Publications by authors named "John D Kelly"
Purpose: To analyze the demographics and trends of orthopaedic surgeons entering the U.S. orthopaedic sports medicine workforce over the past decade.
View Article and Find Full Text PDFYour Best Life: Turning Posttraumatic Stress Into Posttraumatic Growth.
Clin Orthop Relat Res
December 2024
Introduction: Previous research has highlighted conflicts of interest stemming from industry funding and education of orthopaedic surgeons. This study sought to define the nature and magnitude of industry payments to orthopaedic surgery fellowship program directors (FPDs) in the United States.
Methods: This was a retrospective cohort study of orthopaedic surgery FPDs during 2021.
Article Synopsis
- This study analyzed basketball-related shoulder dislocations reported in US emergency departments from 2013 to 2022, using data from the National Electronic Injury Surveillance System (NEISS).
- A total of 52,417 shoulder dislocations were recorded, with a significant decrease in incidents over the study period, particularly from 2019 to 2020.
- The main cause of dislocations was falling, predominantly affecting young adults and adolescents, while females were more prone to dislocations resulting from player contact.
Background: Although the Latarjet operation may be performed as a revision surgery for anterior shoulder instability, the high recurrence rate of anterior shoulder instability after arthroscopic Bankart repair (ABR) has led some to advocate for performing the Latarjet procedure as a primary stabilization surgery. The purpose of this study was to compare the intermediate-term outcomes after primary open Latarjet (PLJ) and revision to open Latarjet (RLJ).
Materials And Methods: This was a single-institution retrospective analysis of patients who underwent either PLJ or RLJ procedures for anterior shoulder instability between 2014 and 2023.
Background: The recent addition of biceps tendon augmentation to partial arthroscopic rotator cuff repair (ARCR) for the treatment of large-to-massive rotator cuff tears is proposed to improve clinical outcomes and reduce re-tears.
Materials And Methods: The purpose of this systematic review and meta-analysis (5 studies) was to compare outcomes between partial ARCR with (142 patients) and without (149 patients) biceps augmentation.
Results: Partial ARCR with and without biceps augmentation were comparable in pain, function, and range of motion.
Background: The recruitment of high-quality applicants is critical to the vitality of the sports medicine physician workforce.
Objective: To analyze changes in the total number of available training positions, applicants, and unfilled training positions in the Sports Medicine Match from 2012 to 2022.
Design: This was a retrospective cohort study of sports medicine fellowship applicants.
Background: Hematuria is a cardinal symptom of urinary tract cancer and would require further investigations.
Objective: To determine the ability of renal bladder ultrasound (RBUS) with the Hematuria Cancer Risk Score (HCRS) to inform cystoscopy use in patients with hematuria.
Design, Setting, And Participants: The development cohort comprised 1984 patients with hematuria from 40 UK hospitals (DETECT 1; ClinicalTrials.
Smoking is a well-known cause of impairment in wound healing and postoperative outcomes; however, its effects on treating meniscus issues remain unclear. This study assesses the relationship between smoking and meniscus treatment outcomes. PubMed, Scopus, Cochrane, and CINAHL were searched from inception to 24 December 2023.
View Article and Find Full Text PDFArticle Synopsis
- Reverse total shoulder arthroplasty (RTSA) is often evaluated using patient-reported outcome measures (PROMs) and relies on metrics like minimum clinically important difference (MCID) and substantial clinical benefit (SCB) to determine its effectiveness.
- A systematic review analyzed 141 articles from various medical databases, ultimately including 39 studies with data on 11,984 patients who underwent RTSA, focusing on different thresholds used for MCID, SCB, patient acceptable symptom state (PASS), and maximal outcome improvement (MOI).
- Findings showed significant variability in reported MCID and SCB values across studies, highlighting the need for more standardized methods in calculating and applying these thresholds to improve clinical assessment of RTSA outcomes.
The Delayed Presentation and Diagnosis of Youth Wrestling Injuries: A 20-Year Analysis of National Injury Data.
