements based on their expertise in this area. They were assigned to one of seven working groups defined by subtopics of interest within patellar instability.
Aims: The aim of this study was to establish consensus statements on medial patellofemoral ligament (MPFL) reconstruction, anteromedialization tibial tubercle osteotomy, trochleoplasty, and rehabilitation and return to sporting activity in patients with patellar instability, using the modified Delphi process.
Methods: This was the second part of a study dealing with these aspects of management in these patients. As in part I, a total of 60 surgeons from 11 countries contributed to the development of consensus statements based on their expertise in this area.