Publications by authors named "Rory A Byrne"
Article Synopsis
- Public insurance, specifically Medicaid, is linked to a lower likelihood of undergoing surgery for shoulder dislocation compared to commercial insurance.
- Analysis of a national database showed patients with Medicaid had a significantly reduced chance of receiving surgical stabilization within 30 days, 1 year, and 2 years post-injury.
- The findings emphasize disparities in healthcare access for Medicaid patients, particularly among those aged 45-64 years.
Article Synopsis
- The study investigates the occurrence, causes, treatment, and recovery times of ulnar collateral ligament (UCL) injuries in NFL quarterbacks between 1991 and 2023.
- A total of 21 injuries were recorded, with most occurring in players aged around 29, primarily as noncontact injuries, and often managed without surgery.
- While average recovery time was about 166 days, those requiring surgical reconstruction faced significantly longer recovery; additionally, recent injuries correlated with better performance after recovery compared to older injuries.
Background: Softball is a popular lifetime sport due to its inclusion of both fastpitch and slowpitch varieties, although associated injuries are common.
Objective: To compare softball injury rates across patient sex, age, race, injury location, mechanism, and activity.
Methods: The National Electronic Injury Surveillance System (NEISS) was queried for all upper extremity softball injuries in patients 10-85+ years old presenting to United States emergency departments between 2012 and 2021.
Article Synopsis
- This study investigates the link between vitamin D deficiency and distal biceps tendon injuries, finding that while vitamin D deficiency is linked to longer hospital stays and musculoskeletal issues, its direct connection to biceps injuries is unclear.
- The researchers hypothesize that vitamin D deficiency increases the risk of distal biceps injuries but does not affect rates of surgery for these injuries.
- Results show that patients with vitamin D deficiency had a significantly higher incidence of distal biceps tendinopathy compared to controls, but this deficiency did not correlate with higher rates of surgical interventions, suggesting the importance of vitamin supplementation for injury prevention.
Article Synopsis
- Arm injuries are prevalent among high school fastpitch softball players, with nearly half seeking medical attention for arm pain.
- A study involving surveys from players, parents, and coaches revealed that riseball pitchers had lower surgery rates compared to other pitchers.
- Overall, injury prevention knowledge was found to be insufficient, with players scoring lower on quizzes than their parents and coaches.
Article Synopsis
- * Out of 15,445 fractures, 126 studies used PROMs, with the Constant Score being the most frequently reported, and a notable increase in PROM usage over time was observed.
- * Findings highlighted inconsistencies in outcome reporting, suggesting a need for standardization of measures to enhance comparability across studies in fracture literature.
Objectives: The goal of this study is to establish radiographic features and characteristics of patient injury in cases of femoral shaft fractures that predict the presence of ipsilateral femoral neck fractures (IFNFs).
Methods: Patient data was retrospectively assessed from a single level I trauma center through the electronic health record using (Current Procedural Terminology) CPT codes for both isolated and combined ipsilateral femoral shaft and neck fractures. Demographic information, injury characteristics, and independently reviewed radiographic features were collected and compared against the same information from a group of isolated femoral shaft fractures.
Article Synopsis
- There is ongoing debate about whether open reduction internal fixation (ORIF) or primary arthrodesis (PA) is the better treatment for Lisfranc injuries, with this study aiming to clarify the current literature using a method called statistical fragility analysis.
- The researchers evaluated 244 studies and included 10, focusing on 67 specific outcomes, and found that some studies favored PA for better functional outcomes while others reported no significant differences between the two methods.
- The findings suggest that the existing research on ORIF vs PA is relatively strong compared to other orthopedic controversies, though the full context of each study should be reviewed for a comprehensive understanding of their claims.
Background: Utilization of an emergency department (ED) visit for anterior cruciate ligament (ACL) injury is associated with high cost and diagnostic unreliability.
Hypothesis: Patients initially evaluated at an ED for an ACL injury would be more likely to be from a lower income quartile, use public insurance, and experience a delay in treatment.
Study Design: Cohort study; Level of evidence, 3.
Purpose: To examine the available literature to better understand the objective and patient-reported outcomes using peroneus longus tendon (PLT) autograft compared with more commonly used autografts, such as the quadrupled hamstring tendons (HT), in patients undergoing primary for anterior cruciate ligament reconstruction (ACLR).
