Publications by authors named "Bryce F Kunkle"
Statin-induced liver injury has been widely described. However, cases of clinically significant liver injury are rare. We present a 56-year-old woman who developed atorvastatin-induced grade III acute liver injury with concurrent rhabdomyolysis that worsened after rechallenging, which highlighted the need for pharmacovigilance with statins.
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- Total elbow arthroplasty (TEA) is becoming a common surgical choice for elbow issues, but there's a lack of research on factors affecting its success rates.
- The study analyzed data from 8,932 TEA cases to find that age, female gender, certain insurance statuses, and hospital characteristics increased complication rates, while factors like hospital type and specific medical conditions impacted revision rates.
- Results from this study highlight key patient and hospital traits associated with complications, which can help orthopedic surgeons make informed decisions when recommending TEA.
Introduction: While many patients benefit from nonoperative treatment of insertional Achilles tendinopathy (IAT), some elect for surgical debridement and reconstruction. The purpose of this study is to determine the relationship of patient demographic characteristics, comorbidity profiles, and radiological parameters with failure of conservative management of IAT.
Methods: A retrospective chart review was performed to identify patients who received either surgical or nonsurgical treatment of IAT at an academic institution from September 2015 to June 2019 (N = 226).
Background: Preoperative planning for total shoulder arthroplasty (TSA) may change according to the measured degree of glenoid version. Both 2-dimensional (2D) and 3-dimensional (3D) computed tomographic (CT) scans are used to measure glenoid version, with no consensus on which method is more accurate. However, it is generally accepted that 3D measurements are more reliable, yet most 3D reconstruction software currently in clinical use have never been directly compared to 2D.
View Article and Find Full Text PDFBackground: Limited data exist regarding the clinical and functional outcomes following primary total shoulder arthroplasty in obese patients. The purpose of this study is to determine the effects of obesity on the clinical and functional outcomes following primary anatomic total shoulder arthroplasty (aTSA) and reverse total shoulder arthroplasty (rTSA) in a large patient population with mid-term follow-up.
Methods: Patients in a multi-institutional shoulder registry receiving either primary aTSA (n = 1520) or rTSA (n = 2054) from 2004 to 2018 with a minimum follow-up period of 2 years were studied.
This biomechanical study evaluates the performance of a solid titanium-alloy intra-medullary () clavicular screw in torsion and cantilever bending in cadaveric clavicle specimens with simulated simple oblique and butterfly wedge midshaft fractures. Thirty-two fresh-frozen male clavicles were sorted into six experimental groups: Torsion Control, Torsion Simple Oblique Fracture, Torsion Butterfly Wedge Fracture, Bending Control, Bending Simple Oblique Fracture, and Bending Butterfly Wedge Fracture. The experimental groups were controlled for density, length, diameter, and laterality.
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- Higher body mass index (BMI) is linked to a higher risk of developing hip and knee osteoarthritis, leading to younger patients requiring total hip (THA) and knee arthroplasties (TKA).
- A study analyzed data from the National Inpatient Sample (2002-2017) and found a significant increase in obesity rates among patients undergoing THA (from 7.0% to 22.7%) and TKA (from 10.7% to 30.4%), along with a decrease in the average age of patients for both procedures.
- These findings highlight a concerning national trend where patients needing hip and knee surgeries are becoming both younger and more obese, corresponding with the rising obesity epidemic.
»: Cold therapy, also known as cryotherapy, includes the use of bagged ice, ice packs, compressive cryotherapy devices, or whole-body cryotherapy chambers. Cryotherapy is commonly used in postoperative care for both arthroscopic and open orthopaedic procedures.
»: Cryotherapy is associated with an analgesic effect caused by microvasculature alterations that decrease the production of inflammatory mediators, decrease local edema, disrupt the overall inflammatory response, and reduce nerve conduction velocity.