Publications by authors named "Ganley T"
Pediatric Snowboarding-Related Concussions and Musculoskeletal Injuries Decreased From 2012 to 2022.
Arthrosc Sports Med Rehabil
December 2024
Purpose: To analyze mechanisms, diagnoses, and incidence of youth snowboarding-related injuries presenting to US emergency departments.
Methods: Data from the National Electronic Injury Surveillance System were analyzed for pediatric snowboarding injuries (≤18 years old) from 2012 to 2022. Data were collected for mechanism of injury, diagnosis, location of injury, and disposition.
Background: Osteochondritis dissecans (OCD) of the knee is a focal idiopathic alteration of subchondral bone and/or its precursor with risk for instability and disruption of adjacent cartilage. Treatment options focused on preventing premature osteoarthritis vary depending on multiple patient and lesion characteristics, including lesion mobility.
Purpose: To differentiate lesion mobility before arthroscopy using a multivariable model that includes patient demographic characteristics and physical examination findings.
Background: Patellofemoral osteochondral fractures (OCFs) have the potential to hinder patients' function and quality of life. Several fragment fixation techniques have been described, with both metallic screw and bioabsorbable fixation showing favorable functional outcomes. Despite the promising results associated with both fixation methods, no study has directly compared their functional outcomes.
View Article and Find Full Text PDFA Novel Machine Learning Model to Predict Revision ACL Reconstruction Failure in the MARS Cohort.
Orthop J Sports Med
November 2024
Background: As machine learning becomes increasingly utilized in orthopaedic clinical research, the application of machine learning methodology to cohort data from the Multicenter ACL Revision Study (MARS) presents a valuable opportunity to translate data into patient-specific insights.
Purpose: To apply novel machine learning methodology to MARS cohort data to determine a predictive model of revision anterior cruciate ligament reconstruction (rACLR) graft failure and features most predictive of failure.
Study Design: Cohort study; Level of evidence, 3.
Surgical Predictors of Clinical Outcome 6 Years After Revision ACL Reconstruction.
Am J Sports Med
November 2024
Background: Revision anterior cruciate ligament (ACL) reconstruction has been documented to have inferior outcomes compared with primary ACL reconstruction. The reasons why remain unknown.
Purpose: To determine whether surgical factors performed at the time of revision ACL reconstruction can influence a patient's outcome at 6-year follow-up.
Background: The Delphi technique is a structured, iterative group survey method utilized to reach a consensus among experts in a field regarding topics with evidence-based equipoise. Currently, there are few studies at the highest levels of evidence published on the perioperative tibial spine management, making it an ideal subject to utilize expert opinion to reach consensus decision.
Hypothesis/purpose: The purpose of this study was to utilize a Delphi-method survey to achieve consensus statements regarding the perioperative management of tibial spine fractures.
Article Synopsis
- The study investigates the impact of social determinants of health (SDOH) on functional outcomes after anterior cruciate ligament (ACL) reconstruction, utilizing the Child Opportunity Index (COI) to assess disparities.
- It hypothesizes that patients in lower COI scoring areas experience delays in surgical care and worse post-surgery recovery outcomes.
- Results show that patients from lower COI groups had longer wait times for surgery, lower range of motion and strength, and attended fewer physical therapy sessions compared to those in higher COI groups.
Article Synopsis
- - The study examines how effective MRI is at identifying instability in osteochondritis dissecans (OCD) lesions in the medial femoral condyle of children, with data collected from 59 kids aged around 12.5 years who underwent knee MRIs between 2016 and 2023.
- - Two radiologists reviewed MRI images to track various factors—like joint effusion and cartilage changes—to classify lesions as stable or unstable. The ultimate determination was based on results from arthroscopy or follow-up evaluations.
- - Findings showed that while MRI's sensitivity and specificity varied by specific features, certain indicators (like skeletal maturity and cartilage alteration) had strong associations with instability, meaning they could help predict which lesions might require more
Background: Patellofemoral instability (PFI) is a common problem with various anatomic risk factors identified, including patella alta as one of the most powerful predictors. Given that the medial patellofemoral ligament (MPFL) is the primary soft tissue stabilizer of the patella, a common procedure to treat recurrent patellar instability is MPFL reconstruction. The aim of this study is to examine the relationship between MPFL reconstruction and patellar height.
View Article and Find Full Text PDFArticle Synopsis
- * Researchers analyzed 76 RCTs published from 2005 to April 2024 across two pediatric orthopaedic journals, finding that only a small percentage reported various SDOHs like BMI, race, and educational level.
- * The findings indicate a significant gap in reporting SDOHs in pediatric orthopaedic surgery studies, highlighting the need for future research to include a broader range of demographic and social factors.
Article Synopsis
- Osteochondritis dissecans (OCD) affects the osteochondral junction, leading to unstable bone fragments and disrupted cartilage, causing chronic knee pain primarily in children and young adults.
- The literature mostly discusses OCD in the medial femoral condyle (MFC), but unclear terminology related to patients' skeletal maturity complicates diagnosis and treatment options.
- This article explores the MFC OCD's pathophysiology, the significance of imaging techniques, and includes a case study connecting imaging findings to the ROCK classification for better management of the condition.*
Background: A recent study has reported that the radiographic measurement of posterior tibial slope (PTS) is larger in male pediatric patients with tibial spine fractures (TSF) than in controls. However, they found no difference in PTS between female patients and controls.
Purpose: (1) To identify whether PTS is larger in female pediatric patients with TSF than in female controls and (2) to validate the relationship between PTS and pediatric TSF in male patients.