Methods: A comprehensive search of published literature in PubMed, Web of Science, Cochrane Library, Ovid, and EMBASE databases was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Inclusion criteria included patients undergoing ACLR with PLT autograft, inclusion of patient-recorded outcome measures, and availability in English language.
Article Synopsis
- A study explored the link between vitamin D deficiency (hypovitaminosis D) and primary rotator cuff tears (RCT) in orthopedic patients, revealing that those with low vitamin D levels had a higher likelihood of experiencing RCT and associated complications.
- Researchers analyzed data from over 336,000 patients between 2011 and 2018, finding significant odds ratios indicating an increased risk of full-thickness RCT and a greater chance of women needing surgery for these tears.
- The results suggest that addressing vitamin D deficiency could be an important, modifiable risk factor for orthopaedic issues like rotator cuff injuries, highlighting potential benefits for musculoskeletal health.
Surgical simulation has become a commonly utilized and well-researched training adjunct in nearly all surgical specialties. Balancing high-quality orthopaedic surgical training in the face of work hour restrictions and efficiency pressures has become a challenge to educators and trainees alike. Surgical simulation is an opportunity to enhance such training and potentially permit trainees to be better equipped for the operating room.
View Article and Find Full Text PDFContext: Collegiate baseball players with professional aspirations often participate in summer leagues; foremost among them is the Cape Cod Baseball League (CCBL). Injuries acquired during the collegiate baseball season can be carried into the CCBL season and vice versa.
Objective: To assess the history of throwing arm injury and current functionality in midseason CCBL players.
Objective: Osteochondral allograft (OCA) transplantation is a restorative surgical option for large, full-thickness chondral or osteochondral defects in the knee. Variability in outcomes reporting has led to a broad range of graft survival rates. Using rate of salvage surgery following OCA as a failure metric, the purpose of this study was to analyze the incidence and risk factors for failure in a nationwide cohort.
View Article and Find Full Text PDFThe extensor carpi ulnaris (ECU) is primarily responsible for extension and ulnar deviation at the wrist. Secondary to repetitive loading of, or acute trauma to the flexed, supinated and ulnarly deviated wrist, the ECU tendon can be a common source of ulnar-sided wrist pain. Common pathology includes ECU tendinopathy, tenosynovitis, tendon instability, and tendon rupture.
View Article and Find Full Text PDFBackground: Vitamin D has been proven experimentally to affect musculoskeletal health. The purpose of this study was to identify the relationship between vitamin D deficiency and patellar instability.
Hypothesis: Vitamin D deficiency is associated with an increased risk of experiencing primary patellar instability and recurrent patellar dislocation after primary surgical stabilization.
Background: Posterior shoulder instability is being identified and treated more frequently by orthopaedic providers. After posterior shoulder stabilization, long-term outcomes in function and mobility are largely dependent on the postoperative rehabilitation period. Thus, it is important to assess the consistency between protocols at different institutions.
View Article and Find Full Text PDFPurpose: To characterize the association between a diagnosis of hypovitaminosis D and primary anterior cruciate ligament (ACL) tear, primary anterior cruciate ligament reconstruction (ACLR), and revision ACLR in different sex and age cohorts.
Methods: In this retrospective cohort study of the PearlDiver claims database, records were queried between January 1, 2011, and October 31, 2018 for all patients aged 10 to 59 years who received a diagnosis of hypovitaminosis D. Rates of primary ACL tears, primary reconstruction, and revision reconstruction were calculated for sex- and age-specific cohorts and compared with a control of patients without a diagnosis of hypovitaminosis D.
Article Synopsis
- The study aimed to assess the connections between reduced hip internal rotation and anterior cruciate ligament (ACL) tear rates, as well as the relationship between femoroacetabular impingement (FAI) and ACL tears, and to find biomechanical evidence of increased strain on ACLs due to limited hip movement.
- A systematic review followed PRISMA guidelines and analyzed various studies that looked at hip motion, radiographs, and ACL injuries, with eleven studies ultimately meeting the inclusion criteria, which indicated varying levels of evidence quality.
- Results showed that a significant number of studies found a link between limited hip rotation and ACL tears, and both cadaveric models and clinical studies supported the idea of increased ACL strain when hip internal rotation