Publications by authors named "Pazik M"
Article Synopsis
- * A total of 2.1% of patients (n=138) experienced dislocations, primarily within the first 90 days post-surgery, with different treatment approaches for dislocation including closed reduction, open reduction, revision arthroplasty, or benign neglect.
- * Among those treated with closed reduction, only 31% were successfully resolved without further intervention, while many either required revision surgery or experienced recurrent dislocations, highlighting the complexity of managing these postoperative complications.
Objectives: To compare outcomes and complications between nonoperative and operative management of femur and tibia fractures in patients with paraplegia or quadriplegia from chronic spinal cord injury (SCI).
Design: Retrospective cohort study.
Setting: Three Level-1 Trauma centers.
Article Synopsis
- A Division I baseball pitcher experienced chronic forearm pain in his throwing arm, specifically with tenderness in the radial tunnel area.
- An MRI after pitching showed swelling around the posterior interosseous nerve, leading to a diagnosis of radial tunnel syndrome.
- The pitcher had surgery to relieve nerve pressure, which completely resolved his symptoms and allowed him to return to playing baseball.
Background: Pitch counts are only one measure of the true workload of baseball pitchers. Newer research indicates that workload measurement and prevention of injury must include additional factors. Thus, current monitoring systems gauging pitcher workload may be considered inadequate.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates whether closing the capsule during arthroscopic hip labral repair affects pain and functionality post-surgery.
- Researchers compared outcomes between two groups: one that had capsular closure and one that did not, analyzing data from up to 2 years after surgery.
- Results indicated that while those who had capsular closure tended to be younger and had better Modified Harris Hip Scores, matched analyses showed no significant differences in outcomes between the two groups at any follow-up time.
Article Synopsis
- The study examined how treatment methods (surgical vs. nonoperative) affect medial ulnar collateral ligament (UCL) injuries in young, nonprofessional baseball players, focusing on injury type, severity, and anatomical location.
- Researchers found that players with closed medial epicondyle growth plates were more likely to undergo surgery compared to those with open growth plates, with significant differences in UCL injury severity affecting treatment choice.
- The conclusion suggests that nonprofessional athletes with closed growth plates and certain UCL injuries typically require surgical treatment, while those with partial tears need further long-term assessment.
The COVID-19 lockdown as a model of detraining in division 1 college softball players.
BMC Sports Sci Med Rehabil
February 2024
Article Synopsis
- The COVID-19 pandemic created a unique situation to study the effects of sudden detraining on softball players, resembling what might happen after an injury.
- The study involved NCAA Division 1 softball players and measured changes in shoulder and hip range of motion and strength at three different time points: before the pandemic, after the initial lockdown, and before the 2021 season.
- Results indicated significant changes in shoulder range of motion and strength over time, particularly highlighting decreases during the lockdown and subsequent increases when training resumed.
Background: Although substantial motion at the acromioclavicular joint (ACJ) occurs during overhead shoulder motion, the influence of ACJ arthritis on postoperative outcomes of patients undergoing reverse total shoulder arthroplasty (rTSA) is unclear. We assessed the influence of ACJ arthritis, defined by degenerative radiographic changes, and its severity on clinical outcomes after primary rTSA.
Methods: We conducted a retrospective review of a prospectively collected shoulder arthroplasty database of patients that underwent primary rTSA with a minimum 2-year clinical follow-up.
Hypothesis/purpose: The purpose of this study was to compare PROMs in patients undergoing anterior glenoid labral repair using all-suture versus conventional anchors. We hypothesized PROMs would be similar between groups.
Methods: We performed a retrospective review of the Arthrex Global Surgical Outcomes System (SOS) database, querying patients who underwent arthroscopic glenoid labral repair between 01/01/2015 and 12/31/2020.
Case: A 53-year-old man presented with simultaneous, bilateral proximal hamstring ruptures. He underwent open, staged surgical repair of the proximal hamstrings, followed by a modified course of rehabilitation. At 2-year follow-up, the patient reports excellent outcomes.
View Article and Find Full Text PDFCharacteristics and reported injuries of recreational and competitive archers.
J Sports Med Phys Fitness
November 2023
Background: The aim of this cross-sectional study was to describe basic characteristics of archery athletes and examine injuries reported among archers of a variety of demographic and experience levels.
Methods: Participants at various archery competitions were asked to complete a 27-item survey that included demographics, bow type, archery experience, archery training patterns and volume, and injury incidence and anatomical location.
Results: Two hundred and thirty-four complete surveys were included in the analysis.