Article Synopsis
- The study aimed to understand the surgical anatomy of the meniscotibial ligament complex in children's knees, focusing on its relationship with the proximal tibial physis and the posterior joint capsule.
- Researchers dissected 14 pediatric knee specimens, ranging from 3 months to 11 years old, to observe the spatial relationships and marked key anatomical points for analysis.
- Results showed a clear separation between the knee capsule and the meniscal attachments, with distances between the meniscotibial ligament and the physis increasing as children aged, highlighting important anatomical considerations for surgical procedures.
Background: Most healthcare providers utilize magnetic resonance imaging (MRI) to assist in diagnosing and treating osteochondritis dissecans (OCD) of the capitellum. However, consensus on imaging features that portend clinically relevant information in the care of these lesions has not been determined.
Purpose: To conduct a survey on the MRI features of a capitellar OCD that are salient for clinical decision-making using a classic Delphi protocol.
Objectives: To compare the timeline for post-operative quadriceps and hamstrings strength recovery following anterior cruciate ligament reconstruction (ACLR) using either a quadriceps tendon (QT) or hamstring tendon (HT) autograft.
Methods: Patients (≤18 years) who underwent ACLR using autograft QT or HT were included. Isokinetic strength was extracted at 3, 6, and 12 months post-operatively.
Article Synopsis
- - The study investigates how skeletal maturity affects the morphology and alignment of the patellofemoral joint in patients with patellar osteochondritis dissecans, highlighting that younger patients may heal better than those who are skeletally mature.
- - MRI data from 68 children showed that most lesions were located on the central patella, with significant findings indicating abnormal angles and indices across the sample, particularly in skeletally mature knees.
- - Skeletally mature patients displayed more severe morphological abnormalities (higher Dejour types) and less favorable alignment measurements compared to their immature counterparts, suggesting that age impacts the complexity of knee conditions.
Top 50 Most-Cited Studies about Osteochondritis Dissecans.
Arthrosc Sports Med Rehabil
February 2024
Article Synopsis
- The study aimed to identify and analyze the 50 most cited research articles on osteochondritis dissecans (OCD) by searching the Clarivate Web of Science database for relevant publications before December 2022.
- A total of 3,865 articles were reviewed, with the majority of the top cited studies (60%) being published between 2000 and 2009, primarily focusing on treatment of OCD, especially related to the knee joint.
- This bibliometric analysis serves as a guide for students and researchers by highlighting key studies and trends in OCD research, emphasizing the predominance of Level IV evidence in these publications.
Article Synopsis
- The study examined knee MRI findings in symptomatic young soccer players to understand how skeletal maturity affects prevalence and surgery predictors.
- Ninety-seven players were analyzed, showing that Osgood-Schlatter disease was more common in immature knees, while ACL injuries and meniscal tears were more prevalent in mature knees.
- The presence of knee effusions, ACL injuries, and lateral meniscal tears were identified as key predictors for whether these players would need surgery, especially among those who were skeletally mature.
Article Synopsis
- The study investigates the presentation and treatment outcomes of patients with osteochondritis dissecans (OCD) lesions in the patella and trochlea, addressing previously limited research with small sample sizes.
- Conducted at a single institution from 2008 to 2021, it included 68 patients and evaluated their return to sports, pain resolution, imaging results, and overall treatment success after a minimum follow-up of 12 months.
- Results showed that while 62% of patients returned to sports and 54% experienced pain resolution, many still had lingering symptoms, indicating a need for improved treatment strategies for these conditions.
Background: Elbow pain is common among youth baseball players and elbow MRI is increasingly utilized to complement the clinical assessment.
Objective: To characterize, according to skeletal maturity, findings on elbow MRI from symptomatic youth baseball players.
Materials And Methods: This IRB-approved, HIPAA-compliant retrospective study included pediatric (<18 years of age) baseball players with elbow pain who underwent MRI examinations between 2010 and 2021.
Background: Surgical treatment options of discoid lateral meniscus in pediatric patients consist of saucerization with or without meniscal repair, meniscocapular stabilization, and, less often, subtotal meniscectomy.
Purpose: To describe a large, prospectively collected multicenter cohort of discoid menisci undergoing surgical intervention, and further investigate corresponding treatment of discoid menisci.
Study Design: Cohort study; Level of evidence, 3.
Purpose: To compare the clinical and patient-reported outcomes of adolescent patients who underwent anterior cruciate ligament reconstruction (ACLR) with quadriceps tendon (QT) versus hamstring tendon (HT) autograft.
Methods: This was a retrospective cohort study of adolescent patients aged 18 years or younger treated at a single tertiary care children's hospital who underwent primary transphyseal ACLR using QT or HT between January 2018 and December 2019. All patients had minimum 6-month follow-up.
Background: A decrease in sport-related injuries was observed in 2020, which has been attributed to COVID-19 and recommendations to suspend organized sports. In adult populations, increased injury rates have been noted in athletes returning to play after an extended period of reduced play, attributable to deconditioning. There is growing literature surrounding concern over increased injury risk after return to sport after the COVID-19 shutdowns.
View Article and Find Full Text PDFBackground: Research has indicated that lower socioeconomic status is associated with delays in the treatment of anterior cruciate ligament (ACL) injuries; however, there is a paucity of literature evaluating its association with patient-reported outcomes (PROs). Using the Area Deprivation Index (ADI), a validated proxy for socioeconomic status, the study aimed to determine how relative socioeconomic disadvantage is related to PROs after primary ACL reconstruction (ACLR) in pediatric patients.
Methods: This retrospective cohort study included all patients 18 years old or above who underwent primary ACLR at an academic institution between 2018 and 2021.