J Am Acad Orthop Surg Glob Res Rev
May 2024
Article Synopsis
- - The study investigates the issue of delayed injury presentations among middle and high school wrestlers, as many athletes tend to hide their injuries, leading to an underreporting in youth wrestling injuries.
- - Data from the National Electronic Injury Surveillance System shows that approximately 5.6% of wrestlers presented their injuries after a delay, with most injuries occurring on Saturdays during the wrestling season.
- - Wrestlers with delayed injury presentations were found to be less likely to have fractures or head/neck injuries, highlighting the necessity for coaches and trainers to be attentive to potential injury signs.
Article Synopsis
- * Researchers collected tears and nasal samples from participants who tested positive for COVID-19, discovering that about 12% of those tested had RNA in their tears, with half showing live virus about a week after symptom onset.
- * The findings suggest that the presence of the virus in tears may be a potential, yet overlooked, source of transmission, highlighting the need for updated public health guidelines.
Purpose: To evaluate outcomes of patients who underwent primary arthroscopic repair for massive rotator cuff tears (MRCTs).
Methods: Patients with MRCTs (full-thickness tear of 2 or more tendons or full-thickness tear ≥5 cm) who underwent arthroscopic repair with a minimum follow-up of 2 years were retrospectively reviewed (n = 51). All patients had preoperative magnetic resonance imaging used to characterize pattern of tear, degree of fatty degeneration (Goutallier classification), and degree of rotator cuff arthropathy (Hamada classification).
Article Synopsis
- The increasing focus on patient-reported outcomes has highlighted the importance of understanding minimal clinically important difference (MCID), substantial clinical benefit (SCB), and Patient Acceptable Symptom State (PASS) thresholds for assessing rotator cuff repairs.!
- A systematic review analyzed studies from various databases published between 2000 and 2022, ultimately including 41 studies involving 6,331 shoulders that reported on MCID, SCB, and PASS thresholds related to rotator cuff repairs.!
- Results showed that while 90% of studies reported MCID, only 39% and 27% reported PASS and SCB values, respectively, revealing significant variability in how these thresholds are calculated and reported in the literature, prompting a
Background: Lower fitness is a predictor of adverse outcomes after radical cystectomy. Lockdown measures during the COVID-19 pandemic affected daily physical activity. We hypothesised that lockdown during the pandemic was associated with a reduction in preoperative aerobic fitness and an increase in postoperative complications in patients undergoing radical cystectomy.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to understand the trends and mechanisms behind lower extremity fractures related to basketball injuries in the U.S. from 2013 to 2022.
- It found that overall lower extremity fractures decreased over the years, with the ankle being the most commonly fractured site and noncontact twisting as the major injury mechanism.
- Analysis revealed significant reductions in ankle and foot fractures, while other types of fractures such as those in the knee and upper leg showed no significant changes.
Your Best Life: Slow Down to Live a More Intentional, Deliberate, and Mindful Life.
Clin Orthop Relat Res
March 2024
Objective: This study sought to understand trends in industry payments for research awarded to orthopedic surgeons.
Materials And Methods: The Centers for Medicare & Medicaid Services Open Payments database was queried for the years 2016 to 2021 for industry payments for research. Financial analyses were performed to understand temporal trends and differences by orthopedic subspecialty and principal investigator characteristics such as sex.
Background: Efforts to improve recovery after radical cystectomy (RC) are needed.
Objective: To investigate wrist-worn wearable activity trackers in RC participants.
Design, Setting, And Participants: An observational cohort study was conducted within the iROC randomised trial.
Your Best Life: Mentorship: A Means to Fulfillment and Resiliency.
Clin Orthop Relat Res
November 2023
Background And Hypothesis: A double cortical button technique for ulnar collateral ligament reconstruction (UCLR) has advantages including significant control over graft tensioning, less concern about graft length, and minimized risk of bone tunnel fracture compared with traditional UCLR techniques. This double cortical button technique was recently found to be noninferior in mechanical performance to the traditional docking technique regarding joint strength, joint stiffness, and graft strain. However, clinical outcomes have not been compared between these UCLR techniques.
View Article and Find Full Text PDF