In the course of lung cancer, normal cells are transformed into cancerous ones, and changes occur in the microenvironment, including the extracellular matrix (ECM), which is not only a scaffold for cells, but also a reservoir of cytokines, chemokines and growth factors. Metalloproteinases (MMPs) are among the elements that enable ECM remodeling. The publication focuses on the problem of changes in the gene expression of , and tissue inhibitor of metalloproteinases () in the blood of NSCLC patients during therapy (one year after surgical resection of the tumor).
View Article and Find Full Text PDFPredictors of dislocations after reverse shoulder arthroplasty: a study by the ASES complications of RSA multicenter research group.
J Shoulder Elbow Surg
January 2024
Article Synopsis
- Instability or dislocation after reverse shoulder arthroplasty (RSA) is a common problem that doctors face when treating patients.
- A big study involving over 6,600 patients from 15 different hospitals looked at how often dislocations happen and what factors might cause them.
- The results showed that the overall dislocation rate was 2.1%, but higher for patients getting revision surgeries, and some patients were more likely to dislocate than others based on their specific shoulder issues.
Article Synopsis
- A study analyzed various biceps tenodesis methods in patients undergoing rotator cuff repair (RCR) to see if any specific technique resulted in better outcomes over a follow-up period of one to two years.
- The research included 1903 cases and compared different constructs (anchor, screw, or suture), locations (subpectoral, suprapectoral, or top of groove), and techniques (inlay or onlay) using several evaluation metrics for pain and functionality.
- The findings showed that while certain methods (anchor and suture fixations) performed slightly better in mental health scores, no definitive optimal tenodesis method was established as all techniques provided similar improvements overall.
Article Synopsis
- The study investigates the risk factors for acromial and scapular spine fractures following reverse shoulder arthroplasty in patients with different diagnoses such as glenohumeral arthritis, rotator cuff arthropathy, and massive irreparable rotator cuff tears.
- Data from 4,764 patients who underwent the procedure between January 2013 and June 2019 were analyzed, revealing an overall stress fracture incidence of 4.1%, with higher rates in patients with rotator cuff issues compared to those with arthritis.
- Specifically, the presence of inflammatory arthritis was a significant predictor of fractures in glenohumeral arthritis patients, while factors such as sex and osteoporosis were also relevant in the rotator cuff arthropathy
Background: Although fastpitch softball participation continues to rise, there is a lack of established pitch count guidelines, potentially putting young female athletes at risk of overuse injuries. In addition to coaches, caregivers' ability to recognize and employ safe pitching guidelines plays an important role in athlete safety.
Purpose/hypothesis: The purpose of this study was to assess caregivers' knowledge of their child's pitching practices and their familiarity with softball pitching recommendations.
Outcomes of young active patients with displaced clavicle fractures treated with Rockwood pin.
Eur J Orthop Surg Traumatol
October 2023
Article Synopsis
- - The study explored the effectiveness of the Rockwood pin for fixing displaced midshaft clavicle fractures in young, active patients, ages 10-35, with the expectation of favorable outcomes.
- - Out of 39 patients, 88% had significantly displaced fractures, and the surgery resulted in nearly perfect alignment in 92% of the cases, with an average time for radiographic union of 2.3 months.
- - The results showed high patient satisfaction with shoulder appearance and good functional scores, as 77% of adults experienced no long-term limitations, indicating that the Rockwood pin is an effective treatment option.
Background: Musculoskeletal trauma is one of the leading causes of disability in the USA and its negative quality of life impact extends beyond that of physical recovery. More than 50% of victims of musculoskeletal trauma suffer lasting mental health issues and post-traumatic stress disorder (PTSD) symptomology following their injury. These symptoms can develop across all spectrums of patients and are independent predictors of poor outcome.
View Article and Find Full Text PDFBackground: Patient survivorship and risk factors of mortality after reverse total shoulder arthroplasty (RTSA) are seldom and inadequately studied. The purpose of this study was to evaluate the mortality rates and predictors of 1-year and overall mortality after RTSA.
Methods: We retrospectively reviewed 1518 consecutive adult patients who underwent RTSA at our institution.
Article Synopsis
- Studies show that biceps tenotomy and tenodesis have similar pain and function outcomes when done with rotator cuff repairs.
- The hypothesis suggested that with a properly powered study, significant differences in outcomes might be found between the two procedures.
- After analyzing 1936 patients, results showed that while tenodesis had better scores at the 2-year mark, the differences weren't clinically significant, suggesting both procedures can be viable options.
Background: Little is known about the role of disorders of the acromioclavicular joint (ACJ) and how they relate to complications after reverse shoulder arthroplasty (RSA). The purpose of this study is to compare the severity of ACJ osteoarthritis in patients undergoing RSA with and without postoperative acromial and scapular spine fractures.
Methods: A retrospective review was performed to identify all patients who underwent primary RSA between 1/1/2007 and 10/31/2019 with a postoperative acromial or scapular spine stress fracture from a single institution.