Publications by authors named "Carew Giberson-Chen"
Purpose: Concerns regarding the ongoing opioid epidemic have led to the implementation of standardized postoperative opioid-prescribing protocols for many common hand surgical procedures. This study investigated patient- and procedure-specific factors affecting adherence to a standardized postoperative opioid-prescribing protocol after cubital tunnel surgery.
Methods: A retrospective review of patients who underwent primary cubital tunnel surgery within one academic medical system between October 1, 2016 (after the implementation of a standardized postoperative opioid-prescribing protocol) and March 1, 2020 was performed.
Low bone mineral density (BMD) can predispose to vertebral body compression fractures and postoperative instrumentation failure. DEXA is considered the gold standard for measurement of BMD, however it is not obtained for all spine surgery patients preoperatively. There is a growing body of evidence suggesting that more routinely acquired spine imaging studies such as computed tomography (CT) and magnetic resonance imaging (MRI) can be opportunistically used to measure BMD.
View Article and Find Full Text PDFBackground: Concerns regarding the ongoing opioid epidemic have led to heightened scrutiny of postoperative opioid prescribing patterns for common orthopedic surgical procedures. This study investigated patient- and procedure-specific risk factors for additional postoperative opioid rescue prescriptions following ambulatory cubital tunnel surgery.
Methods: A retrospective review was performed of patients who underwent cubital tunnel surgery at 2 academic medical centers between June 1, 2015 and March 1, 2020.
Purpose: Isolated ulnar shaft fractures are frequently managed nonsurgically. However, rates of nonsurgical treatment failure remain substantial, and risk factors for the failure of nonsurgical management are not well described. This study investigated radiographic and patient-specific risk factors for the failure of nonsurgical management of isolated ulnar shaft fractures.
View Article and Find Full Text PDFArticle Synopsis
- The study is a retrospective cross-sectional analysis aimed at comparing radiation exposure from intraoperative computed tomography (CT) to conventional radiography during spine surgeries.
- It found that intraoperative CT increased radiation exposure by approximately 7.6 mSv, significantly elevating lifetime cancer risk, particularly for the median patient (a 62-year-old female), by about 2.3 incidents per 10,000.
- The research underscores the need to evaluate the risk profile of advanced imaging technologies like intraoperative CT in the context of patient demographics and surgery type to better inform clinical decisions.
Article Synopsis
- The study is a narrative review focused on the development of classification systems for acute traumatic thoracolumbar (TL) injuries to enhance consistency in terminology and understanding.
- Historical TL classification systems have evolved, shifting from basic descriptive methods to more comprehensive frameworks that consider fracture characteristics, stability, and neurological function, incorporating newer predictive and evaluative features.
- The latest classification, the Arbeitsgemeinschaft fur Osteosynthesenfragen Spine TL Injury Classification System, aims to standardize and simplify terminology, reflecting advancements in trauma management and promoting clearer communication across medical contexts.
Background: The current literature lacks an updated review examining return to play (RTP) and return to prior performance (RTPP) after shoulder surgery in professional baseball players.
Purpose: To summarize the RTP rate, RTPP rate, and baseball-specific performance metrics among professional baseball players who underwent shoulder surgery.
Study Design: Systematic review; Level of evidence, 4.
Introduction: Spinal epidural abscess (SEA) is a complex medical condition with high morbidity and healthcare costs. Clinical presentation and laboratory data may have prognostic value in forecasting morbidity and mortality. C-reactive protein-to-albumin ratio (CAR) demonstrates promise for the prediction of adverse events in multiple orthopaedic and nonorthopaedic surgical conditions.
View Article and Find Full Text PDFObjective: To summarize the literature relating to prehospital care at 5 km through marathon distance road races and present the epidemiology of common medical encounters, significant medical complications, and medical outcomes.
Data Sources: We searched PubMed and Google Scholar for the published literature pertaining to road race medical tent encounters at 5 km through marathon distance road races from 2000 to 2018. We included English-language, original articles reporting on injury and illness incidence.
Purpose: The Sauve-Kapandji procedure (SK) combines a distal radioulnar joint (DRUJ) arthrodesis with the creation of an ulnar pseudarthrosis for the salvage of DRUJ instability or arthritis. Despite several published case series, there are limited data on postoperative functional outcomes. This study evaluates patient-reported outcomes of SK using a validated functional outcomes scale.
View Article and Find Full Text PDFBackground: The American Academy of Orthopaedic Surgeons Clinical Practice Guideline on the Treatment of Distal Radius Fractures has not been evaluated in clinical practice. We hypothesized that adhering to the distal radial fracture radiographic clinical practice guideline (CPG) improves outcomes and reduces costs.
Methods: We reviewed 266 patients with distal radial fractures treated at 1 institution.