Publications by authors named "Michael Scarcella"
Article Synopsis
- A 17-year-old football player suffered a quadriceps contusion from a direct impact injury, leading to acute compartment syndrome (ACS) the next day.
- The player experienced severe pain and limited movement, prompting a diagnosis of ACS and a successful fasciotomy.
- Timely diagnosis and rehabilitation are crucial for recovery, allowing the player to return to the game in four months.
Background: Surgeon performance has been investigated as a factor affecting patient outcomes after orthopaedic procedures to improve transparency between patients and providers.
Purpose/hypothesis: The purpose of this study was to identify whether surgeon performance influenced patient-reported outcomes (PROMs) 1 year after arthroscopic partial meniscectomy (APM). It was hypothesized that there would be no significant difference in PROMs between patients who underwent APM from various surgeons.
Background: It is unknown whether race- or insurance-based disparities in health care exist regarding baseline knee pain, knee function, complete meniscal tear, or articular cartilage damage in patients who undergo anterior cruciate ligament reconstruction (ACLR).
Hypothesis: Black patients and patients with Medicaid evaluated for ACLR would have worse baseline knee pain, worse knee function, and greater odds of having a complete meniscal tear.
Study Design: Cross-sectional study; Level of evidence, 3.
Background: Shoulder osteoarthritis (OA) with eccentric (B) glenoids has generally been associated with poor patient-reported outcomes and increased complications. The purpose of this study was to outline all the described treatment options and their outcomes and complications in order to better guide treatment.
Methods: This systematic review was performed according to the Preferred Reporting Items for Systematic review and Meta-analysis guidelines.
Article Synopsis
- Evidence-based guidelines for prescribing opioids after orthopedic surgeries, particularly knee arthroscopy, are inadequate, leading to concerns about overprescription.
- A study involving 174 patients showed that while most used low amounts of opioids post-surgery, 41% ended up taking more than necessary, with only a small percentage consuming six or more pills.
- Preoperative pain levels were found to significantly influence the amount of opioids consumed after surgery, indicating the need for tailored prescriptions based on individual patient assessments.
Background: Little has been reported in the literature regarding surgical treatment of posterior cruciate ligament (PCL) injuries in pediatric patients.
Purpose/hypothesis: The purpose was to evaluate presentation, injury pattern, outcomes, and complications of surgically managed PCL injuries in pediatric patients. It was hypothesized that pediatric patients would have good patient-reported outcomes and no significant radiographic changes or complications.
Background: Weight lifting after total shoulder arthroplasty (TSA) can place significant stresses on implants that could lead to instability, loosening, and increased wear. A TSA system with nonspherical humeral head resurfacing and inlay glenoid-which improves the biomechanics and thus reduces instability, wear, and potential loosening-may be able to tolerate repetitive loads from weight lifting.
Purpose: To determine clinical and radiographic outcomes after TSA in weight lifters.
The incidence of patients undergoing total shoulder arthroplasty (TSA) for glenohumeral osteoarthritis has been steadily increasing in the United States. TSA with humeral head resurfacing with an inlay glenoid using OVO®/OVO® Motion (Arthrosurface, Inc., Franklin, Massachusetts) is an anatomic implant solution to shoulder arthritis.